Abstract：
:This article aims to provide hand surgeons with current knowledge on the developmental biology of the upper limb. It will review positioning, limb bud emergence and formation of the apical ectodermal ridge. The development of the limb bud is analyzed in its three axes: proximal-distal, anteroposterior and dorsoventral. The signaling center and primary morphogens that initiate and stimulate the development of each axis will be described. For the proximal-distal axis, the apical ectodermal ridge stimulates the production of FGFs in the underlying distal mesoderm. The anteroposterior (or radio-ulnar) differentiation is a function of the zone of polarizing activity via the small Sonic hedgehog protein, which diffuses in a decreasing concentration gradient from the ulnar to the radial side of the bud. This gradient is essential to digit identity and numbers. For the dorsoventral differentiation, the signaling center is the dorsal ectoderm, which secretes WNT7A. Limb segmentation is described in three parts (arm, forearm and hand) along with the formation of the digital rays until finger separation. An example of congenital anomalies is provided for each step. To keep the length of this lecture within reason, the embryogenesis of nerves, blood vessels, muscles and tendons will not be discussed. On the other hand, the singularity of the thumb relative to the other fingers will be described. With a better understanding of developmental biology, surgeons should have better insight into congenital anomalies of the upper limb. This approach is the basis for the new OMT classification used by the IFFSH.
journal_name
Hand Surg Rehabiljournal_title
Hand surgery & rehabilitationauthors
Guéro Sdoi
10.1016/j.hansur.2018.03.007subject
Has Abstractpub_date
2018-10-01 00:00:00pages
265-274issue
5eissn
2468-1229issn
2468-1210pii
S2468-1229(18)30114-2journal_volume
37pub_type
杂志文章,评审abstract：:Osteoarthritis of the first carpometacarpal joint (CMCJ1) is a common, painful condition with positive radiological findings in up to 32% of people over 50 years of age and up to 91% of people over 80 years of age. Currently, there is insufficient evidence to recommend one surgical treatment option over the others. We...
journal_title：Hand surgery & rehabilitation
pub_type： 杂志文章
doi：10.1016/j.hansur.2017.10.235
更新日期：2018-02-01 00:00:00
abstract：:Complications following extensor indicis proprius (EIP) tendon transfer are loss of strength, independence and mobility in the index finger in extension. The main goal of this study was to measure the index finger's independent and dependent extension strength after a tendon transfer. Secondary goals were to determine...
journal_title：Hand surgery & rehabilitation
pub_type： 杂志文章
doi：10.1016/j.hansur.2016.09.013
更新日期：2017-02-01 00:00:00
abstract：:The use of a "bank finger" by its very nature is almost exclusively reserved for the management of traumatic hand injuries. Here, we described one case of thumb reconstruction using the patient's index finger as a "bank finger" after the excision of a grade II malignant fibrous histiocytoma. ...
journal_title：Hand surgery & rehabilitation
pub_type： 杂志文章
doi：10.1016/j.hansur.2015.12.006
更新日期：2016-04-01 00:00:00
abstract：:We examined the anatomical and clinical results of a new wrist subphyseal arthrodesis method called chondrodesis, which relies on resorbable suture-bone fixation for children with severe paralytic hand deformities and does not require fixation devices or bone grafting. Four children's wrists underwent the procedure, r...
journal_title：Hand surgery & rehabilitation
pub_type： 杂志文章
doi：10.1016/j.hansur.2020.02.007
更新日期：2020-09-01 00:00:00
abstract：:The aim of this study was to assess the value of using a Canaletto® implant in combination with a gel composed of carboxymethylcellulose and polyethylene oxide in the surgical treatment of recurrent carpal tunnel syndrome (CTS). The case series included 31 patients with 32 hands operated for the second time for recurr...
journal_title：Hand surgery & rehabilitation
pub_type： 杂志文章
doi：10.1016/j.hansur.2020.10.005
更新日期：2021-02-01 00:00:00
abstract：:Malunions of the distal radius are associated most of the time with disturbances of the distal radioulnar (DRU) joint. While a corrective osteotomy of the distal radius is a well-known procedure in younger patients, manual workers and active patients, is it justified in independent elderly patients above 70 years of a...
journal_title：Hand surgery & rehabilitation
pub_type： 杂志文章,评审
doi：10.1016/j.hansur.2016.03.013
更新日期：2016-12-01 00:00:00
abstract：:A case of an isolated volar dislocation of the second and third carpometacarpal (CMC) joints in an 18-year-old man is described. He presented following a game of rugby unable to move his hand or wrist. He was managed by manipulation and K-Wire fixation. Hand function was excellent following wire removal and mobilizati...
journal_title：Hand surgery & rehabilitation
pub_type： 杂志文章
doi：10.1016/j.hansur.2018.06.004
更新日期：2018-10-01 00:00:00
abstract：:Exertional compartment syndrome of the forearm is a rare pathology, occurring almost exclusively in motorcycle racers. The results of endoscopic techniques are similar to those of open fasciotomies, but they are less invasive and leave smaller scars. The aim of our study was to present a new endoscopic technique for s...
journal_title：Hand surgery & rehabilitation
pub_type： 杂志文章
doi：10.1016/j.hansur.2020.01.011
更新日期：2020-05-01 00:00:00
abstract：:The aim of this study was to characterize the change in health-related quality of life following carpal tunnel decompression. Pre- and postoperative Euroqol 5 Dimensions scores were collected prospectively over three years. Outcomes were available for 435 of 563 patients (77%); mean age was 62 years. Comorbid status w...
journal_title：Hand surgery & rehabilitation
pub_type： 杂志文章
doi：10.1016/j.hansur.2020.12.003
更新日期：2020-12-16 00:00:00
abstract：:One year follow-up results after hypothenar fat pad flap surgery for recurrent and end stage carpal tunnel syndrome (CTS) are reported. Before surgery, the patients' complaints with a recurrent CTS were mainly pain and return of pathological symptoms (tingling, nocturnal pain, etc.) whereas the patients with end stage...
journal_title：Hand surgery & rehabilitation
pub_type： 杂志文章
doi：10.1016/j.hansur.2016.08.003
更新日期：2016-10-01 00:00:00
abstract：:We report the results of treatment by division and proximal relocation of 44 painful, scar-tethered cutaneous nerves of the upper limb in 22 patients. In all patients, neuropathic pain had developed either following surgery or trauma, but without apparent direct nerve injury. The mean duration of pain symptoms prior t...
journal_title：Hand surgery & rehabilitation
pub_type： 杂志文章
doi：10.1016/j.hansur.2017.03.001
更新日期：2017-06-01 00:00:00
abstract：:This is a review of the various approaches that can be used for open reduction and internal fixation (ORIF) of distal radius fractures. The main dissection steps are exposed and the specific indications for each approach are described. The anterior approach is discussed extensively as it is now the gold standard for O...
journal_title：Hand surgery & rehabilitation
pub_type： 杂志文章,评审
doi：10.1016/j.hansur.2016.03.007
更新日期：2016-12-01 00:00:00
abstract：:Some very poor results after carpal tunnel syndrome (CTS) surgery are difficult to explain. The main hypothesis of this study was that a relationship exists between self-efficiency toward pain and the difference between pre-operative and post-operative pain. The secondary hypothesis was that a relationship exists betw...
journal_title：Hand surgery & rehabilitation
pub_type： 杂志文章
doi：10.1016/j.hansur.2016.08.008
更新日期：2016-12-01 00:00:00
abstract：:Hand preference for perineal hygiene is not a commonly recorded data unlike hand dominance. Ability to reach the perineum is essential for a good functional outcome. There is no evidence in orthopaedic literature regarding its variability. The aim of this study was to examine hand preference for perineal hygiene in a ...
journal_title：Hand surgery & rehabilitation
pub_type： 杂志文章,多中心研究
doi：10.1016/j.hansur.2018.08.001
更新日期：2018-12-01 00:00:00
abstract：:The aim of this retrospective study was to analyze the medium-term results of patients treated with a pyrocarbon interposition implant (Pyrocardan®, Wright Medical™) after failed trapeziectomy. Eight female patients with an average age of 63 years were included in this single-center study. The average follow-up was 54...
journal_title：Hand surgery & rehabilitation
pub_type： 杂志文章
doi：10.1016/j.hansur.2020.09.005
更新日期：2021-02-01 00:00:00
abstract：:The authors describe their experience using silicone infusion tubing in place of Hunter rods for two-stage zone 2 flexor tendon reconstruction in a resource-limited surgical environment. This case report features a 47-year-old, right-handed man who had no active PIP and DIP joint flexion in four fingers of the right h...
journal_title：Hand surgery & rehabilitation
pub_type： 杂志文章
doi：10.1016/j.hansur.2017.06.004
更新日期：2017-10-01 00:00:00
abstract：:Intramuscular hemangiomas are benign vascular tumors. They develop in striated muscles. Various sites have been reported in the literature but only rarely in the hand. We report on a case of an intramuscular hemangioma located within the hypothenar eminence, diagnosed by a biopsy. Treatment options are limited in the ...
journal_title：Hand surgery & rehabilitation
pub_type： 杂志文章
doi：10.1016/j.hansur.2017.09.001
更新日期：2017-12-01 00:00:00
abstract：:Most extra-articular fractures of the proximal phalanges (P1) of the triphalangeal fingers can be treated conservatively with good results. Prerequisites for successful fracture treatment are intact soft tissue without any lesions of the extensor hood and stable initial fracture reduction. The key to functional conser...
journal_title：Hand surgery & rehabilitation
pub_type： 杂志文章
doi：10.1016/j.hansur.2018.01.003
更新日期：2018-04-01 00:00:00
abstract：:Pyoderma gangrenosum (PG) is a rare neutrophilic dermatosis that can take many clinical forms. Its diagnosis is difficult and often delayed. We report the case of a 36-year-old man with PG complicating a chemical burn of the wrist. This mode of atypical onset delayed the diagnosis and the initiation of appropriate tre...
journal_title：Hand surgery & rehabilitation
pub_type： 杂志文章
doi：10.1016/j.hansur.2019.07.012
更新日期：2019-10-01 00:00:00
abstract：:Total trapeziometacarpal (TMC) joint replacement is increasingly being performed for the treatment of basal joint arthritis. However, complications such as instability or loosening are also frequent with TMC ball-and-socket joint replacement. Management of these complications lacks consensus. The purpose of this study...
journal_title：Hand surgery & rehabilitation
pub_type： 杂志文章
doi：10.1016/j.hansur.2015.09.002
更新日期：2016-02-01 00:00:00
abstract：:We sought to investigate the reliability, validity, responsiveness, and interpretability of the German version of the Unité Rhumatologique des Affections de la Main (URAM) scale in patients with Dupuytren's disease. Patients with Dupuytren's disease were evaluated before receiving an injection of collagenase Clostridi...
journal_title：Hand surgery & rehabilitation
pub_type： 杂志文章
doi：10.1016/j.hansur.2020.05.008
更新日期：2020-12-01 00:00:00
abstract：:Although the simultaneous occurrence of arthritis of the wrist and the base of the thumb is rare, it is nonetheless imperative to carry out a preoperative clinical and radiological assessment of the wrist when managing trapeziometacarpal osteoarthritis. The presence of pre-arthritic lesions or established wrist arthri...
journal_title：Hand surgery & rehabilitation
pub_type： 杂志文章
doi：10.1016/j.hansur.2020.08.013
更新日期：2021-01-19 00:00:00
abstract：:About 10 years after volar locking plates were introduced to treat acute distal radius fractures, several papers have reported short-term complications. The aim of this paper was to report our complication rate over a 2-year period and to compare it to the literature. We found similar complication rates despite differ...
journal_title：Hand surgery & rehabilitation
pub_type： 杂志文章,评审
doi：10.1016/j.hansur.2016.03.003
更新日期：2016-12-01 00:00:00
abstract：:The goal of wrist denervation is to decrease pain at the wrist, whether caused by an intra- or extra-articular problem or even when the reason for the pain is unknown. It is an alternative to partial or total arthrodesis and proximal row carpectomy. Our hypothesis was that wrist denervation with a two-incision techniq...
journal_title：Hand surgery & rehabilitation
pub_type： 杂志文章
doi：10.1016/j.hansur.2017.04.003
更新日期：2017-09-01 00:00:00
abstract：:The aim of the study was to assess the natural history of untreated flexor pollicis longus (FPL) tendon rupture in patients with rheumatoid arthritis (RA). We reviewed a cohort of patients to assess the long-term effect of conservative management. We reviewed nine of 11 consecutive patients. We assessed objective outc...
journal_title：Hand surgery & rehabilitation
pub_type： 杂志文章
doi：10.1016/j.hansur.2020.08.002
更新日期：2020-12-01 00:00:00
abstract：:Surgical management of contaminated hand wounds may seem anecdotal, but such injuries actually account for an appreciable amount of the activity in emergency hand centers, and recommendations put forward by scientific societies differ. Dealing effectively with this public health issue calls for clarifying the usefulne...
journal_title：Hand surgery & rehabilitation
pub_type： 杂志文章
doi：10.1016/j.hansur.2016.06.001
更新日期：2016-09-01 00:00:00
abstract：:The goal of this study was to develop a minimally-invasive, ultrasound-guided percutaneous flexor tendon sheath lavage technique on cadaver model. Two catheters were inserted using ultrasound guidance at the proximal and distal ends of the tendon sheath in 20 fingers from cadaveric forearms. Percutaneous injection of ...
journal_title：Hand surgery & rehabilitation
pub_type： 杂志文章
doi：10.1016/j.hansur.2018.12.001
更新日期：2019-04-01 00:00:00
abstract：:Several techniques have been described for fusion of the distal interphalangeal joint. The intramedullary Lync® implant (Novastep™) may be superior to other options as it is available in straight or bent configurations, does not need to be removed and does not require fingertip incisions. The objective of our prospect...
journal_title：Hand surgery & rehabilitation
pub_type： 杂志文章
doi：10.1016/j.hansur.2019.01.004
更新日期：2019-04-01 00:00:00
abstract：:Damage to the hand in patients suffering from gout is rare and is often detected at an advanced stage. The main clinical manifestations are the appearance of subcutaneous tophi at the finger joints. Other clinical manifestations of osteoarticular, tendinous or neurological lesions have been described in the hand and a...
journal_title：Hand surgery & rehabilitation
pub_type： 杂志文章
doi：10.1016/j.hansur.2018.02.005
更新日期：2018-05-17 00:00:00
abstract：:Dorsal fracture-dislocations of the proximal interphalangeal (PIP) joint of the long fingers are in most cases unstable. They require surgery, whose primary aim is to restore and maintain articular congruency. While numerous techniques exist to treat these injuries, none have been shown to be superior to any of the ot...
journal_title：Hand surgery & rehabilitation
pub_type： 杂志文章
doi：10.1016/j.hansur.2018.01.005
更新日期：2018-06-01 00:00:00
