Open Fractures of the Hand: Review of Pathogenesis and Introduction of a New Classification System.

abstract：:Fractures of the capitellum and trochlea are uncommon and multiple options have been advocated for the treatment of this injury. A single management technique has not emerged as the superior technique, and a complement of interventions is necessary to manage the continuum of injuries that can be observed. In general, ...

journal_title：Hand clinics

authors： Faber KJ

更新日期：2004-11-01 00:00:00

abstract：:It has been helpful in our practice to separate somatic from sympathetic-mediated peripheral nerve pain. We would recommend application of the new nomenclature of type I complex regional pain (sympathetic dystrophy) and type II complex regional pain (causalgia) (see Table 1). We believe it is essential that both of th...

journal_title：Hand clinics

authors： Cooney WP

更新日期：1997-08-01 00:00:00

abstract：:Musculoskeletal neoplasia are rare and can present in a highly variable fashion. Maintaining an index of suspicion for the presence of neoplasia is important. A standard approach to evaluation with history, physical, and appropriate imaging studies is mandatory. This information then can be synthesized to properly sta...

journal_title：Hand clinics

authors： Parsons TW 3rd,Filzen TW

更新日期：2004-05-01 00:00:00

abstract：:Carpal instability is a complex array of maladaptive and posttraumatic conditions that lead to the inability of the wrist to maintain anatomic relationships under normal loads. Many different classification schemes have evolved to explain the mechanistic evolution and pathophysiology of carpal instability, including 2...

journal_title：Hand clinics

authors： Lee DJ,Elfar JC

更新日期：2015-08-01 00:00:00

abstract：:End-stage elbow arthritis in young, active patients presents a challenging problem to the upper extremity surgeon. Total elbow arthroplasty is not a viable option in this population because of functional restrictions, limited implant survivorship, and the lack of an adequate salvage option. With the appropriate surgic...

journal_title：Hand clinics

authors： Chen DD,Forsh DA,Hausman MR

更新日期：2011-05-01 00:00:00

abstract：:Careful preoperative planning, fixator selection and design, surgical technique, and sustained follow-up care are essential for successful gradual correction of pediatric forearm deformities. The sequence of planning gradual deformity correction can be created by establishing a problem list and using this as the basis...

journal_title：Hand clinics

authors： Dahl MT

更新日期：1993-11-01 00:00:00

abstract：:Improvements in critical care and burn victim resuscitation have led to increased survival of burned patients. Initial resuscitation, early excision of burned tissues, prevention of burn wound sepsis, and wound coverage remain mainstays of care. Many burn wounds require complex reconstruction. This is particularly imp...

journal_title：Hand clinics

authors： De la Garza M,Sauerbier M,Günter G,Cetrulo CL Jr,Bueno RA Jr,Russell RC,Neumeister MW

更新日期：2017-05-01 00:00:00

abstract：:Many factors influence the development of CTS; therefore, nonoperative treatment should not be limited to only one intervention. Nonoperative treatment is most effective in the early stages, prior to irreparable damage to the nerve. Early intervention combined with a comprehensive treatment plan can help improve effec...

journal_title：Hand clinics

authors： Osterman AL,Whitman M,Porta LD

更新日期：2002-05-01 00:00:00

abstract：:The Z-plasty is a useful procedure in surgery of the upper limb for lengthening skin along a selected axis, for breaking up a straight line, and for obliterating webs. At least six geometric variables are considered in designing a conventional Z-plasty, and several modified designs must be considered. Geometrical mode...

journal_title：Hand clinics

authors： Furnas DW

更新日期：1985-11-01 00:00:00

abstract：:Injuries involving foreign bodies in the hand are common. Index of suspicion should be high in any hand injury, particularly with a proper history. Plain radiographs should be obtained liberally and multiple views always taken. Xeroradiography, if available, is helpful if the plain radiographs are normal and a foreign...

journal_title：Hand clinics

authors： Donaldson JS

更新日期：1991-02-01 00:00:00

abstract：:Evaluation of the injured hand is undertaken to assess an acute injury, to diagnose chronic injuries prior to reconstruction, to evaluate function, and to evaluate disability. This article discusses the special evaluation method for each of these categories. ...

journal_title：Hand clinics

authors： Gupta A,Kleinert HE

更新日期：1993-05-01 00:00:00

abstract：:Management of ulnar artery thrombosis is a complex problem. Diagnosis is confirmed by Allen testing; other special studies are needed for adequate evaluation of circulation, and arteriography is necessary before definitive therapy can be planned. Treatment must be patient oriented and directed at the underlying abnorm...

journal_title：Hand clinics

authors： Koman LA,Urbaniak JR

更新日期：1985-05-01 00:00:00

abstract：:This discussion has attempted to outline a fundamental approach to the radiographic analysis of solitary lesions of the hand and wrist skeleton. The initial evaluation invariably relies on the routine radiograph, using the conventional film-screen combination to obtain a sense of the lesion in its gross anatomic setti...

journal_title：Hand clinics

authors： Feldman F

更新日期：1987-05-01 00:00:00

abstract：:Necrotizing soft tissue infections of the upper extremity have varying microbiologies and etiologies. Risk factors for development include diabetes mellitus, intravenous drug use, peripheral arterial disease, smoking, alcohol abuse, and immunocompromised state. Although clinical examination is the mainstay of diagnosi...

journal_title：Hand clinics

authors： Melillo A,Addagatla K,Jarrett NJ

更新日期：2020-08-01 00:00:00

abstract：:Elbow arthroscopy is, to a degree, technically demanding. A complete knowledge of the regional anatomy of the elbow is essential. The technical expertise of the arthroscopist continues to improve, and sophistication of equipment continues to increase. These clear the way for new indications of elbow arthroscopy. It is...

journal_title：Hand clinics

authors： Ekman EF,Poehling GG

更新日期：1994-08-01 00:00:00

abstract：:Hand burns, in particular, are one of the leading causes of hand injury in children and can result in significant impairment of hand function. Appropriate initial management of hand burns in children is imperative to optimize function and minimize long-term scarring, and it is for this reason that the American Burn As...

journal_title：Hand clinics

authors： Palmieri TL

更新日期：2009-11-01 00:00:00

abstract：:Initial operative care of mutilating injuries is discussed as well as reconstructive procedures for partial hand amputees, including digital transposition and bone grafting. ...

journal_title：Hand clinics

authors： Burkhalter W

更新日期：1986-02-01 00:00:00

abstract：:This article reviews the history of total wrist arthroplasty as a treatment option for painful, nonfunctional wrists in disease states. Technologic advances in materials, wear properties, and manufacturing now account for increased implant longevity. They may also improve total wrist replacement design, survival, and ...

journal_title：Hand clinics

authors： McBeath R,Osterman AL

更新日期：2012-11-01 00:00:00

abstract：:The authors used gradual ligamentous distraction for closed reduction of nine irreducible dorsal fracture dislocations of the PIP joint. The volar fragment size was equal to or less than 40% in five and more than 50% in four. The average follow up was 18 months. The sequence of treatment required distraction, translat...

journal_title：Hand clinics

authors： Patel MR,Joshi BB

更新日期：1994-05-01 00:00:00

abstract：:There are many nonsurgical treatment options for patients with upper limb spasticity. This article presents an algorithmic approach to management, encompassing evidence-based rehabilitation therapies, medications, and promising new orthotic and robotic innovations. ...

journal_title：Hand clinics

authors： Black L,Gaebler-Spira D

更新日期：2018-11-01 00:00:00

abstract：:Necrotizing fasciitis is a severe, fulminant infection most commonly encountered in patients with diabetes mellitus, alcohol abuse, and intravenous drug abuse. The infection can spread-unrecognized along fascial planes beneath seemingly normal skin. The relatively benign appearance of the extremity is misleading and o...

journal_title：Hand clinics

authors： Gonzalez MH

更新日期：1998-11-01 00:00:00

abstract：:Fractures of the capitellum and trochlea account for a small proportion of elbow trauma. Clinicians need to be vigilant in their assessment as they are commonly associated with other injuries about the elbow. To optimize outcomes, the goals of management include a stable, anatomic reduction and early range of motion. ...

journal_title：Hand clinics

authors： Carroll MJ,Athwal GS,King GJ,Faber KJ

更新日期：2015-11-01 00:00:00

abstract：:High clinical suspicion is of paramount importance in evaluating the hand or wrist for an evolving compartment syndrome. A detailed history coupled with a thorough physical examination form the basis for the diagnosis. The use of techniques to measure compartment pressures forms the objective foundation to assist in f...

journal_title：Hand clinics

authors： Ortiz JA Jr,Berger RA

更新日期：1998-08-01 00:00:00

abstract：:Although the overall patterns of deformity may be repetitive in cerebral palsy patients, it is extremely important to recognize that nothing replaces a careful examination of the individual patient and an individualized plan of approach. Our mistakes are rarely caused by technical errors, and we should not attribute o...

journal_title：Hand clinics

authors： Szabo RM,Gelberman RH

更新日期：1985-08-01 00:00:00

abstract：:Despite the high value of clinical examination of the perionychium, radiography remains necessary if one suspects a deep mass beneath the nail plate. Ultrasonography may be helpful in experienced hands to depict cystic or vascular lesions, but MRI offers the most promising developments for imaging the perionychium. ...

journal_title：Hand clinics

authors： Drapé JL

更新日期：2002-11-01 00:00:00

abstract：:The general indications, timing, and choice of procedure can be determined by asking and answering the following questions appropriately: 1. Has the patient achieved neurologic, emotional, and social stability? 2. What is the patient's current level of motor and sensory resources and function? The number and strength ...

journal_title：Hand clinics

authors： Hentz VR

更新日期：2002-08-01 00:00:00

abstract：:Since the use of fire became part of life, mankind has sought remedies to treat burns. The upper extremity, due to its frequency of exposure as the foremost organ in the everyday exploration of the environment and in manipulative and social interactions, is often involved. This article discusses the history of burn tr...

journal_title：Hand clinics

authors： Robotti EB

更新日期：1990-05-01 00:00:00

abstract：:Metacarpal and phalangeal fractures are common athletic injuries that can significantly affect the athlete's career when they occur during the season and affect the athlete's training when they occur in the off season. This situation is particularly relevant if there are complications or if fixation is not stable enou...

journal_title：Hand clinics

authors： Geissler WB

更新日期：2009-08-01 00:00:00

abstract：:Treatment of recurrent Dupuytren disease is challenging. Multiple options exist, each having relative benefits and weaknesses. Choice for optimal treatment is made on a case-by-case basis, with shared decision making with the patient. Percutaneous and enzymatic techniques are best reserved for patients with well-defin...

journal_title：Hand clinics

authors： Kaplan FTD,Crosby NE

更新日期：2018-08-01 00:00:00

abstract：:The carpal joint can be approached as a mechanism consisting of kinematic chains. In these chains, the proximal carpals function as intercalated segments. Intercarpal displacements are linked to one another and are based upon the mutual attuning of carpal bone geometry, joint contacts, and ligamentous interconnections...

journal_title：Hand clinics

authors： Kauer JM,de Lange A

更新日期：1987-02-01 00:00:00