Hand Therapy Treatment.

abstract：:The molecular biochemical aspects of Dupuytren's disease have been studied for decades. This article summarizes biochemical influences on myofibroblast contractility, endogenous and exogenous chemical regulation, the influence of growth factors, and the biochemistry of collagen. A clear insight into the biochemistry o...

journal_title：Hand clinics

authors： Badalamente MA,Hurst LC

更新日期：1999-02-01 00:00:00

abstract：:When the wrist is grasping an object, at least four mechanisms of carpal stabilization are involved-one for each carpal row (proximal and distal), one for the midcarpal joint, and one for the radiocarpal joint. These mechanisms are based on the general principle that, under load-bearing conditions, any bone tends to r...

journal_title：Hand clinics

authors： Garcia-Elias M

更新日期：1997-02-01 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：:A scoring classification for assessment of the clinical severity of reflex sympathetic dystrophy (RSD) and rating the presence and clinical expression of each feature is proposed. The following were included: pain, reduction of finger flexion, swelling, temperature changes, discoloration, sensory disturbances, shoulde...

journal_title：Hand clinics

authors： Zyluk A

更新日期：2003-08-01 00:00:00

abstract：:Experience will show that proper management during the first 3 postoperative weeks will be the major determinant for the final result in extensor tendon injuries. In the simple injury, meticulous care in properly immobilizing each joint, combined with edema control, allows the patient to begin the mobilization phase w...

journal_title：Hand clinics

authors： Evans RB

更新日期：1986-02-01 00:00:00

abstract：:In failed cases of primary carpal tunnel release, the addition of the highly vascular palmaris brevis turnover flap as an adjunct to internal neurolysis discourages scarring and provides a nutrient bed for axonal regeneration. In fact, the palmaris muscle flap actually may suppress the growth of nerve fibers into the ...

journal_title：Hand clinics

authors： Rose EH

更新日期：1996-05-01 00:00:00

abstract：:Noninvasive studies, in general, and pulse volume recordings (PVRs), in particular, play important roles in diagnosis, planning, and monitoring of therapy for vascular disorders of the upper extremity. Essentially, PVR is a useful screening tool to show whether hemodynamically significant vascular disease has produced...

journal_title：Hand clinics

authors： Kleinert JM,Gupta A

更新日期：1993-02-01 00:00:00

abstract：:Free vascularized nerve transfer using microsurgical techniques for upper limb reconstruction should be considered as an alternative to conventional nonvascularized cable nerve grafts when the recipient bed is heavily scarred, as occurs in Volkmann's ischemia, when the nerve gap is exceptionally long, or when the free...

journal_title：Hand clinics

authors： Taylor GI

更新日期：1999-11-01 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：:This article reviews treatment and presents complications seen in the treatment of 7 common congenital hand differences, including syndactyly, camptodactyly, ulnar and radial polydactyly, thumb hypoplasia, radial longitudinal deficiency, and epidermolysis bullosa. The management of these conditions is challenging but ...

journal_title：Hand clinics

authors： Comer GC,Ladd AL

更新日期：2015-05-01 00:00:00

abstract：:The recognition and frequency of treatment of carpal tunnel syndrome has increased over the past several years. As a result, more complications of treatment are being seen. These can be minimized by accurate diagnosis, proper selection of treatment, and careful technical application of the treatment chosen. ...

journal_title：Hand clinics

authors： Kessler FB

更新日期：1986-05-01 00:00:00

abstract：:Soft tissue reconstruction of the digit is challenging for hand surgeons because it must satisfy both functional and aesthetic requirements. A wide variety of treatment options exist. A free flap can be an alternative solution in some clinical situations. This article has 2 purposes. First, it discusses various consid...

journal_title：Hand clinics

authors： Lee Y,Woo SH,Kim YW,Lee YH,Baek GH

更新日期：2020-02-01 00:00:00

abstract：:Arthrodesis and arthroplasty are surgical options used for the management of pain, stiffness, deformity, and instability related to arthritis and traumatic injury of the small joints of the hand. Arthrodesis and arthroplasty come with a risk of postoperative infection. Superficial soft tissue infections can often be m...

journal_title：Hand clinics

authors： Satteson ES,Langford MA,Li Z

更新日期：2015-05-01 00:00:00

abstract：:Carpal tunnel syndrome is defined as a clinical condition related to dysfunction of the median nerve specifically related to the carpal tunnel. This article reviews anatomy, current surgical treatment options, technique, indications and contraindications, efficacy, complications, and the author's own perspective on th...

journal_title：Hand clinics

authors： Berger RA

更新日期：1994-11-01 00:00:00

abstract：:The current status of cumulative trauma disorder of the upper limb is examined from the standpoint of its long history, its current controversies, and the philosophic basis of the present laws, which control management of the condition. The future needs that should permit cumulative trauma disorders to be better under...

journal_title：Hand clinics

authors： Dobyns JH

更新日期：1991-08-01 00:00:00

abstract：:Many malunions of the finger metacarpals are mild and do not require or justify operative intervention. Early recreation of the fracture or osteotomy is more likely to be rewarded with favorable results than late operation. Rotational malunions of the metacarpals or proximal phalanges may be treated by transverse extr...

journal_title：Hand clinics

authors： Freeland AE,Lindley SG

更新日期：2006-08-01 00:00:00

abstract：:Pediatric fingertip injuries are common and peak at 2 years of age. These injuries most frequently result from a crush mechanism and half sustain an associated fracture. The presence of a physis results in unique injury patterns and management considerations in the growing child. Due to a substantial healing potential...

journal_title：Hand clinics

authors： Loewenstein SN,Adkinson JM

更新日期：2021-02-01 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：:Therapy for the painful upper extremity is a challenge. This article focuses on various assessment tools and techniques that are reflective of the painful status. The author reviews several research articles that discuss validating treatment options and outlines rehabilitation for the painful upper extremity as it rel...

journal_title：Hand clinics

authors： Haines BL

更新日期：1996-11-01 00:00:00

abstract：:The current approach to hand infections is a culmination of information gained from centuries of medical teaching by the ancient Greeks, nineteenth-century anatomists, and twentieth-century microbiologists and surgeons. Although many individuals have contributed to our knowledge through their teachings and writings, t...

journal_title：Hand clinics

authors： Kono M,Stern PJ

更新日期：1998-11-01 00:00:00

abstract：:Metacarpal fractures are common, and many can be managed nonoperatively with appropriate reduction and immobilization. As with any hand fracture, the primary goals are to achieve anatomic and stable reduction, bony union, and early mobilization to minimize disability. Appropriate treatment requires a keen understandin...

journal_title：Hand clinics

authors： Diaz-Garcia R,Waljee JF

更新日期：2013-11-01 00:00:00

abstract：:PNA is one of many treatments available for the treatment of hand contractures resulting from Dupuytren’s disease. It is generally recommended for elderly patients with less severe contractures who desire a less invasive procedure, or as a first stage to delay surgery in those with more aggressive disease. The procedu...

journal_title：Hand clinics

authors： Diaz R,Curtin C

更新日期：2014-02-01 00:00:00

abstract：:The evaluation and treatment of the stiff elbow are described, as well as the lateral, medial, anterior, and posterior approaches for release of elbow contractures. The results after surgical release in 48 patients that failed nonoperative treatment for elbow contractures in our institution are reported. A literature ...

journal_title：Hand clinics

authors： Vardakas DG,Varitimidis SE,Goebel F,Vogt MT,Sotereanos DG

更新日期：2002-02-01 00:00:00

abstract：:Trauma patients are predominantly young men. Urban trauma patients frequently are uninsured, and often are victims of intentionally inflicted penetrating injury, usually caused by firearms. Substance use is a common underlying factor in both urban and rural trauma. This article introduces urban and rural patients. It ...

journal_title：Hand clinics

authors： McAuliffe JA

更新日期：1999-05-01 00:00:00

abstract：:Scaphoid fractures carry significant long-term morbidity and short-term socioeconomic difficulty in the young and active patient population in which they most commonly occur. While cast immobilization results in high rates of radiographic union in nondisplaced scaphoid fractures, internal fixation with headless compre...

journal_title：Hand clinics

authors： Fowler JR,Ilyas AM

更新日期：2010-08-01 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：:Acute arterial injuries of the upper extremity account for half of civilian arterial injuries in the United States. The great majority of these injuries are due to penetrating trauma, with stab wounds and gunshot wounds being the most common cause. The history of the injury and a careful physical examination will iden...

journal_title：Hand clinics

authors： Hammond DC,Gould JS,Hanel DP

更新日期：1992-08-01 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：:The role of the nurse is valuable in laying the groundwork for the assessment of the patient with numbness, tingling, and/or upper extremity pain. Through the initial history the nurse can establish rapport with the patient and provide a good chronology of the problem. This can assist the physician with the physical e...

journal_title：Hand clinics

authors： Kasdan AS

更新日期：1993-05-01 00:00:00

abstract：:Resection of the distal ulna for post-traumatic arthritis can lead to an unstable forearm joint through loss of the normal articular contact through the distal radioulnar joint and loss of soft tissue constraint. The resulting convergence instability can lead to residual pain, weakness, and loss of function. Restabili...

journal_title：Hand clinics

authors： Berger RA,Cooney WP 3rd

更新日期：2005-11-01 00:00:00