Comparative effectiveness research in hand surgery.

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：:Psoriatic arthritis is a polyarthropathy distinct from rheumatoid arthritis and associated with onychodystrophy and skin lesions. Patients present with stiffness, flexion and extension contractures, digital swelling, or painful joints. Psoriatic arthritis mutilans is a rapidly progressive osteolysis resulting in sever...

journal_title：Hand clinics

authors： Rose JH,Belsky MR

更新日期：1989-05-01 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：: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

abstract：:As microsurgical techniques improve, attempts to restore function after severe nerve injury place greater demands upon the use of nerve grafts. Viable Schwann cells within these grafts are necessary to maximize nerve regeneration. Progress in decreasing nerve allograft antigenicity and the host response through immuno...

journal_title：Hand clinics

authors： Trumble TE,Shon FG

更新日期：2000-02-01 00:00:00

abstract：:After severe injury to the dorsum of the hand, it may not be possible to directly repair the extensor tendons. Patients in this article were treated by initial skin replacement with pedicle flaps for coverage prior to extensor tendon grafting. Multiple operative procedures were necessary, but restoration was uniformly...

journal_title：Hand clinics

authors： Cautilli D,Schneider LH

更新日期：1995-08-01 00:00:00

abstract：:The prevention and treatment of hand injuries in low- to middle-income countries needs to be a priority. Surgical outreach trips are a primary avenue for patients to receive interventions. Challenges include language and cultural barriers, poor infrastructure, and limitations in a patient's ability to follow-up. Strat...

journal_title：Hand clinics

authors： Riggs J,Chung KC

更新日期：2019-11-01 00:00:00

abstract：:This article discusses the importance of the elbow in both sports and performing arts. Functional, painless motion of the elbow is essential to achieve this end because although most objects of play are controlled by the hand, freedom of movement at the elbow allows one to place the hand in space. Anatomy and biomecha...

journal_title：Hand clinics

authors： Hotchkiss RN

更新日期：1990-08-01 00:00:00

abstract：:Ulnar nerve compression about the elbow is common. If diagnosed and treated early, satisfactory results can be expected. Severe chronic nerve compression may lead to permanent nerve damage. The diagnosis can be made by careful history, physical examination, knowledge of the nerve anatomy, and sometimes electrodiagnosi...

journal_title：Hand clinics

authors： Rayan GM

更新日期：1992-05-01 00:00:00

abstract：:Injuries to the extensor mechanism create an imbalance in the precise flexion-extension system that regulates finger motion. This imbalance results in visible and functional deformities. Although these deformities are initially supple, they can become fixed and progress to joint degeneration. This article outlines ear...

journal_title：Hand clinics

authors： Scott SC

更新日期：2000-08-01 00:00:00

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：:Evaluation of the outcome of evidence-based practice decisions in individual patients or patient groups is step five in the evidence-based practice approach. Outcome measures are any measures that reflect patient status. Status or outcome measures can be used to detect change over time (eg, treatment effects), to disc...

journal_title：Hand clinics

authors： MacDermid JC,Grewal R,MacIntyre NJ

更新日期：2009-02-01 00:00:00

abstract：:Monteggia fracture-dislocation of the elbow is a fracture of the proximal ulna with associated dislocation of the radial head or radial neck fracture. In adults, this injury is managed with open reduction and internal fixation of the ulna fracture. Care should be taken to ensure anatomic reduction of the proximal ulna...

journal_title：Hand clinics

authors： Patel M,Dehghan N

更新日期：2020-11-01 00:00:00

abstract：:Most sports are associated with specific patterns of hand injury. In some cases, these are unavoidable due to the nature of hand involvement dictated by the rules or environment of the sport. In other cases, such injuries point out the need for better protective gear or training. ...

journal_title：Hand clinics

authors： Amadio PC

更新日期：1990-08-01 00:00:00

abstract：:Many surgical techniques are available for the repair of peripheral nerve defects. Autologous nerve grafts are the gold standard for most clinical conditions. In selected cases, alternative types of reconstructions are performed to fill the nerve gap. Non-nervous autologous tissue-based conduits or synthetic ones are ...

journal_title：Hand clinics

authors： Battiston B,Titolo P,Ciclamini D,Panero B

更新日期：2017-08-01 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：:Mutilating hand injuries in children are a devastating problem. With aggressive efforts at replantation and revascularization, methodic debridement, timely soft tissue coverage, and early mobilization, however, the results in these unfortunate children can be quite rewarding. The child often does well with the functio...

journal_title：Hand clinics

authors： Buncke GM,Buntic RF,Romeo O

更新日期：2003-02-01 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：:Flexor tenolysis is a challenging procedure with valuable clinical usefulness in the restitution and enhancement of digital function in the appropriate patient. In the absence of complications, improvement in digital flexion can be expected. The requisites for success are a skilled surgeon, a motivated and well inform...

journal_title：Hand clinics

authors： Azari KK,Meals RA

更新日期：2005-05-01 00:00:00

abstract：:Since the first description of an ulnar collateral ligament (UCL) tear at the elbow 60 years ago and the first description of surgical reconstruction 20 years ago, many advances have been made in management and surgery. UCL tears at the elbow remain a disease of the overhead athlete. Various imaging studies have been ...

journal_title：Hand clinics

authors： Meyers A,Palmer B,Baratz ME

更新日期：2008-02-01 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：:The surgical return of sensibility in the injured upper extremity remains a major goal for the reconstructive surgeon. Free flaps have created the opportunity for successful reconstruction in those patients in whom irreplaceable sensory end organs have been destroyed. In addition, well-vascularized composite tissues m...

journal_title：Hand clinics

authors： Strauch B,Greenstein B

更新日期：1985-05-01 00:00:00

abstract：:Osteoarthritis should initially be treated conservatively with the use of oral medication, intra-articular steroid injections, hand therapy, and splinting. The reduction of pain and the resultant increase in function to the patient are the ultimate goals of this treatment. ...

journal_title：Hand clinics

authors： Palmieri TJ,Grand FM,Hay EL,Burke C

更新日期：1987-08-01 00:00:00

abstract：:Trauma to the upper extremity can present with an associated arterial injury. After patient stabilization, thorough assessment with physical examination and various imaging modalities allows accurate diagnosis of the specific arterial injury. After diagnosis, efficient treatment is necessary to allow limb salvage. Tre...

journal_title：Hand clinics

authors： Lebowitz C,Matzon JL

更新日期：2018-02-01 00:00:00

abstract：:Microvascular techniques allowing free tissue transfer have expanded the indications for limb salvage in tumor patients. Preoperative planning should predict the type of deficit anticipated. Specific techniques for soft tissue, skeletal, neurovascular, and composite tissue transfer are discussed. While demanding, the ...

journal_title：Hand clinics

authors： Hausman MR,Hahn MK

更新日期：1995-05-01 00:00:00

abstract：:A classification of distal radial articular fractures is described, based on observations of consistent patterns of fracture fragmentation and displacement. The classification categorizes articular fractures into four types, with the medial complex assuming a pivotal position as the cornerstone of both the radiocarpal...

journal_title：Hand clinics

authors： Isani A,Melone CP Jr

更新日期：1988-08-01 00:00:00

abstract：:Midcarpal instability has been well described as a clinical entity but the pathokinematics and pathologic anatomy continue to be poorly understood. This article presents a comprehensive review of the existing knowledge and literature-based evidence for the diagnosis and management of the various entities comprising mi...

journal_title：Hand clinics

authors： Niacaris T,Ming BW,Lichtman DM

更新日期：2015-08-01 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：:The foremost goal of managing a mutilated hand is provision of adequate skin coverage. The most suitable method is free tissue transfer. The specific role of volar surface requires replacement tissue to have similar texture for aesthetically satisfactory and functionally acceptable outcomes. Hand surgeons must approac...

journal_title：Hand clinics

authors： Lee K,Roh S,Lee D,Kim J

更新日期：2016-11-01 00:00:00

abstract：:Injury and musculoskeletal disorders are a major cause of death, disability, and decreased quality of life in developing countries. Thus, understanding the cost-effectiveness of orthopedic care in low- and middle-income countries may help to guide future outreach. A systematic review was conducted on the literature av...

journal_title：Hand clinics

authors： Nolte MT,Nasser JS,Chung KC

更新日期：2019-11-01 00:00:00