Current management of metacarpal fractures.

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 understanding of the types of fractures, their inherent stability, and the available treatment options. Functional outcomes depend on appropriate treatment and early range of motion whenever possible.

journal_name

Hand Clin

journal_title

Hand clinics

authors

Diaz-Garcia R,Waljee JF

doi

10.1016/j.hcl.2013.09.004

subject

Has Abstract

pub_date

2013-11-01 00:00:00

pages

507-18

issue

4

eissn

0749-0712

issn

1558-1969

pii

S0749-0712(13)00080-2

journal_volume

29

pub_type

杂志文章
  • Atypical peripheral neuropathies.

    abstract::Systemic disease and metabolic imbalance may be associated with peripheral nerve focal compressive neuropathies. The nerve may be primarily involved, or symptoms may result from chronic tenosynovitis or synovitis. We review the more commonly occurring compressive neuropathies associated with underlying systemic disord...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:

    authors: Dell PC,Guzewicz RM

    更新日期:1992-05-01 00:00:00

  • Pathomechanics of the thumb trapeziometacarpal joint.

    abstract::As the human thumb climbed the evolutionary ladder, the trapeziometacarpal joint was provided greater mobility at the expense of decreased bony stability. Soft tissue restraints were left to provide the primary stabilization of the thumb basal joint complex. Both degenerative and traumatic conditions compromise the fu...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:

    authors: Pellegrini VD Jr

    更新日期:2001-05-01 00:00:00

  • Treatment of complex fractures of the distal radius. Combined use of internal and external fixation and arthroscopic reduction.

    abstract::A group of fractures of the distal radius are inherently unstable and cannot be treated by closed reduction and cast or external fixation. These fractures are high-energy motor vehicle accidents often seen in young adults but possible in nearly every age group. They are not typical Colles's fractures because they are ...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:

    authors: Cooney WP,Berger RA

    更新日期:1993-11-01 00:00:00

  • Capitellar and Trochlear Fractures.

    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

    pub_type: 杂志文章,评审

    doi:10.1016/j.hcl.2015.07.001

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

    更新日期:2015-11-01 00:00:00

  • Peripheral Nerve Defects: Overviews of Practice in Europe.

    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

    pub_type: 杂志文章,评审

    doi:10.1016/j.hcl.2017.04.005

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

    更新日期:2017-08-01 00:00:00

  • Long-term evaluation of brachial plexus surgery in obstetrical palsy.

    abstract::The author reviews the long-term results of a large series of obstetrical brachial plexuses. The results of direct repair and secondary tendon transfers are reviewed. ...

    journal_title:Hand clinics

    pub_type: 杂志文章

    doi:

    authors: Gilbert A

    更新日期:1995-11-01 00:00:00

  • Flexor Tendon Pulley Injuries in Rock Climbers.

    abstract::Closed pulley ruptures are rare in the general population but occur more frequently in rock climbers due to biomechanical demands on the hand. Injuries present with pain and swelling over the affected pulley, and patients may feel or hear a pop at the time of injury. Sequential pulley ruptures are required for clinica...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.hcl.2016.08.006

    authors: King EA,Lien JR

    更新日期:2017-02-01 00:00:00

  • The upper extremity trauma patient.

    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

    pub_type: 杂志文章,评审

    doi:

    authors: McAuliffe JA

    更新日期:1999-05-01 00:00:00

  • Frostbite of the upper extremity.

    abstract::Human capacity for physiologic adaptation to cold is minimal; we survive by insulating ourselves with protective clothing. In addition to the irreversible direct injury caused by ice crystallization, the authors have outlined four possible mechanisms by which indirect injury may damage tissue. Other than rapid rewarmi...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:

    authors: Su CW,Lohman R,Gottlieb LJ

    更新日期:2000-05-01 00:00:00

  • Medical treatment of reflex sympathetic dystrophy.

    abstract::The treatment of reflex sympathetic dystrophy is not delineated clearly, and there are few controlled studies regarding rehabilitation as medicine. Analgesics, nonsteroidal anti-inflammatory drugs, and intra-articular steroids are used widely, but especially in Europe, calcitonin is the primary treatment at early stag...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:

    authors: Arlet J,Mazières B

    更新日期:1997-08-01 00:00:00

  • Cumulative trauma disorder of the upper limb.

    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

    pub_type: 杂志文章,评审

    doi:

    authors: Dobyns JH

    更新日期:1991-08-01 00:00:00

  • The myofibroblast in Dupuytren's contracture.

    abstract::Dupuytren's contracture nodules, but not cords, contain myofibroblasts. These cells, which combine many electron microscopic, physiologic, and immunohistochemical characteristics of fibroblasts and smooth muscle cells, are probably the active force of contraction. Prominent myofibroblasts and intracellular microtubule...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:

    authors: Rudolph R,Vande Berg J

    更新日期:1991-11-01 00:00:00

  • Postoperative Management of Hand Surgery in the Low- and Middle-Income Countries.

    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

    pub_type: 杂志文章,评审

    doi:10.1016/j.hcl.2019.07.005

    authors: Riggs J,Chung KC

    更新日期:2019-11-01 00:00:00

  • Ulnar collateral ligament reconstruction.

    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

    pub_type: 杂志文章,评审

    doi:10.1016/j.hcl.2007.11.011

    authors: Meyers A,Palmer B,Baratz ME

    更新日期:2008-02-01 00:00:00

  • Recognition and treatment of uncommon carpal fractures.

    abstract::Fractures of the trapezial ridge, hamate hook, and pisiform are often due to isolated, direct injury, but other carpal bone fractures are seldom isolated injuries. Midcarpal fractures should stimulate a search for associated perilunate injury; distal carpal row fractures suggest carpometacarpal fracture--dislocations ...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:

    authors: Failla JM,Amadio PC

    更新日期:1988-08-01 00:00:00

  • Allograft tendon for second-stage tendon reconstruction.

    abstract::Tendons are made of compact dense collagen fibers with only sparse cellularity and naturally low immunogenicity. Allogenic tendons may be preserved through deep freezing methods and retain excellent mechanical properties after revitalization. Allogenic tendons were used in 22 patients (30 tendons) for second-stage ten...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.hcl.2012.08.011

    authors: Xie RG,Tang JB

    更新日期:2012-11-01 00:00:00

  • Microvascular techniques in limb-sparing surgery.

    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

    pub_type: 杂志文章,评审

    doi:

    authors: Hausman MR,Hahn MK

    更新日期:1995-05-01 00:00:00

  • The role of arthroscopy in the treatment of lunatotriquetral ligament injuries.

    abstract::Disruption of the lunatotriquetral ligament is a common cause of ulnar-sided wrist pain. A review of the literature of the pathophysiology and treatment of LT ligament tears is presented. The authors report a series of 20 consecutive patients with arthroscopically confirmed LT ligament tears without a VISI collapse tr...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:

    authors: Osterman AL,Seidman GD

    更新日期:1995-02-01 00:00:00

  • Tendon reconstruction with adjacent finger hand tendon.

    abstract::Whether it is a primary or a delayed flexor digitorum profundus (FDP) repair, no general consent has been found, and no perfect treatment has been imposed. The authors utilize 2 new techniques for FDP reconstruction that allow immediate postoperative mobilization and excellent functional outcome. Harvesting of the don...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.hcl.2013.02.006

    authors: Sita-Alb LC,Durand S

    更新日期:2013-05-01 00:00:00

  • Free vascularized nerve transfer in the upper extremity.

    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

    pub_type: 杂志文章

    doi:

    authors: Taylor GI

    更新日期:1999-11-01 00:00:00

  • Benign and malignant cartilage tumors of the hand.

    abstract::Primary bone tumors of the hand and wrist are unusual but if present are frequently chondrogenic in origin. Enchondroma is the most common primary bone tumor of the hand and can be treated by curettage and bone grafting. Chondrosarcoma is rare and most likely the result of malignant degeneration of a pre-existing lesi...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.hcl.2004.03.019

    authors: O'Connor MI,Bancroft LW

    更新日期:2004-08-01 00:00:00

  • Total wrist arthroplasty.

    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

    pub_type: 杂志文章,评审

    doi:10.1016/j.hcl.2012.08.015

    authors: McBeath R,Osterman AL

    更新日期:2012-11-01 00:00:00

  • Tendon transfers in surgery of the rheumatoid hand.

    abstract::Tendon transfer procedures are used in the reconstructive surgery of the rheumatoid hand in cases of tendon ruptures, deformities, and compression neuropathies with subsequent muscle atrophy. The prerequisites and essential principles for tendon transfers are discussed, including the following: 1) correction of contra...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:

    authors: Mannerfelt LG

    更新日期:1988-05-01 00:00:00

  • Phalangeal fractures: displaced/nondisplaced.

    abstract::Nonsurgical management is the preferred treatment of stable, extra-articular fractures of the proximal and middle phalanx, most distal phalanx fractures, and, rarely, nondisplaced intraarticular fractures in elite athletes. Techniques that afford maximal strength with minimal dissection, thus allowing earlier return t...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.hcl.2012.05.032

    authors: Gaston RG,Chadderdon C

    更新日期:2012-08-01 00:00:00

  • How to measure outcomes of distal radius fracture treatment.

    abstract::There is no established outcome measure designated as the superior measure when evaluating the results of distal radius fracture management. Although there are many used in the literature, there are only a few that have been validated to specifically predict recovery after a distal radius fracture. Additionally, there...

    journal_title:Hand clinics

    pub_type: 杂志文章

    doi:10.1016/j.hcl.2012.03.003

    authors: Ritting AW,Wolf JM

    更新日期:2012-05-01 00:00:00

  • Endoscopic carpal tunnel release. A current perspective.

    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

    pub_type: 杂志文章,评审

    doi:

    authors: Berger RA

    更新日期:1994-11-01 00:00:00

  • Complex injuries of the forearm. Coverage considerations.

    abstract::Complex forearm injuries involve damage to the skin and underlying tissues. The best results are obtained when a multidisciplinary approach is taken to their management. Management of the acute injury should be done in a manner that takes into consideration late reconstructive procedures and best possible final functi...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:

    authors: Bray PW,Boyer MI,Bowen CV

    更新日期:1997-05-01 00:00:00

  • Treatment of preaxial polydactyly.

    abstract::Preaxial polydactyly is the result of aberrant bifurcation of the embryonic preaxial anlage. Effective reconstruction of thumb duplication requires careful evaluation of all components. Skin, nail, bone, ligament, and musculoskeletal elements must be combined to reconstruct an optimal digit. ...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:

    authors: Light TR

    更新日期:1992-02-01 00:00:00

  • The gradual correction of forearm deformities in multiple hereditary exostoses.

    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

    pub_type: 杂志文章

    doi:

    authors: Dahl MT

    更新日期:1993-11-01 00:00:00

  • The carpal joint. Anatomy and function.

    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

    pub_type: 杂志文章

    doi:

    authors: Kauer JM,de Lange A

    更新日期:1987-02-01 00:00:00