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 biomechanics of the wrist as well as common sports-related injuries are highlighted. In addition, wrist disorders affecting musicians are reviewed.
journal_name
Hand Clinjournal_title
Hand clinicsauthors
Hotchkiss RNsubject
Has Abstractpub_date
1990-08-01 00:00:00pages
507-15issue
3eissn
0749-0712issn
1558-1969journal_volume
6pub_type
杂志文章,评审相关文献
HAND CLINICS文献大全abstract::After reviewing this article, readers should have a comprehensive understanding of the indications for diagnostic arthroscopy, technical considerations in performing a systematic evaluation of the wrist, and limitations of this technique. ...
journal_title:Hand clinics
pub_type: 杂志文章,评审
doi:10.1016/j.hcl.2017.06.004
更新日期:2017-11-01 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
pub_type: 杂志文章,评审
doi:10.1016/j.hcl.2009.05.005
更新日期:2009-08-01 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
pub_type: 杂志文章,评审
doi:10.1016/j.hcl.2005.08.015
更新日期:2005-11-01 00:00:00
abstract::Vascular pathology in the upper extremity of a throwing athlete comprises a spectrum of serious disorders apt to threaten the patient's career and the viability of the involved parts. Such pathology includes digital vessel thrombosis, proximal thrombosis with distal embolization, vessel aneurysm, and vessel compressio...
journal_title:Hand clinics
pub_type: 杂志文章,评审
doi:
更新日期:2000-08-01 00:00:00
abstract::This article describes the basic bony, ligamentous, and neurologic anatomy of the structures about the elbow. The surgical exposures of the elbow joint are described, providing details of the various posterior, lateral, and medial approaches to the articular segments. Clinical applications describing the potential ben...
journal_title:Hand clinics
pub_type: 杂志文章,评审
doi:10.1016/j.hcl.2014.08.001
更新日期:2014-11-01 00:00:00
abstract::The distal radio-ulnar joint (DRUJ) has a bony anatomy that contributes very little to stability. This article discusses the osseous anatomy about the distal end of the ulna. The structures that support the stability of the DRUJ, such as the triangular fibrocartilage complex, the tendon sheath of the extensor carpi ul...
journal_title:Hand clinics
pub_type: 杂志文章,评审
doi:
更新日期:1998-05-01 00:00:00
abstract::Carpal bone fractures make up a significant proportion of injuries to the wrist. The complex bone shape and articulations make diagnosis more difficult and missed injuries more common. This article reviews carpal bone fractures excluding the scaphoid. ...
journal_title:Hand clinics
pub_type: 杂志文章
doi:10.1016/j.hcl.2009.08.014
更新日期:2010-02-01 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
pub_type: 杂志文章,评审
doi:
更新日期:1997-08-01 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
pub_type: 杂志文章,评审
doi:
更新日期:1993-02-01 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
pub_type: 杂志文章,评审
doi:10.1016/j.hcl.2013.09.005
更新日期:2014-02-01 00:00:00
abstract::Distal radius fractures are common fractures that can cause significant disability. As techniques and implants have improved, better results can be expected from internal and external fixation of complex wrist fractures. With meticulous technique, articular alignment can be secured and small articular fragments can be...
journal_title:Hand clinics
pub_type: 杂志文章,评审
doi:
更新日期:1997-11-01 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
pub_type: 杂志文章,评审
doi:10.1016/j.hcl.2015.04.004
更新日期:2015-08-01 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
pub_type: 杂志文章,评审
doi:
更新日期:1988-08-01 00:00:00
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
更新日期:2012-11-01 00:00:00
abstract::The lumbrical muscles are unique in having their origin and insertion on tendons. The lumbricals assist in metacarpophalangeal joint flexion; they contribute to interphalangeal joint extension by acting as deflexors of the proximal interphalangeal joint. Anatomically, they are highly specialized in terms of their arch...
journal_title:Hand clinics
pub_type: 杂志文章,评审
doi:10.1016/j.hcl.2011.09.002
更新日期:2012-02-01 00:00:00
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:
更新日期:1992-02-01 00:00:00
abstract::Elbow dislocations are more common in athletes than in the general population. Simple elbow dislocations should be managed with early range of motion and early return to sport, even with high-level contact athletes. Patients with instability on examination or with complex elbow dislocations may require surgical interv...
journal_title:Hand clinics
pub_type: 杂志文章,评审
doi:10.1016/j.hcl.2016.08.003
更新日期:2017-02-01 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
pub_type: 杂志文章,评审
doi:
更新日期:1995-05-01 00:00:00
abstract::Rheumatoid arthritis commonly affects the thumb. Deformity does not require surgical intervention unless pain is present or a functional deficit exists, but if bony erosion develops and surgical treatment may be compromised in the future, earlier intervention may be indicated. When the pathogenesis and pathoanatomy of...
journal_title:Hand clinics
pub_type: 杂志文章,评审
doi:
更新日期:2001-05-01 00:00:00
abstract::Operative arthroscopy of the wrist compliments the physical examination and radiographic imaging to improve diagnosis and treatment of lesions about the distal ulna. This article reviews the relevant anatomy, biomechanics, and classification of acute and degenerative lesions of the triangular fibrocartilage complex (T...
journal_title:Hand clinics
pub_type: 杂志文章,评审
doi:
更新日期:1998-05-01 00:00:00
abstract::In 1987, Dr. John Agee described a method of holding reduction in unstable proximal interphalangeal fracture dislocations while allowing early motion. This method significantly improved the outcome of joint motion. This article explains Dr. Agee's method and the mechanics and physics necessary to use it. The limitatio...
journal_title:Hand clinics
pub_type: 杂志文章,评审
doi:
更新日期:1994-05-01 00:00:00
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:
更新日期:1991-11-01 00:00:00
abstract::Cortical mapping and relearning are key factors in optimizing patient outcome following motor nerve transfers. To maximize function following nerve transfers, the rehabilitation program must include motor reeducation to initiate recruitment of the weak reinnervated muscles and to establish new motor patterns and corti...
journal_title:Hand clinics
pub_type: 杂志文章,评审
doi:10.1016/j.hcl.2008.06.001
更新日期:2008-11-01 00:00:00
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
更新日期:2017-02-01 00:00:00
abstract::The anatomy of the ulnar nerve is described from its origin at the brachial plexus to its termination in the hand and digits. The critical anatomy surrounding the cubital tunnel and Guyon canal is emphasized, and clinically relevant anatomic variations, muscle anomalies, and peripheral nerve anastomoses are described....
journal_title:Hand clinics
pub_type: 杂志文章,评审
doi:10.1016/j.hcl.2007.05.001
更新日期:2007-08-01 00:00:00
abstract::An appreciation of the salient clinical and radiologic presentations of osteoarthritis, as well as associated tenosynovial problems (stenosing tenosynovitis and carpal tunnel syndrome), is necessary for effective diagnosis. The treatment of osteoarthritis is predicated upon an understanding of the anatomy and pathomec...
journal_title:Hand clinics
pub_type: 杂志文章,评审
doi:
更新日期:1987-08-01 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
pub_type: 杂志文章
doi:
更新日期:1987-02-01 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
pub_type: 历史文章,杂志文章
doi:
更新日期:1990-05-01 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
pub_type: 杂志文章,评审
doi:10.1016/j.hcl.2015.01.002
更新日期:2015-05-01 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
pub_type: 杂志文章,评审
doi:10.1016/j.hcl.2018.03.009
更新日期:2018-08-01 00:00:00