The treatment of burns: an historical perspective with emphasis on the hand.

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：:Dupuytren disease is a fibroproliferative condition affecting the hands of millions of patients worldwide. The hypothesis of pathogenesis involves genetic factors and internal factors. Recent genome-wide association studies have provided much needed evidence for the long-held belief of a strong genetic component to th...

journal_title：Hand clinics

authors： Zhang AY,Kargel JS

更新日期：2018-08-01 00:00:00

abstract：:Once there are answers to the research questions, the results must be used in clinical practice to alter treatment plans, giving patients the most appropriate choices and the highest quality outcomes based on scientific data. Daily clinical practice can be improved by applying the results of outcomes studies to altern...

journal_title：Hand clinics

authors： Arslanian C

更新日期：2003-08-01 00:00:00

abstract：:The primary treatment goal for Kienböck's disease remains decompression of the lunate. Although a number of treatment options are available, scaphocapitate fusion is our first choice in many cases of Kienböck's disease. Scaphocapitate fusion mechanically decompresses the lunate and prevents progressive carpal instabil...

journal_title：Hand clinics

authors： Moy OJ,Peimer CA

更新日期：1993-08-01 00:00:00

abstract：:Injuries about the PIP joint of the finger are commonly encountered by primary care physicians and are associated with significant morbidity, including pain, stiffness, instability, premature degenerative arthritis, and residual deformities. An accurate understanding of the regional anatomy and appreciation of the mec...

journal_title：Hand clinics

authors： Freiberg A,Pollard BA,Macdonald MR,Duncan MJ

更新日期：2006-08-01 00:00:00

abstract：:Successful treatments of musculoskeletal injuries in the pediatric population demand a thorough understanding of the basic anatomy and its biomechanics, and the physiology of growth and development of the immature skeleton. In addition, good treatment outcomes rely on the treating physician being an effective teacher ...

journal_title：Hand clinics

authors： Le TB,Hentz VR

更新日期：2000-11-01 00:00:00

abstract：:Peripheral ulnar-sided tears of the triangular fibrocartilage complex (TFCC) are common injuries and are amenable to arthroscopic repair. This article describes an all-arthroscopic knotless technique for TFCC repair. This technique has the advantage of being all arthroscopic using 3 portals, has the ability to repair ...

journal_title：Hand clinics

authors： Geissler WB

更新日期：2011-08-01 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：: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：: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：: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：: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：: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：:In summary, the authors believe that traumatic bone defects of the diaphyseal forearm, fewer than 6 cm in length, can be well managed with corticocancellous bone grafting, provided the patient has an adequate soft-tissue envelope. In cases of soft-tissue compromise, primary bone grafting is still the treatment of choi...

journal_title：Hand clinics

authors： Stevanovic M,Gutow AP,Sharpe F

更新日期：1999-05-01 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：:The thumb carpometacarpal joint (CMCJ1) is born to have good freedom of motion. However, the excellent mobility at this joint also predisposes attenuation of capsuloligamentous structures, joint incongruity, instability, and osteoarthritis. The prevalence of radiographic CMCJ1 arthritis is high. There is no single ide...

journal_title：Hand clinics

authors： Wong CW,Ho PC

更新日期：2017-11-01 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

authors： King JA,Tomaino MM

更新日期：2001-05-01 00:00:00

abstract：:Condylar and epicondylar fractures differ from other pediatric upper extremity fractures because of the anatomy and ossification of the distal humerus. These fractures are prone to nonunion,and initial deformities do not remodel well. Radiographic diagnosis and severity are difficult to determine, and adjunct studies,...

journal_title：Hand clinics

authors： Gogola GR

更新日期：2006-02-01 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：:Appreciation and knowledge of anatomy as it relates to surgical approaches is critical for planning treatment of traumatic wrist injuries. This article discusses the pertinent anatomy and some of the more commonly used approaches to wrist trauma. ...

journal_title：Hand clinics

authors： Cardoso R,Szabo RM

更新日期：2010-02-01 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

abstract：:Having read through the previous litany of potential disasters and complications, one could ask the obvious question, "Why would anyone want to do this kind of surgery?" The answer is that most people elect not to! Nevertheless, for those who decide to venture into this field, there is the tremendous reward of being a...

journal_title：Hand clinics

authors： Leffert RD

更新日期：2004-02-01 00:00:00

abstract：:Although arthrodesis is the treatment preferred by most surgeons for severe wrist arthritis, some degree of functional impairment occurs from the resulting loss of motion, especially when multiple joints in the extremity are affected by arthritis. Total wrist arthroplasty may enhance the performance of daily activitie...

journal_title：Hand clinics

authors： Adams BD

更新日期：2013-02-01 00:00:00

abstract：:"Thoracic outlet syndrome" is a term ascribed to a complex clinical entity encompassing complicated neurovascular signs, symptoms and pathology of the upper extremity. Controversies exist concerning its causes, diagnosis, and treatment despite years of intense study of hundreds of patients. Although there is no univer...

journal_title：Hand clinics

authors： Oates SD,Daley RA

更新日期：1996-11-01 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：: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

authors： Axelrod TS

更新日期：2014-11-01 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

authors： Buchanan RT

更新日期：1994-05-01 00:00:00

abstract：:Chronic pain affects quality of life and adversely affects functional outcomes. Chronic postoperative pain is a frustrating problem for the surgeon because it ruins a technically perfect procedure, and the surgeon may be unsure of treatment strategies. There is much information on chronic pain and its treatment, but i...

journal_title：Hand clinics

authors： Carroll I,Curtin CM

更新日期：2013-08-01 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：:Nerve compression syndromes are common in the general population, and they are also common in musicians. As many as 30% of musicians who have a recognized musculoskeletal disorder are diagnosed with a nerve compression syndrome. Thus, it is important to consider the diagnosis of nerve compression syndromes in all musi...

journal_title：Hand clinics

authors： Amadio PC

更新日期：2003-05-01 00:00:00