Arthroscopic reduction and percutaneous fixation of fifth carpometacarpal fracture dislocations.

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

authors： Rudolph R,Vande Berg J

更新日期：1991-11-01 00:00:00

abstract：:Patients with old scaphoid nonunion have a high risk of developing wrist arthritis. Although some patients remain asymptomatic, some will have pain sufficient to seek treatment. There are several treatment options available. The authors prefer wrist arthrodesis for most of these patients. ...

journal_title：Hand clinics

authors： Ruby LK,Leslie BM

更新日期：1987-11-01 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：:The authors' strategy for soft-tissue coverage of the hand is presented. The concept of replacing like with like and reconstruction with similar adjacent tissue enhances functional and aesthetic outcomes. In this viewpoint, the pedicle perforator flap is an ideal flap. A decision-making algorithm to select an ideal fl...

journal_title：Hand clinics

authors： Ono S,Sebastin SJ,Ohi H,Chung KC

更新日期：2017-08-01 00:00:00

abstract：:Comparative effectiveness research (CER) is a concept initiated by the Institute of Medicine and financially supported by the federal government. The primary objective of CER is to improve decision making in medicine. This research is intended to evaluate the effectiveness, benefits, and harmful effects of alternative...

journal_title：Hand clinics

authors： Johnson SP,Chung KC

更新日期：2014-08-01 00:00:00

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：:Spasticity affects more than 80% of patients with spinal cord injury. Neural mechanisms and musculotendinous alterations lead to typical upper extremity features including shoulder adduction/internal rotation, forearm pronation, and elbow, wrist, and finger flexion. Long-standing spasticity may lead to soft tissue and...

journal_title：Hand clinics

authors： Gohritz A,Fridén J

更新日期：2018-11-01 00:00:00

abstract：:Clinical pain is multifactorial. It is not simply the consequences of a "switching on" of the pain system in the periphery, but also excitability of central nociceptive areas. For pain management to be successful in treating the upper extremity both the peripheral and central symptoms must be targeted. The patient edu...

journal_title：Hand clinics

authors： Stralka SW

更新日期：2016-02-01 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：: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

authors： Su CW,Lohman R,Gottlieb LJ

更新日期：2000-05-01 00:00:00

abstract：:Histologic examination of the TFC reveals parallel, longitudinally oriented collagen fibers peripherally, while the more central articular disc is made up of interweaving obliquely oriented sheets of collagen fibers. This suggests a peripheral region experiencing tensile loads between the region of origin from the rad...

journal_title：Hand clinics

authors： Chidgey LK

更新日期：1991-05-01 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：:The standard treatment for delayed union or nonunion of the scaphoid is operative management. Electrical stimulation has been employed in these clinical situations in patients unable or unwilling to undergo surgical intervention. Recent interest has also focused on the use of low-intensity ultrasound as an adjunct to ...

journal_title：Hand clinics

authors： Divelbiss BJ,Adams BD

更新日期：2001-11-01 00:00:00

abstract：:Upper extremity burn contractures are a major challenge to the reconstructive surgeon. Despite increasing sophistication in the overall management of acute thermal injuries, contractures still occur and are the most common cause of skin contracture in the hand. Reconstructive options for axillary, antecubital, wrist, ...

journal_title：Hand clinics

authors： Kurtzman LC,Stern PJ

更新日期：1990-05-01 00:00:00

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

authors： Michelotti BF,Chung KC

更新日期：2017-11-01 00:00:00

abstract：:Necrotizing soft tissue infections of the upper extremity have varying microbiologies and etiologies. Risk factors for development include diabetes mellitus, intravenous drug use, peripheral arterial disease, smoking, alcohol abuse, and immunocompromised state. Although clinical examination is the mainstay of diagnosi...

journal_title：Hand clinics

authors： Melillo A,Addagatla K,Jarrett NJ

更新日期：2020-08-01 00:00:00

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

authors： McBeath R,Osterman AL

更新日期：2012-11-01 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：: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

authors： Osterman AL,Seidman GD

更新日期：1995-02-01 00:00:00

abstract：:Injuries involving foreign bodies in the hand are common. Index of suspicion should be high in any hand injury, particularly with a proper history. Plain radiographs should be obtained liberally and multiple views always taken. Xeroradiography, if available, is helpful if the plain radiographs are normal and a foreign...

journal_title：Hand clinics

authors： Donaldson JS

更新日期：1991-02-01 00:00:00

abstract：:A complete examination of the wrist requires both an accurate history and a thorough understanding of carpal anatomy, biomechanics, and pathology. A thorough examination may necessitate evaluation of the radial and ulnar aspects of the carpus as well as potential extra-articular causes of wrist pain. A carefully obtai...

journal_title：Hand clinics

authors： Watson HK,Weinzweig J

更新日期：1997-02-01 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：: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：: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：:Despite the high value of clinical examination of the perionychium, radiography remains necessary if one suspects a deep mass beneath the nail plate. Ultrasonography may be helpful in experienced hands to depict cystic or vascular lesions, but MRI offers the most promising developments for imaging the perionychium. ...

journal_title：Hand clinics

authors： Drapé JL

更新日期：2002-11-01 00:00:00

abstract：:From a research work on 40 upper limbs of nonembalmed specimens, several narrow passages for the brachial plexus and the axillosubclavian vessels are described, extending from the neck and mediastinum to the lower border of the pectoralis major. The effects of sustained forced positions are also discussed, and the rol...

journal_title：Hand clinics

authors： Poitevin LA

更新日期：1988-11-01 00:00:00

abstract：:Reverse-flow pedicled radial forearm tendocutaneous flap transfers were performed to reconstruct simultaneous skin and tendon defects in the dorsum of the hand in six patients. All flaps survived and four of six patients obtained good functional results. To obtain satisfactory functional outcome, early surgical repair...

journal_title：Hand clinics

authors： Tamai S,Yajima H,Inada Y

更新日期：1999-11-01 00:00:00

abstract：:New solutions to difficult problems are always welcome, but nonbridging external fixation of intra-articular fractures is still in its infancy. Multicenter clinical trials are necessary to deter-mine whether the superior results obtained with nonbridging fixation of extra-articular fractures can be duplicated. With fu...

journal_title：Hand clinics

authors： Slutsky DJ

更新日期：2005-08-01 00:00:00

abstract：:Nerve anatomy, terminology, and techniques for nerve restoration are reviewed in sufficient detail to allow the reader to quickly update his or her knowledge in this area. Ideas for future directions of study are presented. ...

journal_title：Hand clinics

authors： Bowers WH,Carlson EC,Wenner SM,Doyle JR

更新日期：1989-08-01 00:00:00

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

authors： Sita-Alb LC,Durand S

更新日期：2013-05-01 00:00:00