Initial management of acute pediatric hand burns.

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：:Soft tissue reconstruction of the digit is challenging for hand surgeons because it must satisfy both functional and aesthetic requirements. A wide variety of treatment options exist. A free flap can be an alternative solution in some clinical situations. This article has 2 purposes. First, it discusses various consid...

journal_title：Hand clinics

authors： Lee Y,Woo SH,Kim YW,Lee YH,Baek GH

更新日期：2020-02-01 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：: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：: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

authors： Fulcher SM,Poehling GG

更新日期：1998-05-01 00:00:00

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

authors： Pellegrini VD Jr

更新日期：2001-05-01 00:00:00

abstract：:The first cases using the set of instruments designed by James C. Y. Chow, MD, of Mount Vernon, Illinois, were performed in September of 1987 by the developer. His was the first written introduction of the technique of endoscopically assisted carpal tunnel release published by a US author. This technique has been prac...

journal_title：Hand clinics

authors： Fischer TJ,Hastings H 2nd

更新日期：1996-05-01 00:00:00

abstract：:Many hand surgeons argue that vascularized bone grafting is indicated in proximal pole avascular necrosis, prior failed surgery, or long-standing scaphoid nonunion. However, the available evidence does not support improved treatment outcomes for vascularized bone grafting rather than traditional nonvascularized techni...

journal_title：Hand clinics

authors： Rancy SK,Schmidle G,Wolfe SW

更新日期：2019-08-01 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

authors： Palti R,Vigler M

更新日期：2012-02-01 00:00:00

abstract：:There are just two variables that define the mechanical qualities of each muscle. One is its potential for generating tension, and the other is the distance through which tension can be exerted. Tension capability can be increased in a muscle by exercise. There is no way to increase potential for excursion except by r...

journal_title：Hand clinics

authors： Brand PW

更新日期：1988-05-01 00:00:00

abstract：:This discussion has attempted to outline a fundamental approach to the radiographic analysis of solitary lesions of the hand and wrist skeleton. The initial evaluation invariably relies on the routine radiograph, using the conventional film-screen combination to obtain a sense of the lesion in its gross anatomic setti...

journal_title：Hand clinics

authors： Feldman F

更新日期：1987-05-01 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

authors： Dray GJ,Jablon M

更新日期：1987-08-01 00:00:00

abstract：:Radial head fractures are the most common adult elbow fracture. Our ability to treat these fractures has improved with increased understanding of elbow biomechanics. Based on fracture type, possible treatment includes nonoperative management, open reduction and internal fixation, radial head resection, and replacement...

journal_title：Hand clinics

authors： Jackson JD,Steinmann SP

更新日期：2007-05-01 00:00:00

abstract：:The authors used gradual ligamentous distraction for closed reduction of nine irreducible dorsal fracture dislocations of the PIP joint. The volar fragment size was equal to or less than 40% in five and more than 50% in four. The average follow up was 18 months. The sequence of treatment required distraction, translat...

journal_title：Hand clinics

authors： Patel MR,Joshi BB

更新日期：1994-05-01 00:00:00

abstract：:The consequences of postoperative infection in hand surgery are fortunately uncommon but can lead to severe disability. This article reviews the pathogenesis of infections and the role of antibiotics, skin preparation, and surgical technique in the development and prevention of infection. The final sections discuss th...

journal_title：Hand clinics

authors： Shapiro DB

更新日期：1994-02-01 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 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：: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：: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

authors： Failla JM,Amadio PC

更新日期：1988-08-01 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：:Release of the transverse carpal ligament is commonly performed and highly successful in the treatment of carpal tunnel syndrome; however, complications do occur and may be broadly classified as errors in diagnosis and surgical technique. Complications range from incomplete division of the transverse carpal ligament t...

journal_title：Hand clinics

authors： Hunt TR,Osterman AL

更新日期：1994-02-01 00:00:00

abstract：:In failed cases of primary carpal tunnel release, the addition of the highly vascular palmaris brevis turnover flap as an adjunct to internal neurolysis discourages scarring and provides a nutrient bed for axonal regeneration. In fact, the palmaris muscle flap actually may suppress the growth of nerve fibers into the ...

journal_title：Hand clinics

authors： Rose EH

更新日期：1996-05-01 00:00:00

abstract：:The current approach to hand infections is a culmination of information gained from centuries of medical teaching by the ancient Greeks, nineteenth-century anatomists, and twentieth-century microbiologists and surgeons. Although many individuals have contributed to our knowledge through their teachings and writings, t...

journal_title：Hand clinics

authors： Kono M,Stern PJ

更新日期：1998-11-01 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：:The anatomy and function of the dorsal ligaments of the wrist have received increased attention over the past decade. The anatomy, variability, osseous attachments, and function of the dorsal radiocarpal (DRC) and the dorsal intercarpal (DIC) ligaments have been studied. More detailed anatomic and mechanical studies o...

journal_title：Hand clinics

authors： Viegas SF

更新日期：2001-02-01 00:00:00

abstract：:In the modern pediatric orthopedic practice, operative management plays a vital and not infrequent role in the management of significant and difficult forearm and elbow fractures in the skeletally immature. Although the majority of forearm and many elbow fractures can be treated successfully by nonoperative measures, ...

journal_title：Hand clinics

authors： Goodwin RC,Kuivila TE

更新日期：2002-02-01 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：: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

authors： Arlet J,Mazières B

更新日期：1997-08-01 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：: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

authors： Morris MS,Ozer K

更新日期：2017-02-01 00:00:00