Operative fixation of metacarpal and phalangeal fractures in athletes.

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：: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：: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

authors： Gaston RG,Chadderdon C

更新日期：2012-08-01 00:00:00

abstract：:High clinical suspicion is of paramount importance in evaluating the hand or wrist for an evolving compartment syndrome. A detailed history coupled with a thorough physical examination form the basis for the diagnosis. The use of techniques to measure compartment pressures forms the objective foundation to assist in f...

journal_title：Hand clinics

authors： Ortiz JA Jr,Berger RA

更新日期：1998-08-01 00:00:00

abstract：:This article discusses the diagnosis and management of pigmented lesions of the hand, especially the nail bed. ...

journal_title：Hand clinics

authors： Glat PM,Shapiro RL,Roses DF,Harris MN,Grossman JA

更新日期：1995-05-01 00:00:00

abstract：:The evaluation and treatment of the stiff elbow are described, as well as the lateral, medial, anterior, and posterior approaches for release of elbow contractures. The results after surgical release in 48 patients that failed nonoperative treatment for elbow contractures in our institution are reported. A literature ...

journal_title：Hand clinics

authors： Vardakas DG,Varitimidis SE,Goebel F,Vogt MT,Sotereanos DG

更新日期：2002-02-01 00:00:00

abstract：:Pediatric fingertip injuries are common and peak at 2 years of age. These injuries most frequently result from a crush mechanism and half sustain an associated fracture. The presence of a physis results in unique injury patterns and management considerations in the growing child. Due to a substantial healing potential...

journal_title：Hand clinics

authors： Loewenstein SN,Adkinson JM

更新日期：2021-02-01 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：: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：: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

authors： Ekenstam F

更新日期：1998-05-01 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

authors： Robotti EB

更新日期：1990-05-01 00:00:00

abstract：:The purpose, as well as the value, of the two-stage system in the salvage situation is for the surgeon to perform all the reconstructive surgery needed at Stage 1. Nerves are repaired, vessels are repaired if necessary, the intrinsic system is inspected, a Swanson implant is added if needed, and pulleys are built. If ...

journal_title：Hand clinics

authors： Hunter JM

更新日期：1985-02-01 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

authors： Light TR

更新日期：1992-02-01 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：: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：:The recognition and frequency of treatment of carpal tunnel syndrome has increased over the past several years. As a result, more complications of treatment are being seen. These can be minimized by accurate diagnosis, proper selection of treatment, and careful technical application of the treatment chosen. ...

journal_title：Hand clinics

authors： Kessler FB

更新日期：1986-05-01 00:00:00

abstract：:In nerve entrapment syndromes in the upper extremity, the surgeon must first become a diagnostician. When the symptoms of entrapment are bilateral, diabetes mellitus and cervical arthritis are found in a significant statistical number over the general population. These diseases can result in incomplete relief of sympt...

journal_title：Hand clinics

authors： Howard FM

更新日期：1986-11-01 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：:Although the overall patterns of deformity may be repetitive in cerebral palsy patients, it is extremely important to recognize that nothing replaces a careful examination of the individual patient and an individualized plan of approach. Our mistakes are rarely caused by technical errors, and we should not attribute o...

journal_title：Hand clinics

authors： Szabo RM,Gelberman RH

更新日期：1985-08-01 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：:Power and tip pinch are an integral part of intrinsic hand function that can be significantly compromised with dysfunction of the ulnar nerve. Loss of power pinch is one component that can significantly affect an individual's ability to perform simple daily tasks. Tip pinch is less affected, as this task has significa...

journal_title：Hand clinics

authors： Cook S,Gaston RG,Lourie GM

更新日期：2016-08-01 00:00:00

abstract：:A multidisciplinary approach often is needed, especially at the acute phase. Indeed, resuscitative treatment is first indicated. [figure: see text] Optimal time for surgery depends on the patient's status. Surgical management should be more aggressive than previously thought. Debridement of necrotic tissue must be per...

journal_title：Hand clinics

authors： Masquelet AC,Romãna MC,Gilbert A,Berard J

更新日期：2000-11-01 00:00:00

abstract：:There are times when clinical examinations, radiographs, and computed tomography scans do not provide sufficient information to know whether a scaphoid fracture or scaphoid bone graft has united, partially united, or not united. When this problem arises, arthroscopic examination of the scaphoid fracture or scaphoid bo...

journal_title：Hand clinics

authors： Ecker J

更新日期：2017-11-01 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

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

authors： Isani A,Melone CP Jr

更新日期：1988-08-01 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：: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：:Spasticity or dystonia of the upper limb in children with CP commonly is seen as part of a more involved clinical picture. Each can cause functional problems in and can interfere with the quality of life of children with CP. Pharmacologic manipulation of the spasticity and dystonia requires a patient and ordered appro...

journal_title：Hand clinics

authors： O'Flaherty S,Waugh MC

更新日期：2003-11-01 00:00:00

abstract：:The unique and collaborative relationship between hand therapists and surgeons is invaluable in meeting the unique functional needs of clients with upper extremity conditions and injuries. Current legislative issues and research items that directly affect hand therapy and hand surgery practice include the opioid epide...

journal_title：Hand clinics

authors： Khan-Farooqi L,Pathare E

更新日期：2020-05-01 00:00:00

abstract：:There are many nonsurgical treatment options for patients with upper limb spasticity. This article presents an algorithmic approach to management, encompassing evidence-based rehabilitation therapies, medications, and promising new orthotic and robotic innovations. ...

journal_title：Hand clinics

authors： Black L,Gaebler-Spira D

更新日期：2018-11-01 00:00:00