Abstract：
:Silicone implant arthroplasty has been used for more than 40 years for severe rheumatoid disease at the metacarpophalangeal (MCP) joint. Multiple investigations have shown that silicone arthroplasty places the MCP joint in a more extended posture, with some improvement in the total arc of motion. Ulnar drift is also improved, but strength and other objective measures have not demonstrated marked changes postoperatively. The lack of prospective data and more complete outcome assessment has been, at least in part, responsible for the marked difference in opinions between rheumatologists and hand surgeons on the effectiveness of MCP arthroplasty. Recent reports using patient-centered outcome measures have shown that early outcome is favorable, with improvements in appearance, pain, and function.
journal_name
Hand Clinjournal_title
Hand clinicsauthors
Goldfarb CA,Dovan TTdoi
10.1016/j.hcl.2006.02.001subject
Has Abstractpub_date
2006-05-01 00:00:00pages
177-82issue
2eissn
0749-0712issn
1558-1969pii
S0749-0712(06)00002-3journal_volume
22pub_type
杂志文章,评审相关文献
HAND CLINICS文献大全abstract：:Metacarpal fractures are common, and many can be managed nonoperatively with appropriate reduction and immobilization. As with any hand fracture, the primary goals are to achieve anatomic and stable reduction, bony union, and early mobilization to minimize disability. Appropriate treatment requires a keen understandin...
journal_title：Hand clinics
pub_type： 杂志文章
doi：10.1016/j.hcl.2013.09.004
更新日期：2013-11-01 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
pub_type： 杂志文章,评审
doi：10.1016/j.hcl.2017.07.001
更新日期：2017-11-01 00:00:00
abstract：:The term "failure of differentiation" describes the phenotypes of a large number of otherwise unrelated conditions. The six conditions described here (arthrogryposis, camptodactyly, clinodactyly, Madelung deformity, trigger finger, and trigger thumb) are believed to occur because various structures failed to different...
journal_title：Hand clinics
pub_type： 杂志文章,评审
doi：10.1016/j.hcl.2008.12.003
更新日期：2009-05-01 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：: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
pub_type： 杂志文章
doi：
更新日期：2000-11-01 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：: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：: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
pub_type： 杂志文章,评审
doi：10.1016/j.hcl.2011.05.008
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
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：: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
pub_type： 杂志文章,评审
doi：10.1016/j.hcl.2018.03.001
更新日期：2018-08-01 00:00:00
abstract：:Free vascularized nerve transfer using microsurgical techniques for upper limb reconstruction should be considered as an alternative to conventional nonvascularized cable nerve grafts when the recipient bed is heavily scarred, as occurs in Volkmann's ischemia, when the nerve gap is exceptionally long, or when the free...
journal_title：Hand clinics
pub_type： 杂志文章
doi：
更新日期：1999-11-01 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
pub_type： 杂志文章,评审
doi：10.1016/j.hcl.2017.04.001
更新日期：2017-08-01 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：:This article discusses the diagnosis and management of pigmented lesions of the hand, especially the nail bed. ...
journal_title：Hand clinics
pub_type： 杂志文章,评审
doi：
更新日期：1995-05-01 00:00:00
abstract：:Successful soft tissue reconstruction of the upper extremity must provide stable coverage and restore function to the injured hand. To ensure the best possible outcome after traumatic upper extremity injuries, early radical debridement and early flap coverage that restores all missing tissue components is critical to ...
journal_title：Hand clinics
pub_type： 杂志文章,评审
doi：10.1016/j.hcl.2014.01.003
更新日期：2014-05-01 00:00:00
abstract：:Osteoarthritis should initially be treated conservatively with the use of oral medication, intra-articular steroid injections, hand therapy, and splinting. The reduction of pain and the resultant increase in function to the patient are the ultimate goals of this treatment. ...
journal_title：Hand clinics
pub_type： 杂志文章
doi：
更新日期：1987-08-01 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
pub_type： 杂志文章,评审
doi：10.1016/j.hcl.2018.06.003
更新日期：2018-11-01 00:00:00
abstract：:Trauma to the upper extremity can present with an associated arterial injury. After patient stabilization, thorough assessment with physical examination and various imaging modalities allows accurate diagnosis of the specific arterial injury. After diagnosis, efficient treatment is necessary to allow limb salvage. Tre...
journal_title：Hand clinics
pub_type： 杂志文章,评审
doi：10.1016/j.hcl.2017.09.009
更新日期：2018-02-01 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：: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：: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
pub_type： 杂志文章,评审
doi：10.1016/s0749-0712(03)00005-2
更新日期：2003-08-01 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
pub_type： 杂志文章,评审
doi：
更新日期：1988-08-01 00:00:00
abstract：:Tendon transfer procedures are used in the reconstructive surgery of the rheumatoid hand in cases of tendon ruptures, deformities, and compression neuropathies with subsequent muscle atrophy. The prerequisites and essential principles for tendon transfers are discussed, including the following: 1) correction of contra...
journal_title：Hand clinics
pub_type： 杂志文章,评审
doi：
更新日期：1988-05-01 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
pub_type： 杂志文章,评审
doi：10.1016/j.hcl.2007.01.009
更新日期：2007-05-01 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
pub_type： 杂志文章
doi：10.1016/s0749-0712(02)00131-2
更新日期：2003-08-01 00:00:00
abstract：:Radical debridement allows the surgeon to prevent infection by skillful use of the scalpel. It is also the necessary foundation for the microsurgical techniques of applying emergency free flaps and performing immediate reconstruction. These techniques ultimately result in fewer days spent in the hospital for patients,...
journal_title：Hand clinics
pub_type： 杂志文章,评审
doi：10.1016/j.hcl.2006.12.003
更新日期：2007-02-01 00:00:00
abstract：:Necrotizing fasciitis is a severe, fulminant infection most commonly encountered in patients with diabetes mellitus, alcohol abuse, and intravenous drug abuse. The infection can spread-unrecognized along fascial planes beneath seemingly normal skin. The relatively benign appearance of the extremity is misleading and o...
journal_title：Hand clinics
pub_type： 杂志文章,评审
doi：
更新日期：1998-11-01 00:00:00
abstract：:Arthroscopy of the first carpometacarpal (CMC) joint has become routine. Similar techniques can be applied to fracture dislocations involving the fifth CMC joint. This situation is one whereby arthroscopy is definitely of benefit, because the articular fracture fragment is often volar, and difficult to visualize and r...
journal_title：Hand clinics
pub_type： 杂志文章,评审
doi：10.1016/j.hcl.2011.05.010
更新日期：2011-08-01 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：: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
pub_type： 杂志文章,评审
doi：
更新日期：1994-02-01 00:00:00
