Nonbridging external fixation of intra-articular distal radius fractures.

abstract：:This article reviews treatment and presents complications seen in the treatment of 7 common congenital hand differences, including syndactyly, camptodactyly, ulnar and radial polydactyly, thumb hypoplasia, radial longitudinal deficiency, and epidermolysis bullosa. The management of these conditions is challenging but ...

journal_title：Hand clinics

authors： Comer GC,Ladd AL

更新日期：2015-05-01 00:00:00

abstract：:It has been helpful in our practice to separate somatic from sympathetic-mediated peripheral nerve pain. We would recommend application of the new nomenclature of type I complex regional pain (sympathetic dystrophy) and type II complex regional pain (causalgia) (see Table 1). We believe it is essential that both of th...

journal_title：Hand clinics

authors： Cooney WP

更新日期：1997-08-01 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：: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

authors： Leibovic SJ

更新日期：1997-11-01 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：:Evaluation of the injured hand is undertaken to assess an acute injury, to diagnose chronic injuries prior to reconstruction, to evaluate function, and to evaluate disability. This article discusses the special evaluation method for each of these categories. ...

journal_title：Hand clinics

authors： Gupta A,Kleinert HE

更新日期：1993-05-01 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：: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：: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：:To reduce ischemic time and yet achieve a high-quality repair, the replantation team should be well organized. The team should be conversant with microvascular techniques and employ efficient methods of tendon repair and bone fixation. Developments in instrumentation and technique in recent years have improved success...

journal_title：Hand clinics

authors： Lim BH,Tan BK,Peng YP

更新日期：2001-08-01 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

authors： Mannerfelt LG

更新日期：1988-05-01 00:00:00

abstract：:Evaluation of the outcome of evidence-based practice decisions in individual patients or patient groups is step five in the evidence-based practice approach. Outcome measures are any measures that reflect patient status. Status or outcome measures can be used to detect change over time (eg, treatment effects), to disc...

journal_title：Hand clinics

authors： MacDermid JC,Grewal R,MacIntyre NJ

更新日期：2009-02-01 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：:The overall assessment in the tetraplegic patient should be comprehensive and detailed. This paper discusses aspects of the medical and physical assessment that normally may go unrecognized but are extremely important in the outcome of the tetraplegic patient. A comprehensive classification also is provided as a new g...

journal_title：Hand clinics

authors： Landi A,Mulcahey MJ,Caserta G,Della Rosa N

更新日期：2002-08-01 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

abstract：:Reinnervation of a hand transplant ultimately dictates functional recovery but provides a significant regenerative challenge. This article highlights interventions to enhance nerve regeneration through acceleration of axonal regeneration or augmentation of Schwann cell support and discuss their relevance to composite ...

journal_title：Hand clinics

authors： Glaus SW,Johnson PJ,Mackinnon SE

更新日期：2011-11-01 00:00:00

abstract：:Although carpal fractures other than of the scaphoid are uncommon, vigilance in diagnosing these potentially serious fractures is paramount to early and effective treatment. Physical examination and standard plain radiographs may reveal only subtle findings. Use of special radiographic views and computed tomography ma...

journal_title：Hand clinics

authors： Vigler M,Aviles A,Lee SK

更新日期：2006-11-01 00:00:00

abstract：:The hand is extremely susceptible to burn injuries, and hand burns can occur in up to 90% of all major burns. A thorough neurovascular examination of the hand should be performed in the acute setting. Escharotomies are required in patients with full-thickness or circumferential burns, when perfusion of the upper extre...

journal_title：Hand clinics

authors： Soni A,Pham TN,Ko JH

更新日期：2017-05-01 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：:Closed pulley ruptures are rare in the general population but occur more frequently in rock climbers due to biomechanical demands on the hand. Injuries present with pain and swelling over the affected pulley, and patients may feel or hear a pop at the time of injury. Sequential pulley ruptures are required for clinica...

journal_title：Hand clinics

authors： King EA,Lien JR

更新日期：2017-02-01 00:00:00

abstract：:Arteriography of the hand is a specialized area of angiography that has unfortunately received little attention from angiographers and surgeons. Proper attention to techniques and an awareness of the unique manifestations of disease in the upper extremity maximize the clinical benefit gained when hand arteriography is...

journal_title：Hand clinics

authors： Vogelzang RL

更新日期：1991-02-01 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：: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：: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：: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 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：: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：:Initial operative care of mutilating injuries is discussed as well as reconstructive procedures for partial hand amputees, including digital transposition and bone grafting. ...

journal_title：Hand clinics

authors： Burkhalter W

更新日期：1986-02-01 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 surgical return of sensibility in the injured upper extremity remains a major goal for the reconstructive surgeon. Free flaps have created the opportunity for successful reconstruction in those patients in whom irreplaceable sensory end organs have been destroyed. In addition, well-vascularized composite tissues m...

journal_title：Hand clinics

authors： Strauch B,Greenstein B

更新日期：1985-05-01 00:00:00