Treatment of preaxial polydactyly.

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：:Injuries about the PIP joint of the finger are commonly encountered by primary care physicians and are associated with significant morbidity, including pain, stiffness, instability, premature degenerative arthritis, and residual deformities. An accurate understanding of the regional anatomy and appreciation of the mec...

journal_title：Hand clinics

authors： Freiberg A,Pollard BA,Macdonald MR,Duncan MJ

更新日期：2006-08-01 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：:Management of ulnar artery thrombosis is a complex problem. Diagnosis is confirmed by Allen testing; other special studies are needed for adequate evaluation of circulation, and arteriography is necessary before definitive therapy can be planned. Treatment must be patient oriented and directed at the underlying abnorm...

journal_title：Hand clinics

authors： Koman LA,Urbaniak JR

更新日期：1985-05-01 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：:Primary bone tumors of the hand and wrist are unusual but if present are frequently chondrogenic in origin. Enchondroma is the most common primary bone tumor of the hand and can be treated by curettage and bone grafting. Chondrosarcoma is rare and most likely the result of malignant degeneration of a pre-existing lesi...

journal_title：Hand clinics

authors： O'Connor MI,Bancroft LW

更新日期：2004-08-01 00:00:00

abstract：:This article discusses the importance of the elbow in both sports and performing arts. Functional, painless motion of the elbow is essential to achieve this end because although most objects of play are controlled by the hand, freedom of movement at the elbow allows one to place the hand in space. Anatomy and biomecha...

journal_title：Hand clinics

authors： Hotchkiss RN

更新日期：1990-08-01 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

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：: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：: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：: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

authors： Geissler WB

更新日期：2009-08-01 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：:Experience will show that proper management during the first 3 postoperative weeks will be the major determinant for the final result in extensor tendon injuries. In the simple injury, meticulous care in properly immobilizing each joint, combined with edema control, allows the patient to begin the mobilization phase w...

journal_title：Hand clinics

authors： Evans RB

更新日期：1986-02-01 00:00:00

abstract：:Systemic disease and metabolic imbalance may be associated with peripheral nerve focal compressive neuropathies. The nerve may be primarily involved, or symptoms may result from chronic tenosynovitis or synovitis. We review the more commonly occurring compressive neuropathies associated with underlying systemic disord...

journal_title：Hand clinics

authors： Dell PC,Guzewicz RM

更新日期：1992-05-01 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 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：:In 1987, Dr. John Agee described a method of holding reduction in unstable proximal interphalangeal fracture dislocations while allowing early motion. This method significantly improved the outcome of joint motion. This article explains Dr. Agee's method and the mechanics and physics necessary to use it. The limitatio...

journal_title：Hand clinics

authors： Buchanan RT

更新日期：1994-05-01 00:00:00

abstract：:The thumb carpometacarpal joint (CMCJ1) is born to have good freedom of motion. However, the excellent mobility at this joint also predisposes attenuation of capsuloligamentous structures, joint incongruity, instability, and osteoarthritis. The prevalence of radiographic CMCJ1 arthritis is high. There is no single ide...

journal_title：Hand clinics

authors： Wong CW,Ho PC

更新日期：2017-11-01 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

authors： Lebowitz C,Matzon JL

更新日期：2018-02-01 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：: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：:The hypoplastic thumb has a variety of presentations, which have been generalized into a formal classification system that has treatment implications. In most cases, the spectrum of hypoplasia has predictable deficits in terms of tendon and bone absence. The ultimate goal is always the same--to enhance usage of the ra...

journal_title：Hand clinics

authors： Plancher KD,Kahlon RS

更新日期：1998-02-01 00:00:00

abstract：:Early motion programs establish gliding, decrease unwanted adhesions, and enhance the healing process and return to normal function of injuries. This article elaborates on how to best incorporate early motion programs into the rehabilitation process. ...

journal_title：Hand clinics

authors： Crosby CA,Wehbé MA

更新日期：1996-02-01 00:00:00

abstract：:Injuries to the carpometacarpal joints are uncommon and are sometimes overlooked on initial radiographs. Their recognition depends on a careful physical and radiographic examination that may require trispiral tomograms and CT scans. Most injuries can be treated successfully by closed reduction and percutaneous fixatio...

journal_title：Hand clinics

authors： Gurland M

更新日期：1992-11-01 00:00:00

abstract：:Until the 1920s, TOS was believed to be a vascular condition caused by compression of the subclavian artery by a congenital anomaly, either a cervical rib or tight anterior scalen muscle. Today it is regarded primarily as a neurologic condition caused by neck trauma injuring and scarring the scalene muscles. ...

journal_title：Hand clinics

authors： Sanders RJ,Hammond SL

更新日期：2004-02-01 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：:Tendons are made of compact dense collagen fibers with only sparse cellularity and naturally low immunogenicity. Allogenic tendons may be preserved through deep freezing methods and retain excellent mechanical properties after revitalization. Allogenic tendons were used in 22 patients (30 tendons) for second-stage ten...

journal_title：Hand clinics

authors： Xie RG,Tang JB

更新日期：2012-11-01 00:00:00

abstract：:Mutilating hand injuries in children are a devastating problem. With aggressive efforts at replantation and revascularization, methodic debridement, timely soft tissue coverage, and early mobilization, however, the results in these unfortunate children can be quite rewarding. The child often does well with the functio...

journal_title：Hand clinics

authors： Buncke GM,Buntic RF,Romeo O

更新日期：2003-02-01 00:00:00

abstract：:Injuries to the proximal interphalangeal joint are extremely common. An understanding of the complex anatomy of this joint is essential for diagnosis and treatment of proximal interphalangeal joint sprains and dislocations. Lateral injuries are among the commonest injuries in the hand. These are often stable after red...

journal_title：Hand clinics

authors： Vicar AJ

更新日期：1988-02-01 00:00:00