Complications of surgery for thoracic outlet syndrome.

Abstract:

:Having read through the previous litany of potential disasters and complications, one could ask the obvious question, "Why would anyone want to do this kind of surgery?" The answer is that most people elect not to! Nevertheless, for those who decide to venture into this field, there is the tremendous reward of being able to help patients who would otherwise continue to live with extremely disabling and disheartening symptoms. A sound knowledge of the regional anatomy and tutelage by those knowledgeable in particular areas of surgery that may not have been a part of the individual surgeon's prior training is essential. The author was fortunate to have the help of a very accomplished and generous vascular surgeon, Dr. William Abbott of the Massachusetts General Hospital for many months when I began on what I have considered a fascinating and intellectually rewarding odyssey.

journal_name

Hand Clin

journal_title

Hand clinics

authors

Leffert RD

doi

10.1016/s0749-0712(03)00084-2

subject

Has Abstract

pub_date

2004-02-01 00:00:00

pages

91-8

issue

1

eissn

0749-0712

issn

1558-1969

pii

S0749-0712(03)00084-2

journal_volume

20

pub_type

杂志文章,评审
  • The dorsal ligaments of the wrist.

    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

    pub_type: 杂志文章,评审

    doi:

    authors: Viegas SF

    更新日期:2001-02-01 00:00:00

  • Psoriatic arthritis in the hand.

    abstract::Psoriatic arthritis is a polyarthropathy distinct from rheumatoid arthritis and associated with onychodystrophy and skin lesions. Patients present with stiffness, flexion and extension contractures, digital swelling, or painful joints. Psoriatic arthritis mutilans is a rapidly progressive osteolysis resulting in sever...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:

    authors: Rose JH,Belsky MR

    更新日期:1989-05-01 00:00:00

  • Postoperative Management of Hand Surgery in the Low- and Middle-Income Countries.

    abstract::The prevention and treatment of hand injuries in low- to middle-income countries needs to be a priority. Surgical outreach trips are a primary avenue for patients to receive interventions. Challenges include language and cultural barriers, poor infrastructure, and limitations in a patient's ability to follow-up. Strat...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.hcl.2019.07.005

    authors: Riggs J,Chung KC

    更新日期:2019-11-01 00:00:00

  • Osseous anatomy and articular relationships about the distal ulna.

    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

    pub_type: 杂志文章,评审

    doi:

    authors: Ekenstam F

    更新日期:1998-05-01 00:00:00

  • Carpal fractures excluding the scaphoid.

    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

    pub_type: 杂志文章,评审

    doi:10.1016/j.hcl.2006.07.007

    authors: Vigler M,Aviles A,Lee SK

    更新日期:2006-11-01 00:00:00

  • The gradual correction of forearm deformities in multiple hereditary exostoses.

    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

    pub_type: 杂志文章

    doi:

    authors: Dahl MT

    更新日期:1993-11-01 00:00:00

  • Therapeutic management of extensor tendon injuries.

    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

    pub_type: 杂志文章

    doi:

    authors: Evans RB

    更新日期:1986-02-01 00:00:00

  • Coronal shear fractures of the distal humerus: the capitellum and trochlea.

    abstract::Fractures of the capitellum and trochlea are uncommon and multiple options have been advocated for the treatment of this injury. A single management technique has not emerged as the superior technique, and a complement of interventions is necessary to manage the continuum of injuries that can be observed. In general, ...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.hcl.2004.08.001

    authors: Faber KJ

    更新日期:2004-11-01 00:00:00

  • Outcomes analysis in hand surgery patients--get your project started!

    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

    authors: Arslanian C

    更新日期:2003-08-01 00:00:00

  • An update on wound management.

    abstract::This article provides an update on wound management with wound diagnosis and treatment discussed in terms of the normal cellular events of the wound healing process. The role of growth factors as cell regulators, the importance of wound fluids to wound metabolism, and the deleterious effects of some wound cleansers, d...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:

    authors: Evans RB

    更新日期:1991-08-01 00:00:00

  • Malunions of the finger metacarpals and phalanges.

    abstract::Many malunions of the finger metacarpals are mild and do not require or justify operative intervention. Early recreation of the fracture or osteotomy is more likely to be rewarded with favorable results than late operation. Rotational malunions of the metacarpals or proximal phalanges may be treated by transverse extr...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.hcl.2006.03.001

    authors: Freeland AE,Lindley SG

    更新日期:2006-08-01 00:00:00

  • Phalangeal fractures: displaced/nondisplaced.

    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

    pub_type: 杂志文章,评审

    doi:10.1016/j.hcl.2012.05.032

    authors: Gaston RG,Chadderdon C

    更新日期:2012-08-01 00:00:00

  • Scaphoid Union: The Role of Wrist Arthroscopy.

    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

    authors: Ecker J

    更新日期:2017-11-01 00:00:00

  • The role of arthroscopy in the treatment of lunatotriquetral ligament injuries.

    abstract::Disruption of the lunatotriquetral ligament is a common cause of ulnar-sided wrist pain. A review of the literature of the pathophysiology and treatment of LT ligament tears is presented. The authors report a series of 20 consecutive patients with arthroscopically confirmed LT ligament tears without a VISI collapse tr...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:

    authors: Osterman AL,Seidman GD

    更新日期:1995-02-01 00:00:00

  • The role of operative arthroscopy for the diagnosis and treatment of lesions about the distal ulna.

    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

    pub_type: 杂志文章,评审

    doi:

    authors: Fulcher SM,Poehling GG

    更新日期:1998-05-01 00:00:00

  • Clinical and radiologic features of primary osteoarthritis of the hand.

    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:

    authors: Dray GJ,Jablon M

    更新日期:1987-08-01 00:00:00

  • Management of Spinal Cord Injury-Induced Upper Extremity Spasticity.

    abstract::Spasticity affects more than 80% of patients with spinal cord injury. Neural mechanisms and musculotendinous alterations lead to typical upper extremity features including shoulder adduction/internal rotation, forearm pronation, and elbow, wrist, and finger flexion. Long-standing spasticity may lead to soft tissue and...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.hcl.2018.07.001

    authors: Gohritz A,Fridén J

    更新日期:2018-11-01 00:00:00

  • The myofibroblast in Dupuytren's contracture.

    abstract::Dupuytren's contracture nodules, but not cords, contain myofibroblasts. These cells, which combine many electron microscopic, physiologic, and immunohistochemical characteristics of fibroblasts and smooth muscle cells, are probably the active force of contraction. Prominent myofibroblasts and intracellular microtubule...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:

    authors: Rudolph R,Vande Berg J

    更新日期:1991-11-01 00:00:00

  • The carpal joint. Anatomy and function.

    abstract::The carpal joint can be approached as a mechanism consisting of kinematic chains. In these chains, the proximal carpals function as intercalated segments. Intercarpal displacements are linked to one another and are based upon the mutual attuning of carpal bone geometry, joint contacts, and ligamentous interconnections...

    journal_title:Hand clinics

    pub_type: 杂志文章

    doi:

    authors: Kauer JM,de Lange A

    更新日期:1987-02-01 00:00:00

  • Carpal bone fractures.

    abstract::Carpal bone fractures make up a significant proportion of injuries to the wrist. The complex bone shape and articulations make diagnosis more difficult and missed injuries more common. This article reviews carpal bone fractures excluding the scaphoid. ...

    journal_title:Hand clinics

    pub_type: 杂志文章

    doi:10.1016/j.hcl.2009.08.014

    authors: Papp S

    更新日期:2010-02-01 00:00:00

  • A Systematic Review of Orthopedic Global Outreach Efforts Based on WHO-CHOICE Thresholds.

    abstract::Injury and musculoskeletal disorders are a major cause of death, disability, and decreased quality of life in developing countries. Thus, understanding the cost-effectiveness of orthopedic care in low- and middle-income countries may help to guide future outreach. A systematic review was conducted on the literature av...

    journal_title:Hand clinics

    pub_type: 杂志文章

    doi:10.1016/j.hcl.2019.07.015

    authors: Nolte MT,Nasser JS,Chung KC

    更新日期:2019-11-01 00:00:00

  • How to measure outcomes of distal radius fracture treatment.

    abstract::There is no established outcome measure designated as the superior measure when evaluating the results of distal radius fracture management. Although there are many used in the literature, there are only a few that have been validated to specifically predict recovery after a distal radius fracture. Additionally, there...

    journal_title:Hand clinics

    pub_type: 杂志文章

    doi:10.1016/j.hcl.2012.03.003

    authors: Ritting AW,Wolf JM

    更新日期:2012-05-01 00:00:00

  • Kinetic analysis of carpal stability during grip.

    abstract::When the wrist is grasping an object, at least four mechanisms of carpal stabilization are involved-one for each carpal row (proximal and distal), one for the midcarpal joint, and one for the radiocarpal joint. These mechanisms are based on the general principle that, under load-bearing conditions, any bone tends to r...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:

    authors: Garcia-Elias M

    更新日期:1997-02-01 00:00:00

  • Failure of differentiation: Part II (arthrogryposis, camptodactyly, clinodactyly, madelung deformity, trigger finger, and trigger thumb).

    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

    authors: Ty JM,James MA

    更新日期:2009-05-01 00:00:00

  • Management of purpura fulminans at the upper extremity.

    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

    pub_type: 杂志文章

    doi:

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

    更新日期:2000-11-01 00:00:00

  • Treatment of preaxial polydactyly.

    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

    pub_type: 杂志文章,评审

    doi:

    authors: Light TR

    更新日期:1992-02-01 00:00:00

  • Needle aponeurotomy for the treatment of Dupuytren's disease.

    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

    authors: Diaz R,Curtin C

    更新日期:2014-02-01 00:00:00

  • Management of Monteggia Injuries in the Adult.

    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

    pub_type: 杂志文章,评审

    doi:10.1016/j.hcl.2020.07.002

    authors: Patel M,Dehghan N

    更新日期:2020-11-01 00:00:00

  • Tetraplegia: update on assessment.

    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

    pub_type: 杂志文章

    doi:10.1016/s0749-0712(02)00024-0

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

    更新日期:2002-08-01 00:00:00

  • Diagnosis and clinical findings of Kienböck's disease.

    abstract::The clinical presentation and history of patients with Kienböck's disease do not permit differentiating avascular necrosis of the lunate from vague wrist pathology of a variety of causes. Diagnosis and evaluation of this disorder therefore require appropriate imaging studies. Plain-film radiography, tomography, and bo...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:

    authors: Szabo RM,Greenspan A

    更新日期:1993-08-01 00:00:00