Abstract：
:Acute arterial injuries of the upper extremity account for half of civilian arterial injuries in the United States. The great majority of these injuries are due to penetrating trauma, with stab wounds and gunshot wounds being the most common cause. The history of the injury and a careful physical examination will identify most injuries. Arteriography should be performed when a vascular injury is suspected but not confirmed by physical examination. Reconstruction of critical vascular lesions is essential for restoration of flow distally. Noncritical lesions may be repaired in most cases, with long-term patency rates averaging 50% to 68%. Although amputation is uncommon after upper-extremity vascular injury, long-term disability can be significant in those patients with concomitant nerve injury. Chronic upper-extremity ischemia may be secondary to atherosclerotic occlusive disease, aneurysms, or arteriovenous fistulas. Angiography will delineate the diseased or occluded arterial segment, allowing bypass to be successful in more than 90% of cases. With careful attention to proper diagnosis and treatment, good to excellent long-term relief of symptoms can be obtained.
journal_name
Hand Clinjournal_title
Hand clinicsauthors
Hammond DC,Gould JS,Hanel DPsubject
Has Abstractpub_date
1992-08-01 00:00:00pages
453-63issue
3eissn
0749-0712issn
1558-1969journal_volume
8pub_type
杂志文章,评审相关文献
HAND CLINICS文献大全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
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
pub_type： 杂志文章,评审
doi：10.1016/s0749-0712(02)00046-x
更新日期：2002-11-01 00:00:00
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：
更新日期：2001-02-01 00:00:00
abstract：:"Thoracic outlet syndrome" is a term ascribed to a complex clinical entity encompassing complicated neurovascular signs, symptoms and pathology of the upper extremity. Controversies exist concerning its causes, diagnosis, and treatment despite years of intense study of hundreds of patients. Although there is no univer...
journal_title：Hand clinics
pub_type： 杂志文章,评审
doi：
更新日期：1996-11-01 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
pub_type： 杂志文章,评审
doi：10.1016/j.hcl.2011.07.002
更新日期：2011-11-01 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：: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
pub_type： 杂志文章,评审
doi：
更新日期：1989-08-01 00:00:00
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：
更新日期：1997-02-01 00:00:00
abstract：:This article reviews acute dislocations of the distal radioulnar joint (DRUJ) and distal ulna fractures. Acute dislocations can occur in isolation or in association with a fracture to the distal radius, radial metadiaphysis (Galeazzi fracture), or radial head (Essex-Lopresti injury). Distal ulna fractures may occur in...
journal_title：Hand clinics
pub_type： 杂志文章,评审
doi：10.1016/j.hcl.2010.05.009
更新日期：2010-11-01 00:00:00
abstract：:Trauma patients are predominantly young men. Urban trauma patients frequently are uninsured, and often are victims of intentionally inflicted penetrating injury, usually caused by firearms. Substance use is a common underlying factor in both urban and rural trauma. This article introduces urban and rural patients. It ...
journal_title：Hand clinics
pub_type： 杂志文章,评审
doi：
更新日期：1999-05-01 00:00:00
abstract：:This article describes the basic bony, ligamentous, and neurologic anatomy of the structures about the elbow. The surgical exposures of the elbow joint are described, providing details of the various posterior, lateral, and medial approaches to the articular segments. Clinical applications describing the potential ben...
journal_title：Hand clinics
pub_type： 杂志文章,评审
doi：10.1016/j.hcl.2014.08.001
更新日期：2014-11-01 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
pub_type： 杂志文章,评审
doi：
更新日期：1993-05-01 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
pub_type： 杂志文章,评审
doi：10.1016/j.hcl.2013.04.009
更新日期：2013-08-01 00:00:00
abstract：:Human capacity for physiologic adaptation to cold is minimal; we survive by insulating ourselves with protective clothing. In addition to the irreversible direct injury caused by ice crystallization, the authors have outlined four possible mechanisms by which indirect injury may damage tissue. Other than rapid rewarmi...
journal_title：Hand clinics
pub_type： 杂志文章,评审
doi：
更新日期：2000-05-01 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
pub_type： 杂志文章
doi：
更新日期：1985-08-01 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
pub_type： 杂志文章
doi：
更新日期：1995-08-01 00:00:00
abstract：:Cortical mapping and relearning are key factors in optimizing patient outcome following motor nerve transfers. To maximize function following nerve transfers, the rehabilitation program must include motor reeducation to initiate recruitment of the weak reinnervated muscles and to establish new motor patterns and corti...
journal_title：Hand clinics
pub_type： 杂志文章,评审
doi：10.1016/j.hcl.2008.06.001
更新日期：2008-11-01 00:00:00
abstract：:Many surgical techniques are available for the repair of peripheral nerve defects. Autologous nerve grafts are the gold standard for most clinical conditions. In selected cases, alternative types of reconstructions are performed to fill the nerve gap. Non-nervous autologous tissue-based conduits or synthetic ones are ...
journal_title：Hand clinics
pub_type： 杂志文章,评审
doi：10.1016/j.hcl.2017.04.005
更新日期：2017-08-01 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
pub_type： 杂志文章,评审
doi：10.1016/j.hcl.2020.09.009
更新日期：2021-02-01 00:00:00
abstract：:The lumbrical muscles are unique in having their origin and insertion on tendons. The lumbricals assist in metacarpophalangeal joint flexion; they contribute to interphalangeal joint extension by acting as deflexors of the proximal interphalangeal joint. Anatomically, they are highly specialized in terms of their arch...
journal_title：Hand clinics
pub_type： 杂志文章,评审
doi：10.1016/j.hcl.2011.09.002
更新日期：2012-02-01 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
pub_type： 杂志文章
doi：
更新日期：1986-02-01 00:00:00
abstract：:Many factors influence the development of CTS; therefore, nonoperative treatment should not be limited to only one intervention. Nonoperative treatment is most effective in the early stages, prior to irreparable damage to the nerve. Early intervention combined with a comprehensive treatment plan can help improve effec...
journal_title：Hand clinics
pub_type： 杂志文章,评审
doi：10.1016/s0749-0712(02)00023-9
更新日期：2002-05-01 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
pub_type： 杂志文章,评审
doi：
更新日期：1997-02-01 00:00:00
abstract：:As the human thumb climbed the evolutionary ladder, the trapeziometacarpal joint was provided greater mobility at the expense of decreased bony stability. Soft tissue restraints were left to provide the primary stabilization of the thumb basal joint complex. Both degenerative and traumatic conditions compromise the fu...
journal_title：Hand clinics
pub_type： 杂志文章,评审
doi：
更新日期：2001-05-01 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
pub_type： 杂志文章,评审
doi：
更新日期：1988-02-01 00:00:00
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：
更新日期：1991-08-01 00:00:00
abstract：:Microvascular toe interphalangeal joint transfer can serve as a means of autogenous digit proximal interphalangeal joint (PIPJ) arthroplasty. Among surgical options for treating dysfunctional, absent, or destroyed PIPJs, free toe joint transfer is the most technically challenging and carries the greatest donor site co...
journal_title：Hand clinics
pub_type： 杂志文章,评审
doi：10.1016/j.hcl.2017.12.010
更新日期：2018-05-01 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
pub_type： 杂志文章,评审
doi：10.1016/s0749-0712(03)00061-1
更新日期：2003-11-01 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
pub_type： 杂志文章,评审
doi：10.1016/j.hcl.2006.05.003
更新日期：2006-08-01 00:00:00
abstract：:This article reviews the history of total wrist arthroplasty as a treatment option for painful, nonfunctional wrists in disease states. Technologic advances in materials, wear properties, and manufacturing now account for increased implant longevity. They may also improve total wrist replacement design, survival, and ...
journal_title：Hand clinics
pub_type： 杂志文章,评审
doi：10.1016/j.hcl.2012.08.015
更新日期：2012-11-01 00:00:00
