Nonoperative carpal tunnel syndrome treatment.

abstract：:The Z-plasty is a useful procedure in surgery of the upper limb for lengthening skin along a selected axis, for breaking up a straight line, and for obliterating webs. At least six geometric variables are considered in designing a conventional Z-plasty, and several modified designs must be considered. Geometrical mode...

journal_title：Hand clinics

authors： Furnas DW

更新日期：1985-11-01 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

authors： Dray GJ,Jablon M

更新日期：1987-08-01 00:00:00

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

authors： Gohritz A,Fridén J

更新日期：2018-11-01 00:00:00

abstract：:Although arthrodesis is the treatment preferred by most surgeons for severe wrist arthritis, some degree of functional impairment occurs from the resulting loss of motion, especially when multiple joints in the extremity are affected by arthritis. Total wrist arthroplasty may enhance the performance of daily activitie...

journal_title：Hand clinics

authors： Adams BD

更新日期：2013-02-01 00:00:00

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

authors： Ritting AW,Wolf JM

更新日期：2012-05-01 00:00:00

abstract：:As microsurgical techniques improve, attempts to restore function after severe nerve injury place greater demands upon the use of nerve grafts. Viable Schwann cells within these grafts are necessary to maximize nerve regeneration. Progress in decreasing nerve allograft antigenicity and the host response through immuno...

journal_title：Hand clinics

authors： Trumble TE,Shon FG

更新日期：2000-02-01 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：: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 a...

journal_title：Hand clinics

authors： Leffert RD

更新日期：2004-02-01 00:00:00

abstract：:Since the first description of an ulnar collateral ligament (UCL) tear at the elbow 60 years ago and the first description of surgical reconstruction 20 years ago, many advances have been made in management and surgery. UCL tears at the elbow remain a disease of the overhead athlete. Various imaging studies have been ...

journal_title：Hand clinics

authors： Meyers A,Palmer B,Baratz ME

更新日期：2008-02-01 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

authors： Carlsen BT,Dennison DG,Moran SL

更新日期：2010-11-01 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：:Over the last 2 decades, arthroscopy has assumed a greater role in the treatment of disorders of the wrist. The arthroscopic treatment of radioscaphoid arthritis and ulnar hamate impaction provides the benefits of being minimally invasive, with less morbidity, earlier motion, less recovery time, early return to work, ...

journal_title：Hand clinics

authors： Yao J,Osterman AL

更新日期：2005-11-01 00:00:00

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 iden...

journal_title：Hand clinics

authors： Hammond DC,Gould JS,Hanel DP

更新日期：1992-08-01 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

authors： McAuliffe JA

更新日期：1999-05-01 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

authors： Dugas JR,Weiland AJ

更新日期：2000-08-01 00:00:00

abstract：:In summary, the authors believe that traumatic bone defects of the diaphyseal forearm, fewer than 6 cm in length, can be well managed with corticocancellous bone grafting, provided the patient has an adequate soft-tissue envelope. In cases of soft-tissue compromise, primary bone grafting is still the treatment of choi...

journal_title：Hand clinics

authors： Stevanovic M,Gutow AP,Sharpe F

更新日期：1999-05-01 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：: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：:Patients with old scaphoid nonunion have a high risk of developing wrist arthritis. Although some patients remain asymptomatic, some will have pain sufficient to seek treatment. There are several treatment options available. The authors prefer wrist arthrodesis for most of these patients. ...

journal_title：Hand clinics

authors： Ruby LK,Leslie BM

更新日期：1987-11-01 00:00:00

abstract：:The systematic examination and recording, ray by ray, using the author's method of assessment of Dupuytren's disease have revealed that there are more Dupuytren's disease cases affecting the radial side of the hand than usually believed. The aponeurotic structures of the thumb and first web space are described. The lo...

journal_title：Hand clinics

authors： Tubiana R

更新日期：1999-02-01 00:00:00

abstract：:There are just two variables that define the mechanical qualities of each muscle. One is its potential for generating tension, and the other is the distance through which tension can be exerted. Tension capability can be increased in a muscle by exercise. There is no way to increase potential for excursion except by r...

journal_title：Hand clinics

authors： Brand PW

更新日期：1988-05-01 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：: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

authors： Watson HK,Weinzweig J

更新日期：1997-02-01 00:00:00

abstract：:Hand burns, in particular, are one of the leading causes of hand injury in children and can result in significant impairment of hand function. Appropriate initial management of hand burns in children is imperative to optimize function and minimize long-term scarring, and it is for this reason that the American Burn As...

journal_title：Hand clinics

authors： Palmieri TL

更新日期：2009-11-01 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：: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

authors： Shapiro DB

更新日期：1994-02-01 00:00:00

abstract：:The author reviews the long-term results of a large series of obstetrical brachial plexuses. The results of direct repair and secondary tendon transfers are reviewed. ...

journal_title：Hand clinics

authors： Gilbert A

更新日期：1995-11-01 00:00:00

abstract：:In nerve entrapment syndromes in the upper extremity, the surgeon must first become a diagnostician. When the symptoms of entrapment are bilateral, diabetes mellitus and cervical arthritis are found in a significant statistical number over the general population. These diseases can result in incomplete relief of sympt...

journal_title：Hand clinics

authors： Howard FM

更新日期：1986-11-01 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

authors： Le TB,Hentz VR

更新日期：2000-11-01 00:00:00

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

authors： Ekenstam F

更新日期：1998-05-01 00:00:00