Abstract:
:The standard treatment for delayed union or nonunion of the scaphoid is operative management. Electrical stimulation has been employed in these clinical situations in patients unable or unwilling to undergo surgical intervention. Recent interest has also focused on the use of low-intensity ultrasound as an adjunct to healing in distal radius and tibial fractures. Results with the use of ultrasound for scaphoid fractures is encouraging. A review of the mechanisms of action, clinical results, and possible indications is presented for these two nonoperative modalities.
journal_name
Hand Clinjournal_title
Hand clinicsauthors
Divelbiss BJ,Adams BDsubject
Has Abstractpub_date
2001-11-01 00:00:00pages
697-701, x-xiissue
4eissn
0749-0712issn
1558-1969journal_volume
17pub_type
杂志文章,评审相关文献
HAND CLINICS文献大全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
更新日期:2014-02-01 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::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::In the modern pediatric orthopedic practice, operative management plays a vital and not infrequent role in the management of significant and difficult forearm and elbow fractures in the skeletally immature. Although the majority of forearm and many elbow fractures can be treated successfully by nonoperative measures, ...
journal_title:Hand clinics
pub_type: 杂志文章,评审
doi:10.1016/s0749-0712(02)00017-3
更新日期:2002-02-01 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
pub_type: 杂志文章,评审
doi:
更新日期:1999-05-01 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
pub_type: 杂志文章
doi:
更新日期:1995-08-01 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
pub_type: 杂志文章
doi:
更新日期:1992-11-01 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
pub_type: 杂志文章,评审
doi:10.1016/s0749-0712(02)00076-8
更新日期:2003-02-01 00:00:00
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
更新日期:2006-08-01 00:00:00
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:
更新日期:1993-11-01 00:00:00
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:
更新日期:1989-05-01 00:00:00
abstract::Flexor tenolysis is a challenging procedure with valuable clinical usefulness in the restitution and enhancement of digital function in the appropriate patient. In the absence of complications, improvement in digital flexion can be expected. The requisites for success are a skilled surgeon, a motivated and well inform...
journal_title:Hand clinics
pub_type: 杂志文章,评审
doi:10.1016/j.hcl.2004.11.008
更新日期:2005-05-01 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::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
pub_type: 杂志文章,评审
doi:10.1016/s0749-0712(03)00079-9
更新日期:2004-02-01 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
pub_type: 杂志文章
doi:
更新日期:1985-05-01 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::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
pub_type: 杂志文章,评审
doi:10.1016/j.hcl.2017.04.001
更新日期:2017-08-01 00:00:00
abstract::Upper extremity burn contractures are a major challenge to the reconstructive surgeon. Despite increasing sophistication in the overall management of acute thermal injuries, contractures still occur and are the most common cause of skin contracture in the hand. Reconstructive options for axillary, antecubital, wrist, ...
journal_title:Hand clinics
pub_type: 杂志文章,评审
doi:
更新日期:1990-05-01 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
pub_type: 杂志文章,评审
doi:
更新日期:2001-05-01 00:00:00
abstract::Soft tissue reconstruction of the digit is challenging for hand surgeons because it must satisfy both functional and aesthetic requirements. A wide variety of treatment options exist. A free flap can be an alternative solution in some clinical situations. This article has 2 purposes. First, it discusses various consid...
journal_title:Hand clinics
pub_type: 杂志文章,评审
doi:10.1016/j.hcl.2019.08.008
更新日期:2020-02-01 00:00:00
abstract::From a research work on 40 upper limbs of nonembalmed specimens, several narrow passages for the brachial plexus and the axillosubclavian vessels are described, extending from the neck and mediastinum to the lower border of the pectoralis major. The effects of sustained forced positions are also discussed, and the rol...
journal_title:Hand clinics
pub_type: 杂志文章,评审
doi:
更新日期:1988-11-01 00:00:00
abstract::Arthrodesis and arthroplasty are surgical options used for the management of pain, stiffness, deformity, and instability related to arthritis and traumatic injury of the small joints of the hand. Arthrodesis and arthroplasty come with a risk of postoperative infection. Superficial soft tissue infections can often be m...
journal_title:Hand clinics
pub_type: 杂志文章,评审
doi:10.1016/j.hcl.2015.01.002
更新日期:2015-05-01 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
pub_type: 杂志文章,评审
doi:
更新日期:1998-05-01 00:00:00
abstract::Many hand surgeons argue that vascularized bone grafting is indicated in proximal pole avascular necrosis, prior failed surgery, or long-standing scaphoid nonunion. However, the available evidence does not support improved treatment outcomes for vascularized bone grafting rather than traditional nonvascularized techni...
journal_title:Hand clinics
pub_type: 杂志文章,评审
doi:10.1016/j.hcl.2019.03.005
更新日期:2019-08-01 00:00:00
abstract::The care of patients with spastic cerebral palsy requires the dedicated attention of a surgeon who is interested in the upper extremity, in association with therapists and other medical personnel who have a similar interest. The difficult problems of the upper extremity have often been overlooked by concerns related t...
journal_title:Hand clinics
pub_type: 杂志文章,评审
doi:
更新日期:1990-11-01 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
pub_type: 杂志文章,评审
doi:
更新日期:1988-05-01 00:00:00
abstract::This article discusses the diagnosis and management of pigmented lesions of the hand, especially the nail bed. ...
journal_title:Hand clinics
pub_type: 杂志文章,评审
doi:
更新日期:1995-05-01 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::The current status of cumulative trauma disorder of the upper limb is examined from the standpoint of its long history, its current controversies, and the philosophic basis of the present laws, which control management of the condition. The future needs that should permit cumulative trauma disorders to be better under...
journal_title:Hand clinics
pub_type: 杂志文章,评审
doi:
更新日期:1991-08-01 00:00:00
abstract::The primary treatment goal for Kienböck's disease remains decompression of the lunate. Although a number of treatment options are available, scaphocapitate fusion is our first choice in many cases of Kienböck's disease. Scaphocapitate fusion mechanically decompresses the lunate and prevents progressive carpal instabil...
journal_title:Hand clinics
pub_type: 杂志文章,评审
doi:
更新日期:1993-08-01 00:00:00