Abstract:
:Injuries to the extensor mechanism create an imbalance in the precise flexion-extension system that regulates finger motion. This imbalance results in visible and functional deformities. Although these deformities are initially supple, they can become fixed and progress to joint degeneration. This article outlines early diagnosis and accurate treatment of the most common extensor tendon injuries. Avoidance of late sequellae is the goal.
journal_name
Hand Clinjournal_title
Hand clinicsauthors
Scott SCsubject
Has Abstractpub_date
2000-08-01 00:00:00pages
367-73, viiiissue
3eissn
0749-0712issn
1558-1969journal_volume
16pub_type
杂志文章,评审相关文献
HAND CLINICS文献大全abstract::Condylar and epicondylar fractures differ from other pediatric upper extremity fractures because of the anatomy and ossification of the distal humerus. These fractures are prone to nonunion,and initial deformities do not remodel well. Radiographic diagnosis and severity are difficult to determine, and adjunct studies,...
journal_title:Hand clinics
pub_type: 杂志文章,评审
doi:10.1016/j.hcl.2005.09.003
更新日期:2006-02-01 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::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::Therapy for the painful upper extremity is a challenge. This article focuses on various assessment tools and techniques that are reflective of the painful status. The author reviews several research articles that discuss validating treatment options and outlines rehabilitation for the painful upper extremity as it rel...
journal_title:Hand clinics
pub_type: 杂志文章,评审
doi:
更新日期:1996-11-01 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
pub_type: 杂志文章,评审
doi:
更新日期:1994-05-01 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
pub_type: 杂志文章,评审
doi:10.1016/j.hcl.2012.08.029
更新日期:2013-02-01 00:00:00
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:
更新日期:2000-11-01 00:00:00
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::Scaphoid fractures carry significant long-term morbidity and short-term socioeconomic difficulty in the young and active patient population in which they most commonly occur. While cast immobilization results in high rates of radiographic union in nondisplaced scaphoid fractures, internal fixation with headless compre...
journal_title:Hand clinics
pub_type: 杂志文章,评审
doi:10.1016/j.hcl.2010.04.005
更新日期:2010-08-01 00:00:00
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
更新日期:2020-11-01 00:00:00
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
更新日期:2006-11-01 00:00:00
abstract::Improvements in critical care and burn victim resuscitation have led to increased survival of burned patients. Initial resuscitation, early excision of burned tissues, prevention of burn wound sepsis, and wound coverage remain mainstays of care. Many burn wounds require complex reconstruction. This is particularly imp...
journal_title:Hand clinics
pub_type: 杂志文章,评审
doi:10.1016/j.hcl.2016.12.007
更新日期:2017-05-01 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::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::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
pub_type: 杂志文章,评审
doi:
更新日期:2000-02-01 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
pub_type: 杂志文章,评审
doi:10.1016/j.hcl.2007.11.011
更新日期:2008-02-01 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::Silicone implant arthroplasty has been used for more than 40 years for severe rheumatoid disease at the metacarpophalangeal (MCP) joint. Multiple investigations have shown that silicone arthroplasty places the MCP joint in a more extended posture, with some improvement in the total arc of motion. Ulnar drift is also i...
journal_title:Hand clinics
pub_type: 杂志文章,评审
doi:10.1016/j.hcl.2006.02.001
更新日期:2006-05-01 00:00:00
abstract::Treatment of recurrent Dupuytren disease is challenging. Multiple options exist, each having relative benefits and weaknesses. Choice for optimal treatment is made on a case-by-case basis, with shared decision making with the patient. Percutaneous and enzymatic techniques are best reserved for patients with well-defin...
journal_title:Hand clinics
pub_type: 杂志文章,评审
doi:10.1016/j.hcl.2018.03.009
更新日期:2018-08-01 00:00:00
abstract::This article reviews treatment and presents complications seen in the treatment of 7 common congenital hand differences, including syndactyly, camptodactyly, ulnar and radial polydactyly, thumb hypoplasia, radial longitudinal deficiency, and epidermolysis bullosa. The management of these conditions is challenging but ...
journal_title:Hand clinics
pub_type: 杂志文章,评审
doi:10.1016/j.hcl.2015.01.011
更新日期:2015-05-01 00:00:00
abstract::Elbow arthroscopy is, to a degree, technically demanding. A complete knowledge of the regional anatomy of the elbow is essential. The technical expertise of the arthroscopist continues to improve, and sophistication of equipment continues to increase. These clear the way for new indications of elbow arthroscopy. It is...
journal_title:Hand clinics
pub_type: 杂志文章
doi:
更新日期:1994-08-01 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
pub_type: 杂志文章
doi:
更新日期:1998-02-01 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
pub_type: 杂志文章,评审
doi:
更新日期:2000-08-01 00:00:00
abstract::Arthroscopy of the first carpometacarpal (CMC) joint has become routine. Similar techniques can be applied to fracture dislocations involving the fifth CMC joint. This situation is one whereby arthroscopy is definitely of benefit, because the articular fracture fragment is often volar, and difficult to visualize and r...
journal_title:Hand clinics
pub_type: 杂志文章,评审
doi:10.1016/j.hcl.2011.05.010
更新日期:2011-08-01 00:00:00
abstract::Tendon transfer procedures are used in the reconstructive surgery of the rheumatoid hand in cases of tendon ruptures, deformities, and compression neuropathies with subsequent muscle atrophy. The prerequisites and essential principles for tendon transfers are discussed, including the following: 1) correction of contra...
journal_title:Hand clinics
pub_type: 杂志文章,评审
doi:
更新日期:1988-05-01 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
pub_type: 杂志文章,评审
doi:10.1016/j.hcl.2020.03.007
更新日期:2020-08-01 00:00:00
abstract::A scoring classification for assessment of the clinical severity of reflex sympathetic dystrophy (RSD) and rating the presence and clinical expression of each feature is proposed. The following were included: pain, reduction of finger flexion, swelling, temperature changes, discoloration, sensory disturbances, shoulde...
journal_title:Hand clinics
pub_type: 杂志文章
doi:10.1016/s0749-0712(02)00131-2
更新日期:2003-08-01 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::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
pub_type: 杂志文章,评审
doi:10.1016/j.hcl.2004.03.019
更新日期:2004-08-01 00:00:00
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
更新日期:2012-08-01 00:00:00