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

authors： Dobyns JH

更新日期：1991-08-01 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

authors： Evans RB

更新日期：1991-08-01 00:00:00

abstract：:Rheumatoid arthritis frequently involves the distal radioulnar joint region and is progressive. Early recognition of involvement is paramount to offering patients appropriate and timely treatment. Early operative intervention should be considered preventative. Synovectomy, hemiresection interposition technique, matche...

journal_title：Hand clinics

authors： Clawson MC,Stern PJ

更新日期：1991-05-01 00:00:00

abstract：:Histologic examination of the TFC reveals parallel, longitudinally oriented collagen fibers peripherally, while the more central articular disc is made up of interweaving obliquely oriented sheets of collagen fibers. This suggests a peripheral region experiencing tensile loads between the region of origin from the rad...

journal_title：Hand clinics

authors： Chidgey LK

更新日期：1991-05-01 00:00:00

abstract：:Arteriography of the hand is a specialized area of angiography that has unfortunately received little attention from angiographers and surgeons. Proper attention to techniques and an awareness of the unique manifestations of disease in the upper extremity maximize the clinical benefit gained when hand arteriography is...

journal_title：Hand clinics

authors： Vogelzang RL

更新日期：1991-02-01 00:00:00

abstract：:Injuries involving foreign bodies in the hand are common. Index of suspicion should be high in any hand injury, particularly with a proper history. Plain radiographs should be obtained liberally and multiple views always taken. Xeroradiography, if available, is helpful if the plain radiographs are normal and a foreign...

journal_title：Hand clinics

authors： Donaldson JS

更新日期：1991-02-01 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

authors： Manske PR

更新日期：1990-11-01 00:00:00

abstract：:This article discusses the importance of the elbow in both sports and performing arts. Functional, painless motion of the elbow is essential to achieve this end because although most objects of play are controlled by the hand, freedom of movement at the elbow allows one to place the hand in space. Anatomy and biomecha...

journal_title：Hand clinics

authors： Hotchkiss RN

更新日期：1990-08-01 00:00:00

abstract：:Most sports are associated with specific patterns of hand injury. In some cases, these are unavoidable due to the nature of hand involvement dictated by the rules or environment of the sport. In other cases, such injuries point out the need for better protective gear or training. ...

journal_title：Hand clinics

authors： Amadio PC

更新日期：1990-08-01 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

authors： Kurtzman LC,Stern PJ

更新日期：1990-05-01 00:00:00

abstract：:Since the use of fire became part of life, mankind has sought remedies to treat burns. The upper extremity, due to its frequency of exposure as the foremost organ in the everyday exploration of the environment and in manipulative and social interactions, is often involved. This article discusses the history of burn tr...

journal_title：Hand clinics

authors： Robotti EB

更新日期：1990-05-01 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

authors： Bowers WH,Carlson EC,Wenner SM,Doyle JR

更新日期：1989-08-01 00:00:00

abstract：:Rheumatoid arthritis commonly affects the distal radioulnar joint (DRUJ). This can result in pain, instability, or tendon rupture. The goals of surgical reconstruction of the DRUJ are to relieve pain, stabilize the joint, and prevent tendon rupture. We review many of the previously described procedures and report our ...

journal_title：Hand clinics

authors： O'Donovan TM,Ruby LK

更新日期：1989-05-01 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

authors： Rose JH,Belsky MR

更新日期：1989-05-01 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

authors： Poitevin LA

更新日期：1988-11-01 00:00:00

abstract：:Fractures of the trapezial ridge, hamate hook, and pisiform are often due to isolated, direct injury, but other carpal bone fractures are seldom isolated injuries. Midcarpal fractures should stimulate a search for associated perilunate injury; distal carpal row fractures suggest carpometacarpal fracture--dislocations ...

journal_title：Hand clinics

authors： Failla JM,Amadio PC

更新日期：1988-08-01 00:00:00

abstract：:A classification of distal radial articular fractures is described, based on observations of consistent patterns of fracture fragmentation and displacement. The classification categorizes articular fractures into four types, with the medial complex assuming a pivotal position as the cornerstone of both the radiocarpal...

journal_title：Hand clinics

authors： Isani A,Melone CP Jr

更新日期：1988-08-01 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

authors： Mannerfelt LG

更新日期：1988-05-01 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：: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

authors： Vicar AJ

更新日期：1988-02-01 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：: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：:Osteoarthritis should initially be treated conservatively with the use of oral medication, intra-articular steroid injections, hand therapy, and splinting. The reduction of pain and the resultant increase in function to the patient are the ultimate goals of this treatment. ...

journal_title：Hand clinics

authors： Palmieri TJ,Grand FM,Hay EL,Burke C

更新日期：1987-08-01 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：: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

authors： Kauer JM,de Lange A

更新日期：1987-02-01 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：:Psychological evaluations with hand injury patients provide diagnostic information and treatment recommendations that can be included with the findings from physical and neurologic examinations. Assessment of psychosocial factors that can either complicate recovery from injury or aid in rehabilitation is discussed. Fo...

journal_title：Hand clinics

authors： Johnson RK

更新日期：1986-08-01 00:00:00

abstract：:The recognition and frequency of treatment of carpal tunnel syndrome has increased over the past several years. As a result, more complications of treatment are being seen. These can be minimized by accurate diagnosis, proper selection of treatment, and careful technical application of the treatment chosen. ...

journal_title：Hand clinics

authors： Kessler FB

更新日期：1986-05-01 00:00:00

abstract：:Despite continued improvement in the methods used to treat tendon injury, problems still arise. Careful attention paid to the details of surgical indications, technique, and postoperative management will prevent or reduce the effects of complications in this difficult area of hand surgery. ...

journal_title：Hand clinics

authors： Schneider LH

更新日期：1986-05-01 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

authors： Burkhalter W

更新日期：1986-02-01 00:00:00

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

authors： Evans RB

更新日期：1986-02-01 00:00:00

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：: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

authors： Szabo RM,Gelberman RH

更新日期：1985-08-01 00:00:00

abstract：:The surgical return of sensibility in the injured upper extremity remains a major goal for the reconstructive surgeon. Free flaps have created the opportunity for successful reconstruction in those patients in whom irreplaceable sensory end organs have been destroyed. In addition, well-vascularized composite tissues m...

journal_title：Hand clinics

authors： Strauch B,Greenstein B

更新日期：1985-05-01 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

authors： Koman LA,Urbaniak JR

更新日期：1985-05-01 00:00:00

abstract：:The purpose, as well as the value, of the two-stage system in the salvage situation is for the surgeon to perform all the reconstructive surgery needed at Stage 1. Nerves are repaired, vessels are repaired if necessary, the intrinsic system is inspected, a Swanson implant is added if needed, and pulleys are built. If ...

journal_title：Hand clinics

authors： Hunter JM

更新日期：1985-02-01 00:00:00