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Results for “Hand Deformities”

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At least 271 records · Page 15Linked to original sources
PubMed1985

Radial compression neuropathy in advanced Parkinson's disease.

Radial compression neuropathy developed in four patients with advanced Parkinson's disease. Electrodiagnostic studies in two patients documented the upper middle part of the arm as the site of nerve injury. The conditions of three patients improved over four months. One markedly disabled, bradykinetic patient had a permanent flexion deformity of the wrist and hand. Radial compression neuropathy may be an initiating factor in the development of hand deformities in patients with late-stage parkinsonism.

Aged↗
PubMed1996

A four-pulp flap technique for creating nail folds in the separation of a mid-digital mass in a patient with Apert's disease.

Apert's disease is distinguished from other acrocephalosyndactylys by bilateral and symmetrical deformities, including symphalangism of the hands, which is commonly present in the index, long, and ring fingers. In the correction of the Apert hand, simple separation and skin grafting may be used to create a five-digit hand. However, this technique may result in narrow, atrophic fingertips, and pulp pads. In this paper, a simple technique to create nail folds and pulps for each finger with four transposition flaps from the common pulp is described. During the past 3 years, four Apert hand deformities in 2 patients were treated with this procedure. At a mean follow-up of 32 months, good results were obtained.

Acrocephalosyndactylia↗
PubMed1991

Classification system for factitious syndromes in the hand with implications for treatment.

We evaluated 29 patients with factitious disorders in the hand who received Worker's Compensation benefits. Three types of factitious hand disorders based on physical presentation were self-mutilation and wound manipulation, edema, and finger and hand deformities. Two distinct psychological diagnoses present were factitious disorder with physical symptoms and conversion disorder. The Minnesota Multiphasic Personality Inventory revealed two personality profiles: emotionally dependent and angry and hostile. Behavioral treatment was implemented. The emotionally dependent group responded well, with 80% returning to work. The angry and hostile group had a much poorer response, with 21% returning to work. None of the self-multilating patients returned to work. We recommend a combined evaluation by a physician, a psychologist, and a hand therapist to achieve a definitive diagnosis for these disorders. The identification of psychological profiles assists in ascertaining which patients will be responsive to behavioral treatment.

Accidents, Occupational↗
PubMed1964

DELTA PHALANX.

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Bone Diseases, Developmental↗
PubMed1980

[Resection arthroplasty with periosteum-stabilized cartilage transplantation].

In the typical claw hand deformity following a burn in childhood, the function of the MP-joints can be improved by resection of the metacarpal head and by covering the bone stump by cartilage, pedicled on the periosteum and lifted from the metacarpal head before resection. A "new" metacarpal head will be established, so that the proximal phalanx can glide towards the palm.

Adult↗
PubMedDate not supplied

Ulnar deviation of the fingers in gout simulating rheumatoid arthritis.

Two cases of gout with marked ulnar deviation (UD) are reported. Both cases were previously diagnosed rheumatoid arthritis (RA) at referral, but gout was clinically suspected because of atypical features of RA, and subsequently confirmed by demonstration of monosodium urate crystals under the polarized microscope. No definitive evidence of associated RA was present in either case. Although UD in gout is distinctly rare, it is important to recognize this deformity in gout in order to avoid inappropriate therapy. Mechanical factors might have contributed to the hand deformities in both cases.

Aged↗
PubMed1964

CAMPTODACTYLY.

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Adolescent↗
PubMed1996

Ranges of joint motion of the adult hand.

Norms of the motion of the joints of the adult hand are presented. Examined were 100 males and 100 females aged 20-25 years. All of them were university students in whom the hand was not affected by work or other one-sided activities and so its motion could be considered as the optimal (left-handed students were not included in this series). The passive and active flexions and hyperextensions were measured in all fingers of both hands as well as in the wrist. In the latter were measured in addition both active ductions. The results may serve for an assessment of deviations in joint motion of the hand in inborn malformations and other diseases, sequelae of injuries, during rehabilitation and evaluation of the effect of working and other manual activities etc. Differences in motion of the individual joints of the same type and differences between the right and the left side and both sexes were assessed as well.

Adult↗
PubMed2005

The use of the hand anatomic index to assess deformity and impaired function in systemic sclerosis.

To determine the "hand anatomic index" (HAI--a quantitative measure of hand deformity) in systemic sclerosis (scleroderma) and to compare it with the other measures of hand deformity and functional impairment. The HAI (measure of open hand span minus closed hand span/lateral height of hand) was determined in 30 patients with scleroderma and compared with hand deformity (as assessed by two independent rheumatologists) and with the Health Assessment Questionnaire (mHAQ), hand strength and prehensile gripability data. The HAI was confirmed as a reliable measure which clearly distinguished patients with increasing hand deformity and separated patients with diffuse scleroderma (n=12) from limited scleroderma (n=18), P=0.005. The HAI correlated significantly with measures of global functional impairment (as measured by the mHAQ) r=-0.46, P=0.01, hand strength r=0.51, P=0.0001 and prehensile gripability, r=-0.37, P=0.05 but neither with disease duration r=-0.16, P=NS nor age at disease onset r=0.20, P=NS. It was estimated that the HAI accounts for ~25% of the total global disability (as measured by HAQ). Measurement of the HAI in scleroderma provides a reliable and objective measure reflecting variable degrees of hand deformity and functional impairment and might provide a valid clinical outcome measure in patients with this disabling disorder.

Adult↗
PubMedDate not supplied

Pre-centralization soft tissue distraction for Bayne type IV congenital radial deficiency in children.

There are several surgical options for the treatment of severe congenital radial deficiency. The aim of the current study was to evaluate the results of a staged protocol consisting of gradual soft tissue distraction with an Ilizarov external fixator followed by centralization of the ulna. Three patients (four extremities) with Bayne type IV radial club hand were treated at an average age of 18 months. At a follow-up of 26 months, an average correction of 72 degrees in the hand-forearm angle and an improvement of 19 mm in the hand-forearm position were obtained. There were no cases of neurovascular compromise, wound infection, carpal resection, or ulnar shortening. All families were pleased with the results. These findings suggest that a staged surgical approach is a technically feasible alternative in the treatment of severe congenital radial club hand deformity in young children.

Hand Deformities, Congenital↗
PubMed2005

A qualitative assessment of rheumatoid hand surgery in various regions of the world.

Differences in opinion between rheumatologists and hand surgeons result in disparate practice patterns among different states in the United States regarding the use of surgery for hand deformities in the rheumatoid population. The purpose of this project was to study the practices of rheumatoid hand surgery from countries in various regions of the world.

Arthritis, Rheumatoid↗
PubMed1994

Noncraniofacial manifestations of Crouzon's disease.

Although most interest centers on the craniofacial region in Crouzon's disease, noncraniofacial manifestations are important because they may complicate both diagnosis and management. A population of 59 patients with Crouzon's disease was reviewed to determine the frequency of these deformities. Stylohyoid ligament calcification (50%) and cervical spine (40%) and elbow (18%) abnormalities were the most common. Minor hand deformities (10%), other musculoskeletal deformities (7%), and visceral anomalies (7%) were also seen. Acanthosis nigricans was not present in this population. Recommendations are made for the assessment and management of Crouzon's disease with reference to these areas.

Acanthosis Nigricans↗
PubMed1998

Ulnar ray deficiency.

Longitudinal deficiencies of the ulna are very rare deformities. Despite the cosmetic appearance, patients usually have very functional extremities. The limb function has been adversely related to ipsilateral hand deformities and radiohumeral synostosis. Surgical treatment should be aimed at correcting such deformities. It is prudent to wait and observe patients before definitive wrist or forearm treatment is recommended.

Child↗