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At least 307 records · Page 17Linked to original sources
PubMed1990

Mechanisms of injury and prognosis in finger pulling--a retrospective study.

Eighteen patients were treated for finger pulling injuries between 1977 and 1986. There were two main types of injury, subcutaneous rupture of the flexor profundus tendon (n = 15) and fracture of the proximal phalanx of the finger (n = 3). Their mechanisms of injury were different. The prognosis in tendon ruptures is comparable to that in other open flexor tendon injuries. Age and distal localization were associated with a poorer prognosis in younger patients. Fractures healed well.

Adult↗
PubMed1982

Nail relocation by nail flap in digital injuries.

In circumstances where the nail complex is intact and undamaged it may be wiser to relocate the nail as a flap based on its vascular supply rather than resort to pulp replacement procedures such as a cross-finger flap or similar techniques which leave a hyposensitive pulp and a "parrot-beak" deformity of the nail. In "acute" finger injuries this procedure is decidedly preferable to amputation through the head of the middle phalanx.

Adult↗
PubMed2001

Repositioning and flap placement in fingertip injuries.

After finger amputations, replantation is often the best option of treatment. However, microvascular repair may not be feasible for more distal amputations. Reposition of the amputated segment associated with a local flap can provide length, sensation, and bulk. This is especially useful in distal-to-distal interphalangeal joint fingertip amputations. From 1994 to 1998, 30 reposition and flap procedures were performed by the authors. In 28 cases, the homodigital unipedicle island flap was used and in two cases the Tranquilli-Leali flap was used. Patients were observed for 24 months to evaluate joint mobility, nail aesthetics and function, as well as sensitivity. Mobility was considered satisfactory in all repositioned segments except two, in which a 20-deg extension deficit at the proximal interphalangeal joint was noticed. Digit length was approximately the same in relation to the opposite side, and the nail did not change markedly from case to case. Two-point discrimination ranged from 7 to 9 mm. Intolerance to cold was observed in 7 patients. Reposition associated with a local flap has been a good surgical alternative for more distal amputations because it preserves digit length and sensitive digital pinch.

Adolescent↗
PubMed2002

Microsurgical medialis pedis flaps for reconstruction of soft-tissue defects in the hand.

The medialis pedis flap (MPF) has been used for the reconstruction of soft-tissue defects in the hand since 1990. From January 1997 through January 2000, 19 patients (15 male, 4 female) with hand injuries underwent microsurgical MDF reconstruction at Chang Gung Memorial Hospital. There were finger injuries in 16 patients and palm defects in 3 patients. The mean patient age was 32.6 years (age range, 16-58 years). Flap size ranged from 4.5 x 2 cm to 7 x 6 cm (mean, 6 x 2.8 cm). Only one flap had partial loss. The donor site was closed primarily in 9 patients, and was closed using a split-thickness skin graft in 9 patients and a full-thickness skin graft in 1 patient. At a mean follow-up of 13 months, the protective sensation was 16 mm using the static two-point discrimination test and was 10 mm using the moving two-point discrimination test. Based on this retrospective study the authors conclude that (1) the MPF has the advantages of thin and glabrous skin, (2) the size of pedicle is compatible with the recipient vessel in the hand, (3) there is low donor site morbidity, and (4) achieving protective sensation is possible.

Adolescent↗
PubMedDate not supplied

Injuries among world-class professional beach volleyball players. The Fédération Internationale de Volleyball beach volleyball injury study.

BACKGROUND: Very little is known about the injury characteristics of beach volleyball. PURPOSE: To describe the incidence and pattern of injuries among professional male and female beach volleyball players. STUDY DESIGN: Cohort study--retrospective injury recall and prospective registration. METHODS: Injuries occurring over a 7.5-week interval of the summer season were retrospectively registered by interviewing 178 of the 188 participating players (95%) in the 2001 Beach Volleyball World Championships. Injuries were also cataloged prospectively during five of the tournaments held during this interval. RESULTS: Fifty-four acute injuries was recorded, of which 23 (43%) resulted in 1 or more days of missed practice or competition. The incidence of acute time-loss injuries was estimated to be 3.1 per 1000 competition hours and 0.8 per 1000 training hours. Knee (30%), ankle (17%), and finger injuries (17%) accounted for more than half of all acute time-loss injuries. In addition, 67 players reported 79 overuse injuries for which they received medical attention during the study period. The three most common overuse conditions were low back pain (19%), knee pain (12%), and shoulder problems (10%). Similar results were observed in the prospective portion of the study. CONCLUSIONS: The rate of acute time-loss injuries in beach volleyball is considerably lower than that in most other team sports, but overuse injuries affecting the low back, knees, and shoulder represent a significant source of disability and impaired performance for professional beach volleyball players.

Acute Disease↗
PubMed1997

[Current problems in the reconstructive surgery of the locomotor apparatus in children].

The authors analyze results of treatment of 778 children with malignant and benign tumors of the bones, pseudoarthroses, amputations of lower extremities and fingers, injuries of the tendons, vessels and contused-lacerated wounds of distal phalanges of fingers. The possibility to use a precision technique for the reconstructive operations of the vessels in children is shown.

Adolescent↗
PubMed2003

[Injuries of the fingernail area in childhood].

The authors submit a summary of the most recent findings on the damage of the nail area of the fingers of the hand (nail matrix, surrounding soft tissues, skeleton excluding avulsion fractures and epiphyseolyses.). The reason is the fact that almost 50% of all finger injuries in children under 5 years include also damage of this complex. Although the incidence of this injury is relatively high there is no uniform therapeutic procedure and unfortunately very frequently therapeutic procedures do not lead to favourable results. This apparently trivial injury can however, in particular in relation to occupation, lead not only to cosmetic but also functional disorders and therefore it is necessary to pay adequate attention to it. The authors supplement data from the literature by their own experience with the treatment of this comprehensive injury. The objective of the work is therefore to summarize available therapeutic findings on the classification and diagnostic procedures of these apparently light injury from the layman's aspect and unfortunately also from the aspect of some professionals, these injuries being overlooked and underrated (Innis, 1995). Particular attention is however devoted to adequate treatment which must lead to restoration of the injured fingers to full function which subsequently will restore the comprehensive role of the whole hand.

Child↗
PubMedDate not supplied

Digital perfusion of handball players. Effects of repeated ball impact on structures of the hand.

The effect of repeated ball impacts on the handball player's hands was studied by using thermography and routine roentgenography to determine evidence of altered perfusion or other tissue changes. Seventeen of 22 players had multiple areas of decreased perfusion. 12 of these 17 were symptomatic and 8 showed definite correlation between symptoms and thermographic findings. No skeletal or articular changes were noted. Players with more than 200 hr of accumulated playing time had increased risk of developing symptomatic, although nonprogressive, alterations in perfusion of their hands but did not have evident skeletal changes.

Adult↗
PubMed1988

Microsurgical management of complex fingertip injuries: comparison to conventional skin grafting.

In selected cases of severe fingertip injuries, an aggressive approach using microvascular and microneural techniques can yield functional results equal or superior to conventional methods of treatment in less severe injuries. A series of 20 patients were treated microsurgically from 1983 to 1986 for severe acute distal finger injuries or their early sequelae--five distal replantations, eight neurovascular free tissue transfers, and nine distal neurorrhaphies/nerve grafts with or without vascular conduit. Concurrently, 33 simpler tip avulsions were treated with full-thickness skin grafts for comparison. In the microsurgical series, one replant and the distal 1 cm of a free toe flap necrosed. Replants averaged two-point discrimination of 9.8 mm and pulp pinch 65 percent of normal; free toe transfers, two-point of 6 mm, pulp pinch 58 percent; distal nerve reconstruction, two-point 6 mm. Operating time per digit averaged 5.0 hours for replants, 4.3 hours for toe flaps, and 1.5 hours for nerve repair/grafts. All patients returned to full pre-injury employment within six months. None required revisional surgery for dysesthetic fingertips. In the conventional skin graft series, greater than six months follow-up is available in 17 patients. Average two-point was 7 mm (range: 3 to greater than 15 mm) and pulp pinch 83 percent of normal. There were seven poor results with cold intolerance, numbness, and paresthesias, three of which required revisional surgery. The data suggest that microsurgical management of fingertip injuries achieves results comparable to skin grafts, despite the greater complexity of the initial injury. This approach has resulted in fewer secondary tip revisions. Operative times are acceptable. Parameters of sensory return are similar, although pulp pinch is slightly less. Disability times are comparable to the average in major pulp losses. Of importance, final permanent partial factors of disability are diminished in rating, due to retained digital length, improved esthetic appearance, and less dysesthesia/cold intolerance.

Adult↗