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At least 451 records · Page 25Linked to original sources
PubMed1992

Rehabilitative management of injuries to the hand.

Athletic participation after injury may resume when cleared by a physician familiar with hand injuries. It is the role of the athletic trainer or therapist to implement appropriate rehabilitative measures and apply a protective device to lessen the chance of re-injury or delayed healing. The trainer must also educate coaches, athletes, and parents that hand and finger injuries are not inconsequential. Without proper diagnosis and treatment, there may be future pain, disability, and deformity.

Hand Injuries↗
PubMed1977

Hand reconstruction using a damaged index finger.

Improvement in the function and appearance of hand brought about by using tissue from a damaged index finger is presented. The damaged index finger could have been retained as a stiff digit or thrown away in the bucket.

Adult↗
PubMed1982

Interfascicular nerve grafting.

Interfascicular nerve grafting is a useful method to repair nerves with gaps. Good motor recovery can be obtained, and return of some degree of sensibility is possible. The procedure can be used to overcome small gaps that result from neglected sharp lacerations or after failure of primary repair, or large gaps that result from loss of nerve substance or traction lesions. Primary nerve repair should be done for acute lacerations. However, in old lacerations (more than three weeks old) and in nerve gaps of more than 2 cm in length, a functional recovery can still be expected after nerve grafting. The recovery of intrinsic function in median and ulnar nerve lesions above the elbow was poor. The intrinsic recovery in these patients will be reported when long-term follow-up results are available. Recovery of intrinsic function in median nerve grafts at the wrist level was much better than for lesions of the ulnar nerve at the same level. This may be related to the anatomy of the ulnar nerve in this area. By separating the dorsal cutaneous branch from the main trunk of the nerve, using it as a donor graft, better results are to be expected.

Adolescent↗
PubMed1994

[Dorsocommissural flaps. Apropos of a clinical case].

Dorsocommissural flaps are pedicled flaps with retrograde flow, anastomosed to the dorsolateral vessels of the proximal phalanx of one of the two fingers adjacent to the site of the commissure flap. The authors describe the anatomical basis and operating technique. A clinical case illustrates the simplicity and reliability of the technique. The indications for these flaps are digital skin defects either palmar involving the proximal phalanx and metacarpophalangeal joint, or dorsal involving the middle phalanx and the distal interphalangeal joint.

Adult↗
PubMed1977

[Classification of total and subtotal amputations].

Up to now the succes rates in replantation surgery which are reported in the literature do not include the functional results. To compare the final functional results it is necessary to have a common international classification of what is a complete amputation and what is a incomplete one. It is then important to compare only similar subtotal amputations. In this paper we suggest a definition and classification of amputations in the upper extremity in the following way: type I....bone type II....extensor tendons type III....flexor tendons type IV....palmar digital nerves type V....skin A subtotal amputation will intakt flexor and extensor tendons as well as palmar nerves should be classified as "type II, III. IV".

Amputation, Traumatic↗
PubMed1989

[Late results after surgical and conservative treatment of capsule ligament injuries of the finger joints].

Late results following operative and conservative treatment of 215 ligamentous injuries with injured metacarpophalangeal and interphalangeal joints are presented. These 215 cases represent 77,4% of all hand injuries which were treated in the years 1976 to 1981 at the Traumatological Department of Essen University. Mobility, stability, and function were used to evaluate and compare the late results. A modification of the scheme of Buck-Gramcko et al. for the evaluation of finger's mobility after flexor tendon injuries was employed. 75% of late results were judged to be "good to very good", 16,5% "satisfactory", and 8,5% "poor". The most important influences on the late results were found to be the time between injury and treatment and the patient's age. Further factors were open injuries and the destruction of large parts of the palmar plate. The late results in cases after surgery were much better than those after conservative treatment. Only injuries without total rupture of the palmar plate or collateral ligaments - which were in nearly all cases treated conservatively - reached good or very good late results in over 90%. A better evaluation of the bony injuries could be achieved by special X-ray technique such as magnification views of the involved joints. If the duration of immobilisation is shortened a better restoration of full joint mobility is ensured without disturbing joint stability.

Adolescent↗
PubMedDate not supplied

MR imaging of ligament and tendon injuries of the fingers.

Magnetic resonance (MR) imaging can provide important information for diagnosis and evaluation of soft-tissue trauma in the fingers. An optimal imaging technique should include proper positioning, dedicated surface coils, and specific protocols for the suspected abnormalities. Familiarity with the fine anatomy of the normal finger is crucial for identifying pathologic entities. MR imaging is a powerful method for evaluating acute and chronic lesions of the stabilizing articular elements (volar plate and collateral ligaments) of the fingers and thumbs, particularly in the frequently affected proximal interphalangeal and metacarpophalangeal joints. As in other body regions, MR imaging is also useful for depicting traumatic conditions of the extensor and flexor tendons, including injuries to the pulley system. In general, normal ligaments and tendons have low signal intensity on MR images, whereas disruption manifests as increased signal intensity. Radiologists need to understand the full spectrum of finger abnormalities and associated MR imaging findings.

Finger Injuries↗