Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “Hand Deformities”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 505 records · Page 28Linked to original sources
PubMedDate not supplied

Operative correction of swan-neck and boutonniere deformities in the rheumatoid hand.

A swan-neck or boutonniere deformity occurs in approximately half of patients with rheumatoid arthritis. The cause of boutonniere deformity is chronic synovitis of the proximal interphalangeal joint. Swan-neck deformity may be caused by synovitis of the metacarpophalangeal, proximal interphalangeal, or distal interphalangeal joints. Numerous procedures are available for the operative correction of these finger deformities. The choice of surgical procedure is dependent on accurate staging of the deformity, which is based on the flexibility of the proximal interphalangeal joint and the state of the articular cartilage. The patient's overall medical status and corticosteroid use, the condition of the cervical spine, the need for operative treatment of large joints, and the presence of deformities of the wrist and metacarpophalangeal joints must also be considered when planning treatment. In the later stages of both deformities, soft-tissue procedures alone may not result in lasting operative correction.

Adrenal Cortex Hormones↗
PubMed2000

Callus distraction in the hand skeleton.

From 1992 to 1996, 27 patients with traumatic amputations or malformations underwent lengthening of thumb and fingers. A total of 36 procedures were carried out. In several cases, deepening of the web space or bone transplantations proved to be necessary to improve general function or to compensate for missing bone structure. Complications included pin-track infections, necrosis of bone, non-union and scarring. Overall the results indicate that distraction of the thumb and fingers is a feasible operative technique leading to a promising improvement of function.

External Fixators↗
PubMed1996

Toe to hand transfer in children. Part 2: Functional and psychological aspects.

Forty children with congenital (85%) or acquired hand disorders underwent transfer of one or two toes to one hand. The children were reviewed with their parents and assessed for functional and psychosocial performance. There was some evidence that the older the child at the time of transfer, the better the range of motion. The passive range of motion was on average 60 degrees more than the active range of motion despite subsequent procedures such as tenolysis. All transfers recovered protective sensibility and the majority recovered good levels of two point discrimination and light touch perception. Almost all transfers were naturally incorporated into the use pattern of the limb for some or most of the time. Most parents and patients reported a very positive effect of this surgery on the child's psychosocial functioning.

Adolescent↗
PubMed1985

Roles and functions of occupational therapy in hand rehabilitation.

Occupational therapy makes a major contribution to the practice and continued development of hand rehabilitation. The unique combination of training in physical, functional, psychological, social, and vocational aspects of physical dysfunction enables the occupational therapist to provide comprehensive treatment necessary to return the patient with hand dysfunction to a productive life style.

Curriculum↗
PubMed1999

[Humanitarian surgery of the hand. Our experience in Vietnam].

After a general presentation of the geographical and social aspects of Vietnam, the authors describe the conditions of their surgical work during short time humanitarian hand surgery missions. These missions, lasting 7 to 10 days are dedicated to the care of children, and a half-day of teaching for Vietnamese corresponding surgeons. The technical and material limits, the constraints for the patients to travel to the hospital, to pay for care and the difficulties of follow-up, require the selection of patients in whom the disease can be treated in a single stage procedure. Three types of diseases were treated: congenital anomalies, post-burn and post-trauma sequelae. Typical cases of these diseases are described and shown. Due to the absence of hand rehabilitation, reconstructive tendon surgery is inadvisable to avoid disappointing poor results and discredit this part of hand surgery. For reason of complexity and unreliability of electromyographic examination, brachial plexus injuries cannot be treated, except the simplest cases needing one or two tendon transfers. Concerning skin coverage and reconstructive surgery, our experience has shown that pedicled local and locoregional flaps, and even microsurgical transfers are adapted and reliable techniques due to the imperative of single stage procedure. The education and teaching of young surgeons in European teams and regular relation-ships with corresponding surgeons from developing countries are certainly the best way to promote humanitarian hand surgery.

Altruism↗
PubMed1975

Hand reconstruction.

To conclude, one must apologize for having introduced so many subjects and left so many loose ends. Hand reconstruction poses a multitude of problems which are presently in an evolutionary phase. In discussing the notion of hand surgery specialization one draws upon orthopaedic, plastic and microsurgical techniques. But is it not precisely this adaption of diverse techniques to one organ which constitutes a speciality? Rapid progress in hand surgery was achieved the moment surgeons confined the major part of their activities to the treatment of this organ. But let us repeat that progress implies collaboration and not isolation. Advances highlighted in this review resulted mostly from collaboration between the laboratory and the operating theatre. It is worthwhile creating hand centres not only for the benefit of patients but also for research and for training surgeons. These centres must become places of collaboration between numerous clinical and preclinical specialities: namely orthopaedics, traumatology, plastic surgery, rheumatology, neurology, physiotherapy, and applicance makers, as well as biologists and anatomists, all applied to the reconstruction of the hand.

Finger Joint↗
PubMed1992

[Reconstruction of first web space of hand: follow-up analysis of 40 cases].

The follow-up outcome of 40 cases after reconstruction of the first web space of hand was reported. Of them, the hand function was improved in 31 cases, not improved in 6 cases, and worsened in 3 cases. The authors thought that the pedicled ilio-inguinal axial flap for treatment of first web space defect is one of the reconstructive methods for choice in spite of its bulky appearance. Though the operative method of the dorsal local skin flap of hand is simple, it may interfere with the flexion of MP joint of the index finger and the reconstructed first web space is very deep and not plumpy. The author proposed that the extent of the reconstructed first web space should depend upon the patient's occupation, and that the function of internal muscles of the hand and of the flexion and extension muscles of thumb should be taken into consideration because too large a first web space may interfere with the function of opposing finger.

Adolescent↗
PubMed1980

[General aspects of hand surgery in childhood (author's transl)].

Good regeneration of tissue, easy adaptation and rapid nerve regeneration are all favourable factors of hand surgery in infants and children. On the other hand, unfavourable factors include diagnostic difficulties, especially following early trauma and the absence of co-operation, as well as late damage due to growth retardation. Indications for surgery include malformation, accident, burns, infections, and rarely tumours, and treatment should as far as possible, be delayed until preschool age. Accurate operative technique and careful planning of surgery are essential. Post-operative fixation and bandaging is equally important but even in the paediatric surgery group good results can be achieved.

Child↗
PubMed1995

[Ultrasound morphology of the healthy and diseased hand].

Ultrasonography of the hand is rarely applied, so normal and pathological findings remain unfamiliar to daily routine. Although all anatomical structures can be identified by this method, the median and ulnar nerves may be difficult to demonstrate, so they are often identified only by exclusion. Ultrasound is a non-invasive method and very helpful in diagnosing pathological changes, such as ganglions and other tumors, synovialitis, carpal tunnel syndrome, tendon injuries, and anatomical malformations.

Carpal Tunnel Syndrome↗
PubMed1997

Ocular manifestations in a father and son with EEC syndrome.

BACKGROUND: The ectrodactyly-ectodermal dysplasia-clefting (EEC) syndrome is a rare disease which follows an autosomal-dominant pattern of inheritance. Due to the ectodermal dysplasia there is atresia of the lacrimal duct system and aplasia of the meibomian glands with a defective tear film. Therefore, vascularized corneal scars often form during early adult life. PATIENTS: Father aged 41 years, and son aged 23 months. Both patients: stenosis/atresia of lacrimal duct systems (the father had twice undergone dacryocystorhinostomy externally) with epiphora, lip-palate clefting, syndactylies of fingers and toes, lobster deformities of hands. Additional ophthalmological findings in the father: bilaterally extracted juvenile cataracts with implantation of intraocular lenses, bilateral extensive vascularized corneal scars. Additional dermatological findings in the father: malignant melanoma of the calf, now in complete remission following several operations on the melanoma and several cycles of chemotherapy for the metastases. DISCUSSION AND THERAPEUTIC CONCLUSIONS: Father and son show the full clinical picture of the EEC syndrome with clefting, lobster-like deformities of the hands and ectodermal dysplasia with tear duct atresia and aplasia of the meibomian glands with defective tear film. During childhood, the main handicapping features are the clefting and the hand deformities with their respective multiple operative revisions. During early adulthood, however, the ocular problems become the predominantly handicapping aspects of the EEC syndrome; due to the ectodermal dysplasia, vascularized corneal scarring develops. Tearing and secondary inflammation due to lacrimal duct atresia has to be treated by early dacryocystorhinostomy. As secondary infections promote the development of corneal scars, one should not postpone the operation too long. Infections have to be treated promptly by local antibiotics. Because of the aplasia of the meibomian glands, artificial tear substitution should be given on a regular basis to support the defective tear film. Thus, the development of vascularized corneal scars can perhaps be delayed. Once corneal scarring has developed, perforating keratoplasty has a poor prognosis due to the ectodermal dysplasia, the absence of the meibomian glands and the defective tear film. Three factors lead to the formation of vascularized corneal scars: recurrent infections of lid margins and conjunctiva due to obstructed tear ducts; defective tear film with insufficient lipid phase due to the aplasia of the meibomian glands; and primary corneal epithelial defects in the course of the generalized ectodermal dysplasia.

Adult↗
PubMed1988

Ulnar thumb in cleft-hand-type congenital deformity. Case report.

A twelve-year-old boy with a two-digit cleft hand was successfully treated by stabilization, rotation and activation of the floating ulnar digit. This ulnar thumb proved to be a useful tool for daily life, but an even better result might have been achieved if the treatment had been given at an earlier age.

Abnormalities, Multiple↗