"Congenital" trigger thumb caused by intratendinous granulation tissue.
Explore the source record for details and available documents.
Child, Preschool↗
SEARCH · Search PubMed
Results for “Finger Injuries”
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.
Total middle ray amputation.
Eight patients underwent middle ray amputation with excision of the whole of the middle metacarpal and careful soft tissue repair. Excision of the base of the middle metacarpal allowed easier approximation of the index and ring rays without the tendency of these fingers to either scissor on finger flexion or to remain slightly apart. Complete removal of the middle metacarpal appears to allow the bases of the index and ring metacarpals to migrate together. The removal of the metacarpal base caused no functional problems and the technique created a good three-finger hand from both a functional and cosmetic point of view.
Adult↗
Toe to hand transfer in children. Part 1: technical aspects.
Between 1988 and 1994 40 children (age range 9 months-14 years) with either congenital (85%) or acquired hand deformities underwent reconstruction by microvascular autotransplantation of one or more toes. Fourteen underwent a single toe transfer whilst 26 had two second toes transferred to one hand. In 14 of these cases both second toes were transferred at one operation. Whether one or two toes were transferred, the children spent on average 9 days in hospital. None of the transfers failed but 75% of the children underwent staged additional surgery to improve appearance and function. Thirty-seven of the 40 children attended with their parents for follow-up examination by an independent surgeon, a physiotherapist and a clinical psychologist in order to evaluate the results and consequences of surgery. This paper presents the technical considerations for this surgery and examines the influence of the transfer on growth.
Adolescent↗
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↗
Extending the use of the palmar advancement flap with V-Y closure.
Explore the source record for details and available documents.
Adolescent↗
Use of the Odstock wire as a simple method of evaluating multi-articular function in digits.
Explore the source record for details and available documents.
Biomechanical Phenomena↗
Distal digital replantations and revascularizations. 237 digits in 192 patients.
Since January 1990, 237 replantations or revascularizations have been attempted in 192 patients with distal traumatic amputations of the digits. The amputations were complete in 182 digits and incomplete in 55 digits. Sixty-three amputations were in zone I and 174 in zone II (Tamai's classification). The overall success rate was 91%. Twelve digits failed in zone I and ten in zone II. We conclude that zone I and zone II replantation or revascularization is quick and worthwhile, providing acceptable sensation, appearance and near-normal function.
Adolescent↗
Colour Doppler ultrasound in the diagnosis, management and follow-up of a digital flexor pulley injury.
We present the case of a rock climber with a rupture of the A3 flexor sheath pulley. The diagnosis was confirmed with Colour Doppler Imaging (CDI) and with B-mode ultrasound imaging, and the surgical repair was evaluated in the same way. Vertical displacement of the flexor tendon meant that using CDI measurements of the longitudinal movements was not possible. However, using computer analysis of digitized B-mode images from texture patterns identified in the tendons, the vertical and longitudinal components of movement during flexion were calculated. The repair of the pulley was shown to produce tendon movement ratios nearer those of the control digit of the opposite hand.
Adult↗
Dorsal chevron flap for exposure of the proximal interphalangeal joint.
We have used a dorsal V-flap, or chevron flap, to expose the proximal interphalangeal joint. A retrospective clinical study of its use in 16 patients over 5 years is presented, including indications, functional return of movement, and complications. Long-term follow-up showed an average range of active movement of 70 degrees (range, 13-84 degrees). Surgical exposure of the joint was better than other dorsal approaches and overall recovery of movement was not significantly compromised. Alternative surgical techniques such as the dorsal longitudinal split, dorsolateral split and palmar approach are compared in a group of 36 cases.
Arthroplasty, Replacement↗
Results in the treatment of fractures around the proximal interphalangeal joint with a pin and rubber traction system.
Explore the source record for details and available documents.
Bone Nails↗
Index finger lengthening by gradual distraction and bone grafting.
We present the case of an 18-year-old woman with a shortened right index finger. The digit was stabilized and lengthened a total of 18 mm by external fixation and iliac bone grafting. A distal interphalangeal fixed flexion deformity of 60 degrees was corrected with external fixation and intermedullary wiring.
Adolescent↗
Treatment of mallet finger fractures by the extension-block K-wire technique.
We treated 22 patients with mallet finger fractures involving more than one-third of the articular surface by the extension-block K-wire technique. There were 18 men and four women with a mean age of 23 years (range, 14-34). The Wehbé and Schneider method was used to classify the fractures and the results were graded according to Crawford's criteria. All the fractures united, with an average healing time of 5.6 weeks (range, 4-7). At a mean follow-up of 25 months (range, 18-48) 21 mallet finger fractures had an excellent or good result. One patient had a fair result with a lag to extension of 20 degrees. We conclude that the extension-block K-wire technique is an effective method of treatment for displaced mallet finger fractures.
Adolescent↗
Metacarpal and phalangeal fractures in athletes.
The high demands placed on the upper extremity in sporting activities subject the competitive athlete to common injuries of the hand. Treatment options are based on the fracture configuration, associated extremity injuries, and status of the surrounding soft tissue. Metacarpal and phalangeal fractures may usually be treated by closed, nonoperative methods, and most athletes may quickly return to play with a protective orthosis. Supplemental methods of fixation, such as percutaneous pins and tension-band wires, may be used for unstable fractures. When required, open reduction and internal fixation can provide optimum stability to the fracture, which allows immediate range-of-motion and early return to play.
Athletic Injuries↗
Joint injuries of the hand in athletes.
The variety of injuries that occur in the joints of the hand range from skin abrasions to displaced intra-articular fractures. This article discusses serious injuries involving ligaments, volar plate, and bones at specific anatomic regions of the joints of the hand.
Athletic Injuries↗
Thumb injuries in the athlete.
Sports-related injuries of the thumb, including fractures and dislocations, are very common. The anatomic basis for these injuries is discussed. Treatment options include functional bracing and early operative intervention, thus hastening a return to sporting activities.
Amputation, Traumatic↗
Y-V advancement with Z-plasty: an effective combined model for the release of post-burn flexion contractures of the fingers.
Volar contractures of the fingers are the commonest sequel to burns of the hands. These have been treated by using various basic techniques of Plastic Surgery. Recently, a combination of these techniques has been used for improving the results more. In the study, two well-known techniques, Y-V advancement and Z-plasty, were combined to improve release of linear flexion contractures of the fingers, including thumbs. Its mathematical representation is presented. Ninety-eight PIP joints (IP for thumb) of 37 patients were treated with this technique and their results were followed-up for about 8 months. The gains were greater using the combined technique than for the usage of either alone. It was concluded that this model could serve as one of the effective combinations of the basic techniques in the treatment of volar finger contractures.
Burns↗
Toe-to-finger transfer combined with wrap-around flap: a new technique for four-finger amputation.
A surgical technique for reconstruction of four-finger amputation, toe-to-finger transfer combined with wrap-around flap procedure, is described. Opposable ulnar fingers, reconstructed using the second and third toe, provide sufficient grip function. The long finger, reconstructed with the wrap-around flap using the lateral aspect of the great toe, provides pinch function. Improving the hand function is worthwhile despite morbidity from losing two toes.
Amputation, Traumatic↗
Surgical management of osteochondral fractures of the phalanges and metacarpals: a surgical technique.
We report a technique of reducing and stabilizing osteochondral fractures of the metacarpals and phalanges, using the principle that the space within a joint is only "potential." Accurate reduction of the fragment and accurate approximation of the capsular rent effectively traps and holds the fragment without the need for internal fixation. Preservation of all soft tissue attachment to the fragments and early supervised mobilization ensure healing of both the bony and hyaline cartilage components.
Adolescent↗