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At least 1,063 records · Page 59Linked to original sources
PubMed2002

[Percutaneous trigger finger release].

Results of percutaneous release of the trigger finger in 18 patients (5 males and 13 females), 23-67 years old are presented. All in all, 26 fingers were operated, 10 of them was the thumb. The distribution of fingers following Quinnel was: grade I--4; grade II--12; grade III--7 and grade IV--3. The follow-up period was 6 months. The patients were operated in the office under local anesthesia with the technique described by Eastwood. Two patients required reoperation due to early recurrence of triggering. No complications were noted. In 92% of fingers complete recovery was achieved. Slight limitation of flexion persisted in two thumbs. The pain was relieved and all patients were satisfied with the procedure. The method is effective, safe and easily accepted by the patients.

Adult↗
PubMed1992

[Spondyloepiphyseal dysplasia tarda with progressive arthropathy: 2 siblings affected].

We described a Mexican family whose parents were consanguineous. Therefore two children were affected by a progressive arthropathy with deformity in all finger joints, restricted joint mobility and broad major joints. This condition was diagnosed like atypical juvenile rheumatoid arthritis (JRA) because the test for serum rheumatoid factors and antibodies were negative and failed to respond to anti-rheumatoid treatment. However their radiographic studies showed the spine with universal platyspondyly, enlargement epiphyses of the hands, the absence of destructive and the presence of the dysplastic bone changes. These manifestations permit us to do the diagnosis of spondyloepiphyseal dysplasia tarda with progressive arthropathy. In this report we suggest that a complete radiologic study of the patient will allowed to diagnosis this hereditary autosomal recessive entity; likewise it will let us differ of JRA and others polyarticular conditions of childhood.

Child↗
PubMed2003

Tumoral calcinosis with unusual presentation. A case report.

A case of multiple para-articular calcific masses involving the elbow, hand, back, knee and the feet was encountered. Pathology after surgical excision of all the masses revealed tumoral calcinosis. The unusual feature was the huge size of the lumbar and knee masses, and the distal location of the swellings in the hand and the foot; there was no disturbance of calcium and phosphorus metabolism, which was an unusual feature of the condition in this patient.

Adult↗
PubMed2003

Hand anthropometry of Indian women.

BACKGROUND & OBJECTIVES: Data on the physical dimension of the hand of Indian women are scanty. This information is necessary to ascertain human-machine compatibility in the design of manual systems for the bare and gloved hand, such as design and sizing of hand tools, controls, knobs and other applications in different kinds of precision and power grips. The present study was undertaken to generate hand anthropometric data of 95 women, working in informal industries (beedi, agarbatti and garment making). METHODS: Fifty one hand measurements of the right hand (lengths, breadths, circumferences, depths, spreads and clearances of hand and fingers) were taken, using anthropometric sliding and spreading calipers, measuring tape and handgrip strength dynamometer. The data were statistically analyzed to determine the normality of data and the percentile values of different hand dimensions, and simple and multiple regression analysis were done to determine better predictors of hand length and grip strength. RESULTS: The hand breadths, circumferences and depths were approximately normally distributed, with some deviation in case of the finger lengths. Hand length was significantly correlated with the fist, wrist and finger circumferences. The fist and wrist circumferences, in combination, were better predictors of hand length. The hand lengths, breadths and depths, including finger joints of the Indian women studied were smaller than those of American, British and West Indian women. The hand circumferences of the Indian women were also smaller than the American women. Grip strengths of Indian women (20.36 +/- 3.24 kg) were less than those of American, British and West Indian women. Grip strength was found to be statistically significant with hand dimensions, such as hand height perpendicular to wrist crease (digit 5), proximal interphalangeal joint breadth (digit 3) and hand spread across wedge 1. INTERPRETATION & CONCLUSION: The women who are forced to frequently use cutters, strippers and other tools, which are not optimally designed to their hand dimensions and strength range, might have higher prevalence of clinical symptoms and disorders of the hand. In view of the human hand-tool interface requirements, the present data on Indian women would be useful for ergo-design applications of hand tools and devices.

Adolescent↗
PubMed1975

[Effect of physical work on the aging process in certain skeletal bones of the extremities].

The long-term investigation of the influence of physical exercise upon the structure of human skeleton revealed certain peculiar features in the process of developmental reconstruction of joints of the upper (humeral joint, hand joints) and lower (knee joint, the joints of the foot) extremities resulting from the occupation of the persons under study. Roentgen-anatomical studies performed in 433 industrial and 430 office workers established the fact of retardation and deceleration of ageing of the extremities bone system in representatives of physical labour as compared with office workers. So the significance of spectal physical exercises compensating the progressing with age hypodynamia in persons of non-physical labour gets special importance.

Adult↗
PubMed1991

[Treatment of severe callus of the metacarpus and phalanges. Indications and results apropos of a series of 38 patients].

Severe deformities of metacarpals and phalanges, whether isolated or associated with soft tissues lesions impair the hand function and are to be corrected. The authors initial proposal was the fixation after corrective osteotomy by wiring which have been proved to be suitable in the treatment of recent fractures. This technique was used in 25 cases out of 38 treated malunions with 21 satisfactory results. 4 poor results were related to associated lesions of the soft tissues more than to the osteotomy itself. The other 13 malunions were treated by several techniques arthrodeses, callus resections, dynamic splintage, osteotomies with satisfactory results.

Bony Callus↗
PubMed1990

[The diagnostic value of scintigraphy and x-rays in unclear arthralgias of the hands].

33 patients presenting with arthralgia of wrists and finger joints were examined by radionuclide imaging and radiography. In 22 patients clinical symptoms turned out to be caused by inflammation, 11 patients suffered from degenerative joint disorder. Radionuclide imaging proved once more to be nonspecific albeit very sensitive; plain film radiography exhibited good specificity. The combination of both methods resulted in an increase in accuracy as compared to scintiphotography alone (0.88 vs. 0.79). Radionuclide imaging and radiography should therefore always be done and interpreted simultaneously. Radionuclide imaging is mandatory to confirm or to rule out inflammatory joint disorder in case of an inconclusive x-ray (absence of erosions or degenerative changes). A negative radionuclide study rules out inflammation, even when juxta-articular demineralisation is suspected on the x-ray.

Adult↗
PubMed1990

Cutaneous ligaments of the human hand.

A topographical study concerning the cutaneous ligaments of adult as well as human fetal hands was performed. In order to be able to preserve the cutaneous ligaments in their entirety two different methods, a careful dissection and a new histological technique, have been employed. The results of these methods are compared and the detailed topography of the different cutaneous ligaments is clarified. In addition to topographical details, the functional co-operation of the ligaments especially in regard to their clinical relevance is reported.

Adult↗
PubMed1989

[Sudeck syndrome of the hand. Historical review, treatment concept and results].

The literature on the etiology, pathogenesis, and therapy of Sudeck's atrophy is reviewed. The authors present their treatment regimen for reflex dystrophic hands that has been used successfully for more than twenty years. This program consists of a combination including drugs as well as physical and occupational therapy. Patients have to be guided psychologically. In-patient treatment is preferred. The ultimate aim of therapy is to restore the functional integrity of the affected hand. The choice of therapy depends on the stage of the disease. Removing pain and edema is the most important aim in stage I. This is achieved by immobilization of the affected extremity in an upward position, cooling the hand with ice, and careful physiotherapy supported by antiphlogistic drugs. In stage II the physiotherapy has to be intensified and should be supplemented by special balneologic (bathing) measures and functional splints. The ipsilateral shoulder can be affected and has to be treated adequately. In stage III additional surgical treatment might be helpful such as arthrolysis, arthroplasty, or arthrodesis of finger joints. The authors report on their results in seventy-seven dystrophic hands in a long-term follow-up between one and fourteen years. The results depend on the begin of the treatment in the different stages of the disease. Eighty-three percent of the patients were cured in stage I, only thirty-one percent in stage II, and no patient in stage III. The authors' experience using Calcitone shows that it has no influence on the functional results. Comparing their results to those obtained by others, the authors conclude that physical and occupational therapy are decisive in dealing with dystrophic hands.

Aged↗
PubMed1989

[Generalized morphea-like progressive systemic sclerosis with anticentromere antibodies and eosinophilic cellulitis].

A 67-year-old woman without any history of exposure to organic solvents suffered from Raynaud's phenomenon, sclerodactylia, contracture of finger joints, diffuse pigmentation, pulmonary fibrosis, and generalized morphea-like eruptions on the trunk; she was diagnosed as generalized morphea-like progressive systemic sclerosis. She had a high titer of anticentromere antibody in her serum without any symptoms of CREST syndrome. She also had eosinophilic cellulitis on her extremities, which subsided within 6 months, and seemed to be due to a hypersensitivity reaction to mosquito bites. The occurrence of these two diseases together in our case may suggest some similarities in their pathogenesis.

Aged↗