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At least 1,189 records · Page 66Linked to original sources
PubMed1988

[Variants of plastic surgery using trapezoid adipose-cutaneous flaps in post-burn marginal deformities and contractures].

Most optimal methods of plasty with the maximum use of intact skin of a healthy leaf and adjacent area as a trapezoid cellulo-cutaneous flap are proposed. Different variants of the operation are proposed as one-, two-, three- and many-flaps plasty with local tissues and one- and two-flaps combined plasty. The choice is dependent on the localization and degree of contracture. Plasty by the methods proposed allows to adequately eliminate marginal contractures of large vessels, syndactylia, microstomia and narrowing of the lid slit.

Adipose Tissue↗
PubMed1988

[Results of surgical treatment of Dupuytren's contracture].

Ninety-five Patients with Dupuytren's contracture, treated by partial (subtotal) aponeurectomy, have been evaluated retrospectively from various points of view. The immediate postoperative status and the results one to five years later were compared. The authors establish that Dupuytren's contracture can be treated with very favourable effect, but the good results deteriorate later due to recurrence. This deterioration remains temporarily unchanged in the second and third years, but the worsening continues till the end of the fifth year. The functional state shortly after the operation was 41% better than the preoperative one, becoming 18% worse after the fifth year, but even then was 22.6% better than the preoperative condition.

Adult↗
PubMed1988

[The Beals-Hecht syndrome (congenital contractural arachnodactyly) revealed in a neonate].

A new case of congenital contracture arachnodactyly (CCA) revealed in the neonatal period is reported. CCA is a dominantly inherited syndrome associating arachnodactyly, kyphoscoliosis, multiple congenital joint contractures and crumpled ears. This condition differs from Marfan's syndrome by the usual absence of visceral involvement, although cardiac complications are possible. The neonatal forms result from new mutations are are generally severe.

Aortic Diseases↗
PubMed1988

An examination of the mechanism of ligament contracture.

It has been proposed that the mechanism of ligament contraction involves conversion of fibroblasts to a contractile form similar to the phenomenon recently documented in wound contraction. In this study rat knees were surgically immobilized in flexion and a sham operation was performed on the contralateral knees. Mechanical studies revealed that the flexion contracture increased rapidly for two weeks. The anterior cruciate ligaments (ACL) were contracted and contributed to the flexion contractures. Histologic studies of the ACL showed no increase in the cellularity of the contracted ligaments. In the contracted ligaments, staining for the contractile protein actin was heavy. Previous transmission electron microscopy studies have demonstrated fibroblast cytoplasm in processes far from the visible cell body and it is hypothesized that this cytoplasm was responsible for increased actin staining away from the visible cell body. This study supports the concept that ligament fibroblasts, modulated to a form containing increased quantities of the contractile protein actin, play an active role in the contraction of ligamentous tissue.

Actins↗
PubMed1988

Dupuytren's contracture in an adolescent.

Dupuytren's disease is a fibrotic process that can impair hand function by producing flexion contractures of the digits. The hypertrophic changes and contracture of the palmar fascia are frequently encountered in the geriatric population but can also occur in the adolescent age group. There is a definite genetic predisposition, and familial occurrences are common. Females of any age and males under age 40 are more prone to postoperative complications than other patients.

Adolescent↗
PubMed1986

[Manual therapy of secondary contractures of the facial musculature].

The authors have developed a technique of manual therapy of mimic muscles contracture secondary to facial neuritis. The therapy is based on a combination of isometric work of the facial muscles against the external pressure created by the physician's hand pressed onto the patient's cheek in the oral cavity with passive extension of the contracture-altered muscles. The effect of post-isometric relaxation is expressed in complete elimination of facial muscle painfulness and of a feeling of tightening.

Contracture↗
PubMed1986

Quadriceps contracture in a cat.

Quadriceps contracture associated with a healed malunion fracture of the left femur was diagnosed in a 1-year-old cat. The proximal portion of the distal fracture piece protruded through the skin of the thigh. The protruding bone was removed surgically and the area of ulcerated skin was debrided. Because the fracture was stable and the cat was able to bear weight on the affected limb, surgical correction of the malunion was not performed. Quadriceps contracture is uncommon in the cat.

Animals↗
PubMed1986

[Emery-Dreifuss disease or syndrome of amyotrophy with early contractures and secondary disorders of cardiac conduction with variable heredity].

Emery-Dreifuss myopathy is characterized by the association of early muscle contractures, atrophy predominant on the scapulohumeroperoneal muscles, secondary cardiac conduction anomalies and an X-linked heredity. The case presented here had features corresponding to these criteria except in two respects: the patient was a female, and transmission was of the dominant autosomal type. Three similar families have been reported. This genetic heterogeneity together with doubt as to the exact nature of muscle anomalies, suggests that the syndrome should be termed amyotrophy syndrome with early contractures and secondary cardiac conduction abnormalities with a variable heredity.

Adult↗
PubMed1985

[A method of correcting cicatricial flexion contracture of the fingers].

A method for elimination of the flexion cicatrical contracture of fingers used in 46 patients (109 fingers) is described. The operations included plasty of the flexion surface of the fingers by contrary trapezoid flaps cut from the palmar and lateral surfaces of the finger, displacement of the flaps towards each other and their suturing. In 43 patients (103 fingers) flexion cicatrical contractures have been completely eliminated. Long-term results were followed in 17 patients. No recidivations were noted.

Adolescent↗
PubMed1985

The use of skin grafts in the treatment of Dupuytren's contracture.

Digital contractures caused by Dupuytren's disease can best be treated by open fasciotomy plus excision of all overlying involved skin and replacement by full-thickness skin grafts. Such a procedure results in minimal operative morbidity, early recovery of function, and low incidence of recurrent contractures.

Dupuytren Contracture↗
PubMed1986

Infraspinatus muscle contracture associated with trauma in a dog.

Infraspinatus muscle contracture was diagnosed in a 4 1/2-year-old female Doberman Pinscher with lameness characterized by abduction and outward rotation of the right antebrachium and carpus. After infraspinatus tenotomy, the dog recovered. This case differs from previously reported cases of infraspinatus muscle contracture because of an associated history of blunt trauma.

Animals↗
PubMed1985

Correction of post-traumatic flexion contracture of the elbow by anterior capsulotomy.

Despite prolonged conservative therapy, including splinting, bracing, and supervised exercise programs, significant flexion contracture of the elbow after local trauma may remain both a functional and a cosmetic impairment. We studied the cases of fifteen patients who underwent a relatively limited surgical procedure consisting of anterior capsulotomy of the elbow without tenotomy of the biceps tendon or myotomy of the brachialis muscle. The mean preoperative flexion deformity of 48 degrees was reduced to a mean postoperative deformity of 19 degrees (a 61 per cent improvement). Two groups of patients were identified. Eleven patients who did not have significant preoperative evidence of intra-articular degenerative (post-traumatic) changes in the joint achieved a 65 per cent improvement in extension, with one patient having continued pain with vigorous activity. Four patients who had significant preoperative post-traumatic arthrosis achieved a 50 per cent improvement in extension; however, three of these four patients continued to have significant pain. Limited anterior capsulotomy is a safe and effective means of decreasing post-traumatic flexion contracture of the elbow in properly selected patients. Better overall results are obtained in elbows without significant post-traumatic arthrosis.

Adolescent↗
PubMed1979

Extension contracture of the knees in patients with meningomyelocele.

In 4 patients with meningomyelocele and extension contracture of the knee (7 knees), a surgical operation is described to release the extension contracture and provide better sitting position with the knees flexed. This decreases the chance of fracture by reducing the lever arm of the lower extremity.

Child↗
PubMed1984

Etiology and management of adduction contracture of the thumb.

The most common etiological factors producing adduction contracture of the thumb are presented. Development of contracture in congenital deformities, rheumatoid arthritis and osteoarthritis, cerebral palsy, burns, after snakebite, and as a consequence of trauma are each described.

Arthritis, Rheumatoid↗
PubMed1983

[Adult cases of the deltoid contracture--survey and analysis of seven cases experienced and forty cases previously reported in literature].

The deltoid contracture developing in adulthood is rare. The author analyzed his seven cases with at least two year's follow-up and forty reported cases in Japanese and English literature. It was found that most clinical features except in some were common to adult and child cases. In adult cases, both shoulders were involved frequently, whereas most of child cases were unilateral, especially on the left. Pain was noted in all cases in the neck, shoulder and lateral aspect of the upper arm. On the contrary, child cases were characterized by the absence of pain. The symptoms of the child cases worsened in the course of the process, but those of the adult cases became fixed within at least 4 years after the onset. The cause of this condition is almost always from the multiple intramuscular injections in both categories. In some of adult cases, patients addict themselves to injections and result in heavy contracture. The kind and amount of the drug inducing this condition are very variable. Consequently, the safety dose for intramuscular injection can not be determined. Even to adults, multiple intramuscular injections to one muscle should be avoided. Operative treatment is indicated, as conservative treatment is not effective. The resection of fibrous portions constantly give relief of symptoms and good function. Occasionally, the advancement of posterior and/or anterior deltoid is required after resection.

Adult↗
PubMed1984

[New aspects of the treatment of dermatogenous contractures of the hand in epidermolysis bullosa].

Epidermolysis bullosa dystrophica is a rare hereditary disease of skin. There are always flexion contractures and pseudosyndactylies of all fingers and adduction contractures of the thumb. Aims of surgical management are reconstruction and maintaining of hand function. Technical details of 18 operations in six children are described. Ultramicroscopical criteria help to choose patients for therapy with phenytoin. It is as yet too early to assess the results of the latter treatment.

Adolescent↗
PubMed1984

[Fibronectin in Dupuytren contracture].

The distribution of fibronectin in the palmar aponeurosis of patients with Dupuytren's contracture was compared with that of normal controls, using an immunofluorescent technique. The tissues were also investigated with type-specific anticollagen antisera (anti-type I and anti-type III collagen). Tissues from Dupuytren's contracture patients showed intense fibronectin fluorescence in the whole range studied. Collagen fibre bundles are characterized by a peripherally increased fibronectin concentration. Type I collagen is uniformly distributed, while type III collagen also seems to be enriched around the thickened fibre bundles.

Collagen↗
PubMed1984

An approach to research on congenital contractures.

We have described a study evaluating over 1,500 patients said to have arthrogryposis. It is clear that arthrogryposis is a sign and not a diagnosis. The approach was one of collecting information and sorting out specific groups of patients. We employed a flexible protocol that allowed us to go back and collect additional information from families. Our study was pared down to include 350 patients, who were studied in detail. A great deal of heterogeneity exists within what has been called arthrogryposis. We have developed an approach to patients with congenital contractures, which is to divide them into three groups, depending on whether they have primarily limb involvement, whether they have limb involvement plus other abnormalities, or whether they have limb involvement plus CNS dysfunction. In this manner, we arrived at a useful differential diagnosis for each of these categories. We have been able to recognize not only a number of specific entities, but also principles of therapies. The approach has allowed us to say something about recurrence risks, natural history, and also which treatment is most appropriate for an individual case. It would appear that our interest in, and study of congenital contractures, have also led to a better understanding of the factors involved in normal development of joints. This has occurred by accumulating a large group of patients and evaluating each of them systematically.

Arthrogryposis↗