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Results for “Hand Deformities”

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At least 127 records · Page 7Linked to original sources
PubMed2002

[Psychological approach to congenital hand deformities. Congenital deformities, the desire to know].

The psychological approach to congenital malformation is determined by the stares of the others and the individual's needs. The relationship of the body of the person afflicted with a congenital malformation is a question of aesthetic suffering and not of functional use. Caught up in a network of a priori and anxiety-based projections, it is difficult for patients, children, adolescents or adults, to express themselves and make themselves heard. This multi-faced issue poses a basic problem for a society, which penalizes physical deformity. Beyond the medical techniques, the subject's ethic has to be considered.

Adolescent↗
PubMed1984

Wrist disarticulation of a deformed hand: appropriate prosthesis and the habilitation of a severely retarded young man.

A 24-year-old man, who was late attaining developmental milestones and tested in the severely mentally retarded range, had incurred third- and fourth-degree burns at 2.5 years that resulted in a deformed, anesthetic, and useless distal left upper limb. Following wrist disarticulation, he was fitted with a cosmetic prosthesis that he accepted enthusiastically. It permitted him to use his left upper limb as an effective assister. Attempts to wear and use a functional prosthesis were not successful because the bulbous stump was covered with abnormal skin that ulcerated whenever he wore the prosthesis. At present, he resides at home with his mother and has all self-care skills. He attends a day treatment program and helps his mother with household chores as well as neighborhood errands. The prognosis for continued functional improvement is good, even though he remains severely mentally retarded.

Adult↗
PubMedDate not supplied

[The early correction of the hand deformities in Apert's syndrome. A preliminary report].

The correction of cranial and limb malformations of the Apert's syndrome requires efforts of a multidisciplinary team. The esthetic and functional repercussions that this syndrome brings to their carriers are severe and so the treatment should aim tom improve the function of the hands in order to integrate these patients in a more normal social live. In our Service, in the period from 1989 to 1992 five patients carrying this syndrome had their hand correction completed before the age of three years. It was observed that surgery was possible in this early stage with no additional complication rate. Quadrangular flaps for the neocomissure and for the coverage of the fingers were successfully used even with skeletal deviations. There was improvement of the esthetics of the hands, but their function could not be evaluated properly. Anyway, because of complex abnormalities the results will never be perfect. The early treatment of these alterations allows the gain of a better hand function and moreover accelerates the physical and intellectual development of the children.

Acrocephalosyndactylia↗
PubMed1994

A 47-year-old woman with a 5-year history of bilateral hand deformities.

The following case is presented to illustrate the roentgenographic and clinical findings of a condition of interest to the orthopaedic surgeon. Initial history, physical findings, and roentgenographic examinations are offered for your consideration. The final clinical and roentgenographic differential diagnoses are presented on the following pages.

Calcinosis↗
PubMedDate not supplied

[Gibbous hand deformity--carpe bossu].

Fiolle (10) was the first to describe a bony protuberance of a carpometacarpal joint and named it carpe bossu. This anomalous anatomical condition occasionally becomes a--widely unknown--common clinical entity. The reasons are discussed. The clinical diagnosis can be confirmed by a lateral tangential radiograph. Discomfort and pain are rare and can be treated usually by conservative means, surgery is seldom indicated.

Adult↗
PubMed1979

Rheumatoid synovitis of the volar compartment of the wrist joint: its radiological signs and its contribution to wrist and hand deformity.

The radiological signs that suggest involvement of the volar compartments of the wrist include grooving of the scaphoid, pseudocysts of the distal radius, and scaphoid-lunate dissociation. These indicate involvement of the radiocarpal ligamentous support. This leads to loss of stability of the scaphoid, which then goes into a volar-flexed position, contributing to shortening the radial carpal height and favoring rotation of the carpus into supination, radial deviation of the metacarpals, and ulnar drift of the fingers.

Arthritis, Rheumatoid↗
PubMed2003

Non-vascularized free toe phalanx transfers in congenital hand deformities--the Great Ormond Street experience.

Many options of varying complexity are available for the management of congenital short digits resulting from aphalangia in symbrachydactyly and constriction ring syndrome. We have used non-vascularized free toe phalanx transfers for these children when a vascularized toe transfer has been contraindicated. We describe our technique and experience with 22 children who underwent a total of 64 transfers of the proximal (35) or middle (29) toe phalanges (average 3 per child). The mean age at initial surgery was 15 months, and the mean follow-up was 5 years. Duration of time until epiphyseal closure could not be determined accurately, but total digital elongation averaged 6mm. Complications of this technique include joint instability, premature epiphyseal closure and, in one patient, infection and graft loss. Donor site deformity was determined according to measured growth deficit and toe function. This technique is a simple option for digital elongation and, if performed in the appropriate age group in short fingered and monodactylous subtypes of symbrachydactyly, has the potential to allow growth and function with minimal donor site deficit.

Bone Resorption↗
PubMed1999

A case of mirror hand deformity with a 17-year postoperative follow up. Case report.

We present a case of a boy with a congenital upper-extremity malformation, including aplasia of the radius, double ulna, aplasia of the thumb, and polydactyly with a 17-year postoperative follow-up. The whole extremity, particularly the upper arm and shoulder girdle were hypoplastic. There was restriction of movement of the elbow and a flexion contracture of the wrist. At an age of 2 years he had three hypoplastic fingers resected and pollicisation of the third accessory finger. The thenar was reconstructed by interosseous muscle transfers and the flexion contracture corrected by a flexor tendon transfer. Preoperative electromyographic studies showed that he had two ulnar nerves with cross-innervation of the median nerve. Further improvements (including tendon transfer of the flexor carpi radialis) were made 16 years after the primary operation. At the age of 18 years the patient has satisfactory function of his left hand.

Abnormalities, Multiple↗
PubMed1982

[Cell death in organogenesis. Creodes and catastrophies. Cell non-death syndromes of face and hand deformities].

Cell death appears to be a paradoxical process but one that is necessary for embryonic and fetal morphogenesis, being a necessary stage in the morphogenetic creode of the organ considered, as dynamically and qualitatively modelled by René Thom. Subtle environmental processes result in "cell suicide" by liberation of the intracellular necrosis enzyme. This phenomenon exists just as naturally during separation of the fingers, fusion of the facial buds, and craniofacial suture growth. Dysfunction produces the syndrome of "cell non-death" as seen for example in Apert's syndrome in which a stomodeal cleft is associated with syndactylies and craniofaciostenosis.

Cell Survival↗
PubMed2001

A congenital hand deformity: Dupuytren's disease.

A 10-month-old child presented with a lack of extension at the distal interphalangeal joint. Despite the absence of trauma, a provisional diagnosis of mallet finger led to treatment using a short dorsal splint. Four months later the flexion had increased and included the proximal interphalangeal joint. Palpation revealed a palmar cord on the lateral aspect of the finger. Surgery disclosed a typical Dupuytren cord and the histology supported this diagnosis. There was no known family history of the disease. There was no sign of recurrence 27 months after surgery in this case of Dupuytren's disease that was present at birth.

Dupuytren Contracture↗
PubMed1977

Cranio-carpo-tarsal dysplasia. A report of seven cases.

Clinical and radiographic features of seven cases of cranio-carpo-tarsal dysplasia are presented. Radiographs show bilateral dislocation of the hips, bilateral vertical talus deformity hand deformities, and characteristic skull changes.

Abnormalities, Multiple↗
PubMed2006

[Development in the field of plastic surgery].

OBJECTIVE: To summarize the recent development in the plastic and reconstructive surgery. METHODS: The related literature was reviewed and the main achievements in the field of plastic surgery were summarized. RESULTS: Plastic and reconstructive surgery was one of the quickly-developed fields in the world medicine, especially aesthetic plastic surgery. Reconstructive plastic surgery and aesthetic plastic surgery would be bind in the future. The unaesthetic hand surgery" was a very important branch of the hand surgery, so not only the function recovery of the hand deformities but also the aesthetic sculpture for the deformed hand should be emphasized. Evaluation on measurement of the facial paralysis reconstruction was a main part of the facial examination. The allotransplantation of the face became more developed. The anatomical research on the cutaneous perforator arteries, vascularisation of the biceps femorismuscle, and the gracilis perforator flap was well performed by the plastic surgeons. CONCLUSION: The quick development has happened in the reparative and reconstuctive surgery and the aesthetic plastic surgery. We must not only pay attention to the organ defect reconstruction and tissue deformity repair but also to the aesthetic sculpture for the deformed parts of the body.

Plastic Surgery Procedures↗