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At least 1,405 records · Page 78Linked to original sources
PubMed1999

Toe transplantation for isolated index finger amputations distal to the proximal interphalangeal joint.

Functional deficit following single distal index finger amputations has been considered insignificant, and reconstruction is usually not recommended. Herein, 19 cases of second toe transplantation for reconstruction of isolated index finger amputation distal to the proximal interphalangeal joint are presented with long-term functional results. There are 14 men and 5 women. The average age was 26 years. The toe transplantations were performed either as a primary procedure (5 patients) while the wounds were still open or as a secondary procedure (14 patients) after the wounds healed. In 11 patients, the dominant hand was involved. All toes survived completely, although re-exploration was required in three cases (16 percent). The functional evaluation included (1) sensory recovery, where the average static and moving two-point discrimination were 8 mm (range 4 to 15 mm) and 6 mm (range 2 to 15 mm); (2) motor function, where the average of index-thumb pulp-to-pulp pinch compared with the normal hand was 67.5 percent (range 36 to 96 percent); (3) average range of motion in index finger joints (extension/flexion), where metacarpophalangeal joint was 14/90, proximal interphalangeal joint was 0/94, and distal interphalangeal joint was 19/38; and (4) functional and cosmetic results, where percentage of involvement in daily activities and functional capacity of the reconstructed index were 69 percent and 70.5 in average, respectively, over a total score of 100. Average scores of aesthetic appearance and acceptability of donor-site deformity were 74 and 87.5 over a total score of 100, respectively. Toe transplantation for distal index finger amputations improved hand function when performed in selected patients with specific job requirements or high motivation.

Adolescent↗
PubMed1987

[Results of the conservative treatment of injuries of the palmar capsule-ligament system of the interphalangeal joints of the long fingers].

Results are presented following conservative treatment of 79 patients for injuries of the palmar plate of the proximal interphalangeal joint. There was in addition, a slight shell-shaped chip in the base of the middle phalanx of 73 patients. These results show that the functional results are influenced by the age of the patient and the length of the immobilization. 36 of 43 (83.7%) patients under 30 years old, who were immobilized for two to three weeks, had very good results. Immobilization for a longer period of time brought very good results for only nine of fifteen (60%) patients. In the group over thirty years, seven out of fifteen (46.7%) patients had very good results with up to three weeks' immobilization. With longer periods of immobilization, only one out of six (16.7%) had a very good result. The authors recommend fourteen days immobilization in a finger cast with the proximal interphalangeal joint at 15 degrees and the metacarpophalangeal joint at 80 degrees of flexion. Operative correction should only be considered in cases with a tendency to sublux.

Adult↗
PubMed1997

Alternative method of repairing collateral ligament injuries at the metacarpophalangeal joints of the thumb and fingers. Use of the Mitek anchor.

Injuries to the joints of the thumb and fingers frequently cause complete or partial tears of the collateral ligaments, resulting in marked instability of the involved joint. Twelve patients with 12 unstable metacarpophalangeal joints were treated surgically with a Mitek metal suture anchor. At the last postoperative follow-up (range 6 weeks-6 months) 11 of 12 patients had good to excellent results subjectively and had regained 75% of the strength of the uninjured side.

Adolescent↗
PubMed1999

Anatomic variation of the extensor tendons to the ring and little fingers: a cadaver dissection study.

We found an anatomic variation of the extensor digiti minimi (EDM) and extensor digitorum communis (EDC) in a cadaveric dissection. The EDM had three tendon slips; two slips to the little finger and one to the ring finger metacarpophalangeal (MP) joint. The ring finger slip inserted in the extensor hood with the EDC. The EDC had a separate tendon to the little finger extensor hood. The EDM had an additional pulley distal to the extensor retinaculum. The MP joints of the little and ring fingers extended simultaneously upon pulling the EDM or the EDC. The third slip of the EDM could provide an extra donor site and possibly poses a unique clinical presentation.

Aged↗
PubMed1982

Dislocations of the proximal interphalangeal joints of the long fingers. Anatomo-clinical study and therapeutic results.

The authors report an anatomo-clinic study on dislocations of the PIP joint in order to point out the lesions and the adequate treatment. This study is composed of two parts: first an anatomoclinical study of 29 dislocations all of which were operated on principle after a clinical and radiographic examination. The second part is a complementary anatomical study of 20 cadaveric joints based on an analysis of the different stabilizing structures of the joint. The study showed that, in order to get a dislocation of the PIP joint, it is necessary that two stabilizing formations be damaged. There is a major lesion and a minor one. The major lesion is characteristic of the type of the dislocation. Anterior dislocations were very rare in this study. The major lesion is a rupture or desinsertion of the central slip of the extensor tendon and the minor lesion is a tear in the collateral ligament. The treatment must be surgical because of the major lesion of the extensor apparatus. Quite different from the anterior lesions are the posterior and the lateral dislocations. They are more frequent. Although they have some similarities, they are, in fact, very different from an anatomoclinical and a therapeutic point of view. In posterior dislocations the major lesion is a rupture of the volar plate. The minor lesion is a partial desinsertion of the collateral ligament. These dislocations are stable after reduction. According to the authors, the best treatment is orthopedic, with a partial immobilization preventing the last degrees of extension. The major lesion in lateral dislocations is a rupture or avulsion of the collateral ligament and the minor lesion is a partial tear of the volar plate. After reduction they are unstable, and thus justify, according to the authors, an operative treatment, especially as they are often associated with cartilaginous lesions.

Adult↗
PubMed2004

The influence of age and exercise on the mobility of hand joints: 2: Interphalangeal joints of the three phalangeal fingers.

This report is a continuation of the study about mobility of the metacarpophalangeal (MP) joints of the three-phalangeal fingers. We measured flexion of proximal (PIP) and distal (DIP) interphalangeal joints in university students (52 males and 49 females), senior citizens (30 males and 30 females), and pianists (21 males and 31 females). Students were considered as a control group characterized by normal mobility of hand joints. In all three groups, the smallest flexion in the PIP joints is in the little finger, in the DIP joints in the index and ring fingers. In the control group the flexion in the PIP joints is greater in females compared to males, in the DIP joints it is greater on the left side compared to the right. With the exception of DIP joints in females, the situation is also similar in seniors. In pianists, however, the gender and lateral differences are less pronounced, due to exercise. Seniors of both genders show significant limitation of flexion in all PIP as well as DIP joints, as compared to students, while pianists have the same range of flexion compared to students, which also corresponds to the situation in MP joints. The previous study, however, showed that pianists have a greater ability to abduct and hyperextend fingers.

Adolescent↗
PubMed1983

Structure of capsules around silicone implants in hand surgery.

Histological examination was made of twenty-three capsules around silicone implants used in hand surgery. The structure of the capsules was found to be similar to that seen in animal experiments, though they tended to be thicker. A further difference was the frequent occurrence of histiocytes accumulating near the inner margin of the capsule; these would quite frequently form a pseudoepithelium. Possible reasons for these differences are discussed. Silicone particles were found in the walls of two capsules around joint implants and their origin from the surface of the prosthesis demonstrated.

Finger Joint↗