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At least 1,621 records · Page 90Linked to original sources
PubMed1997

Reflex sympathetic dystrophy. Timely diagnosis and treatment can prevent severe contractures.

Reflex sympathetic dystrophy is a clinical syndrome consisting of persistent burning pain and varying degrees of vasomotor and trophic changes in an extremity after trauma. Although several mechanisms have been proposed, none have been universally accepted. Historically, treatment has involved sympathetic blockade or sympathectomy to prevent the proposed sympathetic hyperactivity. However, only a limited number of controlled studies have been conducted, and results have been controversial. The cornerstone of treatment is physical therapy to prevent the severe contractures that can result.

Adult↗
PubMed1989

Modified posterior soft tissue release for management of severe knee flexion contracture.

A modified posterior soft tissue release has been used in treating severe flexion contracture of the knee in 30 patients (36 knees). The operative technique has been modified with respect to the skin incision, and lengthening of the medial hamstrings. It is performed without a tourniquet. Postoperative skeletal traction was applied with gradual increasing weight to rapidly correct residual deformity. The deformity was fully corrected in 30 knees. The only complication was superficial skin necrosis over a small area, which occured in two knees. In six knees, 10 degrees of flexion deformity persisted after treatment. In four additional knees, 10 degrees of flexion deformity recurred due to lack of continued therapy. The modified posterior soft tissue release operation gave good results without any serious complications.

Adolescent↗
PubMed2006

Posttraumatic proximal interphalangeal joint flexion contractures.

Normal motion of the proximal interphalangeal joint requires bony support, intact articular surfaces, unimpeded tendon gliding, and uncompromised integrity of the collateral ligaments and volar plate. Deficiency in any one of these structural requirements can lead to a loss of finger joint motion and decreased hand function. Once finger extension is lost, options include nonsurgical or surgical treatment. Nonsurgical treatment such as splinting or serial casting should be tried before attempting surgical intervention. When severe flexion deformity exists or the vascular status of the finger has been compromised, arthrodesis or amputation should be undertaken instead of procedures to regain motion. Surgical options for regaining motion include external fixators and open surgical release. Although they can lead to improved extension at the proximal interphalangeal joint, external fixators carry a risk of reduced finger flexion and pin site infection. Most clinical series of patients who have undergone surgical release document improvement in flexion contracture between 25 degrees to 30 degrees and a shift of the flexion/extension arc into a more functional range. Close follow-up after surgery is warranted, with frequent physical therapy and splinting.

Contracture↗
PubMed1995

Use of Z-skin plasty in scar revisions and skin contractures of the lower extremity.

A discussion of the design and use of the Z-skin plasty to revise scars and lengthen skin contractures of the lower extremities is presented. One of the most commonly used rotational flaps to alter scar direction or relieve tension on the existing scar or skin, the Z-plasty can also be the most difficult to perform and carries a high risk of flap loss if inaccurately planned or poorly placed. Several variations of the standard procedure and examples of common usage are presented.

Cicatrix↗
PubMed1976

[Casuistic contribltion to acquired knee extension contracture in childhood (author's transl)].

On the basis of two observations, the clinical symptoms for acquired knee extension contracture in childhood was presented. A progressive fibrosis of the vastus intermedius of the musculus quadriceps femoris develops as a result of multiple injections into the ventral thigh musculature. This method of application should, therefore, be avoided and an intragluteal or intravenous method used.

Age Factors↗
PubMed1998

[Determination of intracellular calcium ions in fibroblasts of contractured scar].

Free calcium ions, as a kind of message-transport substance, is important in cellular activity such as cell movement, cell differentiation and cell proliferation. In order to investigate the relationship between free calcium ions and scar contracture, the fibroblasts which originated from hypertrophic scar, keloid and normal skin were used as the experimental target. The fibroblasts from 4th-6th generations of different sources were used; Then the intracellular free calcium ions concentrations were measured respectively by the fluorescent Ca2+ indicator Fura-2/AM and Image analysis system. The results showed that the level of Ca2+ in fibroblasts of hypertrophic scar was higher than that in keloid and normal skin (P < 0.01). There was no significant difference between the level of Ca2+ in keloid and in normal skin. The conclusion was that the concentration of intracellular free calcium ions played an important role in the scar contract, but the exact mechanism was still unclear and required further study.

Biological Transport, Active↗
PubMed1999

[The use of muscle and skin-muscle grafts in treating patients with ischemic contracture of the foot].

For the first time in the native literature the results of the microsurgical transplantation of composed complexes of tissues, including muscle, application for the treatment of patients with an ischemic contracture of the foot were analysed. The recommendations suggesting the complex of tissues choice are given. Complications after the flaps transplantation performance were analysed.

Adolescent↗
PubMed1999

[Dynamics of thermographic changes in patients with ischemic contracture of the foot].

In 28 patients with the foot ischemic contracture (FIC) the thermographic changes were studied up in reactive-restoration and residual periods. The patients' distribution in the reactive-restoration period according to the level of thermoasymmetry and radiation temperature has significance for the FIC of middle and severe stage prognostication.

Contracture↗
PubMed2000

[Fiber fasciotomy in Dupuytren's contracture].

42 patients with hand Dupuytren's contracture were operated. Transection of each finger scar cords was performed in transverse direction through 3-8 skin punctures from proximal portion to distal segment in the zone of middle phalanx base. In addition, complete finger extension was achieved on operating table. There were no recurrences in follow-up of 13 years.

Age Factors↗
PubMed2000

[Expanded extra-long fascia flap in the trapezius region for repair of scar contracture of the neck].

OBJECTIVE: In order to gain a larger fascia flap in the trapezius region and to close the donor site easily and primarily. METHODS: We applied tissue expansion to form the expanded extra-long trapezius fascia flap. RESULTS: The flap was used to repair the neck scar contracture with satisfactory effects. CONCLUSIONS: The flap is very useful for patients who have a large burned defect and are short of donor sites, especially the children.

Adolescent↗
PubMedDate not supplied

Surgical treatment of posttraumatic elbow contracture in adolescents.

Thirteen adolescent patients with posttraumatic elbow contractures were treated with open surgical release at an average of 16.2 years of age. When possible, an extensile medial approach to the elbow was used. All patients were treated with 6 weeks of postoperative continuous passive motion in addition to physical therapy and splinting. Eleven patients with >6 months of follow-up were evaluated at an average of 29 months after surgery. Average loss of extension improved from 57 degrees to 15 degrees, and average flexion improved from 109 degrees to 123 degrees. Average total arc of motion improved from 53 degrees to 107 degrees. Complications included one case of wound drainage requiring irrigation and debridement and one case of transient ulnar neuropraxia. One of the 13 patients was unable to tolerate postoperative therapy and showed loss of motion.

Adolescent↗
PubMed2001

An update on Dupuytren's contracture.

The standard treatment of Dupuytren's contracture of the digits, to date, is surgical. The aetiology, pathology, clinical findings and present day treatment are discussed and possible treatment for the future is suggested.

Dupuytren Contracture↗
PubMed2002

[Application of ultrasonic investigation in estimation of morphofunctional state of muscles in patients with ischemic contracture of foot].

Results of ultrasonic investigation of the shin and foot muscles were analyzed in 14 patients with an ischemic contracture of foot (ICF). All the patients were operated on, clinical significance of ICF ultrasonic semiotics was estimated. Structural changes were demonstrated by diffuse strengthening of echogeneicity, striateness loss, ischemized muscles thickness reduction, origination of hypoechogenic (of hydrophilic nature) portions in places of necrosis of muscular tissues. Hyperechogeneicity is caused by fibrosis of an ischemized muscles, which during isometric contraction somewhat thickened, their echogeneicity did not change.

Contracture↗
PubMed2001

[Rotation-abduction contracture of the hip joint].

The paper presents the rotation-abduction contracture of the hip, a problem of growing magnitude in recent years. The anatomy of the hip joint, the perils related to muscle physiology, the symptoms of the disease, the etiology and means of surgical treatment according to Fernandez de Valderrama and Esteve de Miguel are discussed. The results of surgical treatment of 12 patients at the Orthopedic Department of Wroclaw. The presented procedure has been used in our center since 1993, and the results encourage further use of this technique.

Adolescent↗
PubMed2002

Congenital contractures, short stature, abnormal face, microcephaly, scoliosis, hip dislocation, and severe psychomotor retardation in two unrelated girls. a new MCA/MR syndrome?

Severe mental retardation, congenital contractures, short stature, microcephaly, ptosis, myopia, beaked nose, abnormal teeth, hip dislocation, and severe scoliosis, are described in a 16-year-old and an unrelated 24-year-old females. Results of all laboratory investigations were normal. Review of the literature, of the London Dysmorphology Data Base and POSSUM did not yield to any diagnosis. Whether these patients present a new MCA/MR syndrome is discussed.

Abnormalities, Multiple↗