MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'Hand Clinics' source. Thu, 18 Mar 2010 15:06:47 +0100 http://www.medworm.com/index.php?rid=3087352&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.hand.theclinics.com%2Farticle%2FPIIS074907120900122X%2Fabstract%3Frss%3Dyes (Source: Hand Clinics) Hand Clinics journals http://www.medworm.com/rss/comments.php?id=3087352 Tue, 15 Dec 2009 14:55:35 +0100 3087352 http://www.medworm.com/index.php?rid=3087351&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.hand.theclinics.com%2Farticle%2FPIIS0749071209001073%2Fabstract%3Frss%3Dyes Traumatic injuries of the distal radioulnar joint (DRUJ) may give rise to complex wrist pathologies. Substantial ongoing disability can arise should these injuries go unrecognized resulting in sub-optimal treatment and lack of appropriate rehabilitation. Injuries of the DRUJ may occur in isolation but more commonly are found with a fracture of the radius. These challenging DRUJ injuries may be simple or complex (irreducible or severe instability), acute or chronic. An adequate knowledge of the stabilizers of the DRUJ is essential in understanding treatment options. Traumatic instability of the DRUJ is reviewed and the anatomy and stabilizing factors are discussed. An algorithm to guide selection of treatment options in complex cases is presented. (Source: Hand Clinics) Hand Clinics journals http://www.medworm.com/rss/comments.php?id=3087351 Tue, 15 Dec 2009 14:55:35 +0100 3087351 http://www.medworm.com/index.php?rid=3087350&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.hand.theclinics.com%2Farticle%2FPIIS0749071209000961%2Fabstract%3Frss%3Dyes Perilunate injuries are complex injuries of the bony and ligamentous structures of the wrist. They require operative management with careful restoration of carpal alignment and open reduction and internal fixation of associated fractures. Even with optimal treatment, mild to moderate dysfunction affects most patients. (Source: Hand Clinics) Hand Clinics journals http://www.medworm.com/rss/comments.php?id=3087350 Tue, 15 Dec 2009 14:55:35 +0100 3087350 http://www.medworm.com/index.php?rid=3087349&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.hand.theclinics.com%2Farticle%2FPIIS0749071209000985%2Fabstract%3Frss%3Dyes This article reviews the pathophysiology of scapholunate instability and its identification and treatment. (Source: Hand Clinics) Hand Clinics journals http://www.medworm.com/rss/comments.php?id=3087349 Tue, 15 Dec 2009 14:55:35 +0100 3087349 http://www.medworm.com/index.php?rid=3087348&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.hand.theclinics.com%2Farticle%2FPIIS0749071209001061%2Fabstract%3Frss%3Dyes This article reviews carpal bone fractures excluding the scaphoid. (Source: Hand Clinics) Hand Clinics journals http://www.medworm.com/rss/comments.php?id=3087348 Tue, 15 Dec 2009 14:55:35 +0100 3087348 http://www.medworm.com/index.php?rid=3087347&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.hand.theclinics.com%2Farticle%2FPIIS0749071209001036%2Fabstract%3Frss%3Dyes Scaphoid nonunions can exist with or without avascular necrosis of the proximal pole, and waist fractures may have an associated humpback deformity. CT best shows the deformity and bone loss, whereas MRI will show avascular necrosis. Operative treatment should be directed at correcting the deformity with open reduction and internal fixation and bone grafting. Vascularized bone grafts should be used in cases of avascular necrosis. (Source: Hand Clinics) Hand Clinics journals http://www.medworm.com/rss/comments.php?id=3087347 Tue, 15 Dec 2009 14:55:35 +0100 3087347 http://www.medworm.com/index.php?rid=3087346&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.hand.theclinics.com%2Farticle%2FPIIS0749071209000997%2Fabstract%3Frss%3Dyes Scaphoid fractures are a common problem encountered in clinical practice. This manuscript provides an algorithm for the diagnosis, evaluation, and treatment of acute scaphoid fractures. (Source: Hand Clinics) Hand Clinics journals http://www.medworm.com/rss/comments.php?id=3087346 Tue, 15 Dec 2009 14:55:35 +0100 3087346 http://www.medworm.com/index.php?rid=3087345&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.hand.theclinics.com%2Farticle%2FPIIS0749071209000973%2Fabstract%3Frss%3Dyes This article reviews complications caused by distal radius fractures and their treatment. Complications are divided chronologically into immediate, early (less than 6 weeks), and late (greater than 6 weeks). (Source: Hand Clinics) Hand Clinics journals http://www.medworm.com/rss/comments.php?id=3087345 Tue, 15 Dec 2009 14:55:35 +0100 3087345 http://www.medworm.com/index.php?rid=3087344&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.hand.theclinics.com%2Farticle%2FPIIS074907120900105X%2Fabstract%3Frss%3Dyes Distal radius malunions are a common cause of patient morbidity. This review of the literature surrounding distal radius malunion covers the demographics, pathologic anatomy, and indications for surgery, surgical techniques, and salvage options. Particular emphasis is placed on subject areas that have not been reviewed as extensively in previous articles, including: intra-articular malunion, computer-assisted techniques, bone graft alternatives, and volar fixed-angle plate osteosynthesis. (Source: Hand Clinics) Hand Clinics journals http://www.medworm.com/rss/comments.php?id=3087344 Tue, 15 Dec 2009 14:55:35 +0100 3087344 http://www.medworm.com/index.php?rid=3087343&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.hand.theclinics.com%2Farticle%2FPIIS0749071209000948%2Fabstract%3Frss%3Dyes This article outlines some of these options with a literature opinion and a clarification from the authors. A treatment plan for common fractures of the distal radius is also outlined. (Source: Hand Clinics) Hand Clinics journals http://www.medworm.com/rss/comments.php?id=3087343 Tue, 15 Dec 2009 14:55:35 +0100 3087343 http://www.medworm.com/index.php?rid=3087342&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.hand.theclinics.com%2Farticle%2FPIIS0749071209001000%2Fabstract%3Frss%3Dyes This article discusses the indications and technique of fracture treatment with external fixation and, when required, adjuvant percutaneous pins. (Source: Hand Clinics) Hand Clinics journals http://www.medworm.com/rss/comments.php?id=3087342 Tue, 15 Dec 2009 14:55:35 +0100 3087342 http://www.medworm.com/index.php?rid=3087341&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.hand.theclinics.com%2Farticle%2FPIIS0749071209001048%2Fabstract%3Frss%3Dyes Nonoperative treatment of distal radial fractures by reduction and immobilization remains the most common treatment, based on the incidence of appropriate fracture types, as seen in many epidemiological studies in the literature. In this article, the indications, technique, predictors of failure, outcomes, and complications are reviewed. A variety of treatment options have been proposed for distal radial fractures that are predicted, or subsequently identified, to be too unstable for nonoperative management. Percutaneous pinning is an effective option for select fractures. The authors also review the indications, described techniques, complications and outcomes associated with this treatment option. (Source: Hand Clinics) Hand Clinics journals http://www.medworm.com/rss/comments.php?id=3087341 Tue, 15 Dec 2009 14:55:35 +0100 3087341 http://www.medworm.com/index.php?rid=3087340&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.hand.theclinics.com%2Farticle%2FPIIS074907120900095X%2Fabstract%3Frss%3Dyes Distal radius fractures are common injuries. Multiple classification systems have highlighted the evolution of the understanding of distal radius fractures. Understanding the classifications of distal radius fractures is important in identifying the important aspects that affect their outcome. Surgical indications of distal radius fractures can be divided into the following categories: patient factors, fracture reduction, fracture stability, and the presence of associated injuries. (Source: Hand Clinics) Hand Clinics journals http://www.medworm.com/rss/comments.php?id=3087340 Tue, 15 Dec 2009 14:55:35 +0100 3087340 http://www.medworm.com/index.php?rid=3087339&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.hand.theclinics.com%2Farticle%2FPIIS0749071209001024%2Fabstract%3Frss%3Dyes Physical examination of the wrist requires knowledge of wrist anatomy and pathology to make a diagnosis or narrow the differential diagnosis. Symptoms are provoked by palpation and signs are produced by manipulation. Negative findings elsewhere in the wrist are important. Final diagnosis may require diagnostic imaging. By having all three methods of assessment agree one is assured of correct diagnosis. The physical examination of the wrist is not unlike that of other joints, in that a systematic approach includes observation, range of motion, palpation, and special tests. (Source: Hand Clinics) Hand Clinics journals http://www.medworm.com/rss/comments.php?id=3087339 Tue, 15 Dec 2009 14:55:35 +0100 3087339 http://www.medworm.com/index.php?rid=3087338&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.hand.theclinics.com%2Farticle%2FPIIS0749071209001012%2Fabstract%3Frss%3Dyes This article discusses the pertinent anatomy and some of the more commonly used approaches to wrist trauma. (Source: Hand Clinics) Hand Clinics journals http://www.medworm.com/rss/comments.php?id=3087338 Tue, 15 Dec 2009 14:55:35 +0100 3087338 http://www.medworm.com/index.php?rid=3087337&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.hand.theclinics.com%2Farticle%2FPIIS0749071209001085%2Fabstract%3Frss%3Dyes It is an honor to act as guest editor for this edition of Hand Clinics of North America. I currently practice in Ottawa, Ontario—home to the largest skating rink in the world. For the months of January to March, the Rideau Canal is transformed into an 8-kilometer skating rink for people to enjoy or even skate to work! Unfortunately, experienced and beginner skaters alike commonly have falls on this amazing but sometimes treacherous rink. Our volume of radius fractures, scaphoid fractures, and other wrist injuries dramatically goes up during these months. As I am sure many other orthopedic surgeons have experienced, the increased population, increased life expectancy, and increased general activity level have all translated into a great demand on physicians that deal with these problems. ... Hand Clinics journals http://www.medworm.com/rss/comments.php?id=3087337 Tue, 15 Dec 2009 14:55:34 +0100 3087337 http://www.medworm.com/index.php?rid=3087336&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.hand.theclinics.com%2Farticle%2FPIIS0749071209001218%2Fabstract%3Frss%3Dyes (Source: Hand Clinics) Hand Clinics journals http://www.medworm.com/rss/comments.php?id=3087336 Tue, 15 Dec 2009 14:55:34 +0100 3087336 http://www.medworm.com/index.php?rid=3087335&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.hand.theclinics.com%2Farticle%2FPIIS0749071209001206%2Fabstract%3Frss%3Dyes (Source: Hand Clinics) Hand Clinics journals http://www.medworm.com/rss/comments.php?id=3087335 Tue, 15 Dec 2009 14:55:34 +0100 3087335 http://www.medworm.com/index.php?rid=2860692&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.hand.theclinics.com%2Farticle%2FPIIS0749071209000857%2Fabstract%3Frss%3Dyes (Source: Hand Clinics) Hand Clinics journals http://www.medworm.com/rss/comments.php?id=2860692 Mon, 05 Oct 2009 17:17:38 +0100 2860692 http://www.medworm.com/index.php?rid=2860691&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.hand.theclinics.com%2Farticle%2FPIIS0749071209000420%2Fabstract%3Frss%3Dyes Overall outcome following hand burns is closely related to the depth of injury. Although even full-thickness burns tend to result in favorable outcomes, injuries to the deeper structures may result in some degree of impairment. Reviewing the existing literature on hand burns clearly demonstrates the need for validated measurement tools for the evaluation of hand burn outcomes. (Source: Hand Clinics) Hand Clinics journals http://www.medworm.com/rss/comments.php?id=2860691 Mon, 05 Oct 2009 17:17:38 +0100 2860691 http://www.medworm.com/index.php?rid=2860690&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.hand.theclinics.com%2Farticle%2FPIIS0749071209000481%2Fabstract%3Frss%3Dyes Although most thermal injuries to the hand can be successfully managed with excision and grafting, deeper injuries may require microsurgical techniques to provide stable, durable coverage and the optimal functional result. In delayed reconstruction, thin pliable flaps can be used to resurface the hand or allow for contracture releases. Proper patient and procedure selection are critical to the success of microsurgical reconstruction. (Source: Hand Clinics) Hand Clinics journals http://www.medworm.com/rss/comments.php?id=2860690 Mon, 05 Oct 2009 17:17:38 +0100 2860690 http://www.medworm.com/index.php?rid=2860689&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.hand.theclinics.com%2Farticle%2FPIIS074907120900050X%2Fabstract%3Frss%3Dyes Though the hand constitutes only 3% of the total body surface area, a burned hand is a major injury. Reconstruction of the burned hand is key to the overall rehabilitation of the burned patient. Whether an isolated injury, or part of burns to a large overall body surface area, loss of the hand represents a major functional impairment. The American Burn Association recognizes the importance of the burned hand by designating it a major injury. In addition, loss of the hand constitutes a 57% loss of function for the whole person. Thus, successful management of the burned hand is important. (Source: Hand Clinics) Hand Clinics journals http://www.medworm.com/rss/comments.php?id=2860689 Mon, 05 Oct 2009 17:17:37 +0100 2860689 http://www.medworm.com/index.php?rid=2860688&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.hand.theclinics.com%2Farticle%2FPIIS0749071209000444%2Fabstract%3Frss%3Dyes Successful outcomes following hand burn injury require an understanding of the rehabilitation needs of the patient. Rehabilitation of hand burns begins on admission, and each patient requires a specific plan for range of motion and/or immobilization, functional activities, and modalities. The rehabilitation care plan typically evolves during the acute care period and during the months following injury. (Source: Hand Clinics) Hand Clinics journals http://www.medworm.com/rss/comments.php?id=2860688 Mon, 05 Oct 2009 17:17:37 +0100 2860688 http://www.medworm.com/index.php?rid=2860687&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.hand.theclinics.com%2Farticle%2FPIIS0749071209000468%2Fabstract%3Frss%3Dyes Dysregulated wound healing and pathologic fibrosis cause abnormal scarring, leading to poor functional and aesthetic results in hand burns. Understanding the underlying biologic mechanisms involved allows the hand surgeon to better address these issues, and suggests new avenues of research to improve patient outcomes. In this article, the authors review the biology of scar and contracture by focusing on potential causes of abnormal wound healing, including depth of injury, cytokines, cells, the immune system, and extracellular matrix, and explore therapeutic measures designed to target the various biologic causes of poor scar. (Source: Hand Clinics) Hand Clinics journals http://www.medworm.com/rss/comments.php?id=2860687 Mon, 05 Oct 2009 17:17:37 +0100 2860687 http://www.medworm.com/index.php?rid=2860686&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.hand.theclinics.com%2Farticle%2FPIIS0749071209000419%2Fabstract%3Frss%3Dyes Several skin substitutes are available that can be used in the management of hand burns; some are intended as temporary covers to expedite healing of shallow burns and others are intended to be used in the surgical management of deep burns. An understanding of skin biology and the relative benefits of each product are needed to determine the optimal role of these products in hand burn management. (Source: Hand Clinics) Hand Clinics journals http://www.medworm.com/rss/comments.php?id=2860686 Mon, 05 Oct 2009 17:17:37 +0100 2860686 http://www.medworm.com/index.php?rid=2860685&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.hand.theclinics.com%2Farticle%2FPIIS0749071209000432%2Fabstract%3Frss%3Dyes The pathophysiology of true frostbite reveals that the direct injury produced during the initial freeze process has a minor contribution to the global tissue damage. However, rapid rewarming to reverse the tissue crystallization has essentially been the lone frostbite intervention for almost half a century. The major pathologic process is the progressive microvascular thrombosis following reperfusion of the ischemic limb, with the cold-damaged endothelial cells playing a central role in the outcome of these frozen tissues. Newer interventions offer the opportunity to combat this process, and this article offers a scientific approach to frostbite injuries of the upper extremities. (Source: Hand Clinics) Hand Clinics journals http://www.medworm.com/rss/comments.php?id=2860685 Mon, 05 Oct 2009 17:17:37 +0100 2860685 http://www.medworm.com/index.php?rid=2860684&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.hand.theclinics.com%2Farticle%2FPIIS0749071209000407%2Fabstract%3Frss%3Dyes Electrical injuries to the extremity can result in significant local tissue damage and systemic problems. An understanding of the pathophysiology of electrical injuries is critical to the medical and surgical management of patients who sustain these injuries. (Source: Hand Clinics) Hand Clinics journals http://www.medworm.com/rss/comments.php?id=2860684 Mon, 05 Oct 2009 17:17:37 +0100 2860684 http://www.medworm.com/index.php?rid=2860683&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.hand.theclinics.com%2Farticle%2FPIIS0749071209000456%2Fabstract%3Frss%3Dyes Hand burns, in particular, are one of the leading causes of hand injury in children and can result in significant impairment of hand function. Appropriate initial management of hand burns in children is imperative to optimize function and minimize long-term scarring, and it is for this reason that the American Burn Association advocates referral of pediatric hand burns to a verified burn center. (Source: Hand Clinics) Hand Clinics journals http://www.medworm.com/rss/comments.php?id=2860683 Mon, 05 Oct 2009 17:17:37 +0100 2860683 http://www.medworm.com/index.php?rid=2860682&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.hand.theclinics.com%2Farticle%2FPIIS0749071209000493%2Fabstract%3Frss%3Dyes Hand burns occur commonly either as part of more extensive burn injuries or in isolation. Optimal management requires careful examination, appropriate wound care, timely surgical excision if warranted, and aggressive range-of-motion therapy. (Source: Hand Clinics) Hand Clinics journals http://www.medworm.com/rss/comments.php?id=2860682 Mon, 05 Oct 2009 17:17:37 +0100 2860682 http://www.medworm.com/index.php?rid=2860681&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.hand.theclinics.com%2Farticle%2FPIIS0749071209000778%2Fabstract%3Frss%3Dyes Advances in critical care and resuscitation have significantly improved survival following thermal injury. In 2009 survival following extensive burn injury has become the rule rather than the exception. Given this increase in survival, there has been an evolution in the emphasis in clinical care of the burn patient toward optimizing the function and appearance of those that survive their injuries. The hand plays a critical role in an individual's interactions with his or her environment. Hand function is critical to completing activities of daily living and the conduct of vocational and leisure activities. (Source: Hand Clinics) Hand Clinics journals http://www.medworm.com/rss/comments.php?id=2860681 Mon, 05 Oct 2009 17:17:37 +0100 2860681 http://www.medworm.com/index.php?rid=2860680&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.hand.theclinics.com%2Farticle%2FPIIS0749071209000845%2Fabstract%3Frss%3Dyes (Source: Hand Clinics) Hand Clinics journals http://www.medworm.com/rss/comments.php?id=2860680 Mon, 05 Oct 2009 17:17:37 +0100 2860680 http://www.medworm.com/index.php?rid=2860679&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.hand.theclinics.com%2Farticle%2FPIIS0749071209000833%2Fabstract%3Frss%3Dyes (Source: Hand Clinics) Hand Clinics journals http://www.medworm.com/rss/comments.php?id=2860679 Mon, 05 Oct 2009 17:17:35 +0100 2860679 http://www.medworm.com/index.php?rid=2655701&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.hand.theclinics.com%2Farticle%2FPIIS0749071209000584%2Fabstract%3Frss%3Dyes (Source: Hand Clinics) Hand Clinics journals http://www.medworm.com/rss/comments.php?id=2655701 Fri, 31 Jul 2009 11:25:05 +0100 2655701 http://www.medworm.com/index.php?rid=2655700&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.hand.theclinics.com%2Farticle%2FPIIS0749071209000377%2Fabstract%3Frss%3Dyes Athletic injuries of the hand and wrist are common. The key to management of these injuries is prevention. Certain sports require athletes to participate in positions that pose a higher risk of injury to the fingers and wrists. Once healing of the injured digit and wrist has occurred, rehabilitation of the injury is important. This requires close communication between the therapist and the strength and conditioning coach to allow strengthening exercises but limit traction to the involved injury in order to limit the risk of reinjury. Finally, once the injury has been rehabilitated, protective playing casts and splints are useful to allow the athlete to return early to competition and to decrease the risk of reinjury. (Source: Hand Clinics) Hand Clinics journals http://www.medworm.com/rss/comments.php?id=2655700 Fri, 31 Jul 2009 11:25:05 +0100 2655700 http://www.medworm.com/index.php?rid=2655699&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.hand.theclinics.com%2Farticle%2FPIIS0749071209000390%2Fabstract%3Frss%3Dyes The functional thumb is a necessity for successful athletic participation. It not only allows the athlete to manipulate athletic equipment but also allows the precise manipulation of objects in the athlete's hand. Injury to the thumb often negates power grip and finesse of the athletic hand. Injuries can range from fractures, to dislocations, to ligamentous injuries. The relatively unconstrained thumb metacarpophalangeal joint is particularly vulnerable to injury from an abduction moment to its distal segment. Such injuries occur from direct contact and with falls on equipment such as racquet handles and ski poles. The stability of the athlete's metacarpophalangeal joint must be restored to allow for a productive return to sport. (Source: Hand Clinics) Hand Clinics journals http://www.medworm.com/rss/comments.php?id=2655699 Fri, 31 Jul 2009 11:25:04 +0100 2655699 http://www.medworm.com/index.php?rid=2655698&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.hand.theclinics.com%2Farticle%2FPIIS074907120900033X%2Fabstract%3Frss%3Dyes This article reviews the relevant anatomy, injury characteristics, and treatment options for proximal interphalangeal joint dislocations and fracture dislocations. Treatment methods discussed include closed reduction, percutaneous fixation, and open reduction. (Source: Hand Clinics) Hand Clinics journals http://www.medworm.com/rss/comments.php?id=2655698 Fri, 31 Jul 2009 11:25:04 +0100 2655698 http://www.medworm.com/index.php?rid=2655697&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.hand.theclinics.com%2Farticle%2FPIIS0749071209000304%2Fabstract%3Frss%3Dyes This article discusses percutaneous and open reduction techniques of hand fractures as these injuries pertain to athletes. The goal is stable fixation to allow early return to competition and rehabilitation. (Source: Hand Clinics) Hand Clinics journals http://www.medworm.com/rss/comments.php?id=2655697 Fri, 31 Jul 2009 11:25:04 +0100 2655697 http://www.medworm.com/index.php?rid=2655696&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.hand.theclinics.com%2Farticle%2FPIIS0749071209000274%2Fabstract%3Frss%3Dyes Hand and wrist injuries are common in most athletic events and sports. Carpal fractures and ligamentous injuries are common in athletes and require physicians, trainers, and therapists who treat and diagnosis these injuries to have an understanding of the carpal bone anatomy and vascularity along with the potential for progression to instability. Research is still needed to further investigate the optimal treatments of all carpal injuries in athletes along with designing new means to prevent these injuries. (Source: Hand Clinics) Hand Clinics journals http://www.medworm.com/rss/comments.php?id=2655696 Fri, 31 Jul 2009 11:25:04 +0100 2655696 http://www.medworm.com/index.php?rid=2655695&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.hand.theclinics.com%2Farticle%2FPIIS0749071209000365%2Fabstract%3Frss%3Dyes Triangular fibrocartilage complex (TFCC) injuries are a common source of wrist pain in athletes. These injuries constitute a unique orthopedic challenge because of the particular physical demands on these patients. A specialized management approach is often necessary, due to the short recovery time available and the need for high demand performances afterward. Arthroscopic repair of TFCC is becoming the treatment of choice in this group of patients. (Source: Hand Clinics) Hand Clinics journals http://www.medworm.com/rss/comments.php?id=2655695 Fri, 31 Jul 2009 11:25:04 +0100 2655695 http://www.medworm.com/index.php?rid=2655694&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.hand.theclinics.com%2Farticle%2FPIIS0749071209000389%2Fabstract%3Frss%3Dyes A wide range of hand and wrist injuries occur in today's recreational and elite athletes and account for 3% to 9% of all sports injuries. The onus is on the physician to discriminate between injuries that can be managed with an early return to sport, and those injuries that place the athlete at risk of further injury if they are not managed aggressively from the outset. The physician and the athlete must understand the balance between safe, early return to sport, and prompt surgical treatment that prevents late disability. (Source: Hand Clinics) Hand Clinics journals http://www.medworm.com/rss/comments.php?id=2655694 Fri, 31 Jul 2009 11:25:04 +0100 2655694 http://www.medworm.com/index.php?rid=2655693&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.hand.theclinics.com%2Farticle%2FPIIS0749071209000298%2Fabstract%3Frss%3Dyes Fractures of the scaphoid are a common athletic injury. In this article the indications and treatment strategy for arthroscopic management of scaphoid fractures and nonunions in athletes are reviewed. Various arthroscopic assisted and percutaneous techniques for the fixation of fractures of the scaphoid are discussed, including the volar and dorsal percutaneous approaches, and arthroscopic reduction by the Geissler technique. In general, these techniques include a small amount of wrist arthroscopy and a significant amount of fluoroscopy. (Source: Hand Clinics) Hand Clinics journals http://www.medworm.com/rss/comments.php?id=2655693 Fri, 31 Jul 2009 11:25:04 +0100 2655693 http://www.medworm.com/index.php?rid=2655692&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.hand.theclinics.com%2Farticle%2FPIIS0749071209000328%2Fabstract%3Frss%3Dyes Although rare, athletes involved in competitive strength training and contact sports may sustain distal tendon biceps injuries. Treatment of complete distal biceps tendon ruptures in athletes is primarily surgical. Early repair, through either one-incision or two-incision techniques with anatomic reinsertion of the ruptured tendon to the bicipital tuberosity, is highly recommended. In this article the etiology and pathophysiology of distal biceps tendon ruptures, current diagnostic modalities, and surgical indications are discussed. Also, treatment options, surgical techniques, outcomes, and potential complications are reviewed. (Source: Hand Clinics) Hand Clinics journals http://www.medworm.com/rss/comments.php?id=2655692 Fri, 31 Jul 2009 11:25:04 +0100 2655692 http://www.medworm.com/index.php?rid=2655691&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.hand.theclinics.com%2Farticle%2FPIIS0749071209000316%2Fabstract%3Frss%3Dyes Pitchers are prone to elbow injuries because of high and repetitive valgus stresses on the elbow. The anterior bundle of the medial ulnar collateral ligament (MCL) of the elbow is the primary restraint and is often attenuated with time, leading to functional incompetence and ultimate failure. Pitchers with a history of medial elbow pain, reduced velocity, and loss of command may have an MCL injury in evolution. Physical examination and imaging can confirm the diagnosis. Treatment begins with rest and activity modification. All medial elbow pain is not MCL injury. Surgery is considered only for talented athletes who wish to return to competitive play and may include elite scholastic and other collegiates and professionals. The technique for MCL reconstruction was first described in 1986. Ma... Hand Clinics journals http://www.medworm.com/rss/comments.php?id=2655691 Fri, 31 Jul 2009 11:25:04 +0100 2655691 http://www.medworm.com/index.php?rid=2655690&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.hand.theclinics.com%2Farticle%2FPIIS0749071209000286%2Fabstract%3Frss%3Dyes This article reviews the relevant anatomy of the common extensor tendon origin at the elbow and provides guidelines for surgical management of recalcitrant epicondylitis. Special emphasis is placed on arthroscopic techniques, which, when required, may allow for a more rapid return of the athlete to sport. (Source: Hand Clinics) Hand Clinics journals http://www.medworm.com/rss/comments.php?id=2655690 Fri, 31 Jul 2009 11:25:04 +0100 2655690 http://www.medworm.com/index.php?rid=2655689&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.hand.theclinics.com%2Farticle%2FPIIS0749071209000353%2Fabstract%3Frss%3Dyes Arthroscopic repair and/or plication of the radial ulnohumeral ligament (RUHL) complex can be as successful as open repair. The diagnosis of posterolateral rotatory instability (PLRI), made by a combination of positive clinical findings and radiologic evidence, can be confirmed by arthroscopic examination. The authors describe four clinical tests for PLRI. Magnetic resonance arthrography is recommended to assist in the preoperative evaluation. In surgical cases, the means to arthroscopically confirm instability are explained. Finally, the authors describe a repair and a ligament plication technique that can be performed by either arthroscopic or open technique with a high rate of success. Arthroscopic repair/plication of the RUHL is thought to effectively stabilize an elbow with PLRI, prod... Hand Clinics journals http://www.medworm.com/rss/comments.php?id=2655689 Fri, 31 Jul 2009 11:25:04 +0100 2655689 http://www.medworm.com/index.php?rid=2655688&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.hand.theclinics.com%2Farticle%2FPIIS0749071209000341%2Fabstract%3Frss%3Dyes This article reviews the basic principles and techniques of elbow arthroscopy and their application to common sports-related conditions, such as valgus overload syndrome, medial collateral ligament insufficiency, and the various causes of lateral elbow pain. Newer applications of elbow arthroscopy in fracture care are addressed as well. (Source: Hand Clinics) Hand Clinics journals http://www.medworm.com/rss/comments.php?id=2655688 Fri, 31 Jul 2009 11:25:04 +0100 2655688 http://www.medworm.com/index.php?rid=2655687&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.hand.theclinics.com%2Farticle%2FPIIS074907120900047X%2Fabstract%3Frss%3Dyes The incidence of athletic injuries continues to increase for a number of reasons. First, high school and collegiate athletes continue to grow in size, power, and speed as compared with the past. This results in higher velocity and energy injuries. In addition, “weekend warrior” athletic injuries continue to increase as our population continues to participate in athletic activities throughout the life span. (Source: Hand Clinics) Hand Clinics journals http://www.medworm.com/rss/comments.php?id=2655687 Fri, 31 Jul 2009 11:25:04 +0100 2655687 http://www.medworm.com/index.php?rid=2655686&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.hand.theclinics.com%2Farticle%2FPIIS0749071209000572%2Fabstract%3Frss%3Dyes (Source: Hand Clinics) Hand Clinics journals http://www.medworm.com/rss/comments.php?id=2655686 Fri, 31 Jul 2009 11:25:04 +0100 2655686 http://www.medworm.com/index.php?rid=2655685&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.hand.theclinics.com%2Farticle%2FPIIS0749071209000560%2Fabstract%3Frss%3Dyes (Source: Hand Clinics) Hand Clinics journals http://www.medworm.com/rss/comments.php?id=2655685 Fri, 31 Jul 2009 11:25:03 +0100 2655685 http://www.medworm.com/index.php?rid=2351751&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.hand.theclinics.com%2Farticle%2FPIIS0749071209000158%2Fabstract%3Frss%3Dyes (Source: Hand Clinics) Hand Clinics journals http://www.medworm.com/rss/comments.php?id=2351751 Tue, 21 Apr 2009 20:58:51 +0100 2351751 http://www.medworm.com/index.php?rid=2351750&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.hand.theclinics.com%2Farticle%2FPIIS074907120800098X%2Fabstract%3Frss%3Dyes This article reviews the literature with a survey of 70 articles from seven leading journals published in the last 12 years. The author concludes that the next decade should be even more exciting with the incorporation of an improved understanding of tissue engineering and molecular genetics into classification and treatment algorithms. Understanding the genetic pathways of normal, and therefore abnormal, development should allow improved classification schemes and intervention to prevent, modify, or remedy these birth abnormalities. (Source: Hand Clinics) Hand Clinics journals http://www.medworm.com/rss/comments.php?id=2351750 Tue, 21 Apr 2009 20:58:51 +0100 2351750 http://www.medworm.com/index.php?rid=2351749&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.hand.theclinics.com%2Farticle%2FPIIS0749071208001108%2Fabstract%3Frss%3Dyes This article discusses diagnosis and treatment of synostosis, arthrogryposis, pterygium, multiple hereditary exostosis, and the unsalvageable forearm. (Source: Hand Clinics) Hand Clinics journals http://www.medworm.com/rss/comments.php?id=2351749 Tue, 21 Apr 2009 20:58:50 +0100 2351749 http://www.medworm.com/index.php?rid=2351748&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.hand.theclinics.com%2Farticle%2FPIIS074907120800111X%2Fabstract%3Frss%3Dyes This article presents congenital trigger finger, congenital clasped thumb, Madelung's deformity, and other skeletal hand deformities that are characteristic of generalized bone and connective tissue disorders, including achondroplasia and Marfan syndrome. (Source: Hand Clinics) Hand Clinics journals http://www.medworm.com/rss/comments.php?id=2351748 Tue, 21 Apr 2009 20:58:50 +0100 2351748 http://www.medworm.com/index.php?rid=2351747&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.hand.theclinics.com%2Farticle%2FPIIS0749071208001005%2Fabstract%3Frss%3Dyes Constriction band syndrome is an uncommon congenital abnormality with multiple disfiguring and disabling manifestations. Early amnion rupture with subsequent entanglement of fetal parts by amniotic strands is currently the primary theory for the development of this syndrome. Management of constriction band syndrome is focused on improving function and development while providing a more acceptable esthetic appearance. The treatment should be tailored to the individual. Timing of repair and surgical planning are important to provide the best functional results for affected hands. (Source: Hand Clinics) Hand Clinics journals http://www.medworm.com/rss/comments.php?id=2351747 Tue, 21 Apr 2009 20:58:49 +0100 2351747 http://www.medworm.com/index.php?rid=2351746&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.hand.theclinics.com%2Farticle%2FPIIS0749071209000079%2Fabstract%3Frss%3Dyes This article discusses the results of conventional reconstruction using nonvascularized toe phalangeal bone grafting and distraction lengthening and the newer technique of microsurgical toe-to-hand transfers. (Source: Hand Clinics) Hand Clinics journals http://www.medworm.com/rss/comments.php?id=2351746 Tue, 21 Apr 2009 20:58:49 +0100 2351746 http://www.medworm.com/index.php?rid=2351745&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.hand.theclinics.com%2Farticle%2FPIIS0749071208001091%2Fabstract%3Frss%3Dyes Over the past five decades, one of the major problems in the treatment of overgrowth syndromes of the hand has been classification. Currently, a number of specific conditions with known natural histories have been delineated and reviewed. Treatment is highly individualized. Amputation is still recommended for grotesque deformities of the upper limb. Early aggressive surgery, when indicated, will improve contour, function, and appearance. Specific therapeutic techniques include radical debulking, microvascular neurolysis, vascular reconstruction, epiphysiodesis, and, in some cases, thumb or digit replacement. Long-term outcomes remain in the good-to-fair range and are dependent upon the condition, reconstructive techniques employed, age of patient, and the severity of deformity. (Source: Ha... Hand Clinics journals http://www.medworm.com/rss/comments.php?id=2351745 Tue, 21 Apr 2009 20:58:48 +0100 2351745 http://www.medworm.com/index.php?rid=2351744&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.hand.theclinics.com%2Farticle%2FPIIS074907120900002X%2Fabstract%3Frss%3Dyes This article provides an inclusive review of the embryologic and molecular mechanisms underlying these deformities and focuses on their clinical treatment. The anatomic variation, classification, surgical treatment, and outcomes of surgical intervention are reviewed for each of the disorders of duplication. (Source: Hand Clinics) Hand Clinics journals http://www.medworm.com/rss/comments.php?id=2351744 Tue, 21 Apr 2009 20:58:45 +0100 2351744 http://www.medworm.com/index.php?rid=2351743&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.hand.theclinics.com%2Farticle%2FPIIS0749071208001066%2Fabstract%3Frss%3Dyes The term “failure of differentiation” describes the phenotypes of a large number of otherwise unrelated conditions. The six conditions described here (arthrogryposis, camptodactyly, clinodactyly, Madelung deformity, trigger finger, and trigger thumb) are believed to occur because various structures failed to differentiate normally; however, they have neither common features nor a common cause. We have included information about the history and diagnosis of these conditions, the cause (if known), and the current concepts of treatment and expected outcomes. (Source: Hand Clinics) Hand Clinics journals http://www.medworm.com/rss/comments.php?id=2351743 Tue, 21 Apr 2009 20:58:44 +0100 2351743 http://www.medworm.com/index.php?rid=2351742&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.hand.theclinics.com%2Farticle%2FPIIS0749071208001078%2Fabstract%3Frss%3Dyes This article discusses the various types of syndactyly, the current state of known genetic mechanisms, and the author's preferred surgical techniques for correction. (Source: Hand Clinics) Hand Clinics journals http://www.medworm.com/rss/comments.php?id=2351742 Tue, 21 Apr 2009 20:58:40 +0100 2351742 http://www.medworm.com/index.php?rid=2351741&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.hand.theclinics.com%2Farticle%2FPIIS0749071208000991%2Fabstract%3Frss%3Dyes This article provides an overview of the various classification systems for radial longitudinal, central longitudinal, and ulnar longitudinal deficiencies. It looks specifically at radius deficiency, hypoplastic thumb, index finger pollicization, narrowed thumb web, forearm-elbow deformities, and hand abnormalities. Various surgical approaches to these conditions and their results are explored. The authors conclude that longitudinal failure of formation deformities comprises a substantial portion of the anomalies of the upper limb. Although much of the past and current congenital hand literature has been devoted to these conditions, they continue to be a reconstructive challenge to hand surgeons involved in their care. (Source: Hand Clinics) Hand Clinics journals http://www.medworm.com/rss/comments.php?id=2351741 Tue, 21 Apr 2009 20:58:39 +0100 2351741 http://www.medworm.com/index.php?rid=2351740&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.hand.theclinics.com%2Farticle%2FPIIS0749071209000055%2Fabstract%3Frss%3Dyes Congenital hand differences affect approximately 1 in 500 persons and present unique diagnostic and classification challenges. The embryology of the hand and upper extremity is discussed, including the molecular basis for patterning of the upper limb. The Swanson/International Federation of Societies for Surgery of the Hand classification system is described, along with a discussion of the difficulties in classifying congenital hand differences based on morphology or etiology. (Source: Hand Clinics) Hand Clinics journals http://www.medworm.com/rss/comments.php?id=2351740 Tue, 21 Apr 2009 20:58:39 +0100 2351740 http://www.medworm.com/index.php?rid=2351739&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.hand.theclinics.com%2Farticle%2FPIIS0749071209000067%2Fabstract%3Frss%3Dyes The most enticing and challenging component of a hand surgery practice is the treatment of children who have congenital hand differences. Children are incredibly adaptable, and they can compensate remarkably well, despite missing a major portion of a limb. The difficulty in treating children's hands is not only what to do and how to do it, but when to do it and when not to do it. For example, children who have syndactyly of border digits need to have earlier operations, perhaps before the age of 6 months, to avoid permanent contractures of the joints that can inevitably result in irrevocable deformities. Similarly, newborns who have constriction band syndrome may require early releases of the constriction band to preserve the length of the already short digits. In contrast, some of the mo... Hand Clinics journals http://www.medworm.com/rss/comments.php?id=2351739 Tue, 21 Apr 2009 20:58:38 +0100 2351739 http://www.medworm.com/index.php?rid=2351738&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.hand.theclinics.com%2Farticle%2FPIIS0749071209000146%2Fabstract%3Frss%3Dyes (Source: Hand Clinics) Hand Clinics journals http://www.medworm.com/rss/comments.php?id=2351738 Tue, 21 Apr 2009 20:58:38 +0100 2351738 http://www.medworm.com/index.php?rid=2351737&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.hand.theclinics.com%2Farticle%2FPIIS0749071209000134%2Fabstract%3Frss%3Dyes (Source: Hand Clinics) Hand Clinics journals http://www.medworm.com/rss/comments.php?id=2351737 Tue, 21 Apr 2009 20:58:38 +0100 2351737 http://www.medworm.com/index.php?rid=2290943&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19308621%26dopt%3DAbstract CONCLUSION: Definitive conclusions on this condition cannot be drawn due to limited experience in the surgical management of this rare condition. We believe that early surgical management is probably the best option available for the patient based on the results obtained. Early surgery and good post-operative compliance from patients can facilitate successful management of this rare condition with predictable results. PMID: 19308621 [PubMed - in process] (Source: Hand Clinics) Hand Clinics journals http://www.medworm.com/rss/comments.php?id=2290943 Thu, 26 Mar 2009 15:30:56 +0100 2290943 http://www.medworm.com/index.php?rid=2270855&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19288453%26dopt%3DAbstract Authors: Emekli-Alturfan E, Kasikci E, Alturfan AA, Pisiriciler R, Yarat A Saliva samples are often required to be stored for longer periods of time either because of the project protocol or because of lack of funding for analysis. The effects of 6 months storage (fresh, 30, 60, 90 120, 150, and 180 d) on the stability of salivary reduced glutathione (GSH), lipid peroxidation (LPO) and 90 days of storage (fresh, 15, 30, 60, and 90 d) on the stability of salivary tissue factor (TF) activity and the stability of saliva imprint samples at -20 degrees C were evaluated in this study. Salivary GSH, malondialdehyde (MDA) levels as an index of LPO, and TF activities were determined using the methods of Beutler, Yagi, and Quick, respectively. Saliva imprint samples were stained with Giemsa and ... Hand Clinics journals http://www.medworm.com/rss/comments.php?id=2270855 Fri, 13 Mar 2009 04:00:00 +0100 2270855 http://www.medworm.com/index.php?rid=2181422&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19208432%26dopt%3DAbstract Authors: Stecco C, Lancerotto L, Porzionato A, Macchi V, Tiengo C, Parenti A, Sanudo JR, De Caro R The palmaris longus (PL) is a muscle of the forearm with a long distal tendon that is continuous with the palmar aponeurosis (PA). It is generally assumed that the muscle lies deep to the antebrachial fascia from origin to termination, but a detailed description is lacking. The relationship of the PL tendon with the antebrachial fascia was studied in 30 dissections. The PL was completely absent in six specimens (20%), whereas the PA was identified in all. Average length of the forearm was 25.5 cm (SD: 2.1 cm, range 22-29 cm), overall length of the PL muscle 26.9 cm (SD: 2.6 cm, range 22.5-31.5 cm), muscular belly 13.8 cm (SD: 3.4 cm, range 9.5-23 cm), tendon 13.1 cm (SD: 3.3 cm, range 8-1... Hand Clinics journals http://www.medworm.com/rss/comments.php?id=2181422 Tue, 10 Feb 2009 05:00:00 +0100 2181422 http://www.medworm.com/index.php?rid=2163002&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19191803%26dopt%3DAbstract In conclusion, C4d-positive allografts with stable graft function in the early post-transplantation period take an indolent course. PMID: 19191803 [PubMed - as supplied by publisher] (Source: Hand Clinics) Hand Clinics journals http://www.medworm.com/rss/comments.php?id=2163002 Fri, 19 Dec 2008 05:00:00 +0100 2163002 http://www.medworm.com/index.php?rid=2051441&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19090000%26dopt%3DAbstract The objective of this study was to assess the evidence base of investigations into muscle fiber orientation, presence of a fibrofascial plane, and the innervation of the VM in human cadaver specimens and subjects. In addition to a hand search of specialist journals, an electronic search of AMED, British Nursing Index, CINAHL, the Cochrane database, EMBASE, ovid Medline, Pubmed, and Zetoc were performed from their inception to September 2008. All human subject papers assessing VM fiber orientation, presence of a fibrofascial plane, and the innervation of the VM where reviewed. Twenty-six papers, assessing 699 healthy knees, and 591 specimens with patellofemoral dysfunction were reviewed. The majority of nonpathological and pathological cases presented with a substantial alteration in fiber ... Hand Clinics journals http://www.medworm.com/rss/comments.php?id=2051441 Tue, 16 Dec 2008 05:00:00 +0100 2051441 http://www.medworm.com/index.php?rid=1967812&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19012518%26dopt%3DAbstract Authors: Ordonez-Llanos J, Merce-Muntanola J, Santalo-Bel M Abstract Acutely dyspneic patients are challenging, because their symptoms can be due to cardiac, pulmonary or other diseases. B-type natriuretic peptide testing offers higher diagnostic accuracy (85%-90%) than clinical assessments for identifying heart failure as the cause of dyspnea. On the other hand, the high clinical sensitivity and negative predictive value of natriuretic peptides permit to rule out heart failure with an accuracy >90%. Natriuretic peptides are the most powerful, single prognostic markers of complications associated with acute dyspnea and permit the early recognition of high-risk patients. It has been shown that systematic natriuretic peptide testing reduces the economic expenses associated with clinic... Hand Clinics journals http://www.medworm.com/rss/comments.php?id=1967812 Wed, 19 Nov 2008 05:56:52 +0100 1967812 http://www.medworm.com/index.php?rid=1967811&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19012519%26dopt%3DAbstract Conclusions: The publication rate for abstracts of this clinical chemistry meeting was lower than rates from other fields of medicine. Factors leading to failure require elucidation. Encouraging authors to submit their presentations for full-text publication might improve the rate of publication. Clin Chem Lab Med 2008;46:1562-7. PMID: 19012519 [PubMed - in process] (Source: Hand Clinics) Hand Clinics journals http://www.medworm.com/rss/comments.php?id=1967811 Wed, 19 Nov 2008 05:56:52 +0100 1967811 http://www.medworm.com/index.php?rid=1967810&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19012522%26dopt%3DAbstract Conclusions: Our data showed that the ABCG5 1950C>G polymorphism is associated with HC in the studied population. Nevertheless, this study is limited by its sample size. Clin Chem Lab Med 2008;46:1581-5. PMID: 19012522 [PubMed - in process] (Source: Hand Clinics) Hand Clinics journals http://www.medworm.com/rss/comments.php?id=1967810 Wed, 19 Nov 2008 05:56:52 +0100 1967810 http://www.medworm.com/index.php?rid=1900175&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18928882%26dopt%3DAbstract Authors: Mackinnon SE PMID: 18928882 [PubMed - in process] (Source: Hand Clinics) Hand Clinics journals http://www.medworm.com/rss/comments.php?id=1900175 Fri, 24 Oct 2008 09:49:41 +0100 1900175 http://www.medworm.com/index.php?rid=1900174&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18928883%26dopt%3DAbstract Authors: Mackinnon SE, Novak CB PMID: 18928883 [PubMed - in process] (Source: Hand Clinics) Hand Clinics journals http://www.medworm.com/rss/comments.php?id=1900174 Fri, 24 Oct 2008 09:49:38 +0100 1900174 http://www.medworm.com/index.php?rid=1900173&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18928884%26dopt%3DAbstract Authors: Brown JM, Mackinnon SE In the forearm, vital and expendable functions have been identified, and tendon transfers use these conventions to maximize function and minimize disability. Using similar concepts, distal nerve transfers offer a reconstruction that often is superior to reconstruction accomplished by traditional grafting. The authors present nerve transfer options for restoring motor and sensory deficits within each nerve distribution on the forearm and hand. PMID: 18928884 [PubMed - in process] (Source: Hand Clinics) Hand Clinics journals http://www.medworm.com/rss/comments.php?id=1900173 Fri, 24 Oct 2008 09:49:36 +0100 1900173 http://www.medworm.com/index.php?rid=1900172&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18928885%26dopt%3DAbstract Authors: Colbert SH, Mackinnon SE Brachial plexus injuries result in devastating loss of function for patients and present incredible challenges for peripheral nerve surgeons. Recently, nerve transfers have produced superior results compared with traditional interposition nerve grafts for brachial plexus reconstruction. The authors present a review of current surgical options for treatment of partial and complete adult brachial plexus injuries using nerve transfers. PMID: 18928885 [PubMed - in process] (Source: Hand Clinics) Hand Clinics journals http://www.medworm.com/rss/comments.php?id=1900172 Fri, 24 Oct 2008 09:49:32 +0100 1900172 http://www.medworm.com/index.php?rid=1900171&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18928886%26dopt%3DAbstract Authors: Kozin SH The advent of nerve transfers has greatly increased surgical options for children who have brachial plexus birth palsies. Nerve transfers have considerable advantages, including easier surgical techniques, avoidance of neuroma resection, and direct motor and sensory reinnervation. Therefore, any functioning nerve fibers within the neuroma are preserved. Furthermore, a carefully selected donor nerve results in little or no clinical deficit. However, some disadvantages and unanswered questions remain. Because of a lack of head-to-head comparison between nerve transfers and nerve grafting, the window of opportunity for nerve grafting may be missed, which may degrade the ultimate outcome. Time will tell the ultimate role of nerve transfer or nerve grafting. PMID: 1892... Hand Clinics journals http://www.medworm.com/rss/comments.php?id=1900171 Fri, 24 Oct 2008 09:49:30 +0100 1900171 http://www.medworm.com/index.php?rid=1900170&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18928887%26dopt%3DAbstract Authors: Chuang DC In this article, the author focuses on functioning free muscle transplantation (FFMT), an advanced microneurovascular technique indicated in patients who have an advanced injury with a major brachial muscle or muscle group loss or denervation and in whom no locally available or ideal musculotendinous donor unit exists. FFMTs have been successfully applied clinically in cases involving adult brachial plexus palsy, obstetric brachial plexus palsy, facial palsy, severe Volkmann's ischemia, and severe crushing and traction injuries of the forearm or arm with major muscle loss. As the author notes, FFMT is a new challenge for the reconstructive surgeon. He outlines the eight major principles for nerve transfer with FFMT, basing his conclusions on the more than 333 patient... Hand Clinics journals http://www.medworm.com/rss/comments.php?id=1900170 Fri, 24 Oct 2008 09:49:27 +0100 1900170 http://www.medworm.com/index.php?rid=1900169&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18928888%26dopt%3DAbstract Authors: Terzis JK, Kokkalis ZT, Kostopoulos E In the current study, a retrospective review of 56 patients with posttraumatic root avulsion brachial plexus injuries who underwent contralateral C7 transfer using the selective contralateral C7 technique is presented. The intraoperative findings of the involved brachial plexus, the surgical technique of preparation of the donor C7 nerve root, and the various neurotization procedures are reported. The surgical outcomes as well as the potential adverse effects of the procedure are analyzed. We conclude from this study that the selective contralateral C7 technique is a safe procedure that can be applied successfully for simultaneous reconstruction of several different contralateral muscle targets or for neurotization of cross chest nerve gra... Hand Clinics journals http://www.medworm.com/rss/comments.php?id=1900169 Fri, 24 Oct 2008 09:49:24 +0100 1900169 http://www.medworm.com/index.php?rid=1900168&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18928889%26dopt%3DAbstract Authors: Bengtson KA, Spinner RJ, Bishop AT, Kaufman KR, Coleman-Wood K, Kircher MF, Shin AY The focus of this article is on evaluating the various outcome measures of surgical interventions for adult brachial plexus injuries. From a surgeon's perspective, the goals of surgery have largely focused on the return of motor function and restoration of protective sensation. From a patient's perspective, alleviation of pain, cosmesis, return to work, and emotional state are also important. The ideal outcome measure should be valid, reliable, responsive, unbiased, appropriate, and easy. The author outlines pitfalls and benefits of current outcome measures and offers thoughts on possible future measures. PMID: 18928889 [PubMed - in process] (Source: Hand Clinics) Hand Clinics journals http://www.medworm.com/rss/comments.php?id=1900168 Fri, 24 Oct 2008 09:49:20 +0100 1900168 http://www.medworm.com/index.php?rid=1900167&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18928890%26dopt%3DAbstract Authors: Novak CB Cortical mapping and relearning are key factors in optimizing patient outcome following motor nerve transfers. To maximize function following nerve transfers, the rehabilitation program must include motor reeducation to initiate recruitment of the weak reinnervated muscles and to establish new motor patterns and cortical mapping. Patient education and a home program are essential to obtain the optimal functional result. PMID: 18928890 [PubMed - in process] (Source: Hand Clinics) Hand Clinics journals http://www.medworm.com/rss/comments.php?id=1900167 Fri, 24 Oct 2008 09:49:18 +0100 1900167 http://www.medworm.com/index.php?rid=1900166&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18928891%26dopt%3DAbstract Authors: Anastakis DJ, Malessy MJ, Chen R, Davis KD, Mikulis D With increasing clinical experience, peripheral nerve surgeons have come to appreciate the important role that cortical plasticity and motor relearning play in functional recovery following a nerve transfer. Neurostimulation (transcranial magnetic stimulation), and neuroimaging (functional MRI, structural MRI, magnetoencephalography) measure different aspects of cortical physiology and when used together are powerful tools in the study of cortical plasticity. The mechanisms of cortical plasticity, according to current and widely accepted opinions, involve the unmasking of previously ineffective connections or the sprouting of intact afferents from adjacent cortical or subcortical territories. Although significant strides ha... Hand Clinics journals http://www.medworm.com/rss/comments.php?id=1900166 Fri, 24 Oct 2008 09:49:13 +0100 1900166 http://www.medworm.com/index.php?rid=1900165&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18928892%26dopt%3DAbstract Authors: Lien SC, Cederna PS, Kuzon WM Denervation as a consequence of nerve injury causes profound structural and functional changes within skeletal muscle and can lead to a marked impairment in function of the affected limb. Prompt reinnervation of a muscle with a sufficient number of motion-specific motor axons generally results in good structural and functional recovery, whereas long-term denervation or insufficient or improper axonal recruitment uniformly results in poor functional recovery. Only nerve transfer has been highly efficacious in changing the clinical outcomes of patients with skeletal muscle denervation, especially in the case of proximal limb nerve injuries. Rapid reinnervation with an abundant number of motor axons remains the only clinically effective means to rest... Hand Clinics journals http://www.medworm.com/rss/comments.php?id=1900165 Fri, 24 Oct 2008 09:49:09 +0100 1900165 http://www.medworm.com/index.php?rid=1900164&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18928893%26dopt%3DAbstract Authors: Dvali LT, Myckatyn TM End-to-side (ETS) nerve repair, in which the distal stump of a transected nerve is coapted to the side of an uninjured donor nerve, has been suggested as a technique for repair of peripheral nerve injuries where the proximal nerve stump is unavailable or a significant nerve gap exists. Full review of the ETS literature suggests that sensory recovery after ETS repair results in some, but not robust, regeneration. Sensory axons will sprout without deliberate injury. However, motor axons only regenerate after deliberate nerve injury. Experimental and clinical experience with ETS neurorrhaphy has rendered mixed results. Continued research into ETS nerve repair is warranted. ETS techniques should not yet replace safer and more reliable techniques of nerve repa... Hand Clinics journals http://www.medworm.com/rss/comments.php?id=1900164 Fri, 24 Oct 2008 09:49:06 +0100 1900164 http://www.medworm.com/index.php?rid=1900163&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18928894%26dopt%3DAbstract This article contains information collected at this symposium and presents the authors' clinical results and ideas illustrating the potential of nerve fiber transfer by end-to-side coaptation. PMID: 18928894 [PubMed - in process] (Source: Hand Clinics) Hand Clinics journals http://www.medworm.com/rss/comments.php?id=1900163 Fri, 24 Oct 2008 09:49:04 +0100 1900163 http://www.medworm.com/index.php?rid=1900162&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18942078%26dopt%3DAbstract Authors: Pollock JW, Athwal GS, Steinmann SP The majority of distal humerus fractures have complex fracture patterns, with displaced articular segments, requiring operative intervention. The goals of surgery are anatomic reduction and rigid internal fixation via an operative approach that balances maximum required exposure with minimum soft tissue or bony disruption that may necessitate postoperative protection. The selection of a surgical approach depends on multiple factors, including, facture pattern, extent of articular involvement, associated soft tissue injury, rehabilitation protocols, and surgeon preference. This review focuses on the various surgical approaches to the distal humerus. Clin. Anat. 21:757-768, 2008. (c) 2008 Wiley-Liss, Inc. PMID: 18942078 [PubMed - as suppli... Hand Clinics journals http://www.medworm.com/rss/comments.php?id=1900162 Tue, 21 Oct 2008 04:00:00 +0100 1900162 http://www.medworm.com/index.php?rid=1823786&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18803266%26dopt%3DAbstract In conclusion, HT patients feature a greater ratio of arginine homozygosity at p53 codon 72 than in the case for normal subjects. The p53 codon 72 proline/arginine polymorphism may be a genetic marker to predict the increased susceptibility of development of HT. J. Clin. Lab. Anal. 22:321-326, 2008. (c) 2008 Wiley-Liss, Inc. PMID: 18803266 [PubMed - as supplied by publisher] (Source: Hand Clinics) Hand Clinics journals http://www.medworm.com/rss/comments.php?id=1823786 Fri, 19 Sep 2008 04:00:00 +0100 1823786 http://www.medworm.com/index.php?rid=1823785&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18803314%26dopt%3DAbstract CONCLUSION.: Both the automated and freehand volume measurement techniques evaluated in this study are accurate and reliable. (c) 2008 Wiley Periodicals, Inc. J Clin Ultrasound, 2008. PMID: 18803314 [PubMed - as supplied by publisher] (Source: Hand Clinics) Hand Clinics journals http://www.medworm.com/rss/comments.php?id=1823785 Fri, 19 Sep 2008 04:00:00 +0100 1823785 http://www.medworm.com/index.php?rid=1802155&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18792963%26dopt%3DAbstract Authors: Celik S, Bilge O, Pinar Y, Govsa F To lead a quality life, tendon repair must be performed in a trauma causing damage to the extensor tendon of the hand. The aim of this study is to study the structures that can be used as donor tendons. Fifty-four dissected adult hands were examined to study the pattern of the extensor tendons on the dorsum of the hand. The most common distribution patterns of the extensor tendons of the fingers were as follows: a single extensor indicis proprius (EIP) tendon which inserted ulnar to the extensor digitorum (ED)-index; a single ED-index; a single ED-middle; a single ED-ring; an absent ED-little; a double extensor digiti minimi (EDM), and a single ED-ring to the little finger. The frequency of the number of tendons is as follows: a single (87.03... Hand Clinics journals http://www.medworm.com/rss/comments.php?id=1802155 Mon, 15 Sep 2008 04:00:00 +0100 1802155 http://www.medworm.com/index.php?rid=1781929&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18780377%26dopt%3DAbstract We present a case of amniotic band syndrome diagnosed with two-dimensional (2D), three-dimensional (3D), and four-dimensional (4D) sonography at 14 weeks and 5 days of gestation. Conventional 2D sonography revealed multiple amniotic bands, fetal acrania, deformed hand, gastroschisis, kyphoscoliosis, and club foot. 3D and 4D sonography revealed multiple amniotic bands swinging in the amniotic cavity with 1 of them attached to the fetal head, and the severe deformity of the fetal face. (c) 2008 Wiley Periodicals, Inc. J Clin Ultrasound, 2008. PMID: 18780377 [PubMed - as supplied by publisher] (Source: Hand Clinics) Hand Clinics journals http://www.medworm.com/rss/comments.php?id=1781929 Mon, 08 Sep 2008 04:00:00 +0100 1781929 http://www.medworm.com/index.php?rid=1707943&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18698655%26dopt%3DAbstract In conclusion, we suggest that: (1) Because of variation in the origin of the thoracodorsal nerve, electromyography should be routinely performed intraoperatively during C7 nerve root transfer to determine the origin type and avoid thoracodorsal fascicle injury. (2) Preservation of the posterior-internal part of C7 (selective C7 transfer) can protect thoracodorsal nerve fascicles from damage and prevent postoperative dysfunction of the latissimus dorsi muscle. Clin. Anat. 21:509-513, 2008. (c) 2008 Wiley-Liss, Inc. PMID: 18698655 [PubMed - as supplied by publisher] (Source: Hand Clinics) Hand Clinics journals http://www.medworm.com/rss/comments.php?id=1707943 Tue, 12 Aug 2008 04:00:00 +0100 1707943 http://www.medworm.com/index.php?rid=1681975&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18675712%26dopt%3DAbstract Authors: Rozental TD PMID: 18675712 [PubMed - in process] (Source: Hand Clinics) Hand Clinics journals http://www.medworm.com/rss/comments.php?id=1681975 Fri, 01 Aug 2008 04:00:00 +0100 1681975 http://www.medworm.com/index.php?rid=1681974&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18675713%26dopt%3DAbstract Authors: Leversedge FJ The prehensile thumb provides the human mind an outlet for coordinated activity through its fine motions of prehension, opposition, and circumduction. A comprehensive understanding of the anatomy and biomechanics of the thumb provides a foundation on which functional disorders may be recognized and effectively treated. PMID: 18675713 [PubMed - in process] (Source: Hand Clinics) Hand Clinics journals http://www.medworm.com/rss/comments.php?id=1681974 Fri, 01 Aug 2008 04:00:00 +0100 1681974 http://www.medworm.com/index.php?rid=1681973&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18675714%26dopt%3DAbstract Authors: Tsai P, Beredjiklian PK Arthritis of the thumb joints is a common problem and remains a significant cause of morbidity in the adult population. Careful physical examination is critical in the assessment of these patients, given the large differential diagnosis of conditions affecting the thumb and the radial side of the wrist. Because treatment should be specifically directed at the area of pathology, adequate diagnosis is vital. Plain radiograph evaluation remains the diagnostic modality of choice in the evaluation of patients with degenerative conditions about the hand and wrist. PMID: 18675714 [PubMed - in process] (Source: Hand Clinics) Hand Clinics journals http://www.medworm.com/rss/comments.php?id=1681973 Fri, 01 Aug 2008 04:00:00 +0100 1681973 http://www.medworm.com/index.php?rid=1681972&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18675715%26dopt%3DAbstract Authors: Shin EK, Osterman AL Degenerative joint disease affecting the thumb metacarpophalangeal and interphalangeal joints is a debilitating condition, which can significantly restrict activities of daily living. Conservative measures to address symptoms include oral anti-inflammatory medications, activity modification and splinting, and intraarticular corticosteroid injections. Surgical interventions include arthroscopic synovectomy, arthroplasty, and finally arthrodesis of the affected articulations. Although short-term results from synovectomy and arthroplasty seem promising, long-term data are not yet available. Arthrodesis of the metacarpophalangeal and interphalangeal joints yields a stable yet functional thumb with reliably good pain relief. PMID: 18675715 [PubMed - in proc... Hand Clinics journals http://www.medworm.com/rss/comments.php?id=1681972 Fri, 01 Aug 2008 04:00:00 +0100 1681972 http://www.medworm.com/index.php?rid=1681971&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18675716%26dopt%3DAbstract This article explores treatment options at the disposal of primary care physicians and hand surgeons for early thumb CMC arthritis. PMID: 18675716 [PubMed - in process] (Source: Hand Clinics) Hand Clinics journals http://www.medworm.com/rss/comments.php?id=1681971 Fri, 01 Aug 2008 04:00:00 +0100 1681971 http://www.medworm.com/index.php?rid=1681970&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18675717%26dopt%3DAbstract Authors: Davis DI, Catalano L Basal joint arthritis is a common condition, primarily affecting postmenopausal women. Persistent pain and functional impairment despite conservative treatment are indications for operative intervention. Ligament reconstruction and tendon interposition (LRTI) arthroplasty is one of the most popular and time-tested operations to treat metacarpal instability and basal joint arthritis. LRTI incorporates three fundamental principles that address the underlying anatomic pathology: (1) trapezium excision, either partial or complete, to eliminate eburnated bone and the source of pain; (2) anterior oblique ligament reconstruction for carpometacarpal joint stability; and (3) tendon interposition to minimize axial shortening and prevent bony impingement. PMID: 1... Hand Clinics journals http://www.medworm.com/rss/comments.php?id=1681970 Fri, 01 Aug 2008 04:00:00 +0100 1681970 http://www.medworm.com/index.php?rid=1681969&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18675718%26dopt%3DAbstract Authors: Fitzgerald BT, Hofmeister EP Some surgical treatment options of painful basal joint arthritis do not require complex arthroplasty or suspensionplasty techniques. Simple trapeziectomy with temporary pinning of a slightly overdistracted thumb metacarpal can provide reliable pain relief, good motion, and functional stability. Recent literature supports alternative options when compared with formal ligament reconstruction or suspensionplasty procedures. Simple trapeziectomy is associated with less morbidity due to shorter operative times and the lack of need for graft harvest and ligament reconstruction. PMID: 18675718 [PubMed - in process] (Source: Hand Clinics) Hand Clinics journals http://www.medworm.com/rss/comments.php?id=1681969 Fri, 01 Aug 2008 04:00:00 +0100 1681969 http://www.medworm.com/index.php?rid=1681968&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18675719%26dopt%3DAbstract This article reviews the literature related to various arthroplasty options for advanced disease. Treatment decisions must clearly be tempered by the surgeon's experience, the patient's goals and expectations, and the extent of degenerative disease. PMID: 18675719 [PubMed - in process] (Source: Hand Clinics) Hand Clinics journals http://www.medworm.com/rss/comments.php?id=1681968 Fri, 01 Aug 2008 04:00:00 +0100 1681968 http://www.medworm.com/index.php?rid=1681967&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18675720%26dopt%3DAbstract Authors: Kenniston JA, Bozentka DJ Thumb carpometacarpal arthritis is a common condition that may result in debilitating pain and loss of acceptable hand function. If patients continue to be symptomatic after a trial of nonoperative management, many surgical options exist in the treatment of carpometacarpal arthritis. For isolated trapeziometacarpal arthritis, arthrodesis is a viable option to create a pain free, strong, and stable thumb. PMID: 18675720 [PubMed - in process] (Source: Hand Clinics) Hand Clinics journals http://www.medworm.com/rss/comments.php?id=1681967 Fri, 01 Aug 2008 04:00:00 +0100 1681967 http://www.medworm.com/index.php?rid=1681966&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18675721%26dopt%3DAbstract This article presents an orderly means of clinical and radiographic evaluation of this deformity and recommends surgical treatments to correct hyperextension and maximize functional outcomes. A treatment algorithm is provided. PMID: 18675721 [PubMed - in process] (Source: Hand Clinics) Hand Clinics journals http://www.medworm.com/rss/comments.php?id=1681966 Fri, 01 Aug 2008 04:00:00 +0100 1681966 http://www.medworm.com/index.php?rid=1681965&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18675722%26dopt%3DAbstract Authors: Wolf JM Arthritis of the scaphotrapeziotrapezoid (STT) joint presents with deep thenar eminence and thumb basilar pain and is often coexistent with carpometacarpal arthritis of the thumb. Conservative treatment includes splinting and corticosteroid injections. Operative treatment consists primarily of fusion of the STT joint, although alternatives include trapeziectomy, fibrous arthroplasty, and prosthetic replacements. When STT arthritis is coexistent with carpometacarpal arthritis, excision of the trapezium and proximal 2 mm of trapezoid has been recommended. Complications of surgery include pericarpal arthrosis, superficial radial nerve injury, and nonunion. PMID: 18675722 [PubMed - in process] (Source: Hand Clinics) Hand Clinics journals http://www.medworm.com/rss/comments.php?id=1681965 Fri, 01 Aug 2008 04:00:00 +0100 1681965 http://www.medworm.com/index.php?rid=1681964&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18675723%26dopt%3DAbstract Authors: Chacko AT, Rozental TD Rheumatoid arthritis of the thumb is a common source of disability. Obtaining an understanding of the underlying biologic and physical manifestations of rheumatoid arthritis is essential in the choice of treatment of the disease. In the early stages of the disease, conservative and less invasive measures can be used. In the more advanced stages, arthrodesis and arthroplasty are often used. Isolated interphalangeal involvement is best managed with arthrodesis. Metacarpophalangeal involvement in low-demand patients can be treated with arthroplasty, whereas arthrodesis can be used in more active patients. Patients who have carpometacarpal joint damage are best treated with trapezium resection arthroplasty. PMID: 18675723 [PubMed - in process] (Source: H... Hand Clinics journals http://www.medworm.com/rss/comments.php?id=1681964 Fri, 01 Aug 2008 04:00:00 +0100 1681964 http://www.medworm.com/index.php?rid=1630372&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18624615%26dopt%3DAbstract Authors: Montag T Abstract Since the impressive reduction of transfusion-transmitted virus infections, bacterial infections by blood transfusion represent the most important infection risk. Platelet concentrates are the current focus of attention, as they are stored under temperature conditions which allow growth of contaminating bacteria up to 10(10) and more microbes per platelet bag. This paper does not consider the pathogen reduction methods but will assess suitable screening methods. Beside conventional microbiological approaches or surrogate markers, several efficient methods able to detect bacterial contamination in platelets are available on the market. They need to be divided into two different methodological principles: the cultivation methods and rapid methods. Cultivation o... Hand Clinics journals http://www.medworm.com/rss/comments.php?id=1630372 Thu, 17 Jul 2008 08:38:04 +0100 1630372 http://www.medworm.com/index.php?rid=1630373&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18623125%26dopt%3DAbstract Authors: Mayo S, Acevedo D, Quiñones-Torrelo C, Canós I, Sancho M Urinalysis is one of the habitual clinical laboratory procedures, which implies that one of the largest sample volumes currently requires significant labor to examine microscopic sediments. Different analyzers currently used to perform this task have been compared with the manual microscopic sediment examination. The Atlas Clinitek 10 (Bayer Corporation, Diagnostics Division, Tarrytown, NY) and Urisys 2400 (Hitachi Science Systems Ltd., Ibaraki, Japan) test strips analyzers and two automated urinalysis systems, Sysmex UF-100 (Sysmex Corporation Kobe, Japan) and IRIS iQ200 (International Imaging Remote Systems, Chatsworth, CA), have been considered. We assessed the concordance between the results obtained from 6... Hand Clinics journals http://www.medworm.com/rss/comments.php?id=1630373 Fri, 11 Jul 2008 04:00:00 +0100 1630373 http://www.medworm.com/index.php?rid=1602271&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18605946%26dopt%3DAbstract Authors: Giovanella L Abstract Differentiated thyroid cancer is an infrequent disease with a generally good prognosis. The initial treatment is total thyroidectomy coupled with ablation of thyroid remnants by iodine-131. Because thyroid cells are the only source of thyroglobulin in the human body, the circulating thyroglobulin measurement is the basis of differentiated thyroid cancer follow-up. Due to suboptimal sensitivity in older assays, the thyroglobulin measurements after stimulation by endogenous or exogenous thyrotropin are still recommended for unmasking occult disease. However, the development of thyroglobulin assays with improved functional sensitivity allows us to detect small amounts of thyroid tissue even when thyrotropin is suppressed. As a consequence, undetectable thyro... Hand Clinics journals http://www.medworm.com/rss/comments.php?id=1602271 Fri, 20 Jun 2008 04:00:00 +0100 1602271 http://www.medworm.com/index.php?rid=1530326&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18557624%26dopt%3DAbstract Authors: Singh M, Arseneault M, Sanderson T, Murthy V, Ramassamy C Polyphenols are the most abundant antioxidants in diet. Indeed, fruits, vegetables, beverages (tea, wine, juices), plants, and some herbs are loaded with powerful antioxidant polyphenols. Despite their wide distribution, research on human health benefits truly began in the mid-1990s (Scalbert, A.; Johnson, I. T.; Saltmarsh, M. Am. J. Clin. Nutr. 2005, 81, S15S-217S). Phenolic compounds have been receiving increasing interest from consumers and manufacturers because numerous epidemiological studies have suggested associations between consumption of polyphenol-rich foods or beverages and the prevention of certain chronic diseases such as cancers and cardiovascular diseases (Manach, C.; Mazur, A.; Scalbert, A. Curr. Opin. ... Hand Clinics journals http://www.medworm.com/rss/comments.php?id=1530326 Tue, 17 Jun 2008 04:00:00 +0100 1530326 http://www.medworm.com/index.php?rid=1530325&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18559072%26dopt%3DAbstract Conclusions. We confirm the consistent side-specific nasal reflexes to cold water hand immersion in normals. This is disturbed in individuals following unilateral VS surgery with NI dysfunction. We have also shown that the contralateral side-specific reflex is disturbed in these patients. These data suggest that the reflex is parasympathetic and crosses the midline. References. 1 Irwing R.M., Viani L., Hardy D.G., Baguley D.M. & Moffat D.A. Nervus intermedius function after vestibular schwannoma removal: clinical features and pathophysiological mechanisms. Laryngoscope 105, 809-813 2 Wilde A.D. (1999) The effect of cold water immersion on the nasal mucosa. Clin. Otolaryngol. 24, 411-413. PMID: 18559072 [PubMed - in process] (Source: Hand Clinics) Hand Clinics journals http://www.medworm.com/rss/comments.php?id=1530325 Sun, 01 Jun 2008 04:00:00 +0100 1530325 http://www.medworm.com/index.php?rid=1422307&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18456119%26dopt%3DAbstract Authors: Rothwell AG PMID: 18456119 [PubMed - in process] (Source: Hand Clinics) Hand Clinics journals http://www.medworm.com/rss/comments.php?id=1422307 Thu, 01 May 2008 04:00:00 +0100 1422307 http://www.medworm.com/index.php?rid=1422306&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18456120%26dopt%3DAbstract Authors: Mulcahey MJ, Weiss AA PMID: 18456120 [PubMed - in process] (Source: Hand Clinics) Hand Clinics journals http://www.medworm.com/rss/comments.php?id=1422306 Thu, 01 May 2008 04:00:00 +0100 1422306 http://www.medworm.com/index.php?rid=1422305&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18456121%26dopt%3DAbstract This article represents a compilation of presentations on regional trends by invited participants. PMID: 18456121 [PubMed - in process] (Source: Hand Clinics) Hand Clinics journals http://www.medworm.com/rss/comments.php?id=1422305 Thu, 01 May 2008 04:00:00 +0100 1422305 http://www.medworm.com/index.php?rid=1422304&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18456122%26dopt%3DAbstract Authors: Dunn JA, Sinnott KA, Bryden AM, Connolly SJ, Rothwell AG Measurement of upper limb function in persons with tetraplegia poses significant issues for clinicians and researchers. It is crucial that measures detect the small but significant improvements in hand function that may or may not occur as a result of our interventions. Before determining how we measure changes from upper limb interventions, we must establish what outcomes are of greatest interest, and for whom. Many issues have an impact on both the measurement and interpretative process. PMID: 18456122 [PubMed - in process] (Source: Hand Clinics) Hand Clinics journals http://www.medworm.com/rss/comments.php?id=1422304 Thu, 01 May 2008 04:00:00 +0100 1422304 http://www.medworm.com/index.php?rid=1422303&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18456123%26dopt%3DAbstract Authors: Squitieri L, Chung KC Despite improved surgical techniques and postoperative management protocols for tetraplegic patients undergoing upper extremity functional reconstruction, recent studies have shown that these procedures are profoundly underutilized in the United States. The complex disabilities of tetraplegic patients limit their ability to independently obtain treatment information and travel to medical destinations to receive reconstructive procedures, thus making them a vulnerable patient population susceptible to physician influence regarding treatment decisions. Based on the results of previous research, we believe that increased collaboration among treating physician specialties will enhance patient access to surgical reconstruction. PMID: 18456123 [PubMed - in ... Hand Clinics journals http://www.medworm.com/rss/comments.php?id=1422303 Thu, 01 May 2008 04:00:00 +0100 1422303 http://www.medworm.com/index.php?rid=1422302&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18456124%26dopt%3DAbstract This article summarizes issues related to evaluating and planning surgical procedures for the upper limb in incomplete lesions of the cervical spinal cord. PMID: 18456124 [PubMed - as supplied by publisher] (Source: Hand Clinics) Hand Clinics journals http://www.medworm.com/rss/comments.php?id=1422302 Thu, 01 May 2008 04:00:00 +0100 1422302 http://www.medworm.com/index.php?rid=1422301&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18456125%26dopt%3DAbstract Authors: Leclercq C, Hentz VR, Kozin SH, Mulcahey MJ The loss of elbow extension power is particularly disabling for the nonambulatory patient. Reconstruction of elbow extension can be performed by a deltoid to triceps transfer or by a biceps to triceps transfer provides the most satisfying reconstruction for patients. Although the overall time for rehabilitation can be lengthy, the functional gain is substantial, predictable, and easily appreciated by the patient. Furthermore, the risks to residual preoperative function are practically nil. PMID: 18456125 [PubMed - in process] (Source: Hand Clinics) Hand Clinics journals http://www.medworm.com/rss/comments.php?id=1422301 Thu, 01 May 2008 04:00:00 +0100 1422301 http://www.medworm.com/index.php?rid=1422300&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18456126%26dopt%3DAbstract This article focuses on the pediatric upper limb after spinal cord injury and highlights the obstacles during reconstruction. PMID: 18456126 [PubMed - in process] (Source: Hand Clinics) Hand Clinics journals http://www.medworm.com/rss/comments.php?id=1422300 Thu, 01 May 2008 04:00:00 +0100 1422300 http://www.medworm.com/index.php?rid=1261211&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18299015%26dopt%3DAbstract Authors: Edwards SG PMID: 18299015 [PubMed - in process] (Source: Hand Clinics) Hand Clinics journals http://www.medworm.com/rss/comments.php?id=1261211 Fri, 01 Feb 2008 05:00:00 +0100 1261211 http://www.medworm.com/index.php?rid=1261210&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18299016%26dopt%3DAbstract Authors: Hobgood ER, Khan SO, Field LD Despite the highly constrained nature of the elbow joint, dislocation is not uncommon. Uncomplicated (simple) dislocations are those that occur without fracture and usually can be managed successfully with closed reduction and early motion. Precise attention, however, should be given to the stability of the elbow immediately after reduction. Instability can persist in full extension and require modification in forearm rotation and limitation of full extension to maintain stability. Soft tissue injury can be severe, at times requiring surgical repair to maintain stability. PMID: 18299016 [PubMed - in process] (Source: Hand Clinics) Hand Clinics journals http://www.medworm.com/rss/comments.php?id=1261210 Fri, 01 Feb 2008 05:00:00 +0100 1261210 http://www.medworm.com/index.php?rid=1261209&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18299017%26dopt%3DAbstract Authors: Martin BD, Johansen JA, Edwards SG Simple elbow dislocations may present complications that are anything but simple. Although occurring less frequently, these complications are identical to those associated with more complex fracture-dislocations: contracture, heterotopic ossification, Essex-Lopresti injury, neurovascular injury, and residual instability. Each complication is discussed, including strategies for prevention, evaluation, and treatment. PMID: 18299017 [PubMed - in process] (Source: Hand Clinics) Hand Clinics journals http://www.medworm.com/rss/comments.php?id=1261209 Fri, 01 Feb 2008 05:00:00 +0100 1261209 http://www.medworm.com/index.php?rid=1261208&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18299018%26dopt%3DAbstract Authors: Szekeres M, Chinchalkar SJ, King GJ Elbow instability is a common clinical problem that requires careful assessment and treatment to achieve a successful outcome. Rehabilitation is a key element in achieving a stable mobile elbow. Careful communication between the treating therapist and surgeon is essential so that an optimal rehabilitation program can be developed and implemented. By understanding the patterns of injury and the biomechanics of the elbow, a good outcome can be achieved in most patients who have elbow instability. PMID: 18299018 [PubMed - in process] (Source: Hand Clinics) Hand Clinics journals http://www.medworm.com/rss/comments.php?id=1261208 Fri, 01 Feb 2008 05:00:00 +0100 1261208 http://www.medworm.com/index.php?rid=1261207&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18299019%26dopt%3DAbstract This article attempts to outline the most current relevant literature regarding diagnosis, pathoanatomy, and treatment options for complex elbow instability. Specific attention is directed toward unique injury patterns, important biomechanical principles, and recent clinical outcome studies. Directions for future research are suggested. PMID: 18299019 [PubMed - in process] (Source: Hand Clinics) Hand Clinics journals http://www.medworm.com/rss/comments.php?id=1261207 Fri, 01 Feb 2008 05:00:00 +0100 1261207 http://www.medworm.com/index.php?rid=1261206&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18299020%26dopt%3DAbstract This article describes the history and what has been learned as well as the approach to the treatment of UCL tears at the elbow. PMID: 18299020 [PubMed - in process] (Source: Hand Clinics) Hand Clinics journals http://www.medworm.com/rss/comments.php?id=1261206 Fri, 01 Feb 2008 05:00:00 +0100 1261206 http://www.medworm.com/index.php?rid=1261205&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18299021%26dopt%3DAbstract Authors: Cohen MS Lateral elbow support is provided by a combination of bony anatomy and the ligaments and tendons that originate at the lateral epicondyle. Instability is typically posttraumatic in nature. In the acute setting of elbow fracture-dislocation, restoration of lateral soft tissue support can be typically accomplished by a direct repair of the lateral ligament and extensor tendon origins to the humeral epicondyle. In chronic settings, a reconstruction is most commonly necessary using a free tendon graft. Indications and surgical techniques are discussed. PMID: 18299021 [PubMed - in process] (Source: Hand Clinics) Hand Clinics journals http://www.medworm.com/rss/comments.php?id=1261205 Fri, 01 Feb 2008 05:00:00 +0100 1261205 http://www.medworm.com/index.php?rid=1261204&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18299022%26dopt%3DAbstract Authors: Worthing AB, Cupps TR Rheumatoid arthritis is the most common cause of elbow instability, but other causes include other erosive arthritides and noninflammatory diseases. Surgical consultation should be obtained for refractory pain or disability, or when physical examination or imaging reveals instability, erosions, or impending pathologic fracture. Medical management for rheumatoid arthritis includes early treatment and combination therapy, including biologic response modifiers. Current recommendations for rheumatic medicines, including perioperative use, are discussed. PMID: 18299022 [PubMed - in process] (Source: Hand Clinics) Hand Clinics journals http://www.medworm.com/rss/comments.php?id=1261204 Fri, 01 Feb 2008 05:00:00 +0100 1261204 http://www.medworm.com/index.php?rid=1261203&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18299023%26dopt%3DAbstract This article focuses on various methods to treat the chronically unreduced elbow. There are only a few small series published in the literature on which to base treatment options. Anatomic features pertinent to the discussion of the chronically unstable elbow are highlighted. The spectrum of treatment options includes open reduction, internal fixation and ligament reconstruction, external fixation, and elbow arthroplasty. The indications, operative technique, and results of each treatment modality are explored. PMID: 18299023 [PubMed - in process] (Source: Hand Clinics) Hand Clinics journals http://www.medworm.com/rss/comments.php?id=1261203 Fri, 01 Feb 2008 05:00:00 +0100 1261203 http://www.medworm.com/index.php?rid=1261202&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18299024%26dopt%3DAbstract Authors: Ring D Instability has limited the indications and appeal of unlinked (unconstrained, surfacing replacing) total elbow arthroplasties. True dislocation occurs in fewer than 5% of patients and may be less common when careful operative technique ensures appropriate tensioning of the medial collateral ligament, secure repair of the lateral collateral ligament, and preservation of the anterior capsule and triceps. Conversion of an unstable unlinked total elbow arthroplasty to a linked total elbow arthroplasty can be a complex and difficult procedure, but usually salvages a functional elbow. PMID: 18299024 [PubMed - in process] (Source: Hand Clinics) Hand Clinics journals http://www.medworm.com/rss/comments.php?id=1261202 Fri, 01 Feb 2008 05:00:00 +0100 1261202 http://www.medworm.com/index.php?rid=1261201&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18299025%26dopt%3DAbstract This article reviews the various etiologies of dysfunctional elbow instability, their treatment options, and their expected outcomes. PMID: 18299025 [PubMed - in process] (Source: Hand Clinics) Hand Clinics journals http://www.medworm.com/rss/comments.php?id=1261201 Fri, 01 Feb 2008 05:00:00 +0100 1261201 http://www.medworm.com/index.php?rid=1261200&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18299026%26dopt%3DAbstract Authors: Dodds SD, Yeh PC, Slade JF The Essex-Lopresti injury results from a high energy trauma to the upper extremity causing significant instability to the forearm joint. The radial head is fractured, the interosseous membrane is torn, and the distal radioulnar joint is disrupted. Frequently, the greatest challenge with this specific injury pattern is the diagnosis, because it is often missed in the emergency room. Once the diagnosis has been established, surgical treatment focuses on the elbow (radial head fracture) and the wrist (distal radioulnar joint disruption) to restore forearm length and stability. Chronic or untreated Essex-Lopresti lesions continue to challenge treating physicians and often require salvage or reconstructive procedures to minimize pain and return function. ... Hand Clinics journals http://www.medworm.com/rss/comments.php?id=1261200 Fri, 01 Feb 2008 05:00:00 +0100 1261200 http://www.medworm.com/index.php?rid=1261199&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18299027%26dopt%3DAbstract Authors: Lattanza LL, Keese G Instability in the pediatric elbow can be secondary to trauma, developmental disorders, congenital anomalies, inherited disorders, or acquired systemic processes. The pediatric elbow presents unique challenges with regard to open growth plates, propensity for dislocation and spontaneous reduction, and increased time for the development of post-traumatic deformity into adulthood. The purpose of this article is to review current concepts of injuries leading to elbow instability, discuss how to recognize and treat the instability, and address other, nontraumatic causes of elbow instability. PMID: 18299027 [PubMed - as supplied by publisher] (Source: Hand Clinics) Hand Clinics journals http://www.medworm.com/rss/comments.php?id=1261199 Fri, 01 Feb 2008 05:00:00 +0100 1261199 http://www.medworm.com/index.php?rid=1079008&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18054666%26dopt%3DAbstract Authors: Steinmann SP PMID: 18054666 [PubMed - in process] (Source: Hand Clinics) Hand Clinics journals http://www.medworm.com/rss/comments.php?id=1079008 Thu, 01 Nov 2007 04:00:00 +0100 1079008 http://www.medworm.com/index.php?rid=1079007&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18054667%26dopt%3DAbstract This article discusses the management of two-part fractures and analyzes the use of nonoperative treatment, conventional plating, locked plating, antegrade intramedullary nailing, retrograde pinning, and Kirschner wires in their treatment. The literature indicates that nonoperative treatment is as effective as conventional plating, antegrade nailing, and Kirschner wiring in treating two-part surgical neck fractures in older patients. The early results of locked plating may be better, but more studies are required to prove this. This article gives the results of nonoperative treatment of all types of two-part fractures and fracture dislocations. PMID: 18054667 [PubMed - in process] (Source: Hand Clinics) Hand Clinics journals http://www.medworm.com/rss/comments.php?id=1079007 Thu, 01 Nov 2007 04:00:00 +0100 1079007 http://www.medworm.com/index.php?rid=1079006&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18054668%26dopt%3DAbstract Authors: Reineck JR, Krishnan SG, Burkhead WZ Four-part proximal humerus fractures represent a difficult entity in the management of upper extremity trauma. Most of these fractures are not amenable to operative fixation; thus, surgical address is necessarily one of fracture arthroplasty. Timely reestablishment of the Gothic arch using a fracture-specific prosthesis leads reliably to anatomic tuberosity osteosynthesis. Hence, shoulder arthroplasty for fracture should be considered an augmented osteosynthesis, with precise prosthetic implantation supplementing anatomic tuberosity reconstruction. Further investigations are ongoing regarding the use of specific fracture implants and biologic substrates in an attempt to improve further the rate of tuberosity healing in the older patient pop... Hand Clinics journals http://www.medworm.com/rss/comments.php?id=1079006 Thu, 01 Nov 2007 04:00:00 +0100 1079006 http://www.medworm.com/index.php?rid=1079005&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18054669%26dopt%3DAbstract Authors: Wall B, Walch G Proximal humeral fractures occurring in elderly patients often lead to significant functional disability. The outcome of nonoperative management is disappointing. Treatment with open reduction and internal fixation may result in osteonecrosis of the humeral head, and pain. Hemiarthroplasty is often associated with tuberosity nonunion and poor function. Reverse shoulder arthroplasty is an attractive alternative because of the ability of the prosthesis to compensate for tuberosity complications. Early studies have shown promise in using the prosthesis to treat these difficult patients. The next step will require prospective, randomized studies to determine which patient groups derive any benefit from reverse shoulder arthroscopy. The technology should be used jud... Hand Clinics journals http://www.medworm.com/rss/comments.php?id=1079005 Thu, 01 Nov 2007 04:00:00 +0100 1079005 http://www.medworm.com/index.php?rid=1079004&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18054670%26dopt%3DAbstract Authors: Shrader MW Proximal humerus fractures and fractures of the humeral shaft are relatively rare in children. The incidence of the former is about 1 to 3 cases/1000 population per year, comprising fewer than 3% of all pediatric fractures. Fractures of the humeral shaft represent fewer than 10% of all humerus fractures in children. Both types of fractures in babies and young children can be treated nonsurgically, because of the joint's ability to remodel. Simple swaddling with a sling or swaddling cloth can be the solution. For older children, splints and braces may be necessary for short periods of time. Fractures can sometimes be a sign of parental child abuse, so suspicion should remain high when evaluating children with these injuries. PMID: 18054670 [PubMed - in process] (... Hand Clinics journals http://www.medworm.com/rss/comments.php?id=1079004 Thu, 01 Nov 2007 04:00:00 +0100 1079004 http://www.medworm.com/index.php?rid=1079003&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18054671%26dopt%3DAbstract This article emphasizes surgical approaches to humeral fractures, providing a review of the surgical spectrum of treatment inclusive of intramedullary nailing and plating, but also includes a brief discussion of the conservative approach. PMID: 18054671 [PubMed - in process] (Source: Hand Clinics) Hand Clinics journals http://www.medworm.com/rss/comments.php?id=1079003 Thu, 01 Nov 2007 04:00:00 +0100 1079003 http://www.medworm.com/index.php?rid=1079002&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18054672%26dopt%3DAbstract Authors: King AR, Moran SL, Steinmann SP Humerus fractures comprise 5% to 8% of all fractures. Although uncommon, nonunions can present a frustrating challenge to the orthopedic surgeon. Various risk factors that may predispose patients to nonunion include obesity, osteoporosis, alcoholism, smoking, poor bone quality, and scar tissue. Many methods of treatment have been described with various degrees of success. The rates of healing of humeral nonunions by traditional means of internal fixation with bone graft range from 70% to 92%, although in cases of infection, poorly vascularized beds, and open, segmental, or severely comminuted fractures, secondary bony healing may still be compromised. PMID: 18054672 [PubMed - in process] (Source: Hand Clinics) Hand Clinics journals http://www.medworm.com/rss/comments.php?id=1079002 Thu, 01 Nov 2007 04:00:00 +0100 1079002 http://www.medworm.com/index.php?rid=1079001&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18054673%26dopt%3DAbstract This article reviews the epidemiology and classification of these injuries and the numerous described fixation and arthroplasty techniques. The current treatment algorithm and authors' preferred method of internal fixation are also illustrated. Additionally, the treatment of these injuries in the elderly population and the complications of surgical treatment are reviewed. PMID: 18054673 [PubMed - in process] (Source: Hand Clinics) Hand Clinics journals http://www.medworm.com/rss/comments.php?id=1079001 Thu, 01 Nov 2007 04:00:00 +0100 1079001 http://www.medworm.com/index.php?rid=1079000&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18054674%26dopt%3DAbstract This article discusses treatment options, emphasizing open reduction and internal fixation to restore the native elbow. Operative techniques, including extensile lateral exposure and olecranon osteotomy; fixation techniques; and elbow arthroplasty, are described. Complications, such as ulnar neuropathy and infection, are also covered. PMID: 18054674 [PubMed - in process] (Source: Hand Clinics) Hand Clinics journals http://www.medworm.com/rss/comments.php?id=1079000 Thu, 01 Nov 2007 04:00:00 +0100 1079000 http://www.medworm.com/index.php?rid=1078999&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18054675%26dopt%3DAbstract Authors: Cheung EV Fractures of the capitellum account for less than 1% of all elbow fractures. Because they may be difficult to visualize on plain radiographs, the clinician must have a high index of suspicion for their diagnosis. Anatomic alignment of these fractures is imperative; slight residual displacement may result in significant loss of elbow motion. Surgical management is described with open reduction internal fixation using variable pitch headless screws, precontoured plates, or bioabsorbable pins. The optimal method of fixation depends on the fracture pattern and degree of comminution. If the fracture fragments are too small for stable fixation, excision of the fragments is recommended. Osteonecrosis, as well as, end-stage arthrosis requiring total elbow arthroplasty, has b... Hand Clinics journals http://www.medworm.com/rss/comments.php?id=1078999 Thu, 01 Nov 2007 04:00:00 +0100 1078999 http://www.medworm.com/index.php?rid=840190&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17765579%26dopt%3DAbstract Authors: Zlotolow DA, Pellegrini VD PMID: 17765579 [PubMed - as supplied by publisher] (Source: Hand Clinics) Hand Clinics journals http://www.medworm.com/rss/comments.php?id=840190 Wed, 01 Aug 2007 04:00:00 +0100 840190 http://www.medworm.com/index.php?rid=840189&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17765580%26dopt%3DAbstract Authors: Polatsch DB, Melone CP, Beldner S, Incorvaia A The anatomy of the ulnar nerve is described from its origin at the brachial plexus to its termination in the hand and digits. The critical anatomy surrounding the cubital tunnel and Guyon canal is emphasized, and clinically relevant anatomic variations, muscle anomalies, and peripheral nerve anastomoses are described. PMID: 17765580 [PubMed - as supplied by publisher] (Source: Hand Clinics) Hand Clinics journals http://www.medworm.com/rss/comments.php?id=840189 Wed, 01 Aug 2007 04:00:00 +0100 840189 http://www.medworm.com/index.php?rid=840188&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17765581%26dopt%3DAbstract Authors: Pfaeffle HJ, Waitayawinyu T, Trumble TE Patient age, the site and extent of the injury, and the delay of treatment significantly influence the outcome after repair of ulnar nerve injuries. Ulnar nerve repairs in older patients, high-level injury, and delayed cases may result in a poor prognosis. High-level lesions and lesions that are close to the elbow can also benefit from nerve transposition. Splinting in wrist flexion and/or elbow extension with carpal tunnel and Guyon's canal releases are necessary for lesions that are closer to the wrist. Arterial repairs combined with nerve repairs especially in low-level injury can provide superior outcomes. PMID: 17765581 [PubMed - as supplied by publisher] (Source: Hand Clinics) Hand Clinics journals http://www.medworm.com/rss/comments.php?id=840188 Wed, 01 Aug 2007 04:00:00 +0100 840188 http://www.medworm.com/index.php?rid=840187&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17765582%26dopt%3DAbstract Authors: Pellegrini VD, Waugh RP As our understanding of the anatomy of the ulnar tunnel has increased, so too has our ability to clinically predict the specific sites of compression in ulnar tunnel syndrome. Anatomic studies have described in detail the course of the ulnar nerve as it passes through the ulnar tunnel and have helped correlate symptoms with anatomic location. Although the most common cause of compression is from a ganglion, other space-occupying lesions, such as tumors, anomalous muscles, or a thrombosed ulnar artery, are important to consider in the initial evaluation of the patient. While conservative management can sometimes be successful, the mainstay of treatment of this condition remains meticulous surgical exploration and decompression. PMID: 17765582 [PubMed... Hand Clinics journals http://www.medworm.com/rss/comments.php?id=840187 Wed, 01 Aug 2007 04:00:00 +0100 840187 http://www.medworm.com/index.php?rid=840186&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17765583%26dopt%3DAbstract Authors: Szabo RM, Kwak C Successful treatment of cubital tunnel syndrome requires obtaining a history of the physical and environmental factors involved for each patient, conducting a thorough physical examination, and staging and implementing an individually tailored treatment plan. Rest and avoiding pressure on the nerve by activity modification might be sufficient. If symptoms persist, splint immobilization of the elbow is warranted. Keep in mind that the natural history of untreated cubital tunnel syndrome includes spontaneous improvement in approximately half of patients. PMID: 17765583 [PubMed - as supplied by publisher] (Source: Hand Clinics) Hand Clinics journals http://www.medworm.com/rss/comments.php?id=840186 Wed, 01 Aug 2007 04:00:00 +0100 840186 http://www.medworm.com/index.php?rid=840185&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17765584%26dopt%3DAbstract Authors: Waugh RP, Zlotolow DA Cubital tunnel syndrome is a clinical entity that has been described for more than a century. Numerous conservative and surgical treatments have evolved to address this condition, but a consensus has yet to emerge regarding optimal treatment. Evidence suggests a limited but potentially valuable role for in situ decompression of the ulnar nerve at the cubital tunnel. Future research will undoubtedly clarify this role and contribute to the development of a standard treatment protocol. PMID: 17765584 [PubMed - as supplied by publisher] (Source: Hand Clinics) Hand Clinics journals http://www.medworm.com/rss/comments.php?id=840185 Wed, 01 Aug 2007 04:00:00 +0100 840185 http://www.medworm.com/index.php?rid=840184&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17765585%26dopt%3DAbstract Authors: Osterman AL, Spiess AM Cubital tunnel syndrome is a common but complicated ulnar neuropathy that needs to be carefully evaluated and classified before developing a cohesive plan of attack. In situ decompression/with medial epicondylectomy (ISD/ME) can be a viable treatment option for all preoperative grades of cubital tunnel syndrome, but may not necessarily be the treatment of choice, based on information gathered from the patient's preoperative evaluation. We outline a comprehensive list of indications for treatment of cubital tunnel syndrome by ISD/ME. If one adheres to these indications, and abides by the technique of a partial medial epicondylar excision, as advocated by O'Driscoll, Amako, and others, the results indicate that patients should have an acceptable outcome. ... Hand Clinics journals http://www.medworm.com/rss/comments.php?id=840184 Wed, 01 Aug 2007 04:00:00 +0100 840184 http://www.medworm.com/index.php?rid=840183&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17765586%26dopt%3DAbstract This article reviews the indications and contraindications of the technique and describes the surgical technique in detail. PMID: 17765586 [PubMed - as supplied by publisher] (Source: Hand Clinics) Hand Clinics journals http://www.medworm.com/rss/comments.php?id=840183 Wed, 01 Aug 2007 04:00:00 +0100 840183 http://www.medworm.com/index.php?rid=840182&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17765587%26dopt%3DAbstract Authors: Williams EH, Dellon AL The article begins with the history of the development of anterior submuscular transposition. The technique for musculofascial lengthening and correction of the pathophysiology of ulnar nerve compression are described along with results and complications. Also described is an approach to the patient for whom ulnar nerve surgery has failed. PMID: 17765587 [PubMed - as supplied by publisher] (Source: Hand Clinics) Hand Clinics journals http://www.medworm.com/rss/comments.php?id=840182 Wed, 01 Aug 2007 04:00:00 +0100 840182 http://www.medworm.com/index.php?rid=840181&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17765588%26dopt%3DAbstract Authors: Ruchelsman DE, Lee SK, Posner MA Surgical procedures for the treatment of ulnar nerve compression at the elbow are well described. Studies have reported clinical outcomes after decompression of the nerve without transposition and decompression with transposition. Numerous preoperative, intraoperative, and postoperative factors contribute to failure of the surgical procedures. Although the techniques available for revision decompression of the ulnar nerve at the elbow are similar to those used in the primary setting, the results after repeat surgical intervention are less predictable. PMID: 17765588 [PubMed - as supplied by publisher] (Source: Hand Clinics) Hand Clinics journals http://www.medworm.com/rss/comments.php?id=840181 Wed, 01 Aug 2007 04:00:00 +0100 840181 http://www.medworm.com/index.php?rid=840180&cid=s_33227_31_f&fid=33227&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17765589%26dopt%3DAbstract Authors: Tse R, Hentz VR, Yao J Long term paralysis of the ulnar nerve is associated with an array of specific deficits and deformities. The numerous options for reconstruction are reviewed, as well as the specific patient considerations in selecting a strategy. An approach to late reconstruction for late ulnar nerve palsy is presented based upon the authors' experience and the available literature. PMID: 17765589 [PubMed - as supplied by publisher] (Source: Hand Clinics) Hand Clinics journals http://www.medworm.com/rss/comments.php?id=840180 Wed, 01 Aug 2007 04:00:00 +0100 840180