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6,090 results
  • Infection after buried or exposed K-wire fixation of distal radial fractures: a randomized clinical trial. [Journal Article]
    J Hand Surg Eur Vol. 2020 Jul 01 [Online ahead of print]Maradei-Pereira JAR, Dos Santos AP, … Maradei-Pereira MR
  • We treated 220 extra-articular distal radial fractures with closed reduction and percutaneous K-wire fixation and randomized K-wire placement to buried or exposed. We analysed the incidence and severity of infection and the mobility of the metacarpophalangeal joints. At 6 weeks postoperatively, 12 patients in the exposed group had infections versus two in the buried group, which was a statistical…
  • Septic Joints: Finger and Wrist. [Review]
    Hand Clin. 2020 Aug; 36(3):331-338.Chenoweth B
  • Infections in the joints of the hand and wrist carry the risk of significant morbidity. Common presenting symptoms include joint redness, swelling, and pseudoparalysis that occurs several days following a penetrating trauma. Diagnostic workup should be expedited, including a laboratory evaluation and arthrocentesis. Imaging, including radiographs, ultrasound, computed tomography, and/or MRI, are …
  • Modulation of finger muscle activation patterns across postures is coordinated across all muscle groups. [Journal Article]
    J Neurophysiol. 2020 Jun 24 [Online ahead of print]Lee SW, Qiu D, … Kamper DG
  • Successful grasp requires that grip forces be properly directed between the fingertips and the held object. Changes in digit posture significantly affect the mapping between muscle force and fingertip force. Joint torques must subsequently be altered to maintain the desired force direction at the fingertips. Our current understanding of the roles of hand muscles in force production remains incomp…
  • Risk Factors for Skin Tears Following Collagenase Clostridium histolyticum to Treat Dupuytren Contractures. [Journal Article]
    J Hand Surg Am. 2020 Jun 13 [Online ahead of print]Wei DH, Cantlon MB, … Vitale MA
  • CONCLUSIONS: Although a relatively minor complication, skin tears are not well-tolerated by all patients and may change the postinjection course of orthosis use, wound care, and manual activity. Based on these results, patients with digital contractures 75° or greater and those treated with 2 simultaneous doses of CCH in the same hand may be counseled that they have a higher likelihood of developing a skin tear during manipulation. Pretreatment education may reduce anxiety experienced by patients who otherwise unexpectedly develop a skin tear at the time of manipulation.
  • Intrinsic plus hand: A rare case of painful flexion and extension of his fingers. [Case Reports]
    Am J Emerg Med. 2020 May 22 [Online ahead of print]Carius BM, Canine CR, Long B
  • Intrinsic plus hand describes a rare and painful contracture of the intrinsic hand muscles with excessive flexion at the metacarpophalangeal joints and extension at the interphalangeal joints. Resulting from many causes to include trauma and neurologic injury, intrinsic plus hand can involve any number of fingers. Emergency department (ED) assessment should include evaluation for cerebrovascular …
  • Prevalence of Juvenile Osteochondral Conditions in Yearling Thoroughbred Racehorses in Southern Brazil. [Journal Article]
    J Equine Vet Sci. 2020 Jul; 90:102997.Maia MPM, Weber SH, … Michelotto PV
  • This study aimed to investigate the prevalence of juvenile osteochondral conditions (JOCCs) in yearling Thoroughbred (TB) racehorses in Southern Brazil, as well as to examine the same animals studied as weanlings by Bastos et al. (2017) and compare the radiographic findings for the two ages. Radiographs of 76 male and female TB yearlings from Paraná State, Southern Brazil, were investigated. The …
  • Flexor tendon grafts for pulley reconstruction - Morphological aspects. [Journal Article]
    Ann Anat. 2020 Jun 05 [Online ahead of print]Fritz T, Ducommun P, … Frueh FS
  • CONCLUSIONS: This study provides novel SEM and immunohistochemical insights into the micromorphology of human pulleys and flexor tendon grafts. Intrasynovial flexor tendons may be particularly suitable for pulley reconstruction and preserving the paratenon may be crucial for graft revascularization.
  • Office-Based Percutaneous Fasciotomy for Dupuytren Contracture. [Review]
    Orthop Clin North Am. 2020 Jul; 51(3):369-372.Chambers J, Pate T, Calandruccio J
  • Percutaneous fasciotomy is a safe, simple, and inexpensive treatment for mild to moderate Dupuytren contracture. The decrease in extension deficit in the metacarpophalangeal and proximal interphalangeal joints after release correlates with improvement in patient-reported outcomes. Complications are rare and primarily include skin tears, which occur in approximately 4% of patients. Most patients a…
  • StatPearls: Trousseau Sign [BOOK]
    . StatPearls Publishing: Treasure Island (FL) Patel Milan M Northwell Northshore University Hospital/Long Island Jewish Medical Center Hu Eugene W. EW Desert Regional Medical Center BOOK
  • Trousseau’s sign for latent tetany is most commonly positive in the setting of hypocalcemia.[1] The sign is observable as a carpopedal spasm induced by ischemia secondary to the inflation of a sphygmomanometer cuff, commonly on an individual’s arm, to 20 mmHg over their systolic blood pressure for 3 minutes.[1] The carpopedal spasm is visualized as flexion of the wrist, thumb, and metacarpophalan…
  • StatPearls: Volkmann Contracture [BOOK]
    . StatPearls Publishing: Treasure Island (FL) Mirza Taaha M. TM Rawalpindi Medical University Shrestha Ayush B. AB McLaren Healthcare BOOK
  • Volkmann contracture, also known as Volkmann ischemic contracture is a claw-like deformity of the hand named after the 19-century German doctor, Richard von Volkmann. The name Volkmann ischemic contracture is self-explanatory. Ischemic refers to the possible etiology, and contracture indicates shortening. This condition is a permanent flexion deformity at the wrist and fingers that results in a c…
  • StatPearls: Phalanx Fractures of the Hand [BOOK]
    . StatPearls Publishing: Treasure Island (FL) McDaniel Dalton J. DJ McLaren Oakland Hospital Rehman Uzma H. UH Michigan State / Mclaren BOOK
  • Phalanx fractures are some of the most common fractures occurring in humans.[1][2][3][4][5][6][7][8] They are often noted to be in the more common of all upper extremity fractures and present with a long list of post-injury complications regardless of treatment, most commonly in relation to finger and hand function.[4][5][6][8][9][10][11][12][13][14][15][16] Nonetheless, they generally heal well …
  • Ultrasound and clinical findings in the metacarpophalangeal joint assessment of show jumping horses in training. [Journal Article]
    J Vet Sci. 2020 May; 21(3):e21.Yamada ALM, Pinheiro M, … da Silva LCLC
  • CONCLUSIONS: The observed results were probably caused by the implementation of a training regimen and joint adaptation to physical conditioning. The joints most likely undergo a pre-osteoarthritic period due to work overload, which can manifest in a consistent or adaptive manner, as observed during this study. Thus, continuous monitoring of young athlete horses by physical and ultrasound examinations that can be scored is essential.
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