Showing papers in "Hand in 1977"
TL;DR: The focus of this paper is on the pharmacological effects of the various components of cigarette smoke and their potential effects on wound healing in the hand.
Abstract: Smoking a single cigarette can reduce digital blood flow. Sarin (1974) showed a 42% reduction in digital blood flow in his series, and other investigators have shown similar findings (Ludbrook 1974, Rottenstein 1960). The focus of this paper is on the pharmacological effects of the various components of cigarette smoke and their potentials effects on wound healing in the hand. A case is described to illustrate the effect of stopping smoking upon a non-healing fingertip ulcer.
233 citations
TL;DR: The length, breaking strength, and tensile strength of each of the annular fibro-osseous pulleys of digital flexor sheath in ten fresh human cadaver specimens were measured and the first annular pulley and the fourth annularity pulley were found to be the strongest.
Abstract: Summary The length, breaking strength, and tensile strength of each of the annular fibroosseous pulleys of digital flexor sheath in ten fresh human cadaver specimens were measured. The first annular pulley and the fourth annular pulley were found to be the strongest, while the second annular pulley was the weakest. The design of artificial pulleys should reproduce the strength of the first annular and fourth annular pulleys. Suggested minimum requirements for the breaking strength of artificial implant pulleys may be made based on these studies.
64 citations
TL;DR: A new method of tendon suture has been designed to eliminate the development of a gap when tension is applied to the repair and has been demonstrated to resist distraction at relatively high tensions on cadaveric tendon.
Abstract: A new method of tendon suture has been designed to eliminate the development of a gap when tension is applied to the repair. It has been demonstrated to resist distraction at relatively high tensions on cadaveric tendon. The possible advantages of the technique are discussed.
60 citations
TL;DR: The problems of extensive scarring involving the median and ulnar nerves at the wrist are discussed and possible methods of separating the dermal cicatrix from the nerves are skin flaps or muscle flaps.
Abstract: The problems of extensive scarring involving the median and ulnar nerves at the wrist are discussed. Possible methods of separating the dermal cicatrix from the nerves are skin flaps or muscle flaps. A case is presented in which an abductor digiti minimi muscle flap was used. The reasons for this choice are discussed and the technique described.
59 citations
TL;DR: A Report of two cases of anomalous muscles causing ulnar nerve compression that appeared to be related to the flexor carpi ulnaris and the more usual palmaris longus.
Abstract: Summary A Report of two cases of anomalous muscles causing ulnar nerve compression. One appeared to be related to the flexor carpi ulnaris and the other to the more usual palmaris longus.
47 citations
TL;DR: Knuckle pads are not exclusively found in persons with Dupuytren’s disease, but they occur four times more often in these patients than in the general population (in Norway).
Abstract: Knuckle pads are not exclusively found in persons with Dupuytren's disease, but they occur four times more often in these patients than in the general population (in Norway). Occurrence of knuckle pads in persons with Duputyren's disease does not seem to imply a higher predisposition or a more aggressive disease.
46 citations
TL;DR: The anatomical factors causing stillness at the proximal interphalangeal joint are considered, a rational approach to the surgical treatment is proposed, and the results in thirty joints are presented.
Abstract: Summary The anatomical factors causing stiffness at the proximal interphalangeal joint are considered, a rational approach to the surgical treatment is proposed, and the results in thirty joints are presented.
44 citations
TL;DR: The notes of eighty-five patients who had 222 webs between them were reviewed and it was suggested that complicated syndactyly is often separated at too early an age.
Abstract: Syndactyly is classified and the principles of its surgical treatment discussed. The notes of eighty-five patients who had 222 webs between them were reviewed. A long term follow-up was carried out on thirty-two of these patients who had seventy-six clefts separated. The sexual and anatomical distribution of the syndactyly was investigated. The results of surgery were assessed including complications, and the relationship of complications to the type of graft used and the age at operation. It is suggested that complicated syndactyly is often separated at too early an age.
34 citations
TL;DR: In men and women with Dupuytren's disease of the hands the contracture increased rather constantly during the first twenty years, followed by a stationary phase from about 20 to thirty-five years of duration, whereafter it definitely decreased.
Abstract: 647 men and 254 women with Dupuytren's disease of the hands were questioned about how, where and when the disease had started. Usually the disease started in the right hand, and nodules in the ulnar part of the palm were the first symptom in 90%. In 10% of the cases with bilateral disease, it started simultaneously in both hands. One woman and two men noticed the first symptom before 10 years of age. In about 50% of the men, the disease started between 40-59 years of age (women 40-69 years). In men the contracture increased rather constantly during the first twenty years, followed by a stationary phase from about 20 to thirty-five years of duration, whereafter it definitely decreased. In women the disease increased gradually with the duration of the disease.
34 citations
TL;DR: An uncommon cause of trigger finger, caused by partial laceration of superficialis flexor tendon is illustrated in two patients.
Abstract: Summary An uncommon cause of trigger finger, caused by partial laceration of superficialis flexor tendon is illustrated in two patients.
TL;DR: A series of one hundred cases where silicone rods were used to prepare a bed for flexor tendon grafting is examined, the main indication for this technique being circumstances where one stage tendon grafts was likely to have a poor result.
Abstract: A series of one hundred cases where silicone rods were used to prepare a bed for flexor tendon grafting is examined, the main indication for this technique being circumstances where one stage tendon grafting was likely to have a poor result. The main complications noted were a synovitis around the silastic rods, infection, and loss of the distal attachment of the silastic rod. The overall results were satisfactory.
TL;DR: The use of the tendons of the lateral four extensors of the toes in order to transfer the pull of the posterior deltoid to extend the elbow is successful in the OCu:2 quadriplegic patient.
Abstract: Summary The use of the tendons of the lateral four extensors of the toes in order to transfer the pull of the posterior deltoid to extend the elbow is successful in the OCu:2 quadriplegic patient. The Moberg operation for key pinch in its various modifications also improves the function of these patients and is well received by them. The necessity for prolonged protection (three months) and for simplicity in surgical procedures in these patients is illustrated in seven patients.
TL;DR: Fifty-six cases of anterior interosseous nerve paralysis including thirteen cases were collected by reviewing the Japanese literature, and the causes were similar to those in the cases reported in other countries.
Abstract: Fifty-six cases of anterior interosseous nerve paralysis including our thirteen cases were collected by reviewing the Japanese literature. The causes of the paralysis were similar to those in the cases reported in other countries. Paralysis is often only partial, and this is of importance in the differential diagnosis.
TL;DR: Sixty patients, representing a ten per cent incidence of complications, developed ischaemic or necrotic changes in the involved hand following radial artery cannulation.
Abstract: Sixty patients, representing a ten per cent incidence of complications, developed ischaemic or necrotic changes in the involved hand following radial artery cannulation. The loss of digits or hands could have been avoided by adequate evaluation of the vascular status of the hand both before and after cannulation.
TL;DR: This paper reviews experience with thirty-six trapezial replacements over a period of six years, with particular attention given to tendinous reinforcement of the capsular repair.
Abstract: This paper reviews experience with thirty-six trapezial replacements over a period of six years. The indications for replacement are given, the group of patients analysed and the technique outlined, with particular attention given to tendinous reinforcement of the capsular repair. The results with regard to pain, dislocation and other complications are recorded. The causes of dislocation and its prevention are discussed.
TL;DR: Although the fingers are commonly exposed to injuries with sharp tools, development of a false aneurysm in them seems to be extremely rare.
Abstract: Summary A case of false aneurysm of the digital artery is described. To the best of our knowledge it is the first reported case of false aneurysm involving the thumb. The aetiological factors which are usually responsible for the development of a false aneurysm are briefly discussed. The most common factor seems to be a direct injury of the arterial wall by a sharp tool and continuing flow of the blood in the artery. Although the fingers are commonly exposed to injuries with sharp tools, development of a false aneurysm in them seems to be extremely rare.
TL;DR: Four cases of osteoid osteoma of the terminal phalanx — a very rare location — are presented and the treatment was operative and of double value, Cosmetic result is obtained by reduction of the size of the Terminal Phalanx.
Abstract: Four cases of osteoid osteoma of the terminal phalanx--a very rare location--are presented. The clinical picture of cell cases is essentially the same, gradual swelling of the terminal phalanx with enlargement of the nail and pain, particularly at night and relievable by aspirin. The treatment was operative and of double value. 1. The osteoid osteoma is removed; 2. Cosmetic result is obtained by reduction of the size of the terminal phalanx.
TL;DR: A girl, her mother and her mother's sister are reported showing a digastric flexor superficialis to the index finger with no neurological signs and two had bilateral muscles.
Abstract: A girl, her mother and her mother's sister are reported showing a digastric flexor superficialis to the index finger with no neurological signs. Two had bilateral muscles.
TL;DR: A retrospective study has been made of 100 unselected adult finger fractures and a smaller group of similar injuries in children, finding that the principles of treatment are reviewed, and a simple practical classification of finger fractures suggested.
Abstract: A retrospective study has been made of 100 unselected adult finger fractures and a smaller group of similar injuries in children. The principles of treatment are reviewed, a simple practical classification of finger fractures suggested, and the treatment of each type described.
TL;DR: A case of dislocation of the carpal scaphoid treated by open reduction is presented and discussed in relation to carpal instability after reduction.
Abstract: A case of dislocation of the carpal scaphoid treated by open reduction is presented and discussed in relation to carpal instability after reduction.
TL;DR: Surgical treatment for the transfer of the ring finger flexor superficialis tendon to provide the thumb interphalangeal joint with flexion resulted in a significant improvement in pinch.
Abstract: Congenital absence of the flexor pollicis longus, associated with hypoplasia of the thumb, is an unusual anomaly. A case of congenital absence of the flexor pollicis longus without hypoplasia or aplasia of the thumb and thenar muscles, which is described, is very rare. Surgical treatment for the transfer of the ring finger flexor superficialis tendon to provide the thumb interphalangeal joint with flexion resulted in a significant improvement in pinch.
TL;DR: In full palmar abduction, the normal thumb achieves on average an angle of 45 ~ with the plane of the flat hand, which can only be maintained if there is no contracture in all of the structures which form the first web space.
Abstract: In full palmar abduction, the normal thumb achieves on average an angle of 45 ~ with the plane of the flat hand. lol, 102, lsl In opposition, the tip of the thumb can be brought to the proximal digital crease of the little finger. This range can only be maintained if there is no contracture in all of the structures which form the first web space. 119 Moreover, prolonged adduction contracture due initially to a disorder of only one of the three major components of the first web--sk in , muscle and skeleton--will eventually involve all three. 56, 57, 99
TL;DR: The results of the first hundred cases of Arthrodesis of joints of the thumb are presented and reviewed.
Abstract: Summary The results of the first hundred cases of Arthrodesis of joints of the thumb are presented and reviewed.
TL;DR: Six months post operatively the child is in excellent health, and there are no signs of recurrence.
Abstract: A case of congenital dermatofibrosarcoma protuberans is presented. It was treated by local radical surgical excision, the function of the hand remaining normal. Six months post operatively the child is in excellent health, and there are no signs of recurrence.
TL;DR: Three cases of closed delayed rupture following direct injury to the area of the tendon of the extensor pollicis longus tendon are recorded.
Abstract: Summary Closed rupture of the extensor pollicis longus tendon is most often seen following lower radial fractures, but is uncommon in the absence of fracture. Redden has recently described rupture following rotational injury of the forearm. I wish to record three cases of closed delayed rupture following direct injury to the area of the tendon.
TL;DR: The three bones concerned in the tumour were excised and replaced with a bone graft, and the metacarpophalangeal joints preserved with Swanson prostheses.
Abstract: Summary We present a case of a tumour of the right hand. After carrying out a biopsy it was diagnosed as skeletal angiomatosis which, considering the marked osteolysis present, falls within the description of Gorham's disease. The three bones concerned in the tumour were excised and replaced with a bone graft, and the metacarpophalangeal joints preserved with Swanson prostheses.
TL;DR: A case of ulnar nerve palsy associated with a false aneurysm of the ulnar artery that was resected with return of full function of the hand.
Abstract: Summary A case of ulnar nerve palsy associated with a false aneurysm of the ulnar artery is presented. The aneurysm was resected with return of full function of the hand.
TL;DR: A preliminary study of the recovery of sensation in groin flaps, after suture of the lateral cutaneous branches of the twelfth thoracic nerve supplying the groin flap with those of the hand, appears to be a worthwhile procedure.
Abstract: A preliminary study of the recovery of sensation in groin flaps, after suture of the lateral cutaneous branches of the twelfth thoracic nerve supplying the groin flap with those of the hand, is described. This appears to be a worthwhile procedure.
TL;DR: A report illustrating some of the typical clinical features of epidermoid cyst of the hand.
Abstract: Summary A report illustrating some of the typical clinical features of epidermoid cyst of the hand.