journal
MENU ▼
Read by QxMD icon Read
search

Hand Clinics

journal
https://www.readbyqxmd.com/read/29625647/current-concepts-in-the-management-of-proximal-interphalangeal-joint-disorders
#1
EDITORIAL
Kevin C Chung
No abstract text is available yet for this article.
May 2018: Hand Clinics
https://www.readbyqxmd.com/read/29625646/therapy-concepts-for-the-proximal-interphalangeal-joint
#2
REVIEW
Nathan P Douglass, Amy L Ladd
The principles of hand therapy for proximal interphalangeal joint disorders include protecting injured structures, minimizing patient discomfort, and optimizing patient recovery. Comprehension of hand anatomy, the nature of the injury being treated, and the phases of healing are critical when designing a safe and effective hand therapy program. Hand therapists use a combination of orthoses, guided exercises, and modalities to improve edema, sensitivity, range of motion, and function.
May 2018: Hand Clinics
https://www.readbyqxmd.com/read/29625645/complications-of-proximal-interphalangeal-joint-injuries-prevention-and-treatment
#3
REVIEW
Sirichai Kamnerdnakta, Helen E Huetteman, Kevin C Chung
Proximal interphalangeal joint injuries are one of the most common injuries of the hand. The severity of injury can vary from a minor sprain to a complex intra-articular fracture. Because of the complex anatomy of the joint, complications may occur even after an appropriate treatment. This article provides a comprehensive review on existing techniques to manage complications and imparts practical points to help prevent further complications after proximal interphalangeal joint injury.
May 2018: Hand Clinics
https://www.readbyqxmd.com/read/29625644/management-of-flexor-pulley-injuries-with-proximal-interphalangeal-joint-contracture
#4
REVIEW
Elizabeth Inkellis, Emily Altman, Scott Wolfe
Flexor pulley ruptures with severe proximal interphalangeal (PIP) joint contracture present a complex challenge for the hand surgeon. Four patients were treated with a delayed presentation of pulley rupture and fixed PIP flexion contracture with a technique of external extension torque application followed by splinting without pulley reconstruction. Using this technique, the PIP joint contractures improved from an average of 66° to an average of 19°, patient satisfaction was high, and the pulley injuries were managed with splinting alone without open pulley reconstruction...
May 2018: Hand Clinics
https://www.readbyqxmd.com/read/29625643/treating-congenital-proximal-interphalangeal-joint-contracture
#5
REVIEW
Sarah M Yannascoli, Charles A Goldfarb
The management of congenital proximal interphalangeal joint deformity, also known as camptodactyly, is challenging. There are numerous theories on the cause of this abnormal finger posture, leading to variations in classification, definition, and treatment approaches. This article assesses the previous literature and provides clarity and guidance for the practical treatment of camptodactyly.
May 2018: Hand Clinics
https://www.readbyqxmd.com/read/29625642/treatment-of-proximal-interphalangeal-joint-contracture
#6
REVIEW
Sami H Tuffaha, W P Andrew Lee
Proximal interphalangeal joint (PIPJ) flexion contracture is a challenging and often frustrating problem. Treatment of PIPJ contracture begins with conservative measures. With good compliance and prolonged use, favorable results can be achieved using these modalities. For contractures that fail to respond to conservative treatment, surgical intervention can be considered. The affected structures that can be released during surgery include the accessory collateral ligaments, volar plate, checkrein ligaments, retinacular ligaments, and the flexor and extensor tendons...
May 2018: Hand Clinics
https://www.readbyqxmd.com/read/29625641/salvaging-a-failed-proximal-interphalangeal-joint-implant
#7
REVIEW
Francis J Aversano, Ryan P Calfee
Salvaging a failed proximal interphalangeal (PIP) joint implant arthroplasty remains a considerable technical and rehabilitation challenge. Experienced arthroplasty surgeons have reported 70% survival of revision PIP implants at 10 years with 25% of patients requiring subsequent revision surgery. At this time, there is no consensus surgical approach or implant proven superior for revision implant arthroplasty of the PIP joint. Secondary arthrodesis or amputation may be required to salvage the failed PIP implant arthroplasty with compromised bone stock or soft tissue envelopes that are inadequate for implant arthroplasty...
May 2018: Hand Clinics
https://www.readbyqxmd.com/read/29625640/microvascular-toe-joint-for-proximal-interphalangeal-joint-replacement-indications-technique-and-outcomes
#8
REVIEW
Ryan D Katz, James P Higgins
Microvascular toe interphalangeal joint transfer can serve as a means of autogenous digit proximal interphalangeal joint (PIPJ) arthroplasty. Among surgical options for treating dysfunctional, absent, or destroyed PIPJs, free toe joint transfer is the most technically challenging and carries the greatest donor site cost to patients. Despite drawbacks, free toe joint transfer is a valuable tool with considerable advantages over conventional arthroplasty in the appropriate clinical setting. Particular advantages include lifelong durability, coronal plane stability, low infection risk, and growth potential in skeletally immature patients...
May 2018: Hand Clinics
https://www.readbyqxmd.com/read/29625639/implant-arthroplasty-selection-of-exposure-and-implant
#9
REVIEW
Michiro Yamamoto, Kevin C Chung
This review analyzes various surgical exposures and implant designs for proximal interphalangeal (PIP) joint pathology. Our literature review found that silicone implants using a volar approach had the best arc of motion, least extension lag, and lowest complication rates compared with all the other implant designs and approaches. Surface replacement arthroplasties had more frequent surgical revisions compared with silicone implants. Continued efforts toward the development of improved PIP joint implants are necessary...
May 2018: Hand Clinics
https://www.readbyqxmd.com/read/29625638/advances-in-proximal-interphalangeal-joint-arthroplasty-biomechanics-and-biomaterials
#10
REVIEW
Andy F Zhu, Paymon Rahgozar, Kevin C Chung
Proximal interphalangeal (PIP) joint arthritis is a debilitating condition. The complexity of the joint makes management particularly challenging. Treatment of PIP arthritis requires an understanding of the biomechanics of the joint. PIP joint arthroplasty is one treatment option that has evolved over time. Advances in biomaterials have improved and expanded arthroplasty design. This article reviews biomechanics and arthroplasty design of the PIP joint.
May 2018: Hand Clinics
https://www.readbyqxmd.com/read/29625637/proximal-interphalangeal-joint-fusion-indications-and-techniques
#11
REVIEW
James Jung, Brandon Haghverdian, Ranjan Gupta
This article is an in-depth analysis of proximal interphalangeal joint arthrodesis indications and surgical techniques. There are a wide variety of indications for proximal interphalangeal joint arthrodesis with relatively few contraindications. Moreover, although there is a limited surgical approach, there is a wide breadth of modalities in which to obtain the arthrodesis, of which several are listed here. Proximal interphalangeal joint arthrodesis has been shown to have excellent outcomes and a high success rate...
May 2018: Hand Clinics
https://www.readbyqxmd.com/read/29625636/treating-the-proximal-interphalangeal-joint-in-swan-neck-and-boutonniere-deformities
#12
REVIEW
Paige M Fox, James Chang
Swan neck and boutonniere deformities of the proximal interphalangeal (PIP) joint are challenging to treat. In a swan neck deformity, the PIP joint is hyperextended with flexion at the distal interphalangeal (DIP) joint. In a boutonniere deformity, there is flexion the PIP joint with hyperextension of the DIP joint. When the deformities are flexible, treatment begins with splinting. However, when the deformity is fixed, serial casting or surgery is often necessary to restore joint motion before surgical correction...
May 2018: Hand Clinics
https://www.readbyqxmd.com/read/29625635/management-of-proximal-interphalangeal-joint-fracture-dislocations
#13
REVIEW
Nicholas M Caggiano, Carl M Harper, Tamara D Rozental
Fracture dislocations of the proximal interphalangeal (PIP) joint of the finger are often caused by axial load applied to a flexed joint. The most common injury pattern is a dorsal fracture dislocation with a volar lip fracture of the middle phalanx. Damage to the soft-tissue stabilizers of the PIP joint contributes to the deformity seen with these fracture patterns. Unfortunately, these injuries are commonly written off and left untreated. A late-presenting PIP joint fracture dislocation has a poor chance of regaining normal range of motion...
May 2018: Hand Clinics
https://www.readbyqxmd.com/read/29625634/treating-proximal-interphalangeal-joint-dislocations
#14
REVIEW
Bradley Hart Saitta, Jennifer Moriatis Wolf
Proximal interphalangeal (PIP) joint dislocation a common injury. Usually, concentric stable reduction can be achieved with closed reduction. Occasionally, PIP joint dislocations are irreducible and open reduction is necessary. Complications include prolonged splinting and delay in presentation with subluxation or persistent dislocation. Surgery is often recommended for contracture or joint reduction. Surgical techniques focus on contracture release, joint reduction, and range of motion. Techniques have evolved from primary repair to tenodesis and suture anchor reconstruction...
May 2018: Hand Clinics
https://www.readbyqxmd.com/read/29625633/surgical-exposure-of-the-proximal-interphalangeal-joint
#15
REVIEW
Casey M DeDeugd, Marco Rizzo
There are 3 main surgical approaches to the proximal interphalangeal (PIP) joint; dorsal, volar, and lateral and several described modifications to these main approaches. Historically, the dorsal approach has been the standard for the most common procedures of the PIP joint. The volar approach is advantageous for surgical interventions requiring access to the volar plate. It spares the central slip insertion from possible disruption, as does the lateral approach. This article describes the surgical approaches to the PIP joint, explains the rationale for choosing each approach, and discusses some of the most common complications...
May 2018: Hand Clinics
https://www.readbyqxmd.com/read/29625632/anatomy-and-biomechanics-of-the-finger-proximal-interphalangeal-joint
#16
REVIEW
Eric Quan Pang, Jeffrey Yao
A complete understanding of the normal anatomy and biomechanics of the proximal interphalangeal joint is critical when treating pathology of the joint as well as in the design of new reconstructive treatments. The osseous anatomy dictates the principles of motion at the proximal interphalangeal joint. Subsequently, the joint is stabilized throughout its motion by the surrounding proximal collateral ligament, accessory collateral ligament, and volar plate. The goal of this article is to review the normal anatomy and biomechanics of the proximal interphalangeal joint and its associated structures, most importantly the proper collateral ligament, accessory collateral ligament, and volar plate...
May 2018: Hand Clinics
https://www.readbyqxmd.com/read/29169603/complex-trauma-management-of-the-upper-extremity
#17
EDITORIAL
Asif M Ilyas
No abstract text is available yet for this article.
February 2018: Hand Clinics
https://www.readbyqxmd.com/read/29169602/ulnar-nerve-management-with-distal-humerus-fracture-fixation-a-meta-analysis
#18
REVIEW
Jonathan W Shearin, Talia R Chapman, Andrew Miller, Asif M Ilyas
Ulnar nerve dysfunction following distal humerus fractures is a well-recognized phenomenon. There is no consensus regarding optimal handling of the ulnar nerve during surgical management of these fractures between in situ management and transposition. Using an electronic database to identify retrospective studies involving surgical fixation of distal humerus fractures yielded 46 studies, 5 trials meeting the authors' inclusion criteria, totaling 362 patients. An overall incidence of 19.3% for ulnar neuropathy was identified...
February 2018: Hand Clinics
https://www.readbyqxmd.com/read/29169601/antibiotic-management-and-operative-debridement-in-open-fractures-of-the-hand-and-upper-extremity-a-systematic-review
#19
REVIEW
William J Warrender, Christopher J Lucasti, Talia R Chapman, Asif M Ilyas
Open fractures of the hand are thought to be less susceptible to infection than other open fractures because of the increased blood supply to the area. Current evidence for all open fractures shows that antibiotic use and the extent of contamination are predictive of infection risk, but time to debridement is not. We reviewed in a systematic review the available literature on open fractures of the hand and upper extremity to determine infection rates based on the timing of debridement and antibiotic administration...
February 2018: Hand Clinics
https://www.readbyqxmd.com/read/29169600/arterial-injury-in-the-upper-extremity-evaluation-strategies-and-anticoagulation-management
#20
REVIEW
Cory Lebowitz, Jonas L Matzon
Trauma to the upper extremity can present with an associated arterial injury. After patient stabilization, thorough assessment with physical examination and various imaging modalities allows accurate diagnosis of the specific arterial injury. After diagnosis, efficient treatment is necessary to allow limb salvage. Treatment options include ligation, primary repair, graft reconstruction, endovascular repair, and amputation. The final treatment rendered is frequently dependent on injury location and mechanism...
February 2018: Hand Clinics
journal
journal
29152
1
2
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read
×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"