HandchirurgiePub Date : 2011-11-25DOI: 10.1007/978-3-642-11758-9_41
M. Ninkovic, F. Herter, T. I. Gerstung, R. Hierner
{"title":"Makroamputationsverletzungen im Bereich der oberen Extremität","authors":"M. Ninkovic, F. Herter, T. I. Gerstung, R. Hierner","doi":"10.1007/978-3-642-11758-9_41","DOIUrl":"https://doi.org/10.1007/978-3-642-11758-9_41","url":null,"abstract":"","PeriodicalId":75892,"journal":{"name":"Handchirurgie","volume":"1 1","pages":"1135 - 1185"},"PeriodicalIF":0.0,"publicationDate":"2011-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/978-3-642-11758-9_41","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"51071346","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Experimental examination of skeletal muscle perfusion with stroma-free hemoglobin solution in ischemia].","authors":"H U Steinau, O Elert, M Schneider","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>An experimental study about post-ischemic perfusion of muscles with a new stroma-free hemoglobin solution is presented. Compared to other storage and perfusion methods the solution has several advantages: 1. Oxygenation and metabolism of the skeletal muscles are preserved. 2. Excellent wash-out effect. 3. The rheologic characteristics are better than those of whole blood. 4. No incompatibility. 5. No thrombogenetic effect. 6. The method is easy to manage. Our ultrastructural investigations show less damage of the muscle cells after a post-ischemic perfusion with oxygenated hemoglobin solution than after a post-ischemic physiological perfusion with whole blood.</p>","PeriodicalId":75892,"journal":{"name":"Handchirurgie","volume":"13 1-2","pages":"149-51"},"PeriodicalIF":0.0,"publicationDate":"1981-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18352853","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Carpal tunnel syndrome in infants].","authors":"C Heinz","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>We have observed and operated on 5 children at the age of 15 months to 6 years for carpal tunnel syndrome. 4 children, all belonging to the same family had bilateral median nerve compression syndrome. These 4 children also suffered from bilateral tenosynovitis, and a mild form of mucopoolysaccharidosis (M. Scheie) was diagnosed. The symptoms in all 5 children were uncharacteristic and initially difficult to associate with nerve compression at first. Numbness and dysaesthesia in the thumb, index and middle finger, the most frequent signs in adult patients, were missing. In these children, the observation of general manual clumsiness, unusual patterns of grasping, sudden change in playing habits with avoidance of manual activity led to the suspicion of a median nerve compression syndrome. In all children decompression of the median nerve resulted in normalization or marked improvement of hand function.</p>","PeriodicalId":75892,"journal":{"name":"Handchirurgie","volume":"13 3-4","pages":"272-4"},"PeriodicalIF":0.0,"publicationDate":"1981-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17861802","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Remarks and thoughts on the evaluation of results in replantation surgery].","authors":"A Berger, G Meissl, R Walzer","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In order to completely evaluate the results after replantation or revascularization of an amputated part, an additional factor, integration or the adaptation of the replanted part to the activities of daily living and to the occupational life of the patient, should be considered. Six categories are developed and illustrated with examples. Each of the categories is assigned a high differential multiplication factor according to whether the replanted part is useless (factor 1), not useful but also not a hindrance (factor 10), is only an aid to the healthy extremity (factor 30) or is of limited use in daily life and at work (factor 50). Factor 70 is assigned when the amputated part can be used with retraining in another job and is not a hindrance in daily life. Factor 100 applies when the replanted part does not interfere with daily living or occupation. This factor should be regarded as a supplementary assessment which attempts to objectively evaluate a replanted or revascularized part of the hand.</p>","PeriodicalId":75892,"journal":{"name":"Handchirurgie","volume":"13 1-2","pages":"70-4"},"PeriodicalIF":0.0,"publicationDate":"1981-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18357605","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Cancer metastases of the hand].","authors":"J Drewes, R Sailer, A Schmitt-Gräff","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The distribution of metastases in the skeleton corresponds to the presence of active hemato-poetic bone marrow. Osseous metastases distal to the elbow and knee joints are therefore rare. 67 patients with metastatic tumors of the hand were analyzed in a bibliographical review and two cases are added. A hypernephroid carcinoma and a bronchogenic carcinoma had both metastasized to the distal phalanx of the thumb and had simulated a whitlow in both cases. The distal phalanx is the most common site of metastases. The most frequent primary lesions are, in order, lung, kidney and breast. Not only clinically but also radiologically and peripheral bone metastasis can be taken for a whitlow. In most cases the X-ray shows a lytic lesion, often ruptured into the soft tissues. Benign and malignant neoplasms must be considered in the differential diagnosis of such lytic lesions, but mostly they are metastatis. X-ray and chemo therapy in this situation may at least reduce pain otherwise exstirpation of the appropriate fingers or part of the hand is indicated. As a rule survival is short.</p>","PeriodicalId":75892,"journal":{"name":"Handchirurgie","volume":"13 3-4","pages":"296-304"},"PeriodicalIF":0.0,"publicationDate":"1981-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18358654","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Graner's intercarpal arthrodesis].","authors":"R Naett, J Nonnenmacher, G Copin","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Graner's intercarpal arthrodesis was performed in 10 patients with Kienböck's disease. The procedure consists in excision of the deformed lunate bone, cartilage resection in the adjacent intercarapal joints (Fig. 5), transverse osteotomy of the capitate bone, transposition of its proximal part to the place of the lunate, fixation with Kirschner wires and filling all the remaining bone spaces with cancellous bone. Postoperative immobilisation was necessary for about three months. Eight of these patients were reviewed 1 to 4 years postoperatively. 40% were free of pain, 50% have some pain and 10% moderate to severe pain. The range of motion in the wrist was restricted between one and two thirds, the strength of the grip on average was one third of the normal values. Severe arthrotic changes were considered as contraindications for this procedure, because their further development was no stopped by the intercarpal arthrodesis and will interfere with the positive aspects of this procedure.</p>","PeriodicalId":75892,"journal":{"name":"Handchirurgie","volume":"13 3-4","pages":"212-7"},"PeriodicalIF":0.0,"publicationDate":"1981-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18358711","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Treatment outcome in de Quervain's dislocation fracture].","authors":"J Eitenmüller, H G Haas, P Thul, W Reichmann","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In De Quervains dislocation fracture pseudarthroses of the scaphoid bone following closed reduction are very common, 59% being reported in a former publication. Exact adaptation of the fragments after reduction of the perilunar dislocation is essential for healing of the fracture. In cases where this is not possible by conservative means, open reduction and screwing of the scaphoid fracture is necessary for better result with a rate of pseudarthroses of only 16%.</p>","PeriodicalId":75892,"journal":{"name":"Handchirurgie","volume":"13 3-4","pages":"218-20"},"PeriodicalIF":0.0,"publicationDate":"1981-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18358712","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Arthrodeses of the thumb and long finger joints].","authors":"L Martin","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":75892,"journal":{"name":"Handchirurgie","volume":"13 3-4","pages":"221-30"},"PeriodicalIF":0.0,"publicationDate":"1981-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18358713","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Results of a denervating operation in radial and ulnar humeral epicondylitis].","authors":"J Meine, E Eicher","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The treatment of lateral epicondylitis is first of all conservative, and only resistant cases need operative care. The authors performed denervation after the technique of Wilhelm with a slight modification on 63 elbows in 55 patients. The results at follow-up were excellent in 47 elbows and good in 11 (=92%), fair in three and failed in one. According to the anatomical model it is suggested that this procedure permits not only a selective neurotomy of the nerve supply to the lateral epicondyle, but also release of the extensor muscles at their attachment on the epicondyle and on the orbicular ligament; it even seems that it favours indirectly a decompression of the radial nerve in the middle and distal part of the radial tunnel. According to these observations, the operation of denervation satisfies the various etiopathogencial hypotheses concerning tennis elbow, whether it may be due to an insertion tendintis, to the presence of granulomatous tissue in the subtendinous space, to a vertebrogenic irritation syndrome, or to an entrapment neuropathy of the radial nerve. The same considerations can be extended to medial epicondylitis, employed in six cases of the present series; all of them were improved after the operation.</p>","PeriodicalId":75892,"journal":{"name":"Handchirurgie","volume":"13 3-4","pages":"254-9"},"PeriodicalIF":0.0,"publicationDate":"1981-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18358719","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}