Download or read book Hand function in patients with Dupuytren s disease written by Christina Engstrand and published by Linköping University Electronic Press. This book was released on 2019-01-07 with total page 78 pages. Available in PDF, EPUB and Kindle. Book excerpt: Background: Dupuytren’s Disease (DD) is a soft tissue disorder that leads to finger joint contractures affecting hand function. DD can be treated with surgery or injection and hand therapy to improve finger joint extension and thereby improve hand function. However, this does not cure the disease and recurrence is common. Previous research on DD has shown improvement in finger joint extension and in self-reported disability of the upper extremity after surgery and hand therapy for DD. However, this provides only a limited perspective on hand function, and multiple dimensions of changes in hand function (i.e. physical, psychosocial aspects and including the patients’ views of results) have not been reported as a whole. Aim: The overall aim of the thesis was to explore hand function before and after surgery and hand therapy in patients with DD, including assessment, results and patients’ perspectives. Methods: The thesis comprises three studies: Study A was a methodological study of interrater reliability in goniometry of the finger joints. Study B was a prospective cohort study with a repeated measures design. Study C was a qualitative interview study, using the model of Patient Evaluation Process and content analysis. Results: Interrater reliability was high or very high for goniometer measurement of finger joint range of motion (ROM) in patients with DD when experienced raters follow our standardized guidelines developed for the study. Changes in hand function consisted of improvement of finger joint extension while active finger flexion was significantly impaired during the first year after surgery and hand therapy. No patient reached a normal ROM, but the majority reached a functional ROM. Sensibility remained unaffected. Patients with surgery on multiple fingers had worse scar pliability than patients with surgery on a single finger. Most patients had their expectations met and were pleased or delighted with their hand function at 12 months after surgery and hand therapy. Safety issues of hand function were of greater concern than social issues. Patients reported less disability and improved health-related quality of life after surgery and hand therapy. The three variables “need to take special precautions”, “avoid using the hand in social context”, and health-related quality of life had significant importance for patients’ rating of functional recovery. Together, these variables explained 62% of the variance in functional recovery. Patients’ perspectives of undergoing a surgical intervention process were described through five categories. Previous experiences of care influenced participants’ expectations of results and the care they were about to receive. Previous experiences and expectations were used as references for appraisal of results, which concerned perceived changes in hand function, the care process, competency, and organization. Appraisal of results could also vary in relation to patient character. Appraisal of results of the intervention process influenced participants’ expectations of future hand function, health and care. Conclusions: Surgery and hand therapy for DD improve hand function and patients regain a functional ROM needed for performance of common daily activities. Despite the negative effect on finger flexion present during the first year after surgery, patients’ regards their hand function as recovered six to eight months after surgery and hand therapy. Measuring digital ROM in the finger joints with a goniometer is a reliable assessment method. However, from the patient’s perspective, it is not enough to evaluate results only in terms of digital extension or ROM. From their view, results of treatment concern consequences on daily use of the hand, what happens during the care process in terms of interaction between patient and health care provider, as well as their view of the competence and logistics of the organization providing the care.
Download or read book Dupuytren Disease An Issue of Hand Clinics E Book written by Steven Haase and published by Elsevier Health Sciences. This book was released on 2018-07-20 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: This issue of Hand Clinics, guest edited by Dr. Steve Haase, as well as the series’ consulting editor Dr. Kevin Chung, will cover a number of key aspects of Dupuytren Disease. Topics discussed within the issue include, but are not limited to: Risk Factors, Disease Associations, and Dupuytren Diathesis, Pathologic Anatomy in Dupuytren Disease, Needle Aponeurotomy for Dupuytren Disease, Development of Collagenase Treatment for Dupuytren Disease, Collagenase Injection for Dupuytren Disease, Alternative and Adjunctive Treatments for Dupuytren Disease, Comparative Outcomes of Dupuytren Disease Treatment, Complications of Dupuytren Disease Treatment, The Role of Hand Therapy in Dupuytren Disease, Treatment of Recurrent Dupuytren Disease, and Advances in Minimally Invasive Treatment of Dupuytren Disease.
Download or read book Dupuytren s Disease and Related Hyperproliferative Disorders written by Charles Eaton and published by Springer Science & Business Media. This book was released on 2012-01-19 with total page 462 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book is based on results of the 2010 International Symposium on Dupuytren's disease held in Miami, Florida, but it also includes new data and additional chapters. It is hoped that it will raise awareness of this underestimated condition and promote cooperative efforts to work towards a cure. Up to date information is provided on the epidemiology, biology, and pathology of the disease. The principles and specifics of treatment are explored in detail. The indications for and techniques of radiotherapy, minimally invasive treatments and open surgery are fully explained. The role of physical therapy is considered as well as the care of relapse and complications. The treatment of Ledderhose’s disease and Peyronie’s disease is also discussed. This book provides invaluable information for hand surgeons, podiatrists, orthopedists, radiation therapy specialists and general practitioners. It will help to foster an interdisciplinary approach to the understanding and management of this debilitating disorder.
Download or read book Collagenase in Dupuytren Disease written by Giorgio Pajardi and published by Springer. This book was released on 2018-07-23 with total page 142 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book offers detailed guidance on the use of collagenase, or enzymatic fasciotomy, as a nonsurgical treatment for Dupuytren’s contracture and explains its role in relation to the other forms of treatment, including open fasciectomy, needle aponeurotomy, and lipofilling. Clear guidance is provided on technique, current indications, and off-label usage. With the help of tips and tricks from leading experts, the reader will learn how to personalize the procedure to meet the needs of individual patients. Advice is also provided on all aspects of rehabilitation, which is a key determinant of treatment outcome. Collagenase treatment of Dupuytren’s disease has the benefits of low invasiveness and rapid patient recovery and achieves reasonable recurrence-free periods. It is especially valuable in patients with rapid recurrence following surgery. In documenting and appraising every aspect of its use, this book will be of value for all who treat patients with Dupuytren’s disease, including hand surgeons, orthopedists, plastic surgeons, physiatrists, and physiotherapists.
Download or read book Dupuytren s Disease written by Robert M. McFarlane and published by . This book was released on 1990 with total page 478 pages. Available in PDF, EPUB and Kindle. Book excerpt: A review of the current progress in treating Dupuytren's contracture or disease, which remains one the the major problems in hand surgery. It covers aspects of the subject such as normal and pathological anatomy, epidemiology, aetiology and pathogenesis.
Download or read book Hand Function written by Mehmet Tuncay Duruöz and published by Springer. This book was released on 2019-07-30 with total page 357 pages. Available in PDF, EPUB and Kindle. Book excerpt: This practical guide aids clinicians in distinguishing the different dimensions of hand function such as impairment, disability, and handicap. New and updated chapters discuss cerebral palsy, sports injuries, robotics, and assistive technologies. Extensively revised, the book provides a broad overview of the basic principles and examination of hand function. It describes how to evaluate hand function in specific afflicted populations, including the rheumatoid patient, the stroke patient, the trauma patient, the geriatric patient, and the pediatric patient as well as special populations such as diabetes mellitus patients and musicians. It also includes an appendix of hand function scales essential to the assessment of disability. The Second Edition of Hand Function is an ideal resource for all rheumatologists, physiatrists, hand surgeons, orthopedists, occupational therapists, and physical therapists caring for patients with impaired hand function.
Download or read book Problems in Hand Surgery written by Michael W. Neumeister and published by Thieme. This book was released on 2020-01-27 with total page 944 pages. Available in PDF, EPUB and Kindle. Book excerpt: State-of-the-art solutions to restore hand function in patients with difficult hand ailments The intricate balance of the intrinsic and extrinsic soft tissue structure and bony scaffold of the hand, coupled with 31 articulating services in the hand and wrist, can lead to significant surgical challenges. Providing surgeons with technical pearls to overcome these challenges is the primary focus of Problems in Hand Surgery: Solutions to Recover Function by internationally renowned hand surgeons Michael W. Neumeister and Michael Sauerbier, and an impressive group of contributors. Organized by 29 sections and 90 chapters, this comprehensive book focuses on secondary hand surgeries to optimize hand form and function in patients with challenging trauma- and disorder-related hand issues. Among the many topics addressed are problems associated with nonunion, malunion, dysvascular limbs, trauma-related degenerative changes, stiffness, tendon dysfunction, joint disruption, nerve injury, neuropathy, vasospasm, fractures, and osteoarthritis. Key Highlights Unique approaches for stiff fingers, recurrent cubital tunnel and ulnar neuropathy, suboptimal bone healing/avascular necrosis in the hand and wrist, and more High-quality videos provide insightful guidance on various surgical techniques Over 1,100 color illustrations and preoperative, intraoperative, and postoperative images help readers visualize the steps involved in each operative procedure The extraordinary clinical tools in this step-by-step surgical resource will help orthopaedic surgery residents and experienced orthopaedic and plastic surgeons manage difficult cases and achieve optimal patient outcomes.
Download or read book Orthopedic Surgery Clerkship written by Adam E. M. Eltorai and published by Springer. This book was released on 2017-08-09 with total page 811 pages. Available in PDF, EPUB and Kindle. Book excerpt: This quick-reference guide is the first book written specifically for the many third- and fourth-year medical students rotating on an orthopedic surgery service. Organized anatomically, it focuses on the diagnosis and management of the most common pathologic entities. Each chapter covers history, physical examination, imaging, and common diagnoses. For each diagnosis, the book sets out the typical presentation, options for non-operative and operative management, and expected outcomes. Chapters include key illustrations, quick-reference charts, tables, diagrams, and bulleted lists. Each chapter is co-authored by a senior resident or fellow and an established academic physician and is concise enough to be read in two or three hours. Students can read the text from cover to cover to gain a general foundation of knowledge that can be built upon when they begin their rotation, then use specific chapters to review a sub-specialty before starting a new rotation or seeing a patient with a sub-specialty attending. Practical and user-friendly, Orthopedic Surgery Clerkship is the ideal, on-the-spot resource for medical students and practitioners seeking fast facts on diagnosis and management. Its bullet-pointed outline format makes it a perfect quick-reference, and its content breadth covers the most commonly encountered orthopedic problems in practice.
Download or read book Dupuytren Disease and Related Diseases The Cutting Edge written by Paul M. N. Werker and published by Springer. This book was released on 2016-09-07 with total page 450 pages. Available in PDF, EPUB and Kindle. Book excerpt: In this book, leading international experts showcase the latest advances in research into Dupuytren disease and its clinical management. The coverage spans all relevant specialties, including cell biology, biomechanics, genomics, surgery, pharmacotherapy, and radiotherapy. The opening sections address epidemiology, cellular and extracellular events, and genetics. Treatment by means of collagenase injection, percutaneous needle fasciotomy, and other surgical and minimally invasive approaches is then extensively discussed. Comparative studies of different approaches are reviewed, and aspects of patient assessment, examined. The prevention and treatment of disease recurrences are also addressed. Further sections consider related conditions, other treatment options, and future pathways for research. This book should be read by all who treat or conduct research into Dupuytren disease. It is based on presentations delivered at the 2015 International Conference on Dupuytren Disease, held in Groningen, the Netherlands, which was designed to promote a coordinated global response to the disease involving patients, scientists, and clinicians.
Download or read book Arthroscopy and Endoscopy of the Hand Wrist and Elbow written by Tun Hing Lui and published by Springer Nature. This book was released on 2021-10-05 with total page 759 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book provides detailed advancement on arthroscopy and endoscopy of hand, wrist and elbow. It covers basic knowledge of procedures and dedicated introduction of surgical techniques for disease management. Endoscopic procedures with their advantage in surgical exposure and post-operative rehabilitation have been extensively performed in upper limb diseases. Cases presentation with well-illustrated arthroscopic and endoscopic photos for common clinical conditions was provided. The format is a step-by-step procedure for easy reference, particularly for surgeons in their training.
Download or read book Hand Function written by Mehmet Tuncay Duruöz and published by Springer Science & Business Media. This book was released on 2014-03-29 with total page 252 pages. Available in PDF, EPUB and Kindle. Book excerpt: Accurate assessment of hand function is critical to any treatment regimen of the hand compromised patient. Hand Function is a practical, clinical book which provides the knowledge needed to distinguish the different dimensions of hand function, particularly impairment, disability and handicap. Beginning with an overview of basic principles and examination, subsequent chapters evaluate the hand function in specific afflicted populations, including the rheumatoid patient, the stroke patient, the trauma patient, the geriatric patient and the pediatric patient, as well as special populations such as diabetes mellitus patients and musicians. An appendix containing hand function scales essential to the assessment of disability is also included. Rheumatologists, physiatrists, hand surgeons, orthopedists, occupational therapists and physical therapists will all find Hand Function a useful and valuable addition to their clinical references.
Download or read book Plastic Surgery written by Shehan Hettiaratchy and published by Springer Science & Business Media. This book was released on 2011-12-01 with total page 254 pages. Available in PDF, EPUB and Kindle. Book excerpt: Plastic Surgery, A Problem Based Approach provides a problem-based approach to solutions for common scenarios in plastic, reconstructive and aesthetic surgery and serves as a practical guide to managing a plastic surgical case. This book outlines a pathway through management for the clinician, consisting of six phases: 1) Recognition of the condition: facilitated by high quality images. 2) General approach: provided by an opening “mindset” statement for the particular case. 3) Assessment: the critical aspects of the history and examination. 4) Treatment: key decisions and key interventions. 5) Management: post-intervention expectations. 6) Evidence: the rationale behind the preceding treatment and an overview of any controversies. Plastic Surgery, A Problem Based Approach is a valuable reference tool for surgical trainees, medical students, healthcare professionals and plastic and reconstructive surgeons.
Download or read book Essentials of Hand Surgery written by Alexandro Aguilera Salgado and published by BoD – Books on Demand. This book was released on 2018-07-25 with total page 148 pages. Available in PDF, EPUB and Kindle. Book excerpt: Understanding the complexity of the hand and the specific reconstructive techniques is mandatory for every hand specialist. The objective of this book is to update hand specialists on the diagnosis and treatment of some of the most common pathologies affecting the hand and to provide new insights and recent advances in this field.
Download or read book Minimally Invasive Surgery in Orthopedics written by Giles R. Scuderi and published by Springer Science & Business Media. This book was released on 2009-10-30 with total page 658 pages. Available in PDF, EPUB and Kindle. Book excerpt: Minimally invasive surgery has evolved as an alternative to the traditional approaches in orthopedic surgery and has gathered a great deal of attention. Many surgeons are now p- forming all types of procedures through smaller surgical felds. Along with changes in the surgical technique, there have been rapid advances in computer navigation and robotics as tools to enhance the surgeon’s vision in the limited operative felds. With these new techniques and technologies, we must ensure that these procedures are performed safely and effectively with predictable clinical outcomes. This book has been expanded from our previous publi- tions to include spine and foot and ankle surgery, along with updated sections on knee arth- plasty, hip arthroplasty, and upper extremity surgery. The clinical information and surgical techniques, along with tips and pearls, provided by experts in the feld allows the reader to grasp a comprehensive understanding of the nuances of MIS. It is our intention that this text will be a valuable reference for all orthopedic surgeons. New York, NY Giles R. Scuderi, MD Piscataway, NJ Alfred J. Tria, MD v BookID 127440_ChapID FM_Proof# 1 - 14/09/2009 Contents Section I The Upper Extremities 1 What Is Minimally Invasive Surgery and How Do You Learn It? . . . . . . . . . . . . . . . . . . . . . 3 Aaron G. Rosenberg 2 Overview of Shoulder Approaches: Choosing Between Mini-incision and Arthroscopic Techniques . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 Raymond A. Klug, Bradford O. Parsons, and Evan L. Flatow 3 Mini-incision Bankart Repair . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 Edward W. Lee, Kenneth Accousti, and Evan L. Flatow 4 Mini-open Rotator Cuff Repair . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Download or read book Dupuytren s Disease written by John Turner Hueston and published by . This book was released on 1974 with total page 190 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Postgraduate Orthopaedics written by Paul A. Banaszkiewicz and published by Cambridge University Press. This book was released on 2012-08-16 with total page 301 pages. Available in PDF, EPUB and Kindle. Book excerpt: The must-have book for candidates preparing for the oral component of the FRCS (Tr and Orth).
Download or read book Orthopedics of the Upper and Lower Limb written by K. Mohan Iyer and published by Springer Nature. This book was released on 2020-07-07 with total page 714 pages. Available in PDF, EPUB and Kindle. Book excerpt: The second edition of this book provides a practical guide to the latest diagnostic and therapeutic techniques in orthopedics for both the upper and lower limb. Extensively revised chapters provide detailed step-by-step instructions on how to perform basic clinical and surface, anatomy examinations on joints including the hand, elbow and ankle. The application of relevant surgical procedures and post-operative management techniques are also detailed. New topics covered include cruciate ligament injuries, and robot assisted surgery. Orthopedics of the Upper and Lower Limb is an ideal resource for trainees and junior surgeons seeking an easy to follow clinical manual on how to successfully diagnose and treat patients with orthopedic disorders affecting both limbs. It is also of use to the experienced practitioner seeking a detailed resource on the latest advances in the field.
