Paralytic Hand

Calandruccio, James H.; Jobe, Mark T.

doi:10.1016/b978-0-323-03329-9.50071-4

Cited by 10 publications

(12 citation statements)

References 91 publications

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“…Lipomas appear mostly in the fifth and sixth decade and probably are the most common solid cellular hand tumors. These lightly encapsulated tumors are composed of mature fatty tissue where the central lipid droplet and peripherally located nucleus forms the characteristic signet ring cell [ 1 ]. They arise from mesenchymal primordial fatty tissue cells.…”

Section: Discussionmentioning

confidence: 99%

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Patient presenting with lipoma of the index finger: a case report

et al. 2010

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IntroductionLipomas can be found anywhere in the body with the majority located in the head and neck region as well as in the shoulder and back. They are not very common in the hand and those involving the fingers are very rare. Although, it is not the only case reported, lipoma of the index finger is very uncommon.Case presentationA 52-year-old Caucasian man presented with a lipoma of the right index finger. He complained of no pain but he had difficulty in manual movements. Treatment was surgical excision of the lipoma. There has been no recurrence for two years.ConclusionAlthough lipomas of the fingers are rare entities, their awareness is imperative since the differential diagnosis from other soft tissue tumors and from the special lipomatous subtype involved is quite extensive.

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Section: Discussionmentioning

confidence: 99%

“…Lipomas are benign, mesenchymal neoplasms occurring in areas of abundant adipose tissue [ 1 ]. They can be found anywhere in the body with approximately 15-20% located in the head and neck region and the majority of the rest in the shoulder and back [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

Patient presenting with lipoma of the index finger: a case report

et al. 2010

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“…Each upper limb was classified into appropriate International Classification group and examined meticulously for the strength of Pronator teres (PT) and Brachioradialis (BR) and the sensibility of the hand. 1 , 2 , 3 , 4 , 5 , 6 , 7 Every patient underwent extensive pre-operative physiotherapy to ensure supple joints as joint contractures severely jeopardize the results. 2 , 3 , 4 Thorough patient counseling was done to ensure high level of motivation and avoid dropouts during the long post-operative rehabilitative phase.…”

Section: Methodsmentioning

confidence: 99%

The scope of upper limb surgery for tetraplegics: Role of tendon transfers and Universal Cuff

Mohindra¹,

Gogna²,

Sangwan³

et al. 2017

Acta Orthopaedica et Traumatologica Turcica

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ObjectiveThe aim of this study was to evaluate the role of tendon transfers and universal cuff in restoring hand function in tetraplegic patients.MethodsTwenty-one upper limbs on 12 tetraplegic patients (9 males and 3 females); mean age: 42.2 years (range 22–58 years) with a spinal cord injury at or distal to C6, were included in this study. Key pinch was restored using Brachioradialis to Flexor Pollicis Longus transfer and hook using Pronator Teres to Flexor Digitorum Profundus transfer. The gains achieved were measured objectively at six months and at final follow up, the average follow up being 26 months. The functional outcome was assessed using the Modified Lamb and Chan score.ResultsAverage value was 1.67 kg for key pinch and 2.58 kg for hook grip at final follow up. The Modified Lamb and Chan score revealed good to fair outcome in 75% of patients. Complications resulted from stretching of transfer and mal-tensioning and were salvaged by the use of a ‘Universal Cuff’.ConclusionSurgery should be routinely offered to tetraplegic patients with deficient hand function in whom no recovery is expected after six months following spinal cord injury. Universal Cuff is a good salvage method for patients who refuse re-surgery.Level of evidenceLevel IV, Therapeutic study.

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“…3a, b), transfer of BR to FDP in two limbs, and tenodesis of FDP in six limbs. In two upper limbs to correct clawing thereby making the grasp more effective, simultaneous Zancolli lasso tenodesis was carried out by suturing the tendons of the flexor difitorum supericialis back onto themselves [1, 2, 13, 17].…”

Section: Methodsmentioning

confidence: 99%