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Mano – Microcirugía

Fingertip Injuries: An Update on Management

Última actualización 10/11/15Donald H. Lee article. Abstract Injuries to the fingertip are common. The goal of treatment is restoration of a painless, functional digit with protective sensation. The amount of soft-tissue loss, the integrity of the nail bed, and the age and physical demands of the patient should be considered …

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Intrinsic Contracture of the Hand: Diagnosis and Management

Última actualización 5/11/13Rick Tosti J Am Acad Orthop Surg October 2013 vol. 21 no. 10 Abstract Intrinsic contracture of the hand may result from trauma, spasticity, ischemia, rheumatologic disorders, or iatrogenic causes. In severe cases, the hand assumes a posture with hyperflexed metacarpophalangeal joints and hyperextended proximal interphalangeal joints as …

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Management of Nonunion Following Surgical Management of Scaphoid Fractures: Current Concepts

Última actualización 14/10/13Edward S. Moon J Am Acad Orthop Surg September 2013 vol. 21 no. 9 Abstract Management of scaphoid nonunion after failed surgery for acute scaphoid fracture presents a unique treatment challenge. Prior surgery complicates patient evaluation and increases the technical difficulty of future procedures. Healing of nonunion is …

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Treatment of Distal Radius Fractures

Última actualización 3/09/13Jayson Murray J Am Acad Orthop Surg. Vol 21 Nº 8 August 2013 The American Academy of Orthopaedic Surgeons has developed Appropriate Use Criteria (AUC) for treating distal radius fractures (DRF). Evidence-based information, in conjunction with the clinical expertise of physicians, was used to develop the criteria to …

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Total Wrist Arthroplasty

Última actualización 9/04/13Arnold-Peter C. Weiss J Am Acad Orthop Surg March 2013 vol. 21 no. 3 Abstract Over the past 40 years, total wrist arthroplasty (TWA) has emerged as a cost-effective treatment option for wrist arthritis. First-generation implant designs have changed tremendously; current devices are designed to enhance wrist stability, …

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Fracture-dislocations of the Proximal Interphalangeal Joint

Última actualización 10/11/15John Elfar J Am Acad Orthop Surg February 2013 ; 21 Abstract Fracture-dislocations of the proximal interphalangeal joint encompass a spectrum of injury severity, ranging from injuries that require little intervention to those that require advanced reconstructive surgery for optimal outcome. Three fracture-dislocation patterns are recognized: dorsal, volar, …

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Advances in Wrist Arthroscopy

Última actualización 23/11/12J Am Acad Orthop Surg November 2012 ; 20 Jennifer Moriatis Wolf Abstract Since its introduction more than three decades ago, wrist arthroscopy has continually evolved. The procedure has a wide list of indications, including diagnostic and management applications. The scope of practice for the wrist arthroscopic surgeon …

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Carpal Instability Nondissociative

Última actualización 24/09/12J Am Acad Orthop Surg. September 2012 ; 20 (9) Scott W. Wolfe, MD, Marc Garcia-Elias, MD and Alison Kitay, MD Abstract Carpal instability nondissociative (CIND) represents a spectrum of conditions characterized by kinematic dysfunction of the proximal carpal row, often associated with a clinical “clunk.” CIND is …

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Flexor Tendon Sheath Infections of the Hand

Última actualización 5/07/12J Am Acad Orthop Surg June 2012 vol. 20 no. 6 Reid W. Draeger Abstract Flexor tendon sheath infections of the hand must be diagnosed and treated expeditiously to avoid poor clinical outcomes. Knowledge of the sheath’s anatomy is essential for diagnosis and to help to guide treatment. …

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