scholarly journals A robot-assisted study of intrinsic muscle regulation on proximal interphalangeal joint stiffness by varying metacarpophalangeal joint position

2006 ◽  
Vol 24 (3) ◽  
pp. 407-415 ◽  
Author(s):  
Zong-Ming Li ◽  
Gregg Davis ◽  
Norm P. Gustafson ◽  
Robert J. Goitz
Keyword(s):  
Joint Stiffness ◽  
Metacarpophalangeal Joint ◽  
Proximal Interphalangeal Joint ◽  
Interphalangeal Joint ◽  
Joint Position ◽  
Robot Assisted ◽  
Muscle Regulation ◽  
Intrinsic Muscle

Arthroplasty in the hand: what works and what doesn’t?

2021 ◽  
pp. 175319342110177
Author(s):  
Daniel B. Herren ◽  
Hajime Ishikawa ◽  
Marco Rizzo ◽  
Mark Ross ◽  
Michael Solomons
Keyword(s):  
Surgical Technique ◽  
Metacarpophalangeal Joint ◽  
Distal Radioulnar Joint ◽  
Proximal Interphalangeal Joint ◽  
Interphalangeal Joint ◽  
Carpometacarpal Joint ◽  
Thumb Carpometacarpal Joint ◽  
Radioulnar Joint ◽  
What Works ◽  
Thumb Carpometacarpal

This review describes the different possibilities for arthroplasties at the proximal interphalangeal joint, thumb carpometacarpal joint, distal radioulnar joint, metacarpophalangeal joint and the wrist. For each joint, the indication for arthroplasty is explained, the surgical technique with the suitable implant is described and a brief summary of the outcomes reported in the literature is given.

Extensor Indicis Opposition Transfer in The Ulnar and Median Palsied Thumb in Leprosy

1996 ◽  
Vol 21 (5) ◽  
pp. 617-621 ◽  
Author(s):  
R. MEHTA ◽  
G. N. MALAVIYA ◽  
S. HUSAIN
Keyword(s):  
Index Finger ◽  
Donor Site ◽  
Metacarpophalangeal Joint ◽  
Proximal Interphalangeal Joint ◽  
Interphalangeal Joint ◽  
Flexor Pollicis Longus ◽  
Extensor Pollicis Longus ◽  
Extensor Indicis Proprius ◽  
Leprosy Patients ◽  
Significant Deficit

Twenty seven opponensplasties for ulnar and median paralysis in 25 leprosy patients were performed using extensor indicis proprius. An additional transfer of the radial half of flexor pollicis longus to extensor pollicis longus was done to stabilize the metacarpophalangeal joint of the thumb. The biomechanical aspects of extensor indicis proprius tendon transfer were studied and results evaluated using various anatomical and functional parameters. Extensor indicis proprius provides adequate strength to position the thumb. However, sometimes it does not reach its new insertion. There is no significant deficit at the donor site but in a few cases the index finger may lose its capability for independent extension and sometimes a proximal interphalangeal joint contracture may develop.

Proximal Interphalangeal Joint Stiffness: Measurement and Analysis

2005 ◽  
Vol 30 (3) ◽  
pp. 573-579 ◽  
Author(s):  
Emil Dionysian ◽  
J. Michael Kabo ◽  
Frederick J. Dorey ◽  
Roy A. Meals
Keyword(s):  
Joint Stiffness ◽  
Proximal Interphalangeal Joint ◽  
Interphalangeal Joint ◽  
Stiffness Measurement ◽  
Measurement And Analysis

Rheumatology

2018 ◽  
Author(s):  
Chris Edwards ◽  
David Warwick
Keyword(s):  
Wound Healing ◽  
Tendon Rupture ◽  
Morning Stiffness ◽  
Metacarpophalangeal Joint ◽  
Early Morning ◽  
Proximal Interphalangeal Joint ◽  
Interphalangeal Joint ◽  
Erythrocyte Sedimentation ◽  
Key Features ◽  
Rheumatological Diseases

A number of rheumatological diseases are manifest in the hand and wrist. Many are associated with considerable systemic inflammation. This produces chronic ill-health, poor wound healing, and osteoporosis. Attempts to eliminate inflammation at the earliest opportunity are vital. Multiple involved joints with high acute phase markers (CRP and erythrocyte sedimentation rate raised) and early morning stiffness are key features. Multi-disciplinary management, involving the rheumatologist and hand therapist is essential. With improving medical management, surgical problems are becoming far less common. Typical conditions include metacarpophalangeal joint malalignment (ulnar drift, sagittal band subluxation), spontaneous arthrodesis, tenosynovitis, tendon rupture, and proximal interphalangeal joint imbalance (swan neck and boutonnière deformity).

Ulnar Parametacarpal Flap for Small Finger Avulsion Injury

2021 ◽  
Vol 26 (03) ◽  
pp. 477-480
Author(s):  
Shinsuke Takeda ◽  
Katsuyuki Iwatsuki ◽  
So Mitsuya ◽  
Miku Mitsuya ◽  
Yutaro Kuwahara ◽  
...  
Keyword(s):  
Proximal Phalanx ◽  
Metacarpophalangeal Joint ◽  
Proximal Interphalangeal Joint ◽  
Interphalangeal Joint ◽  
Island Flap ◽  
Skin Defect ◽  
Avulsion Injury ◽  
Propeller Flap ◽  
Alternative Method ◽  
Difficult Cases

In difficult cases of replantation following small finger avulsion injury, in which amputation occurs at the proximal interphalangeal joint, the ulnar parametacarpal island flap, rotated 180° (propeller flap), can be used as an alternative method for covering a skin defect of the proximal phalanx. This flap can prevent metacarpophalangeal joint dysfunction and additional finger shortening. We propose the use of an ulnar parametacarpal flap for this purpose and report the outcomes of two successful cases treated with this method and followed up for 12 months.

Pollicization of the index finger requiring secondary fusion of the new metacarpophalangeal joint

2015 ◽  
Vol 41 (3) ◽  
pp. 295-300 ◽  
Author(s):  
M. M. Al-Qattan
Keyword(s):  
Index Finger ◽  
Case Series ◽  
Metacarpophalangeal Joint ◽  
Flexion Contracture ◽  
Proximal Interphalangeal Joint ◽  
Interphalangeal Joint ◽  
Long Term Study ◽  
Current Series ◽  
Early Functional Outcome

In children with absent thumbs, some authors have stated that ‘relative’ contraindications of pollicization include severe fixed flexion contracture and instability of the proximal interphalangeal joint of the index finger. The current author does not consider severe proximal interphalangeal joint deformities of the index finger as a contraindication to pollicization; and hence these children are offered the procedure. A literature review did not reveal any study that specifically documents the outcome of pollicization in these cases. The current series included five children: four with severe (over 80°) fixed flexion contracture of the proximal interphalangeal joint of the index finger and one with instability of the proximal interphalangeal joint. All children were initially assessed during infancy at their local hospitals and the parents were informed that a pollicization procedure would yield a poor outcome. Presentation to the author was relatively late at a mean of 9.3 years (range 2.5–12). All children underwent two surgical procedures: a pollicization followed by fusion of the new metacarpophalangeal joint. The overall early functional outcome was good and all children/parents were satisfied with the procedure. These encouraging results warrant a prospective long term study on various conditions that are considered as ‘relative’ contraindications to the pollicization procedure. Level evidence: IV Therapeutic (case series)

Osteoarthritis of the hand

2011 ◽  
Author(s):  
David Warwick ◽  
Roderick Dunn ◽  
Erman Melikyan ◽  
Jane Vadher
Keyword(s):  
Operative Treatment ◽  
Biomechanical Properties ◽  
Metacarpophalangeal Joint ◽  
Proximal Interphalangeal Joint ◽  
Interphalangeal Joint ◽  
Common Disease ◽  
Distal Interphalangeal Joint ◽  
Progressive Degeneration ◽  
Diarthrodial Joints ◽  
Distal Interphalangeal

Introduction 254Digital joint replacement 256Scaphoid–trapezium–trapezioid joint 258Thumb CMCJ arthritis 260Non-operative treatment for thumb CMC OA 262Operative treatment for thumb CMCJ OA 264Finger carpometacarpal joint 269Metacarpophalangeal joint 270Proximal interphalangeal joint 272Distal interphalangeal joint 274Common disease of diarthrodial joints. Primary aetiology is characterized by progressive degeneration of articular cartilage: a manifestation of an abnormal state of chondrocyte metabolism, loss of certain tissue components, alterations in microstructure and changes in biomechanical properties....

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