1,720,998 research outputs found
Foveal TFCC tear classification and treatment.
No full textDuring the last two decades, increased knowledge of functional anatomy and pathophysiology of the triangular fibrocartilage complex (TFCC) have contributed to a change in surgeons' perspective toward it. The earlier concept of the TFCC as the "hammock" structure of the ulnar carpus has updated to the "iceberg" concept, whereby the much larger "submerged" part represents the foveal insertions of the TFCC and functions as the stabilizer of the distal radioulnar joint and the ulnar carpus, thus lending it greater functional importance. This article presents an algorithm of the treatment of traumatic peripheral TFCC tear based on clinical, radiological, and arthroscopic findings
Revisione dei casidi ricostruzione del pollice trattati secondo Morrison nella Clinica Ortopedica e Traumatologica di Modena.
No full textN
Arthroscopic Assisted Treatment of Thumb Metacarpal Base Articular Fractures
No full textFracture of the base of the thumb metacarpal (M1) is a common finding in hand trauma. Closed reduction and K-wire fixation and open reduction–internal fixation are traditional treatments of choice. The arthroscopic assisted technique has been introduced to improve intra-articular fragment reduction and to preserve fragment vascularization and capsular and ligamentous integrity along with joint stability. Indications for arthroscopic assistance are all types of intra-articular fractures or pending malunions involving the base of M1 and/or the trapezium. The aim of this article is to describe the surgical technique used in managing articular fractures of the base of M1, with arthroscopic assistance. Our experience with this technique confirms the advantages of a minimally invasive method that provides articular reduction under direct vision, with limited soft-tissue damage, and allows early rehabilitation (from day 1 after surgery). This technique is extremely valuable for high-demand patients such as manual workers or athletes. The relative disadvantage of the technique is its technical difficulty, which requires experience with small-joint arthroscopy
Arthroscopic treatment in traumatic lesion of the wrist
No full textThe wrist has a very complex structure and alteration of its components due to trauma creates challenging scenarios for the hand and wrist surgeon. Wrist arthroscopy was developed in 1979 as a diagnostic instrument for intraarticular pathologies but in recent years due to development of technology small optics and working instruments were introduce allowing its application not only for diagnosis but also for treatment. Nowadays hand surgeons use arthroscopic method to repair intra-articular ligaments for example the triangular fibrocartilage complex, scapholunate and lunotriquetral which can emerge as a focal injury or in association to perilunate dislocation, carpal fracture or distal radius fracture. Arthroscopy is also used to assist the reduction of bone fracture like distal radius or carpal bones in order to have a precise reduction restoring articular anatomy and by this avoiding future articular degeneration changes due to the fracture. In this review article we exposed how arthroscopy of the wrist can be applied to solve traumatic lesion by itself as mini-invasive procedure or assist the open approach to get a more anatomic reconstruction and get better outcomes. This by reviewing the literature and presenting our personal experience
Arthroscopic treatment in traumatic lesion of the wrist
No full textThe wrist has a very complex structure and alteration of its components due to trauma creates challenging scenarios for the hand and wrist surgeon. Wrist arthroscopy was developed in 1979 as a diagnostic instrument for intraarticular pathologies but in recent years due to development of technology small optics and working instruments were introduce allowing its application not only for diagnosis but also for treatment. Nowadays hand surgeons use arthroscopic method to repair intra-articular ligaments for example the triangular fibrocartilage complex, scapholunate and lunotriquetral which can emerge as a focal injury or in association to perilunate dislocation, carpal fracture or distal radius fracture. Arthroscopy is also used to assist the reduction of bone fracture like distal radius or carpal bones in order to have a precise reduction restoring articular anatomy and by this avoiding future articular degeneration changes due to the fracture. In this review article we exposed how arthroscopy of the wrist can be applied to solve traumatic lesion by itself as mini-invasive procedure or assist the open approach to get a more anatomic reconstruction and get better outcomes. This by reviewing the literature and presenting our personal experience
Going Beyond Counting First Authors in Author Co-citation Analysis
Full text linkThe present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
Il dolore negli esiti del trattamento chirurgico delle lesioni dei nervi periferici
No full textNo abstrac
- …
