ABSTRACT
Hand injuries account for approximately 10 percent of accident and emergency department attendance [6]. The majority of these cases are fingertip injuries. The appropriate treatment following loss of tissue by amputation or avulsion depends upon the level and plane of injury, the functional requirements, the age of the patient and the skill of the surgeon Fifty three injured fingertips distal to the distal interphalangeal joint in 39 patients in El Haram hospital in the period between 2001 and 2003 were subjected to history tacking, clinical examination, first aid management, x-ray examination, suitable coverage and rehabilitation. These cases were seen weekly until healing was completed and then at 3 and 6 months Patients with fingertip injuries were 31 males and 8 females. All males except 3 received their injuries during work, but all females except two received their injuries during household activities. They sustained 53 fingertip injuries, 5 patients had 3 fingers injured, 3 patients had 2 fingers injured, and 31 had only one finger injured. Index middle and thumb were most commonly injured fingers. Index The tactile sensibility was good or excellent in [57 percent] of flaps and the nail looked good in [78 percent] of flaps. Received 21 injuries, middle 16, thumb 9, ring 5, and little 2. There are several options available to the surgeon and it is important to chose the most appropriate procedure for each type of injury. While it is desirable for the patient to return to maximum function as soon as possible
Subject(s)
Humans , Male , Female , Recovery of Function , Finger Injuries/classification , Plastic Surgery Procedures , Disease ManagementABSTRACT
Se presenta la experiencia en el tratamiento quirúrgico de las lesiones cerradas del aparato extensor en la zona I de los dedos. Se revisaron los expedientes de 26 pacientes tratados quirúrgicamente con la técnica descrita por Vilain y de acuerdo con las siguientes indicaciones: a) lesión crónica de más de 6 semanas, b) rígida, no reductible pasivamente y c) fractura mayor al 50 por ciento o menor del 50 por ciento con subluxación. Se estudiaron variables dependientes e independientes y se valoraron los resultados a los 3 meses de postoperados bajo los siguientes parámetros: control de la extensión activa, flexión, dolor y deformidad residual. Se presentan los resultados obtenidos y se concluye que esta técnica produce habitualmente buenos resultados para aquellos casos en que se requiere tratamiento quirúrgico
Subject(s)
Humans , Male , Female , Adolescent , Adult , Middle Aged , Tendons/anatomy & histology , Tendons/surgery , Finger Injuries/surgery , Finger Injuries/classification , Fractures, Bone/surgery , Fractures, Bone/classification , Fractures, Bone/diagnosisABSTRACT
Presentamos una clasificación de las heridas graves de los miembros dividiéndolas en cinco tipos distintos, en orden creciente de gravedad, teniendo en consideración la presencia o ausencia de fractura y/o compromiso vascular, hasta llegar a la amputación traumática. Se ejemplifica cada tipo con la presentación de un caso clínico. Creemos que la adecuada tipificación de estos pacientes es una de las bases para un correcto enfoque terapéutico, evitando los errores de tratamiento resultantes de un diagnóstico inicial inadecuado
Subject(s)
Adult , Ankle Injuries/classification , Arm Injuries/classification , Finger Injuries/classification , Foot Injuries/classification , Forearm Injuries/classification , Hand Injuries/classification , Knee Injuries/classification , Leg Injuries/classification , Wrist Injuries/classification , Surgery, PlasticABSTRACT
Based on results of a prospective study of 200 patients with "mallet finger", the author establishes criteria to divide the injuries into recent and late. In view of the radiologic and anatomic findings as well as the extent of "falla" of the distal phalanx, a classification that allows prognosis and type of most adequate treatment for each case, is proposed.
Subject(s)
Humans , Male , Female , Infant , Child, Preschool , Child , Adolescent , Adult , Middle Aged , Finger Injuries/classification , Finger Injuries/therapy , Prognosis , Prospective Studies , Time Factors , Treatment OutcomeABSTRACT
La frecuencia con que se presentan las heridas de los pulpejos, sumada a la importancia funcional de estos, hace que las lesiones de los dedos se deban valorar bien y tratar mejor por el medico que las atiende. Se enfatizan los siguientes criterios de manejo: Mantener la longitud del dedo, la sensibilidad de la piel y un buen resultado cosmetico-funcional. Se explican los pasos iniciales del cuidado primario: se revisan los diferentes enfoques terapeuticos en heridas simples y complejas, y las diversas tecnicas de cubrimiento, al igual que el manejo de las lesiones del lecho ungueal