ISCHAEMIA OF THE HAND IN INFANTS FOLLOWING RADIAL OR ULNAR ARTERY CATHETERISATION

Hand Surgery ◽  
1999 ◽  
Vol 04 (02) ◽  
pp. 151-157 ◽  
Author(s):  
J. A. Green ◽  
M. A. Tonkin
Keyword(s):  
English Literature ◽  
Pediatric Intensive Care ◽  
Hand Surgery ◽  
Ulnar Artery ◽  
Carpometacarpal Joint ◽  
Distal Interphalangeal Joint ◽  
Joint Level ◽  
Distal Interphalangeal ◽  
Middle Ring ◽  
Digital Ischaemia

Radial and ulnar arterial catheterisation have become frequently used methods of monitoring in neonatal and pediatric intensive care units. Minor complications are common and temporary ischaemic changes in the form of blanching are well described. However, permanent ischaemia in the infant has rarely been reported. This series is the first in the hand surgery literature to address the issue of digital ischaemia following radial artery catheterisation in the infant population and adds three to the six previously reported cases in the English literature. One patient had fingertip necrosis to the distal interphalangeal joint level of the middle, ring and little fingers, while two other patients required amputation at the carpometacarpal joint level.

Effect of immobilization of the distal interphalangeal joint of fingers on grip strength

2018 ◽  
Vol 43 (5) ◽  
pp. 554-557
Author(s):  
Feiran Wu ◽  
Saurabh Sagar Mehta ◽  
David Dickson ◽  
Dee Catchpole ◽  
Chye Yew Ng
Keyword(s):  
Grip Strength ◽  
Clinical Application ◽  
Salvage Treatment ◽  
Interphalangeal Joint ◽  
Distal Interphalangeal Joint ◽  
Distal Interphalangeal ◽  
Middle Ring ◽  
The Individual ◽  
End Stage ◽  
Healthy Participants

Arthrodesis of the distal interphalangeal joint of the finger is an effective salvage treatment for end-stage arthropathy of the joint. This study aimed to evaluate the effect of simulated fusion of individual distal interphalangeal joints on the overall grip strength of the hand. Custom moulded thermoplastic splints were used to simulate fusion by immobilizing the index, middle, ring and little fingers’ distal interphalangeal joints in turn in both hands of 56 healthy participants. Testing was performed with no immobilization and after immobilization of each of the individual digits. Grip strengths reduced significantly following immobilization of the distal interphalangeal joint. The degree of reduction became progressively more pronounced from the index to the little fingers (12%, 18%, 24% and 25%, respectively) and was similar for the dominant and non-dominant hands. This information may have clinical application when counselling patients regarding fusion of the distal interphalangeal joint of the fingers.

Evaluation of the diffusion of corticosteroids between the distal interphalangeal joint and navicular bursa in horses

2008 ◽  
Vol 232 (9) ◽  
pp. 1343-1343
Author(s):  
Frederik E. Pauwels ◽  
James Schumacher ◽  
Fernando A. Castro ◽  
Troy E. Holder ◽  
Roger C. Carroll ◽  
...  
Keyword(s):  
Interphalangeal Joint ◽  
Distal Interphalangeal Joint ◽  
Distal Interphalangeal

scholarly journals Development and evaluation of two different lameness models in meat goats, a pilot study

2020 ◽  
Vol 4 (4) ◽  
Author(s):  
Emily J Reppert ◽  
Michael D Kleinhenz ◽  
Abbie Viscardi ◽  
Shawnee R Montgomery ◽  
Alison R Crane ◽  
...  
Keyword(s):  
Pilot Study ◽  
Plasma Cortisol ◽  
Interphalangeal Joint ◽  
Health Concern ◽  
Distal Interphalangeal Joint ◽  
Livestock Species ◽  
Meat Goats ◽  
Distal Interphalangeal ◽  
Maximum Temperatures

Abstract Lameness is a serious health concern for livestock species. Understanding individual animal response to pain and characterization of lameness are critical when developing appropriate treatments. The objectives of this pilot study was to evaluate two different lameness models and measures for determining response to induced lameness in meat goats. Lameness was induced by intraarticular injection into the left hind lateral claw distal interphalangeal joint with either amphotericin B (Amp-B) or kaolin-carrageenan (K-C). Response to lameness was characterized by behavior scoring, visual lameness scoring (VLS), infrared thermography (IRT) of the affected digit, pressure mat gait analysis (PMT), and plasma cortisol (CORT) analysis. Lame goats had higher VLS compared to controls (P = 0.003). Maximum temperatures measured in hooves from lame vs control goats were significantly higher (P = 0.003). Pressure mat analysis demonstrated, when compared to controls, lame goats had decreased force (P = 0.013), impulse (P = 0.007), contact pressure (P = 0.007), and contact area of the left hind limb (P = 0.009). Mean CORT levels 4 and 6 h after lameness induction were higher in lame goats (P = 0.005, P = 0.01). The two lameness methods reliably induced lameness of varying severity in healthy meat goats.

Influence of morphometric parameters on the size of collateral ligaments of the distal interphalangeal joint of equines

2021 ◽  
Author(s):  
Geórgia Camargo Góss ◽  
Fabricio Desconsi Mozzaquatro ◽  
Raphaela Vanhove ◽  
Lilian Pinto Camargo ◽  
Gabriela Döwich Pradella ◽  
...  
Keyword(s):  
Interphalangeal Joint ◽  
Morphometric Parameters ◽  
Collateral Ligaments ◽  
Distal Interphalangeal Joint ◽  
Distal Interphalangeal

Irreducible Palmar Dislocation of the Distal Interphalangeal Joint

2006 ◽  
Vol 31 (3) ◽  
pp. 296-297 ◽  
Author(s):  
Y. MORISAWA ◽  
H. IKEGAMI ◽  
R. IZUMIDA
Keyword(s):  
Open Reduction ◽  
Ring Finger ◽  
Interphalangeal Joint ◽  
Distal Interphalangeal Joint ◽  
Distal Interphalangeal

A case of a child with rare palmar dislocation of the ring finger distal interphalangeal joint requiring open reduction is presented and the literature discussed.

Volar plating versus external fixation for unstable dorsal fracture-dislocations of the proximal interphalangeal joint

2021 ◽  
pp. 175319342110593
Author(s):  
Atsuhiko Murayama ◽  
Kentaro Watanabe ◽  
Hideyuki Ota ◽  
Shigeru Kurimoto ◽  
Hitoshi Hirata
Keyword(s):  
External Fixation ◽  
Proximal Interphalangeal Joint ◽  
Interphalangeal Joint ◽  
Volar Plating ◽  
Distal Interphalangeal Joint ◽  
Active Flexion ◽  
Plate Group ◽  
Fracture Dislocations ◽  
Distal Interphalangeal

We retrospectively compared the results of volar plating and dynamic external fixation for acute unstable dorsal fracture-dislocations of the proximal interphalangeal joint with a depressed fragment. We treated 31 patients (31 fingers), 12 with volar buttress plating and 19 with dynamic external fixation. Follow-up averaged 35 and 40 months in the two groups, with a minimal 6-month follow-up. Average active flexion of the proximal interphalangeal joint was 95° after plate fixation and 87° after external fixation, with an active extension lag of –6° and –9°, respectively. Active flexion at the distal interphalangeal joint averaged 67° in the plate group and 58° in the external fixation group, with active extension lags of 0° and –5°, respectively. We conclude that both methods can obtain a good range of motion at the proximal interphalangeal joint. A limitation of the extension of the distal interphalangeal joint occurred with dynamic external fixation but not with volar buttress plating. Level of evidence: IV

Nonoperative Management of Distal Fingertip Amputations in Children

PEDIATRICS ◽  
1979 ◽  
Vol 64 (1) ◽  
pp. 1-3
Author(s):  
Laurie J. Rosenthal ◽  
Mark A. Reiner ◽  
Michael A. Bleicher
Keyword(s):  
Nonoperative Management ◽  
Functional Result ◽  
Interphalangeal Joint ◽  
Distal Interphalangeal Joint ◽  
Antiseptic Solution ◽  
Nonoperative Therapy ◽  
Fine Mesh ◽  
Nonsurgical Management ◽  
Good Cosmetic ◽  
Distal Interphalangeal

Success with the uncommonly recognized technique of nonoperative management of fingertip amputations in children has prompted presentation of four cases so treated in our institution. Previously, fingertips amputated distal to the distal interphalangeal joint have been observed to regenerate in children under 12 years of age.1,2 MATERIAL Our patients were 1, 2, 4, and 9 years old. They had injured the thumb, middle, index, and small fingers, respectively. The levels of amputation are seen in Fig 1. Three injuries transsected the distal bone. All cases were evaluated for extent of injury and chosen for nonoperative therapy (Fig 2). The wounds were cleansed with antiseptic solution and dressed with fine mesh absorbent gauze impregnated with bismuth tribromophenate 3% in petrolatum blend (Xeroform) and sterile gauze bandage. To encourage mobility, no splints were used. Dressings were changed one week after injury and bi-weekly thereafter. All children were free of pain within 24 hours after treatment. Healing began at three weeks and was completed 12 weeks after injury. Good cosmetic and functional result with regeneration of the fingertip including nail was observed in each case (Fig 3). DISCUSSION Douglas1 and Illingworth2 were among the early proponents of the nonsurgical management of children's fingertip injuries. Despite their well-documented success with this treatment, it is not widely practiced. Many3-5 continue to advocate reimplantation of the amputated tip, suture closure, or skin graft and flap application to the amputated stump. However, these techniques should be reserved for injuries to the proximal two phalanges or for disarticulation injuries where regeneration is not seen.

Postburn Nailfold Retraction: A Reconstructive Technique

1986 ◽  
Vol 11 (3) ◽  
pp. 385-387
Author(s):  
R. C. K. NGIM ◽  
K. SOIN
Keyword(s):  
Interphalangeal Joint ◽  
Distal Interphalangeal Joint ◽  
Transposition Flap ◽  
Left Thumb ◽  
Nail Deformity ◽  
Distal Interphalangeal ◽  
Joint Flexion ◽  
Reconstructive Technique

Postburn nailfold retraction often results in nail deformity and loss of distal interphalangeal joint flexion. A technique of reconstruction of the nailfold using a proximally based transposition flap is described in a patient with postburn nailfold retraction of the left thumb, index and middle fingers.

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