Register of Dupuytren’s Disease (Contracture) in Tatarstan Republic: Efficacy of Surgical Treatment

2013 ◽  
Vol 20 (1) ◽  
pp. 10-17
Author(s):  
R. O Magomedov ◽  
G. I Mikusev ◽  
R. F Baykeev ◽  
I. E Mikusev ◽  
A. E Nikitina

Analysis of Dupuytren’s contracture (DC) surgical treatment efficacy according to the Tatarstan Republic DC Register (258 patients, 343 hands) was performed. Partial wedge-shaped excision of palmar aponeurosis was the most common intervention on both the right and left hand. Late (1 year and over) postoperative complications (POC) — relapse, dissemination, progression were detected in 41.8% of patients at terms up to 15 years. Presence of POC on the operated hand caused disturbance of its function in 11.9% of cases on the right and 16.3% of cases on the left. Curability from DC made up 34.9 — 73.8% depending on the operated hand. Complete restoration of hand function was achieved in 22.2—100% of observations. Surgical treatment of DC enabled to ensure favorable patient’s condition at term 1 year and over in 67.5 and 59.9% of cases on the right and left hand respectively.

Author(s):  
Peter S. Hagedorn ◽  
Bernhard Hirt ◽  
Thomas Shiozawa ◽  
Peter H. Neckel

AbstractMuscular variants of the forearm are common and frequently cause neurovascular compression syndromes, especially when interfering with the compact topography of the carpal tunnel or the Canalis ulnaris. Here, we report on a male body donor with multiple muscular normal variations on both forearms. The two main findings are (1) an accessory variant muscle (AVM) on the right forearm originating from the M. brachioradialis, the distal radius, and the M. flexor pollicis longus. It spanned the wrist beneath the Fascia antebrachia and inserted at the proximal phalanx of the digitus minimus. (2) Moreover, we found a three-headed palmaris longus variant on the left arm with proximal origin tendon and a distal, trifurcated muscle belly, with separated insertions at the palmar aponeurosis, the flexor retinaculum, and, in analogy to the accessory muscle on the contralateral arm, at the base of the proximal phalanx of the digitus minimus. We found a considerable thickening of the left-hand median nerve right before entering the carpal tunnel indicative of a possible chronic compression syndrome adding clinical relevance to this anatomical case. We also discuss the notion that both, the AVM and the contralateral three-headed palmaris variant are developmental descendants of the M. palmaris longus. Additionally, we found a previously not recorded variant of the M. palmaris brevis on the left hand.


1971 ◽  
Vol 43 ◽  
pp. 65-70
Author(s):  
Richard B. Dunn

The Sac Peak magnetograph (DZA) has been modified from Evans' original scheme so that it measures the displacement of the right and left hand circularly polarized lines separately. The computer reduction calculates the Zeeman and radial velocity signals. A grating servo system has been added to correct for slow temperature drifts in the spectrograph. A paper-tape reader controls the raster scan and the formatting of data on to magnetic tape.


1988 ◽  
Vol 66 (2) ◽  
pp. 503-506 ◽  
Author(s):  
John R. Reddon ◽  
David M. Gill ◽  
Stephen E. Gauk ◽  
Marita D. Maerz

26 normal, self-reported dextral subjects (12 men, 14 women) were assessed with a Purdue Pegboard 5 times at weekly intervals to evaluate temporal stability and efficacy of lateralization with this test. There was a statistically significant increase in performance over time for men on the right- and left-hand placing subtests and for women on the assemblies subtest. For men/women the test-retest reliability over the 5 sessions averaged .63/.76 for the right-hand, .64/.79 for the left-hand, .67/.81 for both-hands, .81/.83 for assemblies, and .33/.22 for the right/left-hand ratio.


Author(s):  
Sherma Zacharias ◽  
Andrew Kirk

ABSTRACT:Background:Constructional impairment following left vs. right hemisphere damage has been extensively studied using drawing tasks. A confounding factor in these studies is that right-handed patients with left hemisphere damage (LHD) are often forced by weakness to use their non-dominant (left) hand or hemiparetic dominant hand. Qualitative differences in the drawing characteristics of left and right hand drawings by normal subjects have not previously been characterized. The present study was undertaken to determine the qualitative differences between left and right hand drawings of normal subjects.Methods:Thirty right-handed, elderly subjects without a history of neurological disease were asked to draw, from memory, seven objects using the right and left hand. Half of the subjects were randomly assigned to draw with the left hand first, and half the right hand first. Right and left hand drawings were compared using a standardized scoring system utilized in several previous studies of drawing in focal and diffuse neurological disease. Each drawing was scored on eighteen criteria. Right and left hand drawing scores were then compared using the t-test for paired samples or the Wilcoxon matched-pairs testResults:Drawings made using the left hand were found to be significantly simpler, more tremulous and of poorer overall quality than drawings made by the same subjects using the right hand.Conclusions:The deficits found in left versus right hand drawings of normals are similar to those found in patients with LHD, suggesting that much of the drawing impairment seen following LHD is due to an elementary motor disturbance related to use of the non-dominant hand.


1987 ◽  
Vol 65 (1) ◽  
pp. 253-254 ◽  
Author(s):  
Linda Petrosino ◽  
Peter Gorman ◽  
Donald Fucci ◽  
Daniel Harris

Vibrotactile thresholds for 7 male stutterers and 7 normal-speaking men (age range for both groups = 19 to 32 yr.) were obtained from the right, midline, and left sides of the lingual dorsum, and the thenar eminences of both hands. The stutterers showed slightly higher (less sensitive) mean thresholds than the normal speakers for all three lingual test sites. This was not the case for the thresholds obtained from both hands. The preliminary data suggest that oral peripheral sensory integrity might be somewhat different for stutterers than for normal-speaking individuals.


1958 ◽  
Vol 7 (3) ◽  
pp. 361-382 ◽  
Author(s):  
Hans-Dieter Rösler

SUMMARYThe evaluation of the sketches of the hands of 746 consanguineous persons of different ages and sexes as well as the examinations of 120 radiograms of the hands of non-related adults have shown the following results:1) Relatives (Brothers and sisters, mothers and children, parents and children) resemble each other with regard to the respective finger-lengths and the proportions of these between right and left hand more than non-relatives do.2) The respective finger-length is organized anatomically by the longitudinal variations of all elements of the second and forth rays and modified by the Carpalia and the longitudinal proportion of Radius and Ulna. We can regard the most extensive variations of growth at the second ray in men and at the forth ray in women. In the same manner the lateral differences between the right and the left hand can be explained for both sexes mainly by the longitudinal differences of the second rays.3) In reference to these anatomical conditions a genetical hypothesis about a transmission of the relative finger-length is developped and its usefulnes for the diagnosis of paternity comes to discussion.


1973 ◽  
Vol 36 (3_suppl) ◽  
pp. 1343-1346 ◽  
Author(s):  
Patricia L. Sand ◽  
Neal Taylor

7 timed, unilateral-hand function tasks were administered to 240 adults and 378 children. Discrepancies between right- and left-hand time scores were used to classify Ss into right-, left-, or “mixed-”handed categories. Only partial fit was observed between obtained frequencies of handedness and frequencies predicted from the assumption of a binomial distribution of handedness. Using a performance-defined criteria for handedness, more children than adults showed faster performance with their left hands and more adults than children showed equivalent time scores for both hands.


1948 ◽  
Vol 21 (1) ◽  
pp. 257-261
Author(s):  
J. F. Morley ◽  
J. R. Scott

Abstract (1) Tests have been made to investigate the variability of the abrasive papers used on the du Pont abrasion machine; the data obtained have also been examined to detect any variation in rate of abrasion during one test, and differences between the right- and left-hand specimens. (2) Differences in abrasiveness of 13 per cent were found between the different sheets of emery paper, even when compared with the differences between the rubber specimens, and it is considered that a solid disc of bonded abrasive, as used on the Akron machine, would be preferable to emery papers. (3) As there is no evidence of variation in rate of abrasion during a 20-minute run, there seems to be no objection to using different test-periods for different rubbers if circumstances render this desirable. (4) There are small, but not consistent, differences between the abrasion losses on the right- and left-hand specimens, which may arise from the 8-lb. load not being equally distributed between them. It is considered that the machine could be improved by making the arm that carries the specimens free to oscillate in a plane perpendicular to the abrasive, so that the loads on the specimens would be automatically equalized. The practice of rigidly fixing the arm parallel to the plane of the abrasive seems unsound because, if the parallelism were really rigid, the rates of wear on the two specimens would of necessity be equal, even if the rubbers had different abrasion resistances. Moreover, any suggestion to test the sample under examination and a standard rubber simultaneously is clearly unsound unless a freely oscillating arm is provided.


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