A Zyluk

..Reestablishment of the normal anatomic relationships by corrective osteotomy is one of the most effective ways to prevent this scenario...

..Objective of this study was evaluation of the relationship of anthropometric and anatomical factors related to the hand with incidence of the syndrome...

..There is no account for fear that meeting these rules may deteriorate results of the treatment of carpal tunnel syndrome...

..To compare outcomes of conservative and operative treatment of isolated fractures of phalanges...

..There is lack of information in Polish literature about the dimension of this problem. The objective of this study was to determinate a work absence caused by carpal tunnel syndrome, both before and after the operation...

..Results of this study confirm the effectiveness of simple decompression for cubital tunnel syndrome, however 14% patients in whom operation failed, indicates caution at surgical referral of some patients...

..8, loss of finger flexion a mean of 0.1 cm, the CRPS score was a mean of 1.6 and grip strength a mean of 34% of the strength of the unaffected hand. All these variables showed statistically significant improvement...

..It confirms, however, that routine examination of sympathetic disturbances is unnecessary due to their minor clinical significance...

..However, older patients experienced less functional benefit from surgery. The improvement of finger extension following surgery had significant beneficial effect on function, but no effect on power...

..An opinion was supported that modem research projects measuring outcomes in hand surgery must include questionnaires as an obligatory component of a complex assessment...

..Afore-mentioned hypotheses do not allow to definitive identification of the major patophysiological mechanism which contribute in the development and maintaining of pain in CRPS, but they show a complexity of these processes...

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..The usefulness of arthroscopy was emphasised in diagnosing of scapholunate complex disturbances, particularly those which are negative radiologically and present with no typical symptoms...

..However, in atypical clinical situation, nerve conduction studies provide significantly more information on the function of the median nerve, presence of more than one compression sites or other pathology...

..The instruments were characterized by various (excellent and poor) concurrent validity in the assumed periods of observation and all 3 showed high internal consistency...

..In the commonest systemic diseases associated with carpal tunnel syndrome, such as diabetes, hypothyroidism and rheumatoid arthritis, there is not common opinion about their prognostic effect on the natural course of the syndrome...

..However, excellent results after stable fixation of the distal radius fractures with locking palmar plates suggest this management optimal, regardless the severity of distal ulna damage...

..The results indicate on limited ability of employed diagnostic techniques in detection of factual effect of the loss of sympathetic fibres in the median nerve on the activity of sympathetic system in the distribution of this nerve...

..It confirmed its effectiveness in the reference department for hand injuries and it seems that it may contribute to improving the level of the treatment of distal radius fractures in our country...

..This, however, did not translate directly into Levine functional and symptom scores which, at each assessment, did not differ significantly between the two methods...

..Seventy-four patients (51%) had a score of 4-6, 51 patients (35%) a score of 6.5-8, and 21 patients (14%) a score of 8.5-10. Use of this system will allow more precise analysis of RSD patients and facilitate comparisons between studies...

..We conclude that percutaneous A1 pulley release is more effective medium-term therapy for trigger digit than steroid injection, because of lower risk of recurrence...

..Neurologists are not frequently faced with the problem of neurological disorders after trauma of the limb. Inclusion of RSD in differential diagnosis may improve recognition of the disorder and result in its faster and proper management...

..No correlation between RSD score values and intensity of fixation of the radionuclide was found...

..The results obtained in our study indicate a slight but statistically insignificant effect of the compression of the median nerve on the activity of the sympathetic nervous system in the distribution of this nerve...

..Common drawback of the quoted studies is lack of subjective assessment of the dexterity of the hand in daily and professional activity with standardized questionnaires...

..These findings indicated essential diagnostic value for the Phalen test, but considerably smaller for the percussion test. In the diagnosis of long lasting syndromes, the usefulness of both tests is limited...

..In 28 fingers (74%), blood flow in the digital arteries showed an undisturbed profile, while ten fingers showed mild stenosis or impaired microcirculation...

..These 7 patients had significantly worse final result of the treatment of the algodystrophy of the hand than rest of the group...

..An undoubted advantage of Suzuki's type traction devices is their simplicity, cost-effectiveness and availability...

..It was concluded that method of operative technique has not significant effect on long-term outcome, but in short perspective mini-invasive measures are favoured by the patients...

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..Therefore, patients who eventually developed CRPS Type 1 after radial forearm fracture had neither a unique psychological pattern nor displayed more symptoms of depression than those who recovered uneventfully...

..These results suggest that, in spite of resolution of the acute RSD problem, significant long term sequelae of RSD continue to impair function of the hand in a proportion of patients...

..It was also noted that a fracture may cause increased fixation of the tracer in each phase of three-phase bone scintigraphy in asymptomatic patients...

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..Pain and swelling disappeared more quickly than other features of RSD. Although the signs and symptoms of RSD had largely gone at 13 months, the hands were still functionally impaired because of weaker grip strength...

..The versatility of V-Y technique in various clinical occasions and its low risk of complications was emphasized. This method is very useful, easy to learn even for trainees unfamiliar with microsurgery...

..An increase of extension of the fingers following surgery had significant beneficial effect on subjective improvement of the dexterity of the hand, but had not effect on the increase of power of the hand...

..An increase of indication to surgery of the majority of fractures of the distal radius meeting at least one of above mentioned criteria of instability seems to be reasonable, although difficult therapeutic algorithm...

..In subjective opinion of patients the dexterity of the hand improves gradually during whole 12 months follow-up...

..The likelihood of aneurysm formation as a consequence of blunt and sharp trauma of the hand was suggested as well as the necessity of prompt diagnosis and operative treatment...

..An early recognition of incipient algodystrophy and immediate commencement of effective therapy (i.e., with Mannitol and Dexamethasone) was found to be the most important part of prophylaxis of the development of the florid condition...

..Experience of paresthesiae in patients with CTS is not confined to the distribution of median nerve, although they are present most frequently at index and middle fingertips...

..This resulted in full correction of the flexion deformity. Histopathological examination revealed excised cord to be a fibrous tissue, typical for the Dupuytren's contracture...

..All fixations were sufficient stable to start early rehabilitation. In one case after Kirschner fixation occurred ostitis and malunion. This patient was cured by autovaccine. After bone peg we do not recorded any complication...

..The tumour was resected completely and histopathology confirmed its benign nature. Authors touch the diagnostic difficulties in atypical clinical presentations of the ganglions and when they mimic a malignancy at imaging...

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..Usually underestimated by family doctors these symptoms and signs cause a significant discomfort for the patients and delay the recovery of the paretic limb...

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..The symptoms tend either to disappear or exacerbate with time passing. There are no known measures or therapies which can prevent development of the syndrome or which can effectively manage it...

..Early diagnosis prevents of development of florid condition and allow the patients to recover in relatively short time...

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