Biomedical subjects

A Isani

Publications and source records attributed to A Isani.

6 recordsLinked to original sources

PubMed1990

Prevention and treatment of ligamentous sports injuries to the hand.

Sports-related injuries to the intricate small joints of the hand are quite frequent. The majority of such injuries result in joint contusions, partial tears or ligament sprains which do not jeopardise the basic stability of the joint and readily respond to a short course of protective splinting with rapid recovery of motion, strength and function. In fact, many patients never seek medical attention unless persisting pain, chronic swelling or restriction of motion persuade them to do so. Partial tears or sprains need to be distinguished from more serious injuries that cause profound ligamentous and capsular disruption resulting in dislocations, articular incongruency, joint instability or fracture-dislocations. While simple dislocations are readily reducible and generally stable, a complex dislocation by definition implies irreducibility by closed means. This category of complex joint injury requires prompt diagnosis, as optimal management warrants active surgical intervention to achieve a stable and congruous reduction. Following surgical repairs the injured joint is immobilised for a variable length of time, determined by the type, extent and the nature of the specific injury, prior to initiating remobilisation efforts. A supervised and well-executed rehabilitation programme should encompass all the various modalities of physical therapy that are effective in increasing mobility, correcting deformity and restoring strength and function to the injured hand. The ultimate goal of treatment is to enable the athlete to resume sports, unimpaired with the same skill, dexterity and competitive edge as before.

Athletic Injuries↗

PubMed1988

Classification and management of intra-articular fractures of the distal radius.

A classification of distal radial articular fractures is described, based on observations of consistent patterns of fracture fragmentation and displacement. The classification categorizes articular fractures into four types, with the medial complex assuming a pivotal position as the cornerstone of both the radiocarpal and distal radioulnar joints. The purpose of this classification is four-fold: (1) to afford identification and an understanding of the displacement characteristics of the major fracture components, (2) to provide practical and rational guidelines for the management of these injuries based on specific fracture patterns, (3) to emphasize the frequency of concurrent soft tissue and other skeletal injuries associated with the more severe types of articular disruption, and (4) to serve as a prognostic gauge for the varied spectrum of distal radius articular injury. Optimal management of distal radius fractures necessitates the differentiation of articular from extra-articular fractures as well as prompt detection of unstable injuries. While the majority of unstable fractures can be successfully managed by closed methods, a substantial and increasing number require open treatment for restoration of articular congruity as well as repair of concomitant soft tissue and skeletal injuries. In all cases, precise reduction of the key medial fragments is essential to maximum recovery.

Bone Nails↗

PubMed1987

The basal joint pain syndrome.

Disabling trapeziometacarpal osteoarthritis is often associated with other skeletal or soft tissue pathology that necessitates simultaneous treatment. In this study of 100 trapezium arthroplasties, 65% of the patients required at least one concurrent operative procedure and, overall, 75% have received treatment for related problems before, during, or after the arthroplasty. In order of frequency, scaphotrapezial arthritis, carpal tunnel syndrome, hyperextension deformity of the thumb metacarpophalangeal joint, trigger digits, and tenosynovitis of the wrist have been the most prevalent concomitant conditions requiring surgery. Awareness that trapeziometacarpal arthritis is frequently the focal site of a widespread inflammatory process involving other structures of the hand--termed herein the "basal joint pain syndrome"--is essential to optimal management of patients with pain at the base of the thumb.

Arthroplasty↗

PubMed1986

Small joint injuries requiring surgical treatment.

This article reviews the pathological characteristics of joint injuries of the hand that necessitate surgical intervention. Suggested guidelines are given for the rational management of such injuries.

Finger Injuries↗

PubMed1986

Ligamentous injuries of the hand in athletes.

Injuries to the small joints of the hand are prevalent in both professional and amateur athletes. The majority of these injuries result in partial tears of the capsular support structures and can be successfully treated by precise splinting followed by thorough rehabilitation. In contrast, optimal management of complex dislocations or complete ligament ruptures causing serious joint instability necessitates operative intervention to secure reduction and facilitate ligament healing. There is an enviable satisfaction in observing a recovered athlete perform to the limits of his or her abilities, unimpaired by any residual disability or deformity. This goal can only be achieved by the timely institution of skillful management.

Athletic Injuries↗

PubMed1985

Anesthesia for hand injuries.

Hand injuries account for an increasing incidence of emergency room visits, both for purposes of diagnosis and treatment. Patients are also expressing a growing reluctance toward hospitalization for procedures that are now performed with precision in the office or same day surgical unit. These two factors are largely responsible for an increasing reliance on regional techniques to provide optimal anesthesia. The safety, versatility, ease of administration, and consistent success of regional anesthesia validate its frequent use.

Anesthesia, Local↗