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Biomedical subjects

H E Kleinert

Publications and source records attributed to H E Kleinert.

At least 73 records · Page 4Linked to original sources

Desmoplastic fibroma of the hand: case report.

We present a patient who had a desmoplastic fibroma at the base of the metacarpal of his long finger. The operation to remove the lesion and to reconstruct the metacarpal is described. The history of the experiences with this lesion is reviewed.

Adult↗

Practical microneurorrhaphy.

Microneurorrhaphy is not a panacea insuring excellent functional return following severance of a nerve. However, it does provide better results than macroneurorrhaphy. Patients note greater and stronger motor recovery, improved protective sensation, improved touch localization, and fewer painful neuromas if the principles of neurorrhaphy outlined are followed. Unfortunately "normal function" is seldom achieved, and this fact points to the necessity for additional knowledge about peripheral nerve repair.

Humans↗

The abducted little finger in low ulnar nerve palsy.

In 12 dissections the extensor digiti minimi tendons inserted into the abductor tubercle of the proximal phalanx. In eight of the 12, the tendons passed to the ulnar side of the abductor-adductor axis of the metacarpophalangeal joint. A separate tendon from the extensor digitorum communis to the little finger was found in only one dissection, with all others showing a connecting band which varies in its obliquity and thus in its adducting effect. To correct an abducted little finger, the ulnar portion of the extensor digiti minimi was transferred to the radial side of the little finger. Two methods were used: (1) the tendon was passed to the volar side of the metacarpophalangeal joint, if the joint could be hyperextended; if not, (2) a simple transfer to the radial collateral ligament was performed.

Fingers↗

Office and emergency room care of the injured hand.

A careful initial evaluation and proper treatment of the injured hand can minimize morbidity and assure early recovery. Various hand injuries encountered and their appropriate treatment are discussed. Emphasis is placed on the initial care, and in some instances the definitive treatment, which can be given in the physician's office or the hospital emergency room.

Amputation, Traumatic↗

Free groin flap to the hand with end-to-side vessel anastomosis.

A single case of successful free groin flap transfer to the hand is presented. Its use demonstrates a distinct advantage of free flap transfer, preventing dependent edema and enforced immobilization of the hand necessitated by conventional technics. It also demonstrates a successful end-to-side microarterial anastomosis, thus allowing a continued normal blood supply to the hand.

Adult↗