| 1. |
- Cederlund, Ragnhild, et al.
(författare)
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Hand function tests and questions on hand symptoms as related to the stockholm workshop scales for diagnosis of hand-arm vibration syndrome.
- 2003
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Ingår i: Journal of Hand Surgery (British Volume). - 0266-7681. ; 28:2, s. 165-171
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Tidskriftsartikel (refereegranskat)abstract
- The severity of hand-arm vibration syndrome (HAVS) is usually graded according to the Stockholm workshop scales. Although the Stockholm workshop scales are regarded the gold standard for assessing the severity of HAVS, they are based primarily on subjective symptoms. The aim of the present study was to explore the agreement between Stockholm workshop scales and the outcome from ten well-defined clinical tests commonly used in hand rehabilitation for assessment of hand function. One hundred and eleven vibration-exposed workers participated in the study. Ten objective tests of hand function and four questions on subjective hand symptoms were included. The results indicated that, out of these tests, perception of vibration, perception of touch/pressure and dexterity showed a moderate agreement with Stockholm workshop scales. Among specific questions on hand symptoms, cold intolerance and pain showed a high agreement with Stockholm workshop scales. It is concluded that defined objective tests combined with directed questions on specific hand symptoms, together with the Stockholm workshop scales, may be helpful for diagnosing HAVS.
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| 2. |
- Kopylov, Philippe, et al.
(författare)
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Fractures of the distal end of the radius in young adults: a 30-year follow-up
- 1993
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Ingår i: Journal of Hand Surgery (British Volume). - 0266-7681. ; 18:1, s. 45-49
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Tidskriftsartikel (refereegranskat)abstract
- 76 patients were examined clinically and radiologically 27 to 36 years after a fracture of the distal radius. The average age was 31 years at the time of injury and 63 years at follow-up. In 81% of the patients there was no difference between the fractured and the non-fractured side. No patient had to change his or her occupation or leisure activities because of the fracture. There were more degenerative changes in the fractured wrist than in the non-injured side. A statistically significant correlation was found between axial compression and the presence of degenerative changes in the radio-carpal and distal radio-ulnar joints. Treatment of the fracture of the distal end of the radius in the young adult should aim to conserve the length of the radius. However, after 30 years, complaints are few and correlate with degenerative changes in the radio-carpal joint only. 47 patients with articular fractures of the distal end of the radius were examined in the same way. The average age at the time of injury was 32 years and 58% of the patients were men. In 87% of the patients there was no difference between the fractured and the non-fractured side. However 37% had minor complaints. A higher proportion of patients with articular fractures developed degenerative changes than those with non-articular fractures. The existence of radiographic signs of osteoarthritis is directly related to axial compression and the persistent incongruity, after reposition, in either the radio-carpal or the distal radio-ulnar joints.
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| 3. |
- Ljungberg, Elinor, et al.
(författare)
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Hand injuries in young children.
- 2003
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Ingår i: Journal of Hand Surgery (British Volume). - 0266-7681. ; 28:4, s. 376-380
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Tidskriftsartikel (refereegranskat)
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| 4. |
- Lundborg, G, et al.
(författare)
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Can sensory and motor collateral sprouting be induced from intact peripheral nerve by end-to-side anastomosis?
- 1994
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Ingår i: Journal of Hand Surgery: European Volume. - : SAGE Publications. - 0266-7681. ; 19:3, s. 82-277
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Tidskriftsartikel (refereegranskat)abstract
- The possibility that collateral sprouting could occur from intact axons in an undamaged sciatic nerve was studied in the rat by suturing either a 7-day predegenerated or a fresh nerve segment in an end-to-side fashion to the sciatic nerve proper. Following a 14- or 35-day recovery period, the pinch reflex test was performed on the transplanted segment to demonstrate the presence of sensory axons. The majority of cases, using a predegenerated nerve segment but not a fresh segment, responded positively. Neurofilament staining and histological examination confirmed the presence of axons in the attached nerve segment. In another series of experiments, the proximal peroneal fascicle was ligated and cut. Following a 7-day predegeneration period the distal stump was sutured end-to-side to the ipsilateral tibial fascicle. After 90 days, stimulation of the tibial nerve proximal to the attached site induced substantial contraction in both the native gastrocnemius muscle and the foreign tibialis anterior muscle. These findings suggest that collateral sprouting may occur from intact axons, perhaps induced by factors emanating from the attached nerve segment, and subsequently make functional peripheral connections.
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| 5. |
- Rosberg, HansE, et al.
(författare)
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What Determines the Costs of Repair and Rehabilitation of Flexor Tendon Injuries in Zone II? A Multiple Regression Analysis of Data From Southern Sweden.
- 2003
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Ingår i: Journal of Hand Surgery (British Volume). - 0266-7681. ; 28:2, s. 106-112
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Tidskriftsartikel (refereegranskat)abstract
- The epidemiology and costs of repair and rehabilitation of zone 11 flexor tendon injuries in 135 patients from the southern part of Sweden were analysed. The little finger was most frequently injured (43%), usually with a knife (46%), and 30% of the injuries were work related. Total median costs within the health-care sector for the injuries were SEK 48,500 (1 EURO = 9.23 SEK, 4/1/2002). Costs in other sectors were SEK 93,000. Active mobilization or mobilization with rubber band traction increased costs within the health-care sector (SEK 7400 or SEK 6000, respectively) but improved range of movement (5-7%). Immobilization had a higher complication rate (rupture or need for secondary procedures), which in itself increased total costs by 57%. Non-linear effects were found between age and costs within the health-care sector and the outcome.
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| 6. |
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| 7. |
- Tägil, Magnus, et al.
(författare)
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Letter to the editor.
- 2003
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Ingår i: Journal of Hand Surgery (British Volume). - : SAGE Publications. - 0266-7681. ; 9:3, s. 321-321
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)
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| 8. |
- Gustafsson, Margareta, 1952-, et al.
(författare)
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Trauma-related distress and mood disorders in the early stage of an acute traumatic hand injury
- 2003
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Ingår i: Journal of Hand Surgery - British and European Volume. - 0266-7681 .- 1532-2211. ; 28B:4, s. 332-338
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Tidskriftsartikel (refereegranskat)abstract
- The aim of the study was to estimate the incidence of trauma-related distress and mood disorders in the early stages after acute traumatic hand injuries and identify characteristics associated with these reactions. Data were obtained from 112 patients by means of mailed questionnaires and medical records. Nearly half of the patients had increased levels of intrusive and avoidance symptoms, indicating trauma-related distress. One-third showed signs of a mood disorder. Mood disorders were associated with the need for help with activities of daily living, pain and avoidance symptoms. The study showed that emotional problems in the early stages after injury are related to the consequences of both the injury and the traumatic experience. Negative reactions to the sight of the hand were associated with both trauma-related distress and mood disorders, suggesting that observation of the reactions to the sight of the hand could help to identify patients in need of psychological support.
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| 9. |
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| 10. |
- Stark, B, et al.
(författare)
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Distribution of human Pacinian corpuscles in the hand. A cadaver study
- 1998
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Ingår i: Journal of hand surgery (Edinburgh, Scotland). - : SAGE Publications. - 0266-7681. ; 23:3, s. 370-2
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Tidskriftsartikel (refereegranskat)abstract
- The subcutaneous distribution and number of Pacinian corpuscles were studied in ten fresh cadaver hands. They were found to cluster close to nerves and vessels at the metacarpophalangeal joints and the proximal phalanx. The total mean number in the hand was 300 (192–424). The percentage of the total was 44 to 60% in the fingers, 23 to 48% in the metacarpophalangeal area and 8 to 18% in the thenar and hypothenar regions. Corpuscles in palmar skin overlying the distal phalanx were smaller than receptors in the metacarpophalangeal area. The lowest density of corpuscles was along the nerves and vessels of the middle phalanx.
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