Tag Phillip R. Ross

Indications An indication is patients with spastic wrist and finger flexion contractures resulting in functional limitations in activities of daily living, poor hygiene, and undesirable hand appearance. Patients should have exhausted nonoperative treatments, including splinting, occupational therapy, serial casting, and…

Indications One indication is a spastic elbow contracture from upper motor neuron injuries (which are frequently the result of cerebral palsy, stroke, or traumatic brain injury). Any neurologic injury should be stable. In patients with volitional control, flexion contractures of…

Indications Surgery is indicated for cases that do not respond to conservative therapy. Conservative therapy includes one to two steroid injections (usually performed with or without ultrasound guidance), nonsteroidal anti-inflammatory medications, splinting, and avoiding activities that cause symptoms. If it…

You’re Reading a Preview Become a Clinical Tree membership for Full access and enjoy Unlimited articles Become membership If you are a member. Log in here

Primary trigger finger is commonly seen in healthy middle-aged women with a frequency two times that of men. Commonly affected sites are the thumb and middle and ring fingers. Secondary trigger finger is often seen in patients with diabetes, rheumatoid…

You’re Reading a Preview Become a Clinical Tree membership for Full access and enjoy Unlimited articles Become membership If you are a member. Log in here

Indications Extensor tendon injuries are relatively common. The mechanism of finger extension is more complicated than that of flexion. It is achieved through the synergistic action of both extrinsic and intrinsic muscles with contribution from several passive ligamentous structures. Extensor…

You’re Reading a Preview Become a Clinical Tree membership for Full access and enjoy Unlimited articles Become membership If you are a member. Log in here

Overview Flexor tendon tenolysis is a difficult procedure, in which it is frequently more challenging to obtain a good outcome than primary tendon repair, and should not be taken lightly without ensuring patient cooperation. Patient selection plays an important role…

You’re Reading a Preview Become a Clinical Tree membership for Full access and enjoy Unlimited articles Become membership If you are a member. Log in here