background distal radius fracture is common in all ages. mobility and wrist function is important. the choice of treatment should aim for optimal function with minimal complications. objectives in this study we compared two surgical approaches, open reduction and internal fixation (orif) and closed reduction with external fixation (cr + ef), for treatment of intra-articular distal radius fractu...

The purpose was to evaluate the effect of a metacarpal phalangeal joint blocking splint combined with exercises, aimed at regaining strength, manipulative skills, and a normal pattern of movement of the hands in patients with rheumatoid arthritis (RA). All patients were measured three times: before the start of the therapy, after finishing the therapy, and at three months follow-up. Outcome mea...

BACKGROUND Long-term outcomes of major upper extremity replantations are infrequently reported. It is believed that replantation is indicated for amputations at all levels in children and for all distal amputations in adults. Replantations of arm or proximal forearm amputations in adults are controversial. OBJECTIVE To evaluate the results of major upper extremity replantations, defined as th...

Carol-Ann Emmons, Jill G. Joseph, Ronald C. Kessler, Camille B. Wortman, Susanne B. Montgomery, and David G. Ostrow are with the University of Michigan, Ann Arbor, Michigan. This work was supported by research funding from the National Institute of Mental Health (2 R01 MH39346-02A1) and the University of Michigan. The authors are grateful to Anita DeLongis for comments made on an earlier draft....

ObjectiveTo investigate how satisfaction with treatment outcome is associated patient mindset and Michigan Hand Outcome Questionnaire (MHQ) scores at baseline 3 months in patients receiving nonoperative for first carpometacarpal joint (CMC-1) osteoarthritis (OA).DesignCohort studySettingA total of 20 outpatient locations a clinic hand surgery therapy the Netherlands.ParticipantsPatients (N=308)...

Spontaneous pain, hyperalgesia as well as sensory abnormalities, autonomic, trophic, and motor disturbances are key features of Complex Regional Pain Syndrome (CRPS). This study was conceived to comprehensively characterize the interaction of these symptoms in 118 patients with chronic upper limb CRPS (duration of disease: 43±23 months). Disease-related stress, depression, and the degree of acc...

Engagement and motivation are not one and the same, but motivation can be transformed into engagement with proper design of support. In this study, we examined the differences between high performers and low performers with regard to changes in their motivation, regulation, and engagement throughout the semester. Participants were 100 students enrolled in online self-paced asynchronous mathemat...

Fracture of fifth metacarpal neck commonly requires open reduction and internal fixation. However, the current methods of internal fixation in fifth metacarpal neck fractures remain unsatisfactory. Patients with fractures of fifth metacarpal neck received open reduction and internal fixation with either locking plate in combination with two crossed Kirschner wires (K-wires) or locking plate alo...

Lateral epicondylitis associated with cumulative trauma as seen in the clinical setting has usually involved long-term care with fair results. This paper describes the structured treatment program for lateral epicondylitis developed at the Michigan Hand Rehabilitation Center in Warren, Michigan. Results of the program, as reflected in five cases, have been a decrease in treatment time and a hig...

1 Institute for Science and Public Policy, The University of Oklahoma, Norman, Oklahoma, USA 2 Department of Zoology, National Food Safety and Toxicology Center and Center for Integrative Toxicology, Michigan State University, East Lansing, Michigan, USA 3 Department of Forest Science, Oregon State University, Corvallis, Oregon, USA 4 Department of History, The Ohio State University, Columbus, ...