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- 검색키워드
- 저자 : Steven L. Moran (검색결과 2 건)
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Johanna P. de Jong,Steven L. Moran,Simo K. Vilkki 대한정형외과학회 2012 Clinics in Orthopedic Surgery Vol.4 No.1
Radial longitudinal defi ciency, also known as radial club hand, is a congenital deformity of the upper extremity which can presentwith a spectrum of upper limb defi ciencies. The typical hand and forearm deformity in such cases consists of signifi cant forearmshortening, radial deviation of the wrist and hypoplasia or absence of a thumb. Treatment goals focus on the creation of stablecentralized and functionally hand, maintenance of a mobile and stable wrist and preservation of longitudinal forearm growth. Historically centralization procedures have been the most common treatment method for this condition; unfortunately centralizationprocedures are associated with a high recurrence rate and have the potential for injury to the distal ulnar physis resulting in afurther decrease in forearm growth. Here we advocate for the use of a vascularized second metatarsophalangeal joint transfer forstabilization of the carpus and prevention of recurrent radial deformity and subluxation of the wrist. This technique was originallydescribed by the senior author in 1992 and he has subsequently been performed in 24 cases with an average of 11-year follow-up. In this paper we present an overview of the technique and review the expected outcomes for this method of treatment of radiallongitudinal defi ciency.
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Johanna P. de Jong,Jesse T. Nguyen,Anne J. M. Sonnema,Emily C. Nguyen,Peter C. Amadio,Steven L. Moran 대한정형외과학회 2014 Clinics in Orthopedic Surgery Vol.6 No.2
Background:Acute traumatic tendon injuries of the hand and wrist are commonly encountered in the emergency department. Despite the frequency, few studies have examined the true incidence of acute traumatic tendon injuries in the hand and wrist or compared the incidences of both extensor and flexor tendon injuries. Methods: We performed a retrospective population-based cohort study of all acute traumatic tendon injuries of the hand and wrist in a mixed urban and rural Midwest county in the United States between 2001–2010. A regional epidemiologic database and medical codes were used to identify index cases. Epidemiologic information including occupation, year of injury, mechanism of injury and the injured tendon and zone were recorded. Results: During the 10-year study period there was an incidence rate of 33.2 injuries per 100,000 person-years. There was a decreasing rate of injury during the study period. Highest incidence of injury occurred at 20–29 years of age. There was significant association between injury rate and age, and males had a higher incidence than females. The majority of cases involved a single tendon, with extensor tendon injuries occurring more frequently than flexor tendons. Typically, extensor tendon injuries involved zone three of the index finger, while flexor tendons involved zone two of the index finger. Work-related injuries accounted for 24.9% of acute traumatic tendon injuries. The occupations of work-related injuries were assigned to major groups defined by the 2010 Standard Occupational Classification structure. After assigning these patients' occupations to respective major groups, the most common groups work-related injuries occurred in construction and extraction occupations (44.2%), food preparation and serving related occupations (14.4%), and transportation and material moving occupations (12.5%). Conclusions: Epidemiology data enhances our knowledge of injury patterns and may play a role in the prevention and treatment of future injuries, with an end result of reducing lost work time and economic burden.
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