КЛИНОДАКТИЛИЯ (clinodactylia; греч. klino наклонять, сгибать + daktyios палец) - аномалия развития пальцев, характеризующаяся отклонением пальца от средней линии в локтевую или лучевую сторону. Внешние проявления обусловлены деформацией средних фаланг пальцев и нарушением внутрисуставных соотношений. Чаще поражаются 5 пальцы кисти, как правило, с двух сторон. Заболевание является наследственным и наследуется по аутосомно-доминантному типу. Незначительную девиацию мизинцев может считать вариантом нормы, отклонение пальца более чем на 10-15 градусов от оси пальца считается патологическим и является показанием к хирургической коррекции.





  • Повреждение сухожилий сгибателей

    imagesFlexor Tendon из книги" HAND AND UPPER EXTREMITY REHABILITATION"
    Mary Formby
    The healing of the repaired flexor tendon is at least a 6-month process. The “best” way to manage the first 12-week period remains controversial despite significant research and clinical advances over the last 50 years. Effective communication among surgeon, therapist, and patient throughout the rehabilitation process is essential for achievement of a successful outcome.

    Tendon healing occurs by both intrinsic and extrinsic processes.1 When intrinsic healing dominates, few adhesions form, and the result is more freely gliding tendons. Tendons with fewer adhesions must be carefully protected from resistive use, because they may be at greater risk for rupture. The rehabilitation timeline for such patients may need to be slowed. When extrinsic healing dominates, an increased inflammatory response occurs as the result of high-energy injury, postsurgical infection, or other factors. These patients have poorer tendon glide and may need their rehabilitation timeline advanced more quickly. Because each person’s biological response to healing is different, a “pyramid-of-force” model2 for flexor tendon rehabilitation was proposed by Groth in 2004. This model is based on a progression of force application that safely maximizes tendon excursion. Both time-based protocols and Groth’s new rehabilitation model are presented in this chapter.

  • Из книги "Flaps and reconstructive surgery"

    Филатовская хирургия

    Flaps and Reconstructive Surgery, by Drs. Fu-Chan Wei and Samir Mardini, explains how to achieve excellent results while performing all major conventional and p

    erforator flaps used as both pedicled and free flap procedures. Respected microsurgeons from around the world describe how to use these flaps to reconstruct particular defects around the body. Videos demonstrate the entire spectrum of surgical reconstructive procedures and flaps, while high-quality illustrations, clear photographs and detailed case studies provide examples to help you achieve best possible outcomes.