摘要:

Sterling Bunnell was born in San Francisco on June 17, 1882, the son of James Sterling Bunnell and Catherine Mapes Bunnell. He received his B. S. from the University of California in 1904 and his M. D. from the University of California Medical School in 1908. He interned at St. Luke's Hospital from 1908 to 1909. Early in his medical career he became deeply interested in experimental work in tendon and nerve sutures and grafts, and in the surgical problems of the extremities. This was the beginning of a lifetime work devoted to the restoration of the crippled human hand.

ISSN:0095-8654    

出版商:OVID    

年代:1959

数据来源: OVID

摘要:

“antecedent to, or productive of, all other instruments;organs of investigation instead of locomotion.”

ISSN:0095-8654    

出版商:OVID    

年代:1959

数据来源: OVID

摘要:

The extensor apparatus of the hand consists of a complex that includes the extensor tendons to the digits. The extensor apparatus of each digit is a combination of the extensor digitorum communis tendon and the terminal tendons of the interossei and the lumbrical muscles integrated into a unit by transverse and oblique fibers. Common characteristics of structure are found over all the digits, but there are also differences over the index and the little fingers and, especially, the thumb.It is essential to know the details of structures and action of the different elements entering into the structure of the dorsal apparatus.

ISSN:0095-8654    

出版商:OVID    

年代:1959

数据来源: OVID

ISSN:0095-8654    

出版商:OVID    

年代:1959

数据来源: OVID

摘要:

The joints of the fingers are not to be considered as unique cases of joint anatomy or physiology. Most of the features of the finger joints are those of diarthrodial joints in general, and the basic phenomena and relationships described here apply equally well to the other joints of the body. The studies of finger joints carried out in this laboratory are part of a more extensive program of investigation of the nature of the form and the function of human joints in general. Investigation of the finger and the hand joints was undertaken because of the misconception that the interphalangeal joints were “simple” in character and, therefore, would present the basic features of all diarthroses in a clear-cut manner. We are now convinced that there are no “simple” joints in the human body and that the humble interphalangeal joint contains as many enigmas as the more frequently described knee joint.

ISSN:0095-8654    

出版商:OVID    

年代:1959

数据来源: OVID

ISSN:0095-8654    

出版商:OVID    

年代:1959

数据来源: OVID

摘要:

In all areas of the body, but particularly in the hand, it is becoming more obvious that the termreconstructive surgeryis merely a relative one. Previously, most physicians considered the termreconstructive surgeryto be almost identical with secondary surgery of severely deformed parts, either congenital or acquired. The entire emphasis in the last 15 years has been to perform optimum surgery for maximum functional benefit at the earliest possible time, including, of course, surgery on the day that the deformity was acquired.

ISSN:0095-8654    

出版商:OVID    

年代:1959

数据来源: OVID

摘要:

This particular entity in the various injuries which the hand may sustain presents, in addition to the general problem of the care of open wounds, the management of all the tissues of the hand: bones, joints, muscles, tendons, nerves and skin. Often there is traumatic amputation of one or more digits, loss of a greater or a lesser amount of skin; and the fingers are so badly crushed that their vitality is highly questionable. If they are viable, often there is no evident possibility of restoring them to function. Frequently the temptation exists to carry out extensive amputation, often of the entire hand, in the face of what appears to be a hopeless situation. It is when one is confronted with such a hand that a basic philosophy underlying the management of such cases is most welcome. The problem is to salvage a functional unit from a seemingly hopeless tangle of tissues. Usually, any moving and sensitive parts left may be restored to some function which, minimal though it may be, is much more valuable than the most beautiful prosthesis.

ISSN:0095-8654    

出版商:OVID    

年代:1959

数据来源: OVID

摘要:

Thermal hand injuries may be localized to the hand only or occur as part of a generalized burn. In either case the initial treatment of the hand and the late reconstructive surgery follow the same pattern.

ISSN:0095-8654    

出版商:OVID    

年代:1959

数据来源: OVID

摘要:

SUMMARYA series of 369 patients with compound injuries of 462 distal phalanges was presented. The surgical methods of repair for the various types of injury, utilizing remaining local tissue and split grafts, were detailed. The adoption of a scheme of ambulatory care with avoidance of hospitalization, general anesthesia, tourniquet and antibiotics simplified postoperative care and effected substantial savings in hospital costs. It was demonstrated that judicious modification of the accepted rigid conditions for reparative hand surgery could be made without compromising the results.The effectiveness of the plan of care and the technics of repair is indicated by the salvage of all phalanges not damaged irreparably by the original injury. Further indications of the effectiveness of the method presented were the relatively few office visits required, the average loss from work of only 18 working days, and return to work of 96.7 per cent of the patients treated within 8 weeks.

ISSN:0095-8654    

出版商:OVID    

年代:1959

数据来源: OVID