Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Surgery for scleroderma of the hand.

N F Jones, J E Imbriglia, V D Steen

    The Journal of Hand Surgery
    |May 1, 1987
    PubMed
    Summary

    Hand surgery can effectively manage complications of systemic sclerosis (scleroderma). Procedures like arthrodesis improved function and healed ulcers in patients with severe hand involvement.

    Related Concept Videos

    You might also read

    Related Articles

    Articles linked to this work by shared authors, journal, and citation graph.

    Sort by
    Same author

    There is a need for new systemic sclerosis subset criteria. A content analytic approach.

    Scandinavian journal of rheumatology·2017
    Same author

    Pre-operative electrodiagnostic testing predicts time to resolution of symptoms after carpal tunnel release.

    The Journal of hand surgery, European volume·2015
    Same author

    Endothelial dysfunction is present only in the microvasculature and microcirculation of early diffuse systemic sclerosis patients.

    Clinical and experimental rheumatology·2014
    Same author

    Aberrant lumbrical muscles causing carpal tunnel syndrome.

    Orthopedics·2014
    Same author

    Mental health treatment and medical utilization: First pilot study in the military.

    Journal of clinical psychology in medical settings·2013
    Same author

    Arm transplantation: prospects and visions.

    Transplantation proceedings·2009

    Area of Science:

    • Rheumatology
    • Orthopedic Surgery
    • Vascular Surgery

    Background:

    • Systemic sclerosis (scleroderma) frequently affects the hands, leading to significant morbidity.
    • The role of surgical interventions for hand complications in scleroderma remains under-documented.

    Purpose of the Study:

    • To evaluate the outcomes of various surgical procedures for hand complications in patients with systemic sclerosis.
    • To assess the efficacy of surgical management for digital ulcerations, contractures, and vascular issues.

    Main Methods:

    • Retrospective review of 813 scleroderma patients, identifying 31 who underwent 52 hand surgeries.
    • Analysis of surgical interventions including digital amputations, sympathectomy, revascularization, and joint arthrodesis.
    • Assessment of outcomes related to symptom control, functional improvement, and ulcer healing.

    Main Results:

    • Medical management controlled Raynaud's phenomenon and digital tip ulcerations in most cases.
    • 23 digital amputations were performed due to failed conservative measures; conservative auto-amputation maximized salvaged finger length.
    • Arthrodesis of proximal interphalangeal (PIP) joints effectively treated severe flexion contractures, improving hand function and healing dorsal ulcers in 53 PIP joints across 12 patients.

    Conclusions:

    • Hand surgery plays a valuable role in managing debilitating hand complications of systemic sclerosis.
    • Specific procedures, such as PIP joint arthrodesis, offer significant functional benefits and ulcer healing.
    • A combination of medical and surgical strategies is often necessary for optimal patient outcomes.

    Related Experiment Videos