| Function of the upper extremities in hereditary multiple exostoses. | |
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MedLine Citation:
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PMID: 8609135 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The radiographic anatomy, functional status, and impairment ratings of twenty-eight patients (fifty-six extremities) who had hereditary multiple exostoses were evaluated. The patient (or the parent) also subjectively graded the function of each extremity with use of a standard rating-assessment tool. Degenerative joint disease was evident in three (5 per cent) of the fifty-six extremities at the time of follow-up, when the patients were an average of twenty-one years old. With use of the hand test of Jebsen et al., the average score was in the forty-seventh percentile for the dominant extremity and in the twenty-eighth percentile for the non-dominant extremity. Loss of pronation and supination increased with increasing age. Dislocation of the radial head was significantly associated with negative ulnar variance (p=0.008) and with the impairment rating (p=0.001), but not with the subjective score or with the performance on the hand test of Jebsen et al. So-called whole-person impairment ratings ranged from 0 to 17 per cent (average, 5 per cent). It has been our experience that deformities of the upper extremity in patients who have hereditary multiple exostoses are well tolerated and lead to little loss of function as measured both subjectively and objectively. |
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Authors:
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R P Stanton; M O Hansen |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: The Journal of bone and joint surgery. American volume Volume: 78 ISSN: 0021-9355 ISO Abbreviation: J Bone Joint Surg Am Publication Date: 1996 Apr |
Date Detail:
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Created Date: 1996-05-28 Completed Date: 1996-05-28 Revised Date: 2010-10-25 |
Medline Journal Info:
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Nlm Unique ID: 0014030 Medline TA: J Bone Joint Surg Am Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 568-73 Citation Subset: AIM; IM |
Affiliation:
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Alfred I. duPont Institute, Wilmington, Delaware 19899, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Age Factors Arm / physiopathology*, radiography Child Child, Preschool Dislocations / physiopathology Exostoses, Multiple Hereditary / pathology, physiopathology*, radiography Female Follow-Up Studies Functional Laterality Hand / physiopathology Humans Male Middle Aged Movement Osteoarthritis / physiopathology Pronation Radius / physiopathology Self Assessment (Psychology) Supination Ulna / pathology, radiography Wrist Joint / pathology, physiopathology |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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