The Journal of hand surgery, European volume
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J Hand Surg Eur Vol · Oct 1987
Randomized Controlled Trial Comparative Study Clinical TrialComparison of 1% lignocaine with 0.5% bupivacaine in digital ring blocks.
In a randomised double-blind trial comparing 1% lignocaine with 0.5% bupivacaine in digital ring block, the mean time of onset of complete anaesthesia was 5.8 minutes (range 5 to 10 minutes) for lignocaine and 11.2 minutes (range 8 to 20 minutes) for bupivacaine. The duration of action was 59.6 minutes (S. ⋯ D. +/- 277 minutes) for bupivacaine. We describe how these differences can be exploited in clinical practice.
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J Hand Surg Eur Vol · Jun 1987
Randomized Controlled Trial Clinical TrialTranscutaneous electrical nerve stimulation in acute hand infections.
Twenty-six patients with severe hand infections requiring operative drainage and admission to hospital were entered into a prospective, randomised, placebo-controlled trial. This was to test the use of a functioning transcutaneous electrical nerve stimulator and a non-functioning transcutaneous electrical nerve stimulator for pain relief in the first three postoperative days. ⋯ They also demonstrated highly significant improvement in their range of total active movement over those patients with a non-functioning transcutaneous electrical nerve stimulator. We recommend the use of transcutaneous electrical nerve stimulator after operation to reduce pain and improve mobility.
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J Hand Surg Eur Vol · Feb 1987
Case ReportsFracture dislocation of the trapezio-scaphoid joint--the missing link?
Fracture-dislocation of the trapezio-scaphoid joint is an extremely rare injury. We report a case treated using Herbert's compression screw technique.