1/7. The acute carpal tunnel syndrome: nine case reports.Nine cases of acute carpal tunnel syndrome are reported. Etiologies include: bleeding secondary to chronic lymphatic leukemia; colles' fracture of the wrist (2 cases); Epiphyseal fracture (Salter II) of the distal radius; Bleeding secondary to giant cell tumor of the tendon sheath; Unstable distal radio-ulnar joint; Displaced intra-articular fracture of the distal radius; Rheumatoid synovitis and vasculitis; Trans-scaphoid, perilunar fracture dislocation of the wrist. Early recognition of median nerve compression in the carpal tunnel is vital. The signs of median nerve compression should be looked for in all cases of wrist trauma. In our opinion, immediate surgical decompression is frequently indicated.- - - - - - - - - - ranking = 1keywords = median nerve, median, nerve (Clic here for more details about this article) |
2/7. Bony transfixion of the median nerve following colles' fracture. A case report.Reported herein is the case of a 45-year-old man with a colles' fracture complicated by median nerve transfixion by a bony spike. This seems not to have been reported previously and reinforces the belief that early median nerve exploration should be performed if there is nerve dysfunction associated with a volar bony spike on the postreduction roentgenograms.- - - - - - - - - - ranking = 3.0010873081473keywords = median nerve, median, nerve (Clic here for more details about this article) |
3/7. Radiocarpal fracture--dislocation.Radiocarpal fracture-dislocation was associated with fracture of the distal articular surface of the radius in five patients (six extremities). Closed manipulation resulted in satisfactory reduction of both the dorsal dislocation of the carpus on the distal radius and displaced articular fracture fragment(s) in two of four extremities. In four extremities, open reduction was necessary as the only means of satisfactorily managing this severe wrist injury. Direct visualization through a dorsolateral incision alone allows for maximal restoration of the often extensive bony injury of the dorsal articular surface of the radius. A volar incision is required for anatomic reduction of the carpus, and median reconstitution of the radiocarpal ligament nerve decompression. Functional results were generally satisfactory; however, radiographic degenerative changes appearing early portend traumatic arthritis as a sequela of this complex injury.- - - - - - - - - - ranking = 0.004567710629716keywords = median, nerve (Clic here for more details about this article) |
4/7. Ulnar tunnel syndrome caused by anomalous muscles. Case report.Two cases of ulnar tunnel syndrome at the wrist are described. In both cases an anomalous hypothenar muscle, flexor digiti minimi brevis accessorius, was in part the causative factor. Contributing to the symptoms of nerve compression was swelling associated with rheumatoid disease and colles' fracture, respectively. decompression of the nerve including subtotal removal of the anomalous muscle effected complete recovery. Its phylogeny, morphology and clinical significance are discussed in relation to previously described anomalies of the hypothenar muscles.- - - - - - - - - - ranking = 0.0021746162946426keywords = nerve (Clic here for more details about this article) |
5/7. Nerve injuries associated with wrist trauma.Although nerve injury rarely accompanies wrist trauma or disease, the long-term functional result frequently depends more on resolution of the nerve deficit and symptoms than on resolution of the basic orthopedic pathology. The origins of nerve injury associated with orthopedic problems are reviewed, and a rational approach to their management is described.- - - - - - - - - - ranking = 0.0032619244419639keywords = nerve (Clic here for more details about this article) |
6/7. median nerve compression, with tendon ruptures, after colles' fracture.A rare case of rupture of the flexor pollicis longus tendon following a colles' fracture is described. The patient also had a ruptured flexor digitorum profundus to the index finger and compression of the median nerve of the same hand. The ruptures were noted after four weeks of plaster immobilisation. decompression of the median nerve and corrective osteotomy was performed but no tendon repair was attempted. The patient regained good function of the hand.- - - - - - - - - - ranking = 1.0043492325893keywords = median nerve, median, nerve (Clic here for more details about this article) |
7/7. Proximal neuropathy in colles' fracture.BACKGROUND: Peripheral nerve injury at the wrist following colles' fracture is rare and usually located in the region of the fracture. mononeuropathies in the proximal forearm have not been reported. METHOD: We present two patients with colles' fracture with proximal forearm neuropathies. RESULTS: Both cases were associated with mononeuropathies in the forearm as proximal as the elbow, involving the median, ulnar and radial nerves in one, and the median and ulnar nerves in the other. CONCLUSION: Following colles' fracture proximal nerve involvement may occur and, with increased awareness, this lesion may be identified more frequently.- - - - - - - - - - ranking = 0.011310037554075keywords = median, nerve (Clic here for more details about this article) |