1/396. Articular fractures of the proximal interphalangeal joint with missing elements: repair with partial toe joint osteochondral autografts.Five cases of traumatic destruction of a condyle of the proximal interphalangeal joint repaired with a free autogenous graft of a corresponding toe condyle are presented. Precise fitting is essential: 1 patient required a second graft when the initial undersized graft was absorbed. Four of the 5 cases regained laterally stable bicondylar joints and functional fingers. Range of motion varied inversely to the magnitude of the injury and the surgery. Active range of motion at the proximal interphalangeal joint was 80 degrees in 2 digits, 45 degrees in 1, and 10 degrees in 1 complex case; 1 case was considered a failure.- - - - - - - - - - ranking = 1keywords = injury, trauma (Clic here for more details about this article) |
2/396. Isolated tenosynovitis associated with psoriasis triggered by physical injury.A 60-year-old man who had been suffering from psoriasis for 20 years developed finger dactylitis and inflammatory swelling with pitting edema over the dorsum of the hand one week after a contusive trauma to the left hand. These were not followed by any other clinical manifestations of PsA.- - - - - - - - - - ranking = 3.9992760559414keywords = injury, trauma (Clic here for more details about this article) |
3/396. Fingertip reconstruction with flaps and nail bed grafts.We retrospectively reviewed the cases of 14 fingertips reconstructed with a combination of local or regional flaps and nail bed grafts, some of which were placed wholly or partially over a de-epithelialized flap. Most of the fingertips sustained a crushing injury and were reconstructed at the time of the injury. Soft tissue coverage was provided by palmar V-Y flaps in 6 cases, thenar flaps in 4, lateral V-Y flaps in 2, a Moberg flap in 1, and a cross-finger flap in 1. Split toenail bed grafts were used in 6 cases, full-thickness nail bed grafts from the amputated part in 6, and split nail bed grafts from the injured digit in 2. There was 1 partial graft loss and 1 partial flap loss. The remaining cases had completely successful grafts and good soft tissue healing. Subsequent nail growth and adherence were good in all but the 1 digit requiring secondary composite grafting.- - - - - - - - - - ranking = 1.9995173706276keywords = injury (Clic here for more details about this article) |
4/396. Leech-borne serratia marcescens infection following complex hand injury.leeches are commonly used in the postoperative course of plastic surgical operations where there is venous congestion in a pedicled or free flap. They provide a temporary relief to venous engorgement whilst venous drainage is re-established. It is known that leeches can carry aeromonas hydrophila infection, and a second or third generation cephalosporin antibiotic has traditionally been given as prophylaxis against infection. We report a new observation that leeches can carry serratia marcescens and give rise to clinically significant infection. The implication for prophylaxis and treatment of leech-associated cellulitis is discussed.- - - - - - - - - - ranking = 3.9990347412551keywords = injury (Clic here for more details about this article) |
5/396. Alternatives to thumb replantation in three cases of traumatic amputation of the thumb.Three cases of complete amputation of the thumb are reported in which the amputated distal parts were not suitable for replantation. In all cases there were either complete or incomplete amputations of other digits. Two different techniques were used for thumb reconstruction: 1) pollicization of a partially amputated digit with transposition microsurgery in case 1; and 2) replantation of a less important amputated digit to the thumb stump for cases 2 and 3. These microsurgical efforts successfully restored thumb function in all three patients.- - - - - - - - - - ranking = 0.00096525874485016keywords = trauma (Clic here for more details about this article) |
6/396. Palmar oblique ligament reconstruction for carpometacarpal joint dislocation in an 11-year-old: a case report.Traumatic dislocation of the thumb carpometacarpal joint has been rarely reported in children. An 11-year-old boy presented with a traumatic dislocation of the trapeziometacarpal joint. He was successfully treated surgically with ligament reconstruction as previously described.- - - - - - - - - - ranking = 0.00024131468621254keywords = trauma (Clic here for more details about this article) |
7/396. Extensor tendon lacerations in a preterm neonate.A fetus of 30-weeks' gestation sustained 2 extensor tendon lacerations as an intraoperative complication of an emergency cesarean section. This report describes treatment of the tendon lacerations in the preterm neonate using 2 different repair techniques which both yielded an excellent clinical outcome.- - - - - - - - - - ranking = 0.088484680468147keywords = laceration (Clic here for more details about this article) |
8/396. Volar dislocation of the metacarpophalangeal joint of the ring finger. Report of two cases.Volar dislocation of the metacarpophalangeal joint of the finger is a rare injury. Two cases of an isolated volar dislocation of the ring finger metacarpophalangeal joint are reported. The dislocation was treated successfully by closed reduction shortly after injury in both cases. Closed reduction should be attempted in all cases of this injury because successful reduction may be possible.- - - - - - - - - - ranking = 2.9992760559414keywords = injury (Clic here for more details about this article) |
9/396. Ring finger ray amputation: a 25-year follow-up.The treatment of class III ring avulsion injuries remains controversial. This case report presents a 25-year follow-up of a class III ring avulsion injury treated with secondary ring finger ray amputation. This case shows long-term excellent functional and cosmetic results of ring finger ray resection without bony transposition.- - - - - - - - - - ranking = 0.99975868531379keywords = injury (Clic here for more details about this article) |
10/396. carpal tunnel syndrome after distal release of the flexor digitorum profundus and subsequent retraction of the lumbrical muscle into the carpal tunnel.We present three patients who had traumatic amputation of a finger or fingers with subsequent retraction of the flexor digitorum profundus and lumbrical muscle leading to the development of carpal tunnel syndrome.- - - - - - - - - - ranking = 0.00024131468621254keywords = trauma (Clic here for more details about this article) |
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