1/100. 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 = motion (Clic here for more details about this article) |
2/100. Vascularized toe joint transplantation.The vascularized toe joint transfer is an alternative to arthrodesis. For optimal functional results, the patient must have normal-functioning muscle and associated tendons, effecting joint motion. Although vascularized toe joint transfer permits long-term preservation of joint architecture and cartilage, the goal of achieving normal range of motion for a reconstructed digit is still elusive. Reconstruction of the extensor mechanism can be worthwhile in selected patients because more useful motion can be achieved even if the result falls short of normal.- - - - - - - - - - ranking = 1.5keywords = motion (Clic here for more details about this article) |
3/100. Treatment of finger avulsion injuries with innervated arterialized venous flaps.Complete degloving injury of the digits not amenable to revascularization may leave poor cosmetic and functional results. We used innervated venous flaps from the dorsum of the foot in two patients with traumatic finger degloving injuries. All the flaps successfully provided coverage over the denuded fingers. Good sensation and nearly full rage of motion of the fingers were obtained. There were no donor-site problems. The advantages of this flap are preservation of a major artery of the donor site, easy elevation without deep dissection, and providing a thin, nonbulky tissue and good sensation. The innervated arterialized venous flap is a useful method that provides functional and cosmetic coverage to the severe avulsion injury of the finger.- - - - - - - - - - ranking = 0.5keywords = motion (Clic here for more details about this article) |
4/100. The use of the motion analysis system for evaluation of loss of movement in the finger.We have used the motion analysis system to measure loss of finger movement after injury. The motion analysis system can provide information about the dynamic angular changes of each finger joint and the fingertip motion area for the injured finger. The latter can be used to calculate the percentage of fingertip motion area preserved. A stiff finger may show limited fingertip motion area with the finger joints tending to flex and extend together.- - - - - - - - - - ranking = 4.5keywords = motion (Clic here for more details about this article) |
5/100. Salvage of completely degloved finger with a posterior interosseous free flap.The use of a free posterior interosseous skin flap should be considered in a single digit degloving injury, especially when replantation of the avulsed skin or the use of skin from the second toe, transferred as a composite-tissue flap, is not feasible. The flap is thin and pliable. It allows early mobilisation with good recovery of joint motion and attains protective sensation of the finger.- - - - - - - - - - ranking = 0.5keywords = motion (Clic here for more details about this article) |
6/100. Isolated dislocation of the second metacarpal at both ends.A dislocation of the second metacarpal at both ends is reported herein for the first time. Six weeks after injuring her right hand in a fall while climbing stairs, a 34-year-old woman visited our clinic with pain, swelling, and deformity of her hand. The radiographs showed a volar dislocation of the head and a dorsal dislocation of the base of the second metacarpal. The probable mechanism of injury was the hyperextension at the metacarpophalangeal joint; this force dislocated the metacarpal head toward the volar plate. Force then further continued along the second metacarpal shaft in the hyperflexed wrist, thus dislocating the base dorsally. We performed an open reduction and K-wire fixation of the second metacarpophalangeal joint and an arthrodesis of the second carpometacarpal joint. At the six-month follow-up, the patient had restricted flexion (0 to 50 degrees) at the second metacarpophalangeal joint, but full range of motion at the interphalangeal joints. The grip strength on the right side was 70% of that measured in the uninvolved hand. Key Words: Dislocation, Second metacarpal.- - - - - - - - - - ranking = 0.5keywords = motion (Clic here for more details about this article) |
7/100. Closed traumatic rupture of the flexor pulleys of a long finger associated with avulsion of the flexor digitorum superficialis.We report a closed rupture of the second, third and fourth annular pulleys associated with avulsion of the flexor digitorum superficialis tendon in the ring finger of a healthy, 48-year-old patient. It was caused by sudden and violent flexion of the finger and led to a serious impairment of the proximal interphalangeal joint motion, despite physiotherapy and dynamic splinting. The patient was treated surgically, 3 months after the injury, with reconstruction of the second (A2) and fourth (A4) annular pulleys and excision of the distal portion of the superficialis tendon. The final functional result was satisfactory.- - - - - - - - - - ranking = 0.5keywords = motion (Clic here for more details about this article) |
8/100. Limitation of flexor tendon excursion by heterotopic ossification after isolated flexor tendon laceration.A patient, one year after flexor digitorum superficialis/profundus repair in the left index finger, was diagnosed with heterotopic ossification involving the palmar surface of the proximal phalanx creating a secondary proximal interphalangeal joint contracture. A Compass PIP Hinge facilitated the treatment. Flexor tendon excursion improved, and active range of motion increased from 60 to 90 degrees before surgery to 30 to 105 degrees 20 months after surgery. Ectopic bone involvement of the hand is rare. This article reports a successful treatment for a unique complication of flexor injury and repair.- - - - - - - - - - ranking = 0.5keywords = motion (Clic here for more details about this article) |
9/100. Use of an arterialized venous flap for resurfacing a circumferential soft tissue defect of a digit.Circumferential defects of digit are uncommon but present a challenging problem to the clinician. The use of simple skin grafts tends to cause tendon adhesions and can limit digital range of motion. The use of local skin flaps, such as a cross-finger flap, is limited by the considerable skin loss in a defect that is circumferential in nature. Other options have included the use of reversed forearm flap or some free tissue transfer. We report a case in which the circumferential defect of an index finger, measuring 6 cm around the digit and 3 cm long, is resurfaced by the use of a free arterialized venous flap raised from the volar forearm skin.- - - - - - - - - - ranking = 0.5keywords = motion (Clic here for more details about this article) |
10/100. Breakage of a 1.3-mm AO/ASIF titanium plate after phalangeal osteotomy in two patients.Two patients sustained plate breakage after a proximal phalanx corrective osteotomy stabilized with an AO/ASIF titanium 1.3-mm plate. The failure of this plate after the initiation of early range of motion therapy warrants further evaluation regarding its inherent strength and clinical application.- - - - - - - - - - ranking = 0.5keywords = motion (Clic here for more details about this article) |
| | Next -> |