1/9. 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 = 1keywords = nature (Clic here for more details about this article) |
2/9. High-pressure injection injury involving a 2-PAM chloride autoinjector.High-pressure injection injuries to the hand are often associated with severe morbidity and should be considered surgical emergencies. The severity of these injuries is usually due to vascular compromise and the inflammatory nature of the material injected, such as paint, grease, and solvents. We present a case of a high-pressure injection of 2-PAM chloride into the finger of a 3-year-old boy. In this case, operative treatment was not necessary and all symptoms resolved.- - - - - - - - - - ranking = 1keywords = nature (Clic here for more details about this article) |
3/9. Avulsion of the extensor carpi radialis brevis insertion: a case report and review of the literature.Injuries to the bases of the index finger and long finger metacarpals are unusual because of the stability of the carpometacarpal joints. Such stability is provided by the strong capsuloligamentous attachments and the unique bony architecture. Given the rare nature of these injuries, there is no consensus regarding the optimal management of avulsion fractures of the bases of the index finger and long finger metacarpals. Open reduction and internal fixation of the fracture, with anatomic repair of the extensor carpi radialis brevis or extensor carpi radialis longus, offers several advantages over closed treatment. A case report and a review of the literature are presented.- - - - - - - - - - ranking = 1keywords = nature (Clic here for more details about this article) |
4/9. mycobacterium terrae tenosynovitis: chronic infection in a previously healthy individual.We have described a case of mycobacterium terrae tenosynovitis in an otherwise healthy individual. The chronic nature of this infection suggests that aggressive surgical and medical therapy is the most prudent course for physicians faced with this infection.- - - - - - - - - - ranking = 1keywords = nature (Clic here for more details about this article) |
5/9. A new high-pressure injection injury of the hand.A high-pressure injection injury to the hand followed an unusually benign course, probably because of the nature of the substances injected, Freon and isopropyl alcohol. This is in marked contrast to the usually devastating result of injection of paint, grease, or diesel fuel under pressure. This type of injury may be seen more frequently in the future since the two substances injected are used for the cleaning and maintenance of computers and computer parts.- - - - - - - - - - ranking = 1keywords = nature (Clic here for more details about this article) |
6/9. High-pressure injection injuries to the hand.Analysis of 14 cases of high-pressure injection injury to the hand revealed that the mechanism of injury, the nature of the injected substance, the site of injection, delay in treatment, and treatment specifics all influence prognosis. Injuries from paint or spray guns appear to be the most devastating; injuries to digits are worse than those to the hand. paint, thinners, and solvents cause great impairment. Delay in treatment likely compromises the outcome; steroids may be effective in some cases in reducing eventual impairment. Early recognition of the gravity of these wounds is important and early decompression, tetanus prophylaxis, antibiotics, and judicious steroid usage are advocated. Significant impairment results from many high-pressure injuries despite seemingly adequate treatment.- - - - - - - - - - ranking = 1keywords = nature (Clic here for more details about this article) |
7/9. High-pressure injection injuries to the hand.Despite their appearance for over 20 years, high-pressure injection injuries to the hand are often grossly undertreated or mistreated, resulting in usually avoidable permanent impairment--often with amputation. Primary care physicians, and especially emergency room physicians, must be aware of the serious nature of this usually innocuous-appearing injury and immediately refer such patients for definitive emergency surgery.- - - - - - - - - - ranking = 1keywords = nature (Clic here for more details about this article) |
8/9. Soft tissue injury in resistance welding.Electrical resistance welding is commonly used in industries where light sheet metal is bonded. The process uses a combination of heat and pressure to form the weld, which frequently results in the production of high-velocity metal-fragment projectiles. The process is described and case studies are presented to illustrate the nature of the injuries which occasionally result from these missiles. The difficulties in preventing these injuries and potential approaches for doing so are discussed.- - - - - - - - - - ranking = 1keywords = nature (Clic here for more details about this article) |
9/9. Irreducible dorsal dislocation of the distal interphalangeal joint: case report and literature review.An irreducible dorsal dislocation of the DIP joint is a rare injury. Irreducibility is primarily caused, in closed injuries, by the interposed volar plate, and in open injuries by the dislocated FDP tendon. It is important to recognize the complex nature of this dislocation and to limit attempts at closed reduction. Early surgical exploration, anatomic reduction, and early mobilization are prerequisites to good functional recovery.- - - - - - - - - - ranking = 1keywords = nature (Clic here for more details about this article) |