1/15. The distally based radial forearm fascia-fat flap for treatment of recurrent de Quervain's tendonitis.A radial fascial flap has been described as a valuable and versatile option to provide appropriate tissue coverage of tendons, nerves, and soft tissues in the forearm and hand. We report the use of this distally based radial forearm fascia-fat flap to create a fascial tube to treat recurrent de Quervain's tendonitis.- - - - - - - - - - ranking = 1keywords = nerve (Clic here for more details about this article) |
2/15. Aggressive keloid scarring of the Caucasian wrist and palm.keloid scarring of the distal upper extremity is very rare. We report a Caucasian woman who presented with aggressive keloids of the hand and wrist causing De Quervain's syndrome, superficial radial-nerve entrapment and ulnar-nerve compression at the wrist. Multiple operations were required to alleviate her symptoms. A number of management conundrums arose, requiring defensive planning to pre-empt the possible complications of recurrent keloid scarring as a result of the surgical procedures.- - - - - - - - - - ranking = 2keywords = nerve (Clic here for more details about this article) |
3/15. myoclonus of peripheral origin: case secondary to a digital nerve lesion.We present a patient with myoclonus of the left hand appearing 1 month after surgical correction of a stenosing tenosynovitis of the thumb. An extensive fibrosis of the external palmar digital nerve was shown, and the successful liberation of this median nerve terminal branch completely and rapidly eliminated the movement disorder.- - - - - - - - - - ranking = 487.19331146121keywords = median nerve, median, nerve (Clic here for more details about this article) |
4/15. Archery-related injuries of the hand, forearm, and elbow.The five patients reported herein had various archery-related injuries of the upper extremities. Acute injuries included arrow laceration of a digital nerve and artery, contusion of forearm skin and subcutaneous tissue, and compression neuropathy of digital nerves from the bowstring. Chronic injuries included bilateral medial epicondylitis and median nerve compression at the wrist, de Quervain's tenosynovitis, and median nerve compression at the elbow. Essential measures for archery safety include use of archery protective gear, use of a light-weight bow, conditioning of the forearm flexor muscles, and modifications in drawing the bowstring.- - - - - - - - - - ranking = 966.38662292241keywords = median nerve, median, nerve (Clic here for more details about this article) |
5/15. Stacking of a dermal regeneration template for reconstruction of a soft-tissue defect after tumor excision from the palm of the hand: a case report.Excision of tumors from the hand often leaves tissue defects with exposed tendons or neurovascular structures that require coverage. Various types of free and pedicled grafts have been described for use in these situations. We present a patient who had a tumor excision in the hand followed by wound coverage with a stacked dermal regeneration template. A 50-year-old man presented with a mass over the palm of the hand. He had an incisional biopsy procedure, the results of which suggested malignancy. He then had wide excision with planned temporary skin coverage with a dermal regeneration template. The dermal template incorporated nicely. With adequate skin coverage the palmar defect still was substantial in terms of depth. This was raised with layering or stacking of the template followed by a split-thickness skin graft. Excellent wound healing and coverage of the defect ultimately were achieved. Additionally the patient went on to obtain full range of motion. Stacking of a dermal regeneration template coupled with split-thickness skin grafting was used to fill a soft-tissue defect over the median and nerve and flexor tendons after wide tumor excision.- - - - - - - - - - ranking = 3.3481869874075keywords = median, nerve (Clic here for more details about this article) |
6/15. Atypical mycobacterium soft-tissue infection of the dorsal radial wrist: a possible complication of steroid injection for de Quervain's disease.Corticosteroid injection into the first dorsal compartment for acute de Quervain's tenosynovitis is an accepted form of therapy. Potential side effects include soft-tissue atrophy, tendon attrition, postinjection neuritis of the superficial radial nerve, systemic reactions, and infection. We present a patient with a mycobacterium chelonei infection localized to the soft tissue overlying the first dorsal compartment, occurring 3 years after a triamcinolone injection into this area. Histological examination with the polarizing microscope revealed persistent steroid granules in the involved tissue. Successful treatment consisted of complete excision of the involved skin and subcutaneous tissue followed by delayed closure. Systemic antibiotics were not used.- - - - - - - - - - ranking = 1keywords = nerve (Clic here for more details about this article) |
7/15. An unusual complication following surgical treatment of deQuervain's disease.Symptoms of deQuervain's disease were relieved by incision of the first dorsal compartment sheath in a 43-year-old hospital employee. Three months after the operation she developed dysaesthesias in the distribution of the superficial radial nerve with wrist extension and thumb abduction. At reoperation the tendons of the first dorsal compartment were found to glide dorsally onto a fibrous remnant of the sheath and to elevate the overlying superficial radial nerve. Excision of the fibrous ridge resulted in relief of symptoms. The complication could have been avoided, in retrospect, by excising the sheath or by incising it at its dorsal attachment.- - - - - - - - - - ranking = 2keywords = nerve (Clic here for more details about this article) |
8/15. prototheca wickerhamii tenosynovitis.prototheca wickerhamii is an algae-like organism rarely implicated in skin or soft tissue infections. We describe the first case (to our knowledge) of prototheca tenosynovitis which followed median nerve release for carpal tunnel syndrome. Clinical presentation, operative findings, histopathology, microbiology and treatment of this unusual infection are discussed.- - - - - - - - - - ranking = 482.19331146121keywords = median nerve, median, nerve (Clic here for more details about this article) |
9/15. Gouty tenosynovitis and compression neuropathy of the median nerve.Two cases of gouty tenosynovitis were associated with carpal tunnel syndrome. Both patients had carpal tunnel release with good relief of symptoms. In one patient, gout was not suspected before operation; this patient developed wound dehiscence with tophaceous urate crystal drainage that eventually disappeared. Proper preoperative antigout therapy may have prevented this complication. carpal tunnel syndrome associated with gout is rare. Preoperative investigations for gout may be indicated in patients with carpal tunnel syndrome.- - - - - - - - - - ranking = 1928.7732458448keywords = median nerve, median, nerve (Clic here for more details about this article) |
10/15. elbow arthrography in the evaluation of posterior interosseous nerve compression in rheumatoid arthritis.This is a case report of a fifty-nine-year-old rheumatoid arthritic woman who developed lack in finger extension bilaterally. These deficits had two completely different aetiologies, Posterior Interosseous Nerve (PIN) Syndrome and extensor tendon rupture. No previous report in the literature has used elbow arthrography as a diagnostic tool in a patient with PIN Syndrome. elbow arthrography confirmed the abnormality at this joint and aided in appropriate management.- - - - - - - - - - ranking = 4keywords = nerve (Clic here for more details about this article) |
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