1/6. Acute compartment syndrome of the forearm in association with ulnar shortening osteotomy: a case report.A 41-year-old man experienced severe pain in the forearm after undergoing ulnar shortening osteotomy to treat positive ulnar variance, a complication of a fracture of the distal end of the radius. The patient had compartment syndrome with compartment pressure of 55 mm Hg. A decompressive fasciotomy of the volar compartment provided total relief of pain and, subsequently, full recovery of all functions. We report the case and discuss the serious nature of compartment syndrome, its associated complications, and methods of diagnosis and management.- - - - - - - - - - ranking = 1keywords = nature (Clic here for more details about this article) |
2/6. Understanding and meeting the needs of farmers with amputations.BACKGROUND: Despite the hazardous nature of the occupation, farmers who sustain serious permanently disabling injuries return to the physical labor of production agriculture. It is estimated that amputations account for 11% of all major farm-related injuries. PURPOSE: This report describes the process of reentry to farm work of farmers across the united states who experienced above-the-wrist traumatic amputations. SAMPLE: Interviews with 16 farmers revealed the unique features of the work and world view of these workers who labor in the fields. FINDINGS: The occupational recovery process included questioning, analyzing, and "getting along." Prostheses and formal rehabilitation programs were viewed as minimally helpful. Suggestions and resources that may be helpful for the orthopaedic nurse to assist this high-risk work group are included.- - - - - - - - - - ranking = 1keywords = nature (Clic here for more details about this article) |
3/6. The abductor digiti minimi muscle flap: a salvage technique for palmar wrist pain.In a series of 12 patients incapacitated by persistent or recurrent pain in the palmar aspect of the hand and wrist, successful rehabilitation was aided by employing an abductor digit minimi muscle flap. It is emphasized that this muscle flap was utilized as an adjunct to microsurgical internal neurolysis and neuroma resection. Eleven of the 12 patients (92 percent) achieved good to excellent results in terms of relief of pain, plus either return to their previous job or vocational rehabilitation. The "salvage" nature, donor-site morbidity, and technical demands of the procedure are emphasized.- - - - - - - - - - ranking = 1keywords = nature (Clic here for more details about this article) |
4/6. Detection of intraarticular loose osteochondral fragments by double-contrast wrist arthrography. A case report of a basketball injury.Gravity was used in a case of double-contrast wrist arthrography to demonstrate the intraarticular loose nature of osteochondral fracture fragments. These calcified loose bodies were successfully removed surgically.- - - - - - - - - - ranking = 1keywords = nature (Clic here for more details about this article) |
5/6. High-frequency electromagnetic radiation injury to the upper extremity: local and systemic effects.Industrial use of radiofrequency and microwave energy sources (nonionizing, high-frequency electromagnetic radiation) is a growing and widespread phenomenon, with projected risks of exposure to more than 20 million workers in the united states. A description of the nature of this form of electromagnetic energy is given, with emphasis on the variability of energy absorption by humans. The current state of biological research is reviewed, and a summary of the known effects of radiofrequency and microwave radiation exposure on animals and humans provided. These known effects appear to be principally thermal, similar to conventional electrical burn injuries, but with some unique systemic expression. Derangements of cardiovascular, gastrointestinal, endocrine, hematological, ophthalmological, and behavioral functions are well described in animal experimentation. Two patients are presented--one a young woman exposed to a high-density radiofrequency field in an industrial setting, leading to necrosis of the entire hand and wrist as well as to a constellation of systemic effects, and one an older woman exposed to excessive microwave radiation from a malfunctioning microwave oven, leading to chronic hand pain and paresthesias resembling median nerve entrapment at the carpus. The prevalence of potential exposure in certain industries is noted and recommendations for follow-up care of workers exposed to this form of trauma are delineated.- - - - - - - - - - ranking = 1keywords = nature (Clic here for more details about this article) |
6/6. Bilateral scapholunate dissociation with degenerative arthritis.A case of bilateral idiopathic scapholunate dissociation with degenerative arthritis is reported. This case suggests a multifactorial causation combining congenital deficiency and synovitis, with trauma of a minor or repetitive nature.- - - - - - - - - - ranking = 1keywords = nature (Clic here for more details about this article) |