Cases reported "Finger Injuries"

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1/15. 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.
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keywords = physical
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2/15. Unusual presentation of a ring injury in a psychiatric patient.

    1. A ring embedded in the digits may result in erosion of the skin, tendons, and bones. 2. This type of injury may be prevented by removing the ring at the time of the injury. 3. All constricting bands should be carefully monitered and, if necessary, removed from fingers to prevent chronic erosion especially in people with a physical or mental disability.
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ranking = 0.25
keywords = physical
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3/15. A simultaneous distal phalanx avulsion fracture with profundus tendon avulsion. A case report and review of the literature.

    Avulsion injuries of the flexor digitorum profundus are fairly common injuries, yet simultaneous avulsion fractures of the insertion of this tendon associated with rupture of the tendon from the bony fragment is rarely described and is more complicated. In the 24-year-old athlete, the injury was classified according to the system of Leddy and Packer. The authors' method of treatment is also described. Similar cases presented in the literature are reported, with emphasis on pathomechanism, physical findings, and surgical repair method. In this rare injury, stabilization of the distal interphalangeal joint is necessary even at the expense of early motion.
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ranking = 0.25
keywords = physical
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4/15. The neglected rupture of deep transverse metacarpal ligament.

    The deep transverse metacarpal ligament (DTML) extends in radio-ulnar direction between the palmar plates of the metacarpophalangeal (MCP) joints of the second through fifth finger rays. On the radial aspect of the index and the ulnar aspect of the small fingers, the ligament merges with the collateral ligament of the MCP joints. The ligament has palmar grooves for the flexor tendons at the MCP joints and act as a support for the metacarpal arch. Closed DTML injury is an unusual case, but the physical findings of DTML injury are a decrease in grip strength, deviation of the finger in flexion and pain on the affected site of the hand. We have experienced a case of neglected DTML injury of left third interdigital space in a 23-year-old man.
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ranking = 0.25
keywords = physical
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5/15. Treatment of painful neuroma of amputated phalanx with distal toe transfer: a case report.

    A painful neuroma in the amputation stump of a finger can be psychologically and physically disabling. Numerous surgical procedures have been attempted to prevent and treat amputation neuromas of the finger, but the results are inconsistent. Microsurgical transfer of the distal second toe to the amputated stump of the finger can provide a pathway and target for the regenerating axons and avoid recurrence of neuromas. In this article, we present the experience of successful treatment of amputation neuromas of an index finger with microsurgical distal toe transfer.
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ranking = 0.25
keywords = physical
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6/15. Embedded ring injury of the middle finger in an amphetamine abuser.

    Embedded finger-ring injury is not usually encountered in clinical practice, and most patients present with psychiatric or physical/mental impairment. We report herein an 18-year-old male amphetamine abuser who presented to our emergency department (ED) for embedded finger-ring injury over his left middle finger. The embedded ring was removed in the ED under heavy sedation, and the wound healed uneventfully over 2 weeks. Thereafter, the young man received psychiatric treatment. Embedded finger-ring injury has never been reported in a drug abuser before.
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ranking = 0.25
keywords = physical
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7/15. False aneurysm of a digital artery. A case report.

    Traumatic aneurysms of a digital artery are rare, and only 11 cases have been reported in the literature. This paper describes the aetiology, physical appearances, investigation and management of a false aneurysm of the digital artery of the left little finger.
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ranking = 0.25
keywords = physical
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8/15. The triggering role of physical injury in the onset of peripheral arthritis in seronegative spondyloarthropathy.

    Three more cases of B27-positive patients who developed peripheral arthritis immediately after trauma are reported. The first had an exacerbation of arthritis in the right hip after falling from her motor-bike. The second had arthritis of the distal interphalangeal (DIP) joint of the right forefinger after shutting his finger in the door of his car. The third had arthritis of the right sternoclavicular joint after a road-accident while fastening her safety belt.
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ranking = 1
keywords = physical
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9/15. Subepineural pacinian corpuscle: a cause of digital pain.

    A patient is presented who had chronic digital pain as a result of an abnormally located subepineural pacinian corpuscle. The patient had complete relief of her symptoms and return of normal digital function following removal of the pacinian corpuscle. A review of the literature concerning this entity revealed very few reported cases. However, these cases shared many of the same symptoms, as well as both physical and operative findings. It is suggested that patients suffering from digital pain of unknown etiology with a previous history of direct or indirect trauma may benefit from a localized operative exploration of the digit to remove an abnormally located pacinian corpuscle affecting the digital nerve.
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ranking = 0.25
keywords = physical
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10/15. Complex dorsal dislocation of the thumb metacarpophalangeal joint.

    Complex dorsal dislocation of the thumb metacarpophalangeal joint is an infrequently reported injury. Distinction from its simple counterpart is facilitated by specific physical and radiographic findings. The presence of skin dimpling without gross joint deformity represents physical evidence of a complex lesion. This diagnosis is corroborated by radiographs that reveal a dorsal dislocation associated with joint space widening and interposition of one or both sesamoids. The current treatment of choice is immediate operative reduction followed by a brief period of immobilization. Surgery may be performed through a volar, lateral, or dorsal incision. We favor the dorsal approach, in that it provides excellent exposure while reducing the risk of neurovascular injury.
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ranking = 0.5
keywords = physical
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