1/39. median nerve palsy presenting as absent elbow flexion: a result of a ruptured pectoralis major to biceps tendon transfer.We describe a patient with a preexisting posttraumatic brachial plexopathy who had a complete high median nerve palsy due to rupture of the pectoralis major to biceps transfer near its distal insertion at the elbow region.- - - - - - - - - - ranking = 1keywords = nerve (Clic here for more details about this article) |
2/39. median nerve injury in an expert skier: a case report.A 20-year-old expert skier presented with sustained ulnar arterial, median nerve, and multiple flexor tendon injuries. Surgery was performed repairing the nerve, artery, and tendons, and in subsequent follow-up, the patient had an excellent postoperative result.- - - - - - - - - - ranking = 1.2keywords = nerve (Clic here for more details about this article) |
3/39. Early repair treatment of electrical burns and recovery of tendons and nerves. Report of 194 operations.A new approach to treatment of electrically burned tendons and nerves by primarily covering with skin or myocutaneous flaps is recommended. Between 1964 and 1989, 194 operations using the new approach were performed on 147 patients, of which 179 operations were successful and only 15 procedures resulted in infection. Among 42 cases involving the wrist, the rate of functional recovery of the electrically burned tendons was 97.6%; the rate of recovery in 21 cases of electrically burned peripheral nerves was 80.9%.- - - - - - - - - - ranking = 1.2keywords = nerve (Clic here for more details about this article) |
4/39. Acute ulnar nerve compression syndrome in a powerlifter with triceps tendon rupture--a case report.We report on the case of a bodybuilder and powerlifter who suffered from triceps tendon rupture complicated by acute ulnar nerve compression syndrome. The diagnosis was made clinically, radiologically, and sonographically. Ultrasound was helpful to demonstrate a large hematoma at the site of the injury. Early surgical intervention confirmed the presence of the hematoma compressing the ulnar nerve and led to a complete restoration of ulnar nerve and triceps muscle function. Few reports on distal triceps rupture have been published but its complication by acute ulnar nerve compression has not been reported on yet despite the close anatomical relationship of both structures.- - - - - - - - - - ranking = 1.6keywords = nerve (Clic here for more details about this article) |
5/39. Ski boot compression syndrome.The extensor tendons and peroneal nerve can be compressed at the ankle by the tongue of the ski boot. The resulting neuritis and synovitis may be severe enough to mimick an anterior compartment syndrome. Treatment consists of conservative methods but the paresthesiae may remain for long periods of time.- - - - - - - - - - ranking = 0.2keywords = nerve (Clic here for more details about this article) |
6/39. Use of three free flaps based on a single vascular pedicle for complex hand reconstruction in an electrical burn injury: a case report.The use of conjoint flaps based on the dorsalis pedis artery enabled a transfer of 3 free flaps-dorsalis pedis flap, fillet flap of the second toe, and trimmed large toe-to reconstruct a severely traumatized hand in a 12-year-old girl. High-voltage electrical burn injury had caused a large wound over the volar wrist and exposed the flexor tendons and median/ulnar nerves. In addition, she suffered a partial loss of the thumb and had an open wound at the base of the index finger. The application of the conjoint flaps restored hand function in a one-stage procedure.- - - - - - - - - - ranking = 0.2keywords = nerve (Clic here for more details about this article) |
7/39. Diabetic amyotrophy masquerading as quadriceps tendon rupture: a word of caution.Diabetic amyotrophy is predominantly a motor condition that involves various elements of the lumbosacral plexus but particularly that related to the femoral nerve. (1,3) It can present acutely as unilateral thigh pain followed by the development of weakness and later wasting in the femoral muscles, usually first seen in the quadriceps. We report on two cases of diabetic amyotrophy from different hospitals that presented with clinical signs and symptoms of quadriceps rupture. These patients underwent surgical exploration but in both the quadriceps tendons were found to be intact. Post-operative neurological consultations established the diagnosis as diabetic amyotrophy, which was confirmed with electrodiagnostic studies. We conclude that any quadriceps rupture in diabetics should be viewed with caution. Electrodiagnostic studies and imaging with ultrasound and magnetic resonance imaging should be carried out before exploratory surgery.- - - - - - - - - - ranking = 0.2keywords = nerve (Clic here for more details about this article) |
8/39. Single-stage achilles tendon reconstruction using a composite sensate free flap of dorsalis pedis and tendon strips of the extensor digitorum longus in a complex wound.The reconstruction of the posterior heel including a wide defect of the Achilles tendon is difficult as a result of complicated infection, deficient soft tissue for coverage, and functional aspects and defects of the tendon itself. As a single-stage procedure, various methods of tendon transfer and tendon graft have been reported along with details of local flaps or island flaps for coverage. With advances in microsurgical techniques and subsequent refinements, several free composite flaps, including tendon, fascia, or nerve, have been used to reconstruct large defects in this area without further damaging the traumatized leg. The authors report such a single-stage reconstruction of a composite achilles tendon defect using the extensor digitorum longus tendon of the second to fourth toe in combination with a dorsalis pedis flap innervated by the superficial peroneal nerve. The follow-up of this case has proved a satisfactory outcome to date.- - - - - - - - - - ranking = 0.4keywords = nerve (Clic here for more details about this article) |
9/39. Arthroscopic management of spinoglenoid cysts associated with SLAP lesions and suprascapular neuropathy.Suprascapular neuropathy secondary to cyst compression in the spinoglenoid notch may occur in association with SLAP tears. Arthroscopic techniques may be employed for both cyst excision and repair of labral pathology. We describe 3 cases in which preoperative and postoperative electromyograms and magnetic resonance imaging documented cyst resolution and return of suprascapular nerve function after arthroscopic spinoglenoid cyst excision and labral repair.- - - - - - - - - - ranking = 0.2keywords = nerve (Clic here for more details about this article) |
10/39. lacerations of the plantar aspect of the foot.The absence of any known reference in the medical literature to lacerations of the plantar aspect of the foot prompted the author to send an questionnaire to members of the American Orthopaedic foot Society and association of Bone and Joint Surgeons asking each one to outline his treatment for various combinations of lacerations of the flexor tendons and plantar nerves in a group of patients with varied ages and occupations. To simplify results, only clean wounds satisfactory for immediate surgery were considered. A majority of surgeons preferred primary repair of a lacerated flexor hallucis longus tendon or extensive laceration of all flexor tendons and nerves but were equally divided between repair and non-repair of flexor tendons and plantar nerves of the middle three toes. A majority of surgeons preferred not to repair isolated lacerations of flexor tendons other than the flexor hallucis longus. Most surgeons electing to repair the structures preferred to approach them through the original plantar laceration rather than through an accessory incision in the non weight-bearing portion of the foot.- - - - - - - - - - ranking = 0.6keywords = nerve (Clic here for more details about this article) |
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