scholarly journals Unusual case of cleft hand

2007 ◽  
Vol 40 (02) ◽  
pp. 205-208
Author(s):  
B Parag Sahasrabudhe ◽  
D Madhuri Kulkarni
Keyword(s):  
Rare Case ◽  
Unusual Case ◽  
Index Finger ◽  
Middle Finger ◽  
Class Iii ◽  
Tendon Transfers ◽  
Hand Deformity ◽  
Cleft Hand ◽  
Web Space

ABSTRACTwe present a case of a six-year-old male child with cleft hand deformity involving the dominant right hand. it was a rare case of atypical cleft hand with no missing tissue but cleft extending to metacarpal level and associated hypoplasia of thumb and index finger. as per manske′s classification of cleft hand our patient belongs to the class iii variety. there was associated malposition of the index finger with absence of first web space and syndactly of thumb and index finger at the metacarpal level. a modified snow-littler procedure was planned. the surgical plan involved closure of cleft, release of thumb and index finger syndactly and reconstruction of the first web space. the functional outcome was good considering hypoplasia of the index finger and thumb. depending upon the function of the thumb tendon transfers can be planned to augment thumb function at a later date along with correction of rotational deformities of the index and middle finger.

scholarly journals Pollicization of Middle Finger in a Cleft Hand Associated with Acrorenal Syndrome

2020 ◽  
Author(s):  
Rajendra S. Gujjalanavar ◽  
Marichamy R. Muthukishore ◽  
R. Jainath ◽  
Sathya Vamsi Krishna
Keyword(s):  
Autosomal Recessive ◽  
Renal Agenesis ◽  
Index Finger ◽  
Middle Finger ◽  
Surgical Reconstruction ◽  
Foot Deformities ◽  
Thumb Reconstruction ◽  
Induction Group ◽  
Cleft Hand ◽  
Web Space

Abstract Introduction Acrorenal syndrome is autosomal recessive inherited disorder commonly associated with congenital renal disorders and ipsilateral hand/foot anomalies. The hand and foot deformities corrections are challenging to achieve a good functional and cosmetic result. We described a case of acrorenal syndrome with suppressed radial elements and absent thumb in whom we were able to reconstruct the hand. Case Report A 5-year-old girl presented to us with right renal agenesis and right hand/foot deformity. The hand showed a cleft hand with central deficiency, index finger hypoplastic, and syndactylyzed to middle finger, absent thumb. The hand was nonfunctional because of absent thumb. To improve the functions, it was decided to proceed with thumb reconstruction. The middle finger was pollicized to regain tripod grip and thereby the functions was enhanced. Discussion The cleft hand belongs to “failure of finger ray induction group” in classification by “International Federation of Societies for Surgery of the Hand (IFSSH).” Absence of thumb and first web space makes it a strong indication for surgical reconstruction. In our case, thumb was addressed by pollicization of middle finger and we were able to provide a good tripod grip.

Scissoring Deformity after Closed Reduction of a Dorsal Subluxation of the MP Joint of the Middle Finger

1994 ◽  
Vol 19 (3) ◽  
pp. 368-370
Author(s):  
M. M. AL-QATTAN ◽  
R. M. ZUKER
Keyword(s):  
Closed Reduction ◽  
Rare Case ◽  
Middle Finger

A rare case of scissoring deformity after closed reduction of a dorsal subluxation of the MP joint of the middle finger is reported. The aetiology and treatment of this deformity are presented along with a modified classification of dorsal dislocations and subluxations of the MP joint.

scholarly journals Variant Superficial Branch of Radial Artery along with Supplementary Tendons on the Dorsum of the Hand and Their Surgical Implications

2016 ◽  
Vol 2016 ◽  
pp. 1-3
Author(s):  
Satheesha B. Nayak ◽  
Naveen Kumar ◽  
Ashwini Aithal Padur ◽  
Surekha D. Shetty
Keyword(s):  
Radial Artery ◽  
Index Finger ◽  
Middle Finger ◽  
Extensor Digitorum ◽  
Surgical Approaches ◽  
Branching Pattern ◽  
First Dorsal Interosseous ◽  
Superficial Branch ◽  
Web Space ◽  
Clinically Significant

Variations of radial artery, in both its course and branching pattern in the anatomical snuffbox, are clinically significant for the plastic surgeons, cardiologists, and radiologists. Reports on its abnormal high origin and subsequent superficial course have been well documented. Herein, we report an unusual superficial branch of the radial artery given off before its entry into the palm by passing between the two heads of first dorsal interosseous. It eventually divided into princeps pollicis and radialis indicis arteries at the first web space of palm as a unique vascular variation. Apart from this, in the present case, the tendon of extensor digiti minimi and of extensor indicis divided into two parts. The split tendons of extensor digiti minimi were inserted to the dorsal digital expansion of the digitus minimus. However, lateral tendon of split extensor indicis was inserted along with the tendon of extensor digitorum to the index finger and the medial one was inserted along with the tendon of extensor digitorum to the middle finger. Unusual superficial branch of radial artery on the dorsum of the hand is vulnerable for an iatrogenic injury during surgical approaches in the region. Supplementary extensor tendons on the hand are one of the potential causes for the tenosynovitis.

A rare case of toxocariasis presenting with hypereosinophilic pericardial effusion and mycotic aneurysm

2021 ◽  
pp. 004947552110343
Author(s):  
Sapna Sandal ◽  
Gopal Krishnan ◽  
Ashish Sharma ◽  
Javed Ismail ◽  
Jaivinder Yadav
Keyword(s):  
Pericardial Effusion ◽  
Rare Case ◽  
Mycotic Aneurysm ◽  
Unusual Case ◽  
Paediatric Population ◽  
Parasitic Infections ◽  
Intermittent Fever ◽  
Tropical Countries

Parasitic infections are the leading cause of hypereosinophilia in the paediatric population in tropical countries. We report an unusual case of Toxocara infection in an eight-year-old boy who presented with intermittent fever, hypereosinophilia complicated by massive pericardial effusion and a mycotic aneurysm. This child received treatment with four weeks of albendazole and steroids.

scholarly journals A rare case of unilateral postaxial duplicated foot in a developmentally normal child

2017 ◽  
Vol 25 (1) ◽  
pp. 230949901668498 ◽  
Author(s):  
Haniza Sahdi ◽  
Chan Wai Hoong ◽  
Ahmad Hata Rasit ◽  
Fredy Arianto ◽  
Lau Kiew Siong ◽  
...  
Keyword(s):  
Popliteal Artery ◽  
Normal Child ◽  
Rare Case ◽  
Unusual Case ◽  
Organ System ◽  
Lateral Aspect ◽  
Posterior Branch ◽  
Rare Congenital Disorder ◽  
Definitive Surgery ◽  
Radiological Studies

Diplopodia, being a rare congenital disorder, is infrequently discussed in published texts. Most reported cases have accounted the involvement of duplicated preaxial digits with other associated organ system and physical deformities. Here, we present an unusual case of isolated diplopodia involving postaxial toes in a child with no other organ and physical abnormalities. Radiological studies revealed a set of 10-digit-duplicated foot over the lateral aspect of the native foot, complete with phalanges and its corresponding metatarsals as well as tarsals, supplied by an anomalous posterior branch of the popliteal artery. Definitive surgery was performed just before the child was learning to walk.

scholarly journals Episodic headache with spontaneous hypothermia reveal Shapiro’s syndrome variant with effectiveness of clonidine therapy

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Mickael Aubignat ◽  
Melissa Tir ◽  
Pierre Krystkowiak ◽  
Daniela Andriuta
Keyword(s):  
Parkinson’S Disease ◽  
Rare Disease ◽  
Rare Case ◽  
Motor Fluctuation ◽  
International Classification ◽  
Headache Disorders ◽  
Case Presentation ◽  
Episodic Headache ◽  
Triggering Factor

Abstract Background Episodic headache with spontaneous hypothermia constitute an uncommon association and is not well recognized in the International Classification of Headache Disorders (ICHD-3). Spontaneous periodic hypothermia, also called Shapiro’s syndrome, is a rare disease characterized by hypothermia attacks associated or not with hyperhidrosis without any triggering factor. Case presentation We report a rare case of Shapiro’s syndrome variantrevealed by episodes of headache with spontaneous hypothermia witheffectiveness of clonidine therapy in a 76-year-old Parkinson’s disease woman. Conclusions In the literature, apart from Shapiro’s syndrome, headache withhypothermia seem to occur very rarely. In our case,these symptoms may be considered as a very rare non-motor fluctuation ofParkinson’s disease.

A rare case of atrioventricular extrasystole due to myocarditidis produetivae instilaris and congenital functional stenosis of the left venous opening

2021 ◽  
Vol 20 (1) ◽  
pp. 30-36
Author(s):  
V. N. Korovkina ◽  
V. A. Vasilyeva
Keyword(s):  
Rare Case ◽  
Unusual Case

Among the cardiological material of our Clinic, we encountered the following completely unusual case, which we had the opportunity to observe.

Sign in / Sign up

Export Citation Format

Share Document