Free Vascularized Joint Transfer from Toes for Finger Reconstruction in a 2-Year-Old Child with Good Functional Recovery

2021 ◽  
Author(s):  
Jyoshid R. Balan
Keyword(s):  
Road Traffic ◽  
Ring Finger ◽  
Middle Finger ◽  
Tissue Loss ◽  
Soft Tissue Reconstruction ◽  
Middle Phalanx ◽  
Pip Joint ◽  
Tissue Reconstruction ◽  
Distal Interphalangeal ◽  
The Right

AbstractA 2-year-old male child sustained injury to middle and ring fingers of the right hand following a road traffic accident. He had mutilated fingers with loss of middle phalanx along with proximal interphalangeal (PIP) joint, distal interphalangeal joint of middle finger, and loss of part of middle phalanx and PIP joint of the ring finger. There was dorsal tissue loss of both the fingers. With staged reconstructive strategy, we could salvage the fingers. In the initial part, the soft tissue reconstruction was done using pedicled groin flap. In the later stage, free PIP joint transfer from the second toes of both feet was used to reconstruct the bone and PIP joint of the ring and middle finger. A year following the joint transfer, the child had good functional outcome.

Anatomical Basis for Arthroscopy of the Proximal Interphalangeal Joints

2018 ◽  
Vol 23 (03) ◽  
pp. 342-346 ◽  
Author(s):  
Hideki Okamoto ◽  
Isato Sekiya ◽  
Jun Mizutani ◽  
Nobuyuki Watanabe ◽  
Takanobu Otsuka
Keyword(s):  
Proximal Phalanx ◽  
Ring Finger ◽  
Invasive Technique ◽  
Collateral Ligaments ◽  
Collateral Ligament ◽  
Lateral Band ◽  
Dorsal Edge ◽  
Anatomical Basis ◽  
Pip Joint ◽  
The Right

Background: Arthroscopy is a widely used minimally invasive technique. Nevertheless, no report describes the arthroscopic anatomy of the proximal interphalangeal (PIP) joint for portal creation. To facilitate arthroscopy, this study elucidated the anatomy of the lateral bands of the extensor mechanism and collateral ligaments of PIP joints. Methods: A total of 39 fingers from the right hands of 10 cadavers (4 males, 6 females) were evaluated in this study. We defined the extension line from the proximal interphalangeal volar crease as the C-line. We also defined an imaginary line along the distal edge of the proximal phalanx, which is parallel to the C-line, as the J-line. The distance between J-line and C-line was measured. On the C-line and J-line, we measured the following: from the dorsal skin to the lateral edge of the lateral band (LB), the dorsal edge of the collateral ligament (CL) and from the lateral band and the collateral ligament (D), the width of the finger (W). The finger half-width (M) was measured on the J-line. Comparison between the digits and comparison between radial and ulnar distance were measured and statistical analysis was performed. Results: All PIP joint spaces were distal from the C-line, except for one ring finger. The average distances between the J-line and C-line were 1.8–3.2 mm. On the C-line, only 11 cases (14.1%) showed an interval between the lateral bands and the collateral ligaments, but, on the J-line 72, cases (92.3%) had such an interval. The interval was located 1.6–2.9 mm in a dorsal direction from the midlateral on the J-line. Conclusions: Portal creation at the J-line is safer than at the C-line. This study revealed that safe portals for arthroscopy of the PIP joint are 2 mm dorsal to the midlateral line of the finger on the J-line.

A Homodigital Reverse Pedicle Island Flap in Soft Tissue Reconstruction of the Finger and the Thumb

1994 ◽  
Vol 19 (2) ◽  
pp. 135-141 ◽  
Author(s):  
N. S. NIRANJAN ◽  
J. R. ARMSTRONG
Keyword(s):  
Soft Tissue ◽  
Donor Site ◽  
Donor Site Morbidity ◽  
Single Stage ◽  
Island Flap ◽  
Tissue Loss ◽  
Soft Tissue Reconstruction ◽  
Tissue Reconstruction

A single stage homodigital reverse pedicle island flap is described for the repair of volar or dorsal tissue loss on the finger or thumb. Donor site morbidity is minimal, and the length of the digit is preserved. Satisfactory function results in 25 patients are presented.

Modified “On-Top-Plasty” Technique for Restoring Length to Amputation Stumps

2002 ◽  
Vol 27 (3) ◽  
pp. 265-269 ◽  
Author(s):  
V. PISTRE ◽  
P. PELISSIER ◽  
A. BALLANGER ◽  
D. MARTIN ◽  
J. BAUDET
Keyword(s):  
Proximal Phalanx ◽  
Ring Finger ◽  
Middle Finger ◽  
Proximal Interphalangeal Joint ◽  
Interphalangeal Joint ◽  
Middle Phalanx ◽  
Secondary Procedure ◽  
Amputation Stumps ◽  
Amputation Stump ◽  
Middle Ring

Five patients were successfully treated with a modified “on-top-plasty” technique, in which a finger stump is lengthened by transfer of an adjacent amputation stump with a reverse blood flow fingerstump. This technique can be performed in the acute phase or as a secondary procedure. A conventional on-top-plasty can be performed by transfer of a partially amputated index or ring finger to the “top” of the proximal phalanx of an amputated middle finger. Alternatively, the transferred part may be used in an intercalated fashion to reconstruct the middle phalanx, using a prosthesis to reconstruct the proximal interphalangeal joint. The results, complications and disadvantages of the technique are reported. We propose this procedure for the reconstruction of the middle ring finger when a free microneurovascular toe-to-hand transfer is contraindicated or refused by the patient.

scholarly journals REGRESSION ANALYSIS TO DETERMINE STATURE FROM HAND ANTHROPOMETRY AMONG ILOCANO POPULATION IN PHILIPPINES FOR PERSON IDENTIFICATION

2021 ◽  
Vol 11 (1) ◽  
pp. 20
Author(s):  
T.Nataraja Moorthy
Keyword(s):  
Ring Finger ◽  
Middle Finger ◽  
Size Analysis ◽  
Human Hand ◽  
Regression Equations ◽  
Person Identification ◽  
Left Hand ◽  
Length Measurements ◽  
The Right ◽  
Hand Length

Stature determination aids the person identification during forensic investigation. The human hand research is the current topic of interest among forensic scientist, forensic medicine experts and anthropologists. Based on sample size analysis, the study involved consented 60 males and 60 females, age ranged from 18 to 55 years old. Stature and hand lengths measurements were made with Stadiometer and Vernier Calipers for analysis.  From each participant, ten hand length measurements, five from left and five from right hands were taken. The five length measurements in left hand are the inter-distance between the distal traverse crease of the wrist (LH) and tip of thumb (T), index finger (I), middle finger (M), ring finger (R) & little finger (L), as abbreviated LHT, LHI, LHM, LHR and LHL. Similarly, the right hand lengths indicated as RHT, RHI, RHM, RHR, and RHL.  The data were statistically analyzed by using SPSS software, version 23 and column chart. The information about age, gender, name, and place of origin of the participants was coded for easy reference. This study finally developed regression equations to determine stature from hand anthropometry among Ilocano population in Philippines for person identification

scholarly journals Kirschner Wire Fixation for Immobilization of the Thenar Flap in an Uncooperative Pediatric Patient: A Case Report

2020 ◽  
Vol 25 (4) ◽  
pp. 287-291
Author(s):  
Hyokyung Yoo ◽  
Yunghoon Kim ◽  
Sung Tack Kwon ◽  
Byung Jun Kim
Keyword(s):  
Pediatric Patients ◽  
Kirschner Wire ◽  
Proximal Phalanx ◽  
Ring Finger ◽  
Soft Tissue Reconstruction ◽  
Kirschner Wire Fixation ◽  
Wire Fixation ◽  
Tissue Reconstruction ◽  
Two Stages ◽  
Fingertip Reconstruction

Thenar flap is a commonly used operational method in fingertip reconstruction. It should be maintained for two to three weeks before flap division until the neovascularization is established from the fingertip to the flap. However, immobilization between two stages of operation is challenging especially in uncooperative pediatric patients. A 47-month-old female with a ring fingertip amputation underwent soft tissue reconstruction with thenar flap. Two days postoperatively, the flap’s proximal margin was found disrupted. Flap revision was performed, followed by applying a trans-phalangeal Kirschner wire (K-wire) between the thumb proximal phalanx and ring finger middle phalanx. The flap was successfully divided two weeks after the original operation. The result was aesthetically pleasing, and no complication was observed, including dehiscence, necrosis, limitation of range of motion, and visible scar of the pinning sites. In conclusion, K-wire fixation is a safe and effective method to immobilize thenar flap in uncooperative pediatric patients.

Epidemiology of Trigger Finger: Metabolic Syndrome as a New Perspective of Associated Disease

Hand ◽  
2019 ◽  
pp. 155894471986713
Author(s):  
Junot H. S. N. ◽  
Anderson Hertz A. F. L. ◽  
Gustavo Vasconcelos G. R. ◽  
Debora C. Esquerdo C. da Silveira ◽  
Paulo Nelson B. ◽  
...  
Keyword(s):  
Metabolic Syndrome ◽  
Ring Finger ◽  
Middle Finger ◽  
Trigger Finger ◽  
Scientific Article ◽  
Dominant Hand ◽  
Patients Âgés ◽  
New Perspective ◽  
The Right ◽  
Main Association

Objective: The aim of this study was to identify the main diseases related to trigger finger. Methods: A retrospective, observational study was performed with data obtained through a computerized record of 75 patients with trigger finger diagnosis between July 2011 and October 2015. The diagnosis of metabolic syndrome was performed following National Cholesterol Education Program Adult Treatment Panel III (2001). Results: Patients’ ages ranged from 50 to 84 years, with a mean age of 63 years. The ring finger was the most affected, followed by the middle finger, index finger, and little finger. Most had a grade 2 trigger finger classified by Green; the right hand involvement was more prevalent, as was the dominant hand. The incidence in women was twice as high as in men. Arterial hypertension, diabetes mellitus, and dyslipidemia were shown to be important associated diseases, but metabolic syndrome was the main association found. Conclusions: Metabolic syndrome in the group of patients studied in this scientific article seems to be the main associated disease.

Puzzles

2011 ◽  
Author(s):  
Anany Levitin ◽  
Maria Levitin
Keyword(s):  
Ring Finger ◽  
Middle Finger ◽  
The Other ◽  
Left Hand ◽  
Matching Pair ◽  
The Right ◽  
Little Finger

1. A Wolf, a Goat, and a Cabbage A man finds himself on a riverbank with a wolf, a goat, and a head of cabbage. He needs to transport all three to the other side of the river in his boat. However, the boat has room for only the man himself and one other item (either the wolf, the goat, or the cabbage). In his absence, the wolf would eat the goat, and the goat would eat the cabbage. Show how the man can get all these “passengers” to the other side. 2. Glove Selection There are 20 gloves in a drawer: 5 pairs of black gloves, 3 pairs of brown, and 2 pairs of gray. You select the gloves in the dark and can check them only after a selection has been made. What is the smallest number of gloves you need to select to guarantee getting the following? (a) At least one matching pair (b) At least one matching pair of each color 3. Rectangle Dissection Find all values of n > 1 for which one can dissect a rectangle into n right triangles, and outline an algorithm for doing such a dissection. 4. Ferrying Soldiers A detachment of 25 soldiers must cross a wide and deep river with no bridge in sight. They notice two 12-year-old boys playing in a rowboat by the shore. The boat is so tiny, however, that it can only hold two boys or one soldier. How can the soldiers get across the river and leave the boys in joint possession of the boat? How many times does the boat pass from shore to shore in your algorithm? 5. Row and Column Exchanges Can one transform the left table in Figure 2.1 into the right table by exchanging its rows and columns? 6. Predicting a Finger Count A little girl counts from 1 to 1000 using the fingers of her left hand as follows. She starts by calling her thumb 1, the first finger 2, middle finger 3, ring finger 4, and little finger 5.

Soft Tissue Reconstruction with Diabetic Foot Tissue Loss

2019 ◽  
Vol 36 (3) ◽  
pp. 425-440 ◽  
Author(s):  
Todd A. Hasenstein ◽  
Timothy Greene ◽  
Jennifer C. Van ◽  
Andrew J. Meyr
Keyword(s):  
Soft Tissue ◽  
Diabetic Foot ◽  
Tissue Loss ◽  
Soft Tissue Reconstruction ◽  
Tissue Reconstruction

SIMULTANEOUS DORSAL DISLOCATION OF THE INTERPHALANGEAL JOINTS IN RING FINGER WITH PROXIMAL INTERPHALANGEAL JOINT DISLOCATION OF THE MIDDLE FINGER: CASE REPORT AND REVIEW OF THE LITERATURE

Hand Surgery ◽  
2005 ◽  
Vol 10 (02n03) ◽  
pp. 271-274 ◽  
Author(s):  
S. Shyamsundar ◽  
W. MacSween
Keyword(s):  
Ring Finger ◽  
Middle Finger ◽  
Proximal Interphalangeal Joint ◽  
Interphalangeal Joint ◽  
Early Mobilisation ◽  
Review Of The Literature ◽  
Joint Dislocation ◽  
Initial Injury ◽  
Excellent Functional Outcome ◽  
Distal Interphalangeal

A 30-year-old amateur goalkeeper sustained simultaneous dislocation of the proximal and distal interphalangeal joints of the ring finger and of the proximal interphalangeal joint of the middle finger following a hyperextension injury. This was reduced under a local anaesthetic. Neighbour finger strapping and early mobilisation achieved an excellent functional outcome when reviewed at eight weeks after the initial injury.

Choice Reaction Times for Structural Relationships between Possible Response Sequences

1993 ◽  
Vol 77 (3_suppl) ◽  
pp. 1203-1212 ◽  
Author(s):  
Kazunori Shidoji
Keyword(s):  
Index Finger ◽  
Ring Finger ◽  
Reaction Times ◽  
Middle Finger ◽  
Left Hand ◽  
Right Hand ◽  
Structural Relationships ◽  
Middle Ring ◽  
The Right ◽  
Choice Reaction Times

To investigate human motor programming, choice reaction times were measured on tasks for which subjects made choices between two alternative finger-tapping-movement sequences. The total-number-of-responses and the hierarchical editor models were tested. In Exp. 1 the choice was carried on the situations with the same total numbers of possible responses and different structural relations between alternative sequences. The right-hand reaction times in mirror choice (e.g., subject chose between the middle, index, and ring finger sequences of the left or right hand) were shorter than those in nonmirror choice (e.g., subject chose between the middle, index, and ring finger sequence on one hand and the middle, ring, and index finger sequence on the other hand); the total-number-of-responses model was not supported. In Exp. 2 two conditions had the same operation numbers of the hierarchical editor model. In Condition 1 subjects chose between the index finger of the right hand and the ring, index, and middle finger sequence of the left hand. In Condition 2 subjects chose between the index, ring, and middle finger sequences of the left or right hand. The reaction time in the former condition was shorter than that in the latter condition. Exp. 2 exhibited a counterexample of the hierarchical editor model that had been fairly robust in previous studies.

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