SIMPLE SURGERY TO IMPROVE FLEXION DEFICIT RESULTING FROM MAL-UNION OF FRACTURE NECK OF THE PROXIMAL PHALANX — A CASE REPORT

Hand Surgery ◽  
2014 ◽  
Vol 19 (01) ◽  
pp. 123-125 ◽  
Author(s):  
Yong Chiang Kang ◽  
Puay Ling Tan

Mal-union of the proximal phalanx can result in stiffness and decreased grip strength. Corrective osteotomy is precarious, especially for mal-union of the neck, as complications like non-union and avascular necrosis may occur. We describe a simple technique of subcondylar fossa reconstruction for mal-union of the proximal phalanx to overcome these problems.

Hand ◽  
2020 ◽  
pp. 155894472096496
Author(s):  
James Ross Bailey ◽  
Paul W. Gorman ◽  
Andrew J. Mitchelson

Avascular necrosis of the metacarpal head, known as Dieterich disease, is rare. The underlying pathogenesis of the disease is not clearly understood, and there are few cases reported in the literature. Nonoperative treatment with rest and nonsteroidal anti-inflammatory drugs is often successful, but surgical management is sometimes indicated. The case outlined here describes a novel application of the known technique of metacarpophalangeal joint denervation to relieve pain while maintaining joint mechanics and grip strength.


Author(s):  
Farzin Halabchi ◽  
Zahra Tavakol ◽  
Faezeh Maleklou

Special attention is needed to assess constant wrist pain to avoid missed carpal bone fractures after traumatic events. Also, the consideration of avascular necrosis of carpal bones such asscaphoid bone after a traumatic or stress fracture is crucial. We hereby report a young elite wrestler who has been complaining about pain in both wrists for about two years before hisvisit to our clinic. The interesting point about this athlete is bilateral involvement and that the second pathology was probably overuse without any trauma.


Hand ◽  
2014 ◽  
Vol 10 (3) ◽  
pp. 477-481 ◽  
Author(s):  
Oded Ben-Amotz ◽  
Christine Ho ◽  
Douglas M. Sammer

Hand Surgery ◽  
2009 ◽  
Vol 14 (01) ◽  
pp. 49-51 ◽  
Author(s):  
Hyun Sik Gong ◽  
Su Ha Jeon ◽  
Goo Hyun Baek

Scaphoid excision and four-corner fusion is one of the treatment choices for patients who have stage II or III SLAC (scapholunate advanced collapse)/SNAC (scaphoid non-union advanced collapse) wrist arthritis. We report a case of ulnar-sided wrist pain which occurred after four-corner fusion for stage II SNAC wrist with a previously-asymptomatic ulnar positive variance, and was successfully treated by ulnar shortening osteotomy. This case highlights a possible coincidental pathology of the ulnocarpal joint in the setting of post-traumatic radiocarpal arthrosis.


Hand Surgery ◽  
2005 ◽  
Vol 10 (01) ◽  
pp. 91-94 ◽  
Author(s):  
Y. C. POR ◽  
W. Y. CHEW ◽  
I. Y. Y. TSOU

A case of total ischemia of the triquetrum after a crushing injury to the right wrist by a dumbbell is reported. He was treated conservatively with splinting and analgesia. There was complete clinical and radiological recovery after a follow-up of one year.


1985 ◽  
Vol 10 (3) ◽  
pp. 382-384
Author(s):  
P. TOFT ◽  
K. BERTHEUSSEN ◽  
S. OTKJAER

A case translunate, transmetacarpal, scapho-radial fracture with perilunate dislocation occurred as a young man drove his motorcycle into the side of a car. Closed reduction was performed initially. Open reduction was performed with a screw in the lunate. Eighteen months later the screw was removed and after two and a half years x-rays revealed no signs of avascular necrosis or arthrosis. The patient fully recovered. This case stresses the necessity of open reduction in cases of complicated carpal fracture dislocations.


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