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.

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.

scholarly journals Finger abduction as a novel function of the extensor digitorum brevis manus muscle

2021 ◽  
Author(s):  
Kalpesh R. Vaghela ◽  
Craig Brownlie ◽  
Dafydd S. Edwards
Keyword(s):  
Middle Finger ◽  
Extensor Digitorum ◽  
Ligament Injury ◽  
Surgical Approaches ◽  
Anatomical Variant ◽  
Muscle Belly ◽  
Functional Deficit ◽  
Extensor Compartment ◽  
Extensor Digitorum Brevis ◽  
Stimulation Of

AbstractA 25-year-old female presented with a chronic scapho-lunate ligament injury with development of carpal instability requiring reconstruction. During a standard dorsal longitudinal mid-line approach to the carpus, an extensor digitorum brevis manus (EDBM) muscle was found taking its origin from the dorsal wrist capsule overlying the lunate with innervation from the posterior interosseous nerve (PIN). Electrical stimulation of the muscle belly demonstrated abduction of the middle finger. The EDBM is a rare anatomical variant of the extensor compartment of the wrist and may be encountered during surgical approaches. Where possible these variant muscles should be carefully dissected off underlying structures, preserved and repaired at the conclusion of a procedure to ensure no perceived functional deficit to the patient. We present a case of a previously undescribed EDBM muscle function of pure finger abduction with no extension and a surgical technique of preserving its origin. We propose that the middle finger variant of the EDBM should be re-named the extensor digitorum brevis medius to reflect our findings.

scholarly journals Marginal mandibular nerve — a wandering enigma and ways to tackle it

2021 ◽  
Vol 37 (1) ◽  
Author(s):  
Adarsh Kudva ◽  
Kiruthika Babu ◽  
Mehul Saha ◽  
Smriti Puri ◽  
Lakshmi Pandey ◽  
...  
Keyword(s):  
Head And Neck ◽  
Neck Surgery ◽  
Mandibular Nerve ◽  
Surgical Approaches ◽  
Main Body ◽  
Branching Pattern ◽  
Marginal Mandibular Nerve ◽  
Critical Measure ◽  
Quality Of Surgery

Abstract Background This study aims to propose surgical approaches intended to localize and preserve the marginal mandibular nerve (MMN) during routinely performed head and neck surgical procedures. Main body of abstract Preservation of the functional integrity of the MMN is a critical measure in the success of orofacial surgeries involving the submandibular triangle. This study systematically reviews the anatomical description of the nerve including origin, course relative to fascial planes, relation to the parotid gland and facial pedicle, branching pattern and anastomosis of nerve and consolidate the findings of several significant studies to determine the “surgically safe” approaches to avoid iatrogenic injury to MMN. Short conclusion The systematic approaches described in this study have helped the authors precisely determine which particular MMN preserving approach to be adopted for each aspect of head and neck surgery. This has definitely enhanced the quality of surgery performed and the postoperative satisfaction of the patients.

scholarly journals Smart textile device for shooter’s fingers movement monitoring

2021 ◽  
pp. 1-13
Author(s):  
Adelina Vevere ◽  
Alexander Oks ◽  
Alexei Katashev ◽  
Galina Terlecka ◽  
Laima Saiva ◽  
...  
Keyword(s):  
Monitoring System ◽  
Grip Force ◽  
Index Finger ◽  
Pressure Sensors ◽  
Middle Finger ◽  
Smart Textile ◽  
Single Sensor ◽  
Fast Release ◽  
Movement Monitoring

BACKGROUND: The manner in which shooters pull the trigger may significantly affect the shooter’s results. Shooting coaches are often not able to detect incorrect pull because of gun movement during the shot and recoil. OBJECTIVE: Development of the smart-textile based trigger pull monitoring system and demonstration of its ability to distinguish correct and wrong triggering techniques. METHODS: Two separated knitted resistive pressure sensors were integrated over III and II phalanges in the index finger fingerstall; single sensor was integrated over both III and II phalanges of the middle finger fingerstall. Resistance of the sensors was measured in a course of shots, performed by expert shooter, which simulated typical novice’s trigger pull errors. RESULTS: Sensors’ resistance recordings were made for following erroneous trigger pull motions: pulling of the trigger with index finger’s II phalanx instead of III; fast and jerky trigger pull (trigger tear-off); too fast release of the trigger after shot; and excessive grip force, applied by middle finger. For each type of erroneous movement, recordings waveforms included distinguishable features that characterised a particular type of error. CONCLUSIONS: The developed trigger pull monitoring system provides signals that could be used for recognition of the incorrect trigger pull motions during gun shots.

scholarly journals Duplication of the Extensor Pollicis Longus and Index Extensor Digitorum Communis: Report of a Novel Anomaly and Review of Literature

2021 ◽  
Vol 7 ◽  
pp. 2513826X2110479
Author(s):  
BaiJing Qin ◽  
David T. W. Chiu ◽  
Charles P. Melone
Keyword(s):  
Index Finger ◽  
Elective Surgery ◽  
Extensor Digitorum ◽  
Extensor Digitorum Communis ◽  
Review Of Literature ◽  
Extensor Pollicis Longus ◽  
Cadaveric Dissection ◽  
Extensor Tendons ◽  
Extensor Compartment

Accessory extensor tendons in the hand are not rare, usually asymptomatic, and recognized incidentally during elective surgery or cadaveric dissection. This report describes a novel case of symptomatic duplication of accessory extensor tendons to both the thumb and the index finger causing a painful dorsal wrist tenosynovitis. Excision of the accessory tendons with decompression and tenosynovectomy of the fourth extensor compartment alleviated the patient’s symptoms without compromising motion or function.

scholarly journals Erectile Dysfunction: A Primer for in Office Management

2019 ◽  
Vol 7 (9) ◽  
pp. 90
Author(s):  
Samir Sami ◽  
Noah Stern ◽  
Andrew Di Pierdomenico ◽  
Brandon Katz ◽  
Gerald Brock
Keyword(s):  
Erectile Dysfunction ◽  
Pde5 Inhibitor ◽  
Surgical Approaches ◽  
Treatment Optimization ◽  
Intracavernosal Injection ◽  
Medline Search ◽  
Office Management ◽  
Improved Outcomes ◽  
Partner Satisfaction ◽  
Clinically Significant

Introduction: Optimizing erectile dysfunction (ED) remains a clinically significant endeavor as insufficient outcomes from oral, injectable and even surgical approaches to treatment remain less than ideal. In this report, we integrate evolving knowledge and provide an algorithmic approach for the clinician to fine-tune management. Methods: We performed a PubMed and Medline search of Erectile Dysfunction treatment optimization, enhanced patient efficacy for ED, and why men fail ED treatment. All relevant papers for the past two decades were reviewed. Results: Establishing the goals and objectives of the patient and partner while providing detailed instructions for treatment can minimize failures and create an environment that allows treatment optimization. A thorough work-up may identify reversible or contributing causes. We identified several areas where treatment of ED could be optimized. These include; management of associated medical conditions, lifestyle improvements, PDE5 inhibitor prescription strategies, management of hypogonadism and the initiation of intracavernosal injection therapy (ICI). Conclusions: In our view, once a man presents for help to the clinician, use of the simple strategies identified in this review to optimize the tolerability, safety and effectiveness of the selected treatment should result in enhanced patient and partner satisfaction, with improved outcomes.

scholarly journals The proximal interphalangeal joint: arthritis and deformity

2019 ◽  
Vol 4 (6) ◽  
pp. 254-262 ◽  
Author(s):  
Daniel Herren
Keyword(s):  
Index Finger ◽  
Proximal Interphalangeal Joint ◽  
Surgical Approaches ◽  
Silicone Implants ◽  
Common Site ◽  
Joint Implant ◽  
Goal Revision ◽  
Pip Joint ◽  
Joint Arthritis ◽  
Saddle Joint

Finger joints are of the most common site of osteoarthritis and include the DIP, PIP and the thumb saddle joint. Joint arthroplasty provides the best functional outcome for painful destroyed PIP joints, including the index finger. Adequate bone stock and functional tendons are required for a successful PIP joint replacement Fixed swan-neck and boutonnière deformity are better served with PIP arthrodesis rather than arthroplasty. Silicone implants are the gold standard in terms of implant choice. Newer two-component joints may have potential to correct lateral deformities and improve lateral stability. Different surgical approaches are used for PIP joint implant arthroplasty according to the needs and the experience of the surgeon. Post-operative rehabilitation is as critical as the surgical procedure. Early protected motion is a treatment goal. Revision and exchange PIP arthroplasty may successfully be used to treat chronic pain, but will not correct deformity. Cite this article: EFORT Open Rev 2019;4 DOI: 10.1302/2058-5241.4.180042

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