Characteristics of Congenital Clasped Thumb: A Case Report and Literature Review

Congenital clasped thumb is a progressive flexion and adduction deformity presenting with heterogeneous congenital abnormalities and syndromes. This deformity is usually accompanied by first web space narrowing and metacarpophalangeal joint (MPJ) laxity. Understanding the various features of the clasped thumb and making an accurate diagnosis is essential for treatment. Depending on the classification, treatment can vary from conservative to surgical. We describe the case of a bilateral clasped thumb with various characteristics, which were treated differently according to the disease type. The deformity of the clasped thumb was bilateral, and the patient had MPJ flexion deformity, flexor pollicis longus shortening, first web space narrowing, and MPJ instability, which were confirmed through a stress test. The left thumb was a complex type and was surgically treated, whereas, the right thumb was a flexible type, which was treated with splinting; the treatment showed promising results at 2 years post surgery. Diagnosis of the clasped thumb through thorough history taking, physical examination and considering its characteristics, and appropriate classification of the disease is essential for treatment. Furthermore, a stress test can identify MPJ instability in the congenital clasped thumb.

Download Full-text

Awareness and Decision Making in Professional Ethics

European Psychologist ◽

10.1027//1016-9040.5.1.19 ◽

2000 ◽

Vol 5 (1) ◽

pp. 19-27 ◽

Cited By ~ 2

Author(s):

Ronny Swain

Keyword(s):

Decision Making ◽

Professional Ethics ◽

Ethical Decision Making ◽

Code Of Ethics ◽

Professional Autonomy ◽

Ethical Awareness ◽

Ethical Decisions ◽

The Right ◽

Aid Decision

The paper describes the development of the 1998 revision of the Psychological Society of Ireland's Code of Professional Ethics. The Code incorporates the European Meta-Code of Ethics and an ethical decision-making procedure borrowed from the Canadian Psychological Association. An example using the procedure is presented. To aid decision making, a classification of different kinds of stakeholder (i.e., interested party) affected by ethical decisions is offered. The author contends (1) that psychologists should assert the right, which is an important aspect of professional autonomy, to make discretionary judgments, (2) that to be justified in doing so they need to educate themselves in sound and deliberative judgment, and (3) that the process is facilitated by a code such as the Irish one, which emphasizes ethical awareness and decision making. The need for awareness and judgment is underlined by the variability in the ethical codes of different organizations and different European states: in such a context, codes should be used as broad yardsticks, rather than precise templates.

Download Full-text

Two muscular variations in the elbow associated with the anterior interosseous nerve

Surgical and Radiologic Anatomy ◽

10.1007/s00276-021-02706-9 ◽

2021 ◽

Author(s):

Łukasz Olewnik ◽

Bartłomiej Szewczyk ◽

Nicol Zielinska ◽

Dariusz Grzelecki ◽

Michał Polguj

Keyword(s):

Biceps Brachii ◽

Clinical Importance ◽

Ulnar Artery ◽

Flexor Pollicis Longus ◽

Main Band ◽

Anatomical Dissection ◽

Pronator Teres ◽

Anterior Interosseous Nerve ◽

Male Cadaver ◽

The Right

AbstractThe coexistence of different muscular-neurovascular variations is of significant clinical importance. A male cadaver, 76 years old at death, was subjected to routine anatomical dissection; the procedure was performed for research and teaching purposes at the Department of Anatomical Dissection and Donation, Medical University of Lodz. The right forearm and hand were dissected using standard techniques according to a strictly specified protocol. The presence accessory head of the flexor pollicis longus may potentially compress the anterior interosseous nerve. The present case report describes a rare variant of the ulnar head of the pronator teres, characterized by two independent bands (i.e., two proximal attachments). The main band originates from the coronoid process and the second originates from the tendon of the biceps brachii. This type of attachment could potentially affect the compression of the ulnar artery running between the two bands. Additionally, the accessory head of the flexor pollicis longus was observed, which started on the medial epicondyle; its coexistence with a high division median nerve creates a potential pressure site on the anterior interesosseous nerve.

Download Full-text

Incidental Finding of Leiomyoma in Mayer-Rokitansky-Kuster-Hauser Syndrome

Journal of Investigative Medicine High Impact Case Reports ◽

10.1177/23247096211014690 ◽

2021 ◽

Vol 9 ◽

pp. 232470962110146

Author(s):

Oyetokunbo Ibidapo-Obe ◽

Jerome Okudo ◽

Oladunni Filani

Keyword(s):

Developmental Disorder ◽

Congenital Abnormalities ◽

Incidental Finding ◽

Pelvic Mass ◽

External Genitalia ◽

Well Being ◽

African American Female ◽

Mrkh Syndrome ◽

Low Probability ◽

The Right

Mayer-Rokitansky-Kuster-Hauser (MRKH) syndrome is a sexual developmental disorder. In this disorder, there is a congenital absence of the uterus and vagina with normal external genitalia. The etiology is not well understood. Variations of this condition exist that may include congenital abnormalities and psychological problems. In this article, we discuss the case of a 47-year-old African American female who presented with acute renal failure, solitary right kidney, and a pelvic mass extending from the pelvis to the right hypochondrium determined to be a fibroid. The patient was managed by a multidisciplinary team, dialyzed, and planned for removal of the mass. While understanding the low probability of having fibroids without a uterus, fibroids should not be excluded from such patients. It is also important to consider the emotional and psychological well-being of such patients.

Download Full-text

The effect of nano-hydroxyapatite/chitosan scaffolds on rat calvarial defects for bone regeneration

International Journal of Implant Dentistry ◽

10.1186/s40729-021-00327-w ◽

2021 ◽

Vol 7 (1) ◽

Author(s):

Emmanouil Chatzipetros ◽

Spyros Damaskos ◽

Konstantinos I. Tosios ◽

Panos Christopoulos ◽

Catherine Donta ◽

...

Keyword(s):

Bone Regeneration ◽

Mean Value ◽

Parietal Bone ◽

Female Rats ◽

Sprague Dawley ◽

Post Surgery ◽

Group A ◽

The Mean ◽

Group B ◽

The Right

Abstract Background This study aims at determining the biological effect of 75/25 w/w nano-hydroxyapatite/chitosan (nHAp/CS) scaffolds on bone regeneration, in terms of fraction of bone regeneration (FBR), total number of osteocytes (Ost), and osteocyte cell density (CD), as well as its biodegradability. Methods Two critical-size defects (CSDs) were bilaterally trephined in the parietal bone of 36 adult Sprague-Dawley rats (18 males and 18 females); the left remained empty (group A), while the right CSD was filled with nHAp/CS scaffold (group B). Two female rats died postoperatively. Twelve, 11, and 11 rats were euthanized at 2, 4, and 8 weeks post-surgery, respectively. Subsequently, 34 specimens were resected containing both CSDs. Histological and histomorphometric analyses were performed to determine the FBR, calculated as [the sum of areas of newly formed bone in lateral and central regions of interest (ROIs)]/area of the original defect, as well as the Ost and the CD (Ost/mm2) in each ROI of both groups (A and B). Moreover, biodegradability of the nHAp/CS scaffolds was estimated via the surface area of the biomaterial (BmA) in the 2nd, 4th, and 8th week post-surgery. Results The FBR of group B increased significantly from 2nd to 8th week compared to group A (P = 0.009). Both the mean CD and the mean Ost values of group B increased compared to group A (P = 0.004 and P < 0.05 respectively). Moreover, the mean value of BmA decreased from 2nd to 8th week (P = 0.001). Conclusions Based on histological and histomorphometric results, we support that 75/25 w/w nHAp/CS scaffolds provide an effective space for new bone formation.

Download Full-text

A stable method for 4D CT-based CFD simulation in the right ventricle of a TGA patient

Russian Journal of Numerical Analysis and Mathematical Modelling ◽

10.1515/rnam-2020-0026 ◽

2020 ◽

Vol 35 (5) ◽

pp. 315-324

Author(s):

Yuri Vassilevski ◽

Alexander Danilov ◽

Alexander Lozovskiy ◽

Maxim Olshanskii ◽

Victoria Salamatova ◽

...

Keyword(s):

Right Ventricle ◽

Cfd Simulation ◽

Fluid Motion ◽

4D Ct ◽

Post Surgery ◽

Surgery Patient ◽

Time Dependent Domain ◽

Flow Domain ◽

The Right ◽

Dependent Domain

AbstractThe paper discusses a stabilization of a finite element method for the equations of fluid motion in a time-dependent domain. After experimental convergence analysis, the method is applied to simulate a blood flow in the right ventricle of a post-surgery patient with the transposition of the great arteries disorder. The flow domain is reconstructed from a sequence of 4D CT images. The corresponding segmentation and triangulation algorithms are also addressed in brief.

Download Full-text

Bilateral Anomalous Insertion of Flexor Pollicis Longus

Journal of Hand Surgery (European Volume) ◽

10.1016/0266-7681(93)90049-l ◽

1993 ◽

Vol 18 (3) ◽

pp. 312-315 ◽

Cited By ~ 7

Author(s):

J. NAKAMURA ◽

E. KUBO

Keyword(s):

Congenital Abnormalities ◽

Congenital Absence ◽

Flexor Pollicis Longus ◽

Anomalous Insertion

A case of bilateral insertion of flexor pollicis longus to the proximal as well as the distal phalanges is reported. Initially, this case was diagnosed as congenital absence of the flexor pollicis longus, but surgery revealed an intact tendon, with the abnormality only present in the site of insertion. A survey of the literature on congenital abnormalities of flexor pollicis longus failed to reveal any reports of similar abnormalities.

Download Full-text

Intraocular Lens Dislocation after Cataract Surgery in Tambolaka, Southwest Sumba, Indonesia: A Case Report

Case Reports in Ophthalmology ◽

10.1159/000487228 ◽

2018 ◽

Vol 9 (1) ◽

pp. 179-184

Author(s):

Ratna Sitompul

Keyword(s):

Case Report ◽

Intraocular Lens ◽

Rural Areas ◽

Rare Complication ◽

Cataract Extraction ◽

Factors Affecting ◽

Intraocular Lens Dislocation ◽

Post Surgery ◽

The Right ◽

Iol Dislocation

Intraocular lens (IOL) dislocation is a rare complication of cataract extraction requiring prompt surgery. This case report aims to raise awareness of such cases and the importance of post-surgery follow-up. A 58-year-old female patient was found with anterior IOL dislocation a week after phacoemulsification surgery in her right eye. Visual acuity of the right eye was 1/60 with ciliary injection and IOL dislocation to the anterior chamber of the right eye. The patient underwent surgery of the right eye and the IOL haptic was found to be broken. In this case report, the factors affecting IOL dislocation are axis length, broken IOL haptic, and patient activity that increased intraocular pressure. Cataract extraction surgery, although common, needs to be conducted carefully, and it is important for ophthalmologists and general practitioners to detect this condition, especially in rural areas where facilities are limited, as IOL dislocation could occur and requires immediate treatment to achieve a better result.

Download Full-text

Role of laparoscopic in diagnosis and treatment of undescended testis in children at Viet Duc Hospital

Vietnam Journal of Endolaparoscopic Surgery ◽

10.51199/vjsel.2018.4.1 ◽

2018 ◽

Vol 8 (4) ◽

Author(s):

Viet Hoa Nguyen

Keyword(s):

Laparoscopic Surgery ◽

Undescended Testis ◽

Correct Diagnosis ◽

Diagnosis And Treatment ◽

Highly Sensitive ◽

The Mean ◽

The Right ◽

Time Of Operation

Abstract Introduction: Evaluating the role of laparoscopic for diagnosis and treatment of undescended testis in children. Material and Methods: Restrospective study, between 6/ 2014 and 6/2017. All the patients are aged from 1 to 16 years with undescended testis underwent laparoscopic surgery for diagnosis and treatment in Deparment of pediatric surgery – Viet Duc hospital enrolled. Results: Of 95 patiens in total had 106 undescended testis diagnosed and treated by laparoscopy. The mean age of patients was 7,5 ± 3,8 years. 44,2% undescended were on the left side, 44,2% were on the right and 11,6% were undescended bilateral. The correct diagnosis by ultrasound accounted in 79,4%. The locations of testis diagnosed by laparoscopic are : intra abdomen in 45,3%, deep inguinal orifice in 16,9%, extra inguinal orifice in 26,4%, no testicle found in 11,4%. The mean time of operation were 67,33± 28,01 pht. Scrotal positions were achieved 74,5%, remove atrophic testis accounted in 7,6%. Stephen- Flowler technique including step I were in 4,7%, step II in 1,9%. The outcome evaluated by testicular positions following 3 months after operation are : good in 79,2%, moderate 13,2%, poor in 7,6%; By classification of Aubert are : good in 81,1%, moderate in 11,3% and poor in 7,6 %. Conclusion: Laparoscopic surgery is not only a highly sensitive diagnostic method to find accurately the location and size of the testes, but also the most effective method to treat impalpable undescended testes.

Download Full-text

Camptodactyly: A Finger Deformity in a Young Violinist

Medical Problems of Performing Artists ◽

10.21091/mppa.2000.2015 ◽

2000 ◽

Vol 15 (2) ◽

pp. 75-78

Author(s):

Gerald P Melchor ◽

Alice G Brandfonbrener

Keyword(s):

Case Report ◽

General Population ◽

Surgical Correction ◽

Flexion Deformity ◽

Pip Joint ◽

Congenital Condition ◽

The Right ◽

Little Finger

This report documents a congenital condition previously undescribed in a young musician. Uncommon and affecting between 1% and 2% of the general population, camptodactyly is an atraumatic, congenital flexion deformity of the proximal interphalangeal (PIP) joint of the finger, most often the right little finger, as seen in our patient.1 While this condition is not normally of great significance, except when present as part of a wider syndrome, its occurrence as described in this case report has great implications for musicians in that it may have detrimental effects on their ability to perform. Attempts at surgical correction of such a defect, in itself controversial, might further affect a musician’s ability to return to performance as well as to continue studying his or her instrument.

Download Full-text