scholarly journals Acrometastases: The nasty alter ego of fingertip infections

2021 ◽  
Vol 16 (2) ◽  
pp. 86-89
Author(s):  
Collin Seng Kim Looi ◽  
Manohar Arumugam

Fingertip infections are commonly diagnosed in primary care. There is a serious condition, acrometastases, that is often mistaken for these infections. Acrometastases are defined as metastases located distal to the elbow or knee. We present a case of a malignant phyllodes tumour with acrometastases to the distal phalanx of the left middle finger that was misdiagnosed as a fingertip infection on 2 separate occasions, highlighting the need for vigilance regarding acrometastases.

2019 ◽  
Vol 81 (2) ◽  
pp. 83-84
Author(s):  
Shunichi JINNAI ◽  
Kenjiro NAMIKAWA ◽  
Taisuke MORI ◽  
Naoya YAMAZAKI
Keyword(s):  

1994 ◽  
Vol 19 (3) ◽  
pp. 301-302 ◽  
Author(s):  
B. BARTON ◽  
J. M. KLEINERT

Caffeine has been shown to increase mean blood pressure, but studies documenting the effect of caffeine on digits are lacking. We evaluated the effect of caffeine on digital blood pressure and pulse volume in normal volunteers. In the first part of the study, 24 subjects were given water containing either 200 mg of caffeine or placebo. Bilateral brachial and middle finger digital pressures were measured at room temperature before ingestion and at 30 and 60 minutes after ingestion. In the second part of the study, pulse volume recordings (PVRs) were obtained in 24 subjects at the level of the distal phalanx of the middle finger of one hand immediately prior to beverage ingestion and at 10 minute intervals for 90 minutes. Differences in mean digital systolic pressure, digital/brachial index, or PVR amplitude between the control and caffeine groups were not statistically significant. The administration of caffeine was found not to alter the haemodynamics of digital blood flow or digital pressure in this population.


2019 ◽  
Vol 5 ◽  
pp. 2513826X1987650
Author(s):  
Sarah L. Zhu ◽  
Cameron F. Leveille ◽  
Emily E. Dunn ◽  
Michael J. Cooper

This is a case of plant thorn synovitis of the hand in an adult following a plum tree thorn injury, the first reported case in the hands in the past decade. The patient initially presented with persistent joint discomfort following removal of a retained plum thorn fragment from the skin overlyin the proximal interphalangeal joint of the left middle finger. Initial radiography and sonography imaging following the removal revealed no foreign bodies. However, the patient’s symptoms were worsening and refractory to anti-inflammatory and antibiotic treatment. An exploratory surgery was carried out, which revealed multiple plant thorn fragments within the synovium, each measuring approximately 1 mm in size. A synovectomy was performed and the patient recovered with full function. Our case of plant thorn synovitis is discussed along with a review of the current literature on plant thorn synovitis in the hands.


HAND ◽  
1982 ◽  
Vol os-14 (1) ◽  
pp. 85-88 ◽  
Author(s):  
L. Read

Fracture of the shaft of the distal phalanx is less common than more distal fractures involving the tuft: non-union in such a fracture is even more unusual. A case is described in which troublesome non-union of the shaft of the distal phalanx of the middle finger was successfully treated by open reduction and Kirschner wire fixation. The type of fracture and its treatment is discussed: it is emphasised that the principles applied to shaft fractures of the middle and proximal phalanges also apply to the distal phalanx.


JPRAS Open ◽  
2019 ◽  
Vol 19 ◽  
pp. 1-5
Author(s):  
Shunki Iemura ◽  
Ryosuke Kakinoki ◽  
Kazuhiro Ohtani ◽  
Kazuhiko Hashimoto ◽  
Fumihisa Nakamura ◽  
...  
Keyword(s):  

2001 ◽  
Vol 9 (1) ◽  
pp. 59-59 ◽  
Author(s):  
Ronald A. Delellis ◽  
Svetlana Grinblat
Keyword(s):  

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