China
Africa
Explore chapters and articles related to this topic
Orthopaedic Emergencies
Published in Anthony FT Brown, Michael D Cadogan, Emergency Medicine, 2020
Anthony FT Brown, Michael D Cadogan
Refer immediately to the orthopaedic team nerve injuries that are: Proximal to the proximal interphalangeal joint.Along the ulnar border of the little finger.Along the radial border of the index finger.Affecting the thumb.
Regional Anesthesia
Published in Marwali Harahap, Adel R. Abadir, Anesthesia and Analgesia in Dermatologic Surgery, 2019
Nerve block technique(s) (Fig. 7): Select the digit to be blocked. Identify the metacarpophalangeal joint. Identify the corresponding proximal interphalangeal joint. Each digit will have bilateral dorsal and palmar digital nerves that course along each lateral aspect of the proximal phalanx.The injection will occur along a path as if it were a “ring.” The injection should be made into the subcutaneous fat. From there, anesthesia will diffuse to the deeper neurovascular bundle. One should not attempt to elicit paresthesia or to “step the needle” along the bony phalanx as this increases the risk of laceration of the neurovascular bundle and/or intraneuronal injection. Not more than 4 to 6 mL of 1–2% lidocaine (choose concentration after considering volume and dosing limitations) should be injected in order to avoid volume tamponade/compression of the neurovascular bundle. This injection will block the bilateral dorsal and palmar digital nerves.
Upper Limb
Published in Rui Diogo, Drew M. Noden, Christopher M. Smith, Julia Molnar, Julia C. Boughner, Claudia Barrocas, Joana Bruno, Understanding Human Anatomy and Pathology, 2018
Rui Diogo, Drew M. Noden, Christopher M. Smith, Julia Molnar, Julia C. Boughner, Claudia Barrocas, Joana Bruno
As its name indicates, the metacarpophalangeal joint is a joint between the metacarpals and the phalanges of the hand. This joint allows flexion, extension, abduction, and adduction of the proximal phalanges and thus of the digits as a whole. Lastly, between the phalanges are interphalangeal joints (only one in the thumb, but two—proximal and distal—in the other digits). These joints only allow flexion and extension of the middle and distal phalanges.
Association between endometriosis, infertility and autoimmune antiplatelet glycoprotein VI antibodies in two patients
Published in Platelets, 2023
Stéphane Loyau, Anne Bauters, Nathalie Trillot, Cédric Garcia, Pierre Cougoul, Hélène Pol, Camille Paris, Geoffroy Robin, Chrystèle Rubod, Bernard Payrastre, Martine Jandrot-Perrus, Sophie Voisin, Annabelle Dupont
A 31-year-old patient presented to laboratory investigation with an 8 years history of pelvic endometriosis-associated infertility. The history of the patient reveals the presence of ecchymosis since the age of 8, but platelet count was normal (400 G/L). Menorrhagia started at menarche (14 years old). Diagnosis of ITP was established at the age of 23, on the basis of an isolated and asymptomatic thrombocytopenia (platelet count 40 G/L). Initial assessment found positive antinuclear antibodies (1/640, speckled), anti SSA and anti SSB antibodies. Serum protein electrophoresis showed polyclonal hypergammaglobulinemia. Bone marrow smear confirmed the peripheral mechanism of thrombocytopenia. The thrombocytopenia was corticosteroid responsive. Four years later, the patient presented with inflammatory arthralgias, concerning wrists, elbows, then ankles and shoulders. The clinical examination found arthritis of the proximal interphalangeal joints of the second and third fingers of the left hand, as well as of the thumb spine, and a limitation of shoulder’s amplitudes. Symptoms of the Sjögren syndrome (SS) resolved after short oral corticosteroid therapy. Treatment with hydroxychloroquine 200 mg ×2/day was initiated to control arthralgias.
Comparing the outcomes of fingertip-to-palm and fingertip-to-forearm two-stage flexor tendon reconstruction for isolated flexor digitorum profundus tendon injuries
Published in Journal of Plastic Surgery and Hand Surgery, 2023
Osman Orman, Ethem Ayhan Ünkar, Kahraman Öztürk
LaSalle and Strickland method was used to compare the overall results of two groups. This method compares preoperative passive interphalangeal joint motion with postoperative active interphalangeal joint motion. After the initial assessment, according to percent of return of motion, patients were grouped as following: 75–100% as excellent; 50–74% as good; 25–49% as fair; and 0–24% as poor [4]. All range of motion (ROM) measurements were performed by using finger goniometer. We evaluated patients’ flexion and extension of metacarpophalangeal (MCP), proximal interphalangeal (PIP) and distal interphalangeal (DIP) joints of involved digit. We calculated total active motion (TAM) by subtracting total extension deficit of the MCP, PIP and DIP joints from the total active flexion of the same joints [10].
Metacarpal reconstruction with a medial femoral condyle flap based on a 3D-printed model: a case report
Published in Case Reports in Plastic Surgery and Hand Surgery, 2022
Manfred Schmidt, Matthias Holzbauer, Stefan M. Froschauer
One year after surgery, the locking plates were removed. Proximally, a protruding ossification of the bone flap was trimmed and a bone cyst at the capitate was debrided, filled with cancellous bone flap and the proximal MFC flap was fixed to the capitate with a mini-plate (Figure 1(b,c)). There was no histological evidence of tumor recurrence. At two years follow-up, there was no clinical or radiographic sign of tumor recurrence as well as no donor site morbidity. Moreover, the final metacarpal length was improved compared to the preoperative one. However, we unfortunately observed some subsidence of metacarpal length during follow-up and range of motion could only be improved to 30° flexion in the metacarpophalangeal joint. The range of motion of the proximal and distal interphalangeal joint was not impaired. While this restriction did not represent a subjective functional disability of the hand function for our patient, this procedure preserved the aesthetic integrity of the hand (Figure 3).