RESUMO
The following case is presented to illustrate the clinical findings and imaging modalities of a condition of interest to the orthopedic/hand surgeon. The initial history, physical examination, and imaging examinations are found on this page. The final clinical and roentgenographic differential diagnosis and discussion can be found on the following pages.
Assuntos
Dedos , Tumor Glômico , Neoplasias de Tecidos Moles , Feminino , Tumor Glômico/patologia , Tumor Glômico/cirurgia , Humanos , Imageamento por Ressonância Magnética , Pessoa de Meia-Idade , Neoplasias de Tecidos Moles/patologia , Neoplasias de Tecidos Moles/cirurgiaRESUMO
The following case is presented to illustrate the roentgenographic and clinical findings of a condition of interest to the orthopedic surgeon. Initial history, physical findings, and roentgenographic examinations are found on the first page. The final clinical and roentgenographic differential diagnoses are presented on the following pages.
Assuntos
Fraturas não Consolidadas/diagnóstico , Pseudoartrose/diagnóstico , Fraturas do Rádio , Fraturas da Ulna , Manchas Café com Leite/complicações , Criança , Diagnóstico Diferencial , Feminino , Consolidação da Fratura/fisiologia , Fraturas não Consolidadas/complicações , Fraturas não Consolidadas/diagnóstico por imagem , Humanos , Neurofibromatoses/complicações , Pseudoartrose/complicações , Pseudoartrose/congênito , Pseudoartrose/diagnóstico por imagem , Radiografia , Fraturas do Rádio/complicações , Fraturas do Rádio/diagnóstico , Fraturas do Rádio/fisiopatologia , Fraturas do Rádio/terapia , Fraturas da Ulna/complicações , Fraturas da Ulna/diagnóstico , Fraturas da Ulna/fisiopatologia , Fraturas da Ulna/terapiaRESUMO
The following case is presented to illustrate the roentgenographic and clinical findings of a condition of interest to the orthopaedic surgeon. The final clinical and roentgenographic differential diagnoses can be found on the following pages.
Assuntos
Deformidades Adquiridas da Mão/etiologia , Siringomielia/complicações , Criança , Diagnóstico Diferencial , Dedos , Deformidades Adquiridas da Mão/diagnóstico , Humanos , Masculino , Siringomielia/diagnóstico , PolegarRESUMO
The following case is presented to illustrate the roentgenographic and clinical findings of a condition of interest to the orthopaedic surgeon. Initial history, physical findings, and roentgenographic examinations are offered for your consideration. The final clinical and roentgenographic differential diagnoses are presented on the following pages.
Assuntos
Calcinose/diagnóstico por imagem , Deformidades Adquiridas da Mão/diagnóstico por imagem , Doença Mista do Tecido Conjuntivo/diagnóstico por imagem , Diagnóstico Diferencial , Feminino , Humanos , Pessoa de Meia-Idade , RadiografiaRESUMO
The following case is presented to illustrate the roentgenographic and clinical findings of a condition of interest to the orthopaedic surgeon. Initial history, physical findings, and roentgenographic examinations are found on the first two pages. The final clinical and roentgenographic differential diagnoses are presented on the following pages.
Assuntos
Articulações dos Dedos/anormalidades , Deformidades da Mão/diagnóstico por imagem , Idade de Início , Criança , Diagnóstico Diferencial , Articulações dos Dedos/diagnóstico por imagem , Articulações dos Dedos/fisiopatologia , Deformidades da Mão/fisiopatologia , Deformidades da Mão/terapia , Humanos , Inflamação , Masculino , RadiografiaRESUMO
The following case is presented to illustrate the roentgenographic and clinical findings of a condition of interest to the orthopaedic surgeon. Initial history, physical findings, and roentgenographic examinations are found on the first page. The final clinical and roentgenographic differential diagnoses are presented on the following pages.
Assuntos
Condrocalcinose/diagnóstico por imagem , Condrocalcinose/etiologia , Hiperparatireoidismo/etiologia , Articulação Metacarpofalângica , Diálise Renal/efeitos adversos , Articulação do Punho , Idoso , Feminino , Humanos , RadiografiaRESUMO
The following case is presented to illustrate the roentgenographic and clinical findings of a condition of interest to the orthopaedic surgeon. Initial history, physical findings, and roentgenographic examinations are found on this page. The final clinical and roentgenographic differential diagnoses are presented on the following pages.
Assuntos
Fraturas Ósseas/diagnóstico por imagem , Luxações Articulares/diagnóstico por imagem , Articulação Metacarpofalângica/diagnóstico por imagem , Adulto , Diagnóstico Diferencial , Fixação de Fratura , Fraturas Ósseas/complicações , Fraturas Ósseas/cirurgia , Humanos , Luxações Articulares/complicações , Luxações Articulares/cirurgia , Masculino , Articulação Metacarpofalângica/lesões , Articulação Metacarpofalângica/cirurgia , Dor/etiologia , Tomografia Computadorizada por Raios XRESUMO
Anatomic relationships of an endoscopic carpal tunnel device to surrounding soft tissue structures along the ring finger and the long-ring interspace axis were investigated in 28 adult cadaver hands. The average distance from the center of the device to the median nerve in the carpal tunnel averaged 3.3 mm in the ring finger axis and 2.5 mm in the long-ring interspace axis. The average distance from the distal edge of the transverse carpal ligament to the superficial palmar arch was 4.8 mm in the ring finger axis and 5.5 mm in the long-ring interspace axis. These and other more subtle anatomic observations indicate the greater safety of using the ring finger axis for endoscopic carpal tunnel release.
Assuntos
Ossos do Carpo/anatomia & histologia , Endoscópios , Mãos/anatomia & histologia , Ossos do Carpo/patologia , Síndrome do Túnel Carpal/patologia , Síndrome do Túnel Carpal/cirurgia , Mãos/patologia , Humanos , Nervo Mediano/anatomia & histologia , Nervo Mediano/patologia , Tendões/anatomia & histologia , Tendões/patologia , Articulação do Punho/anatomia & histologia , Articulação do Punho/patologiaAssuntos
Beisebol/lesões , Fraturas Ósseas , Metacarpo/lesões , Traumatismos dos Tendões , Adulto , Fraturas Ósseas/diagnóstico por imagem , Fraturas Ósseas/cirurgia , Traumatismos da Mão/diagnóstico por imagem , Traumatismos da Mão/cirurgia , Humanos , Masculino , Metacarpo/diagnóstico por imagem , Radiografia , Traumatismos dos Tendões/diagnóstico por imagem , Traumatismos dos Tendões/cirurgiaRESUMO
Since 1985 scaphocapitolunate arthrodesis has been performed on 21 patients with either chronic incompetence of the scapholunate ligament or a scaphoid nonunion. The average age was 31 years; follow-up averaged 28 months. Eighty-six percent of the injuries involved workers' compensation. The operative procedure was done through a dorsal approach, with the use of autogenous bone grafting and Kirschner wire fixation. Eight-one percent healed after the primary procedure; one patient had a major infection. Range of motion averaged 35 degrees of extension, 30 degrees of flexion, 10 degrees of radial deviation, and 20 degrees of ulnar deviation. Grip strength averaged 70% of the uninvolved side. Pain was significantly reduced in 80% of the patients. Sixteen of 20 patients were able to return to work. Radiographic examination at final follow-up showed mild degenerative changes at the radiocarpal joint in two patients.
Assuntos
Artrodese , Ossos do Carpo/cirurgia , Adulto , Ossos do Carpo/diagnóstico por imagem , Feminino , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Dor , Complicações Pós-Operatórias , Radiografia , Amplitude de Movimento Articular , Articulação do Punho/fisiopatologiaRESUMO
This study objectively investigated the functional results of 28 index finger pollicizations for correction of congenital deficiency of the thumb. The results indicate that the average total active range of motion at the pollicized digit was 98 degrees, or approximately 50% that of a normal thumb. The average grip strength was 21% of standard values; lateral, tripod, and tip pinch strength values ranged from 22% to 26% of standard values. The pollicized digit was used in the manner of a normal thumb or in modified fashion in 84% of 14 defined activities, with increased use for handling large objects (92%) and less use for small objects (77%). The time required to perform activities averaged 22% longer than the standard for a normal hand. Patients with a radial club hand, a five-finger hand, or a mirror hand on the affected extremity had significantly poorer results; however, patients without one of these associated conditions had near normal use of the pollicized digit, except for reduced strength. These results were not influenced by the age of the patient at the time of operation. This information should be helpful in counseling parents with children who are candidates for pollicization as to what functional results they might anticipate.