RESUMO
This clinical case describes a patient who suffered a combined closed avulsion of the central slip and the terminal tendon of the index finger extensor mechanism, associated with a unicondylar fracture of the middle phalanx and a spiroid fracture of the second metacarpal.
Assuntos
Traumatismos dos Dedos/cirurgia , Traumatismos dos Tendões/cirurgia , Acidentes de Trabalho , Falanges dos Dedos da Mão/diagnóstico por imagem , Falanges dos Dedos da Mão/lesões , Falanges dos Dedos da Mão/cirurgia , Fraturas Fechadas/diagnóstico por imagem , Fraturas Fechadas/cirurgia , Humanos , Masculino , Ossos Metacarpais/diagnóstico por imagem , Ossos Metacarpais/lesões , Ossos Metacarpais/cirurgia , Pessoa de Meia-Idade , RadiografiaRESUMO
Most carpal dislocations occur in the lunate bone or around it (perilunate). An isolated dislocation of the carpal scaphoid is a rare injury. We report a case of a palmar scaphoid dislocation combined with a dorsal perilunate dislocation, which was treated with open reduction, fixed with two Kirschner wires and ligament repair, with a good result.
Assuntos
Articulações do Carpo/lesões , Luxações Articulares/complicações , Humanos , Osso Semilunar , Masculino , Pessoa de Meia-Idade , Osso EscafoideRESUMO
We report on a case of aplasia or unilateral congenital absence of the carpal scaphoid associated with dysplasia of the capitate. Congenital absence of the carpal scaphoid is a rare but well-documented condition. As far as we know, the present case is the seventh one reported in the medical literature. Imaging studies (X-ray and MRI) confirmed the absence of the carpal scaphoid associated with a dysplasia of the capitate and malformation of the radial styloid process. Congenital absence of the scaphoid when other congenital abnormalities (such as hypoplasia or aplasia of either forearm bones or thenar eminence, malformations of the skeletal elements of the thumb, absence of sesamoid bones or abnormal development of the forearm bones) do not exist is probably the main feature of the present case report.
Assuntos
Doenças do Desenvolvimento Ósseo/complicações , Capitato , Ossos do Carpo , Osso Escafoide/anormalidades , Humanos , Masculino , Pessoa de Meia-IdadeRESUMO
We report on a case of giant enchondroma of the distal phalanx of the thumb, with a significant degree of clinical and radiographic deformity. It is extremely rare in this location and its treatment should be surgical, with curettage of the lesional cavity and filling with autologous bone graft. In this case, we performed a differential diagnosis of a giant cell tumour and aneurysmatic bone cyst (X-ray and nuclear magnetic resonance [NMR]).