ABSTRACT
BACKGROUND: Tuberculosis is the most prevalent infectious disease in the world. It is mainly caused by Mycobacterium tuberculosis. Osteoarticular tuberculosis represents 1%-3%. Tenosynovitis is the most common form of the disease in the hand. AIMS: The aim of this study is to present an update of synovial tuberculosis. MATERIALS AND METHODS: The authors present a literature review, the clinical and surgical management and case reports. RESULTS: The outcomes were satisfactory and were not report complications. CONCLUSIONS: Early diagnosis, surgical transection of the transverse carpal ligament, debridement and complete excision of the infected synovium may be required, along with antituberculosis drugs. Knowledge of this disease in the hand can provide a better diagnosis and outcome.
ABSTRACT
A macrodactilia é uma anomalia congênita infrequente, caracterizada pelo crescimento desproporcional dos tecidos ósseo, gorduroso, nervoso, vascular e dérmico nos dedos das mãos ou dos pés. Existem muitas teorias sobre a sua etiopatogenia, sendo a mais aceita a hiperestimulação por fatores de crescimento enviados através dos nervos. Foram descritos alguns casos associados com a síndrome do túnel do carpo. Apresenta-se um caso clínico de síndrome do túnel do carpo por hipertrofia do nervo mediano, evidenciando um aumento de conteúdo dentro do retináculo flexor, o qual foi tratado cirurgicamente com sucesso pela realização de uma retinaculotomia do ligamento anular do carpo junto a um retalho de transposição tenar adipofascial reverso da região tenariana hipertrofiada visando à cobertura do nervo mediano na região do punho.
Macrodactyly is a rare congenital anomaly characterized by the disproportionate growth of bone, fat, nervous, vascular, and dermal tissue in the digits . There are many different theories about its etiopathogenesis, the most accepted being a hyperstimulation by growth factors conducted through nerves. A few cases have been described in conjunction with carpal tunnel syndrome. Here, a clinical case of carpal tunnel syndrome due to hypertrophy of the median nerve is presented, showing an increase of content within the flexor retinaculum. Successful surgical treatment was accomplished by conducting a retinaculotomy of the anterior annular ligament along with a reverse transposition adipofascial flap of the hypertrophied thenar region for coverage of the median nerve at the wrist.
Subject(s)
Humans , Male , Adolescent , History, 21st Century , Surgical Flaps , Congenital Abnormalities , Wrist , Hand Deformities, Congenital , Review Literature as Topic , Carpal Tunnel Syndrome , Plastic Surgery Procedures , Gigantism , Hand , Hypertrophy , Median Nerve , Surgical Flaps/surgery , Congenital Abnormalities/surgery , Wrist/surgery , Growth Hormone , Hand Deformities, Congenital/surgery , Carpal Tunnel Syndrome/surgery , Carpal Tunnel Syndrome/pathology , Plastic Surgery Procedures/methods , Gigantism/surgery , Gigantism/pathology , Hand/surgery , Hypertrophy/surgery , Median Nerve/surgery , Median Nerve/growth & development , Median Nerve/pathologyABSTRACT
Os acidentes com aranhas do gênero Loxosceles podem apresentar variadas evoluções clínicas, dificultando a realização do diagnóstico e a escolha correta de uma medida terapêutica. Este artigo de revisão tem como objetivo abordar os mais importantes mecanismos de evolução, principais desfechos e os tratamentos de escolha para o acidente loxoscélico (AU)
Accidents with Loxosceles genus spiders may have different clinical outcomes, hindering the diagnosis and the correct choice of a therapeutic measure. This review article aims to address the main mechanisms of evolution, main outcomes and treatments of choice for loxoscelic accident (AU)
Subject(s)
Humans , Animals , Spider Bites/diagnosis , Spider Bites/therapy , Brown Recluse Spider/pathogenicity , Spider Bites/complications , Spider Bites/physiopathology , Spider Bites/pathology , Spider Bites/prevention & control , Spider Bites/epidemiology , Brown Recluse Spider/enzymologyABSTRACT
A fístula carótido-cavernosa é uma comunicaçäo patológica entre a artéria carótida interna e o seio cavernoso. Apresentamos o caso de um paciente de 32 anos de idade com fístula carótido-cavernosa devida a traumatismo crânio-encefálico. O tratamento preconizado é a embolizaçäo mas neste caso em especial houve falha devido às características próprias da fístula, e o paciente progrediu de maneira desfavorável evoluindo ao óbito por epistaxe incontrolável
