ABSTRACT
The indications, principles of management, and outcomes of free flap transfer for limb salvage in four patients with bilateral frostbite of their feet are presented. A fasciocutaneous flap was used for coverage when the wound involved a single surface of the foot. When multiple surfaces of the foot required free flap coverage, a muscle flap was used because it could more easily improve the shape and contour of the defect. Successful coverage was achieved in all four patients.
Subject(s)
Foot Injuries/surgery , Frostbite/surgery , Surgical Flaps , Adolescent , Female , Humans , Male , Middle AgedABSTRACT
This report describes a healthy infant born with an isolated, truncal cutis aplasia defect in association with a fetus papyraceous. Effective healing of the cutaneous defect occurred over the course of a month. A 2-year follow-up demonstrate stable wound coverage. This rare association of aplasia cutis congenita, with a fetus papyraceous points most likely to the vascular causation of the cutaneous defect.
Subject(s)
Diseases in Twins/diagnosis , Ectodermal Dysplasia/diagnosis , Fetal Death , Twins , Adult , Anti-Bacterial Agents/therapeutic use , Bacitracin/therapeutic use , Diagnosis, Differential , Ectodermal Dysplasia/drug therapy , Female , Humans , Infant, Newborn , Male , Polymyxin B/therapeutic use , Pregnancy , ThoraxABSTRACT
Anterior interosseous nerve syndrome (AINS) has been well described. A key muscle to examine clinically and on electromyography is the pronator teres, as this can differentiate between forearm and more proximal entrapment sites. We present a case of AINS with marked weakness and denervation of pronator teres. At operation the anterior interosseous nerve gave rise to the nerve to pronator teres and was entrapped by a fibrous band from the deep head of pronator teres.
Subject(s)
Forearm/innervation , Muscle Weakness/etiology , Nerve Compression Syndromes/complications , Adult , Electromyography , Humans , Male , Muscle Weakness/physiopathology , Muscle, Skeletal/physiopathology , Nerve Compression Syndromes/physiopathology , Nerve Compression Syndromes/surgeryABSTRACT
Plantar fibromatosis is a benign multinodular lesion occurring in the plantar fascia. It is generally an asymptomatic lesion or may occasionally cause discomfort or pain in the foot. We present a man who has bilateral flexion contractures of his great toes as a result of his plantar fibromatosis. A review of the literature indicates that this is a very rare presentation of plantar fibromatosis.
Subject(s)
Dupuytren Contracture/etiology , Fibroma/complications , Foot Diseases/complications , Toes , Aged , Fascia , Humans , MaleABSTRACT
Having observed an anomalous insertion of the lumbrical muscle in 74 consecutive operations for correction of camptodactyly of the small finger, we have concluded that the loss of normal lumbrical action is the principal cause of the intrinsic minus deformity seen in this condition. Other anatomic abnormalities observed in this series of patients are those of the superficial tendon in 47%, the x-ray appearance of the proximal interphalangeal (PIP) joint in 15%, and a fixed flexion contracture of the PIP joint in 66%. Fifty-seven percent of our patients had PIP flexion contracture of more than 45 degrees. To determine the contribution of these anomalies to this deformity, we analyzed a series of 53 patients who had been followed up for at least 1 year. The study revealed that these conditions are interdependent and that each had an adverse effect on the final operative results. Treatment included a transfer of the superficial tendon of the ring or little finger to the extensor mechanism of the little finger in all cases and other procedures as dictated by the individual situation. Overall, the joint contracture was reduced from 49 degrees to 25 degrees, but only 33% of the patients regained full flexion of the small finger.