RESUMO
We report on a carpal tunnel syndrome in a 50-year-old woman, presumably caused in part by a 35-year-old asymptomatic capitate non-union. The carpal tunnel was released and a large exostosis removed. 3 weeks after the operation the patient was free of symptoms.
Assuntos
Síndrome do Túnel Carpal/cirurgia , Feminino , Humanos , Pessoa de Meia-Idade , PunhoRESUMO
We report a severe hand injury with a fracture of the third metacarpal bone, destruction of the metacarpophalangeal joint of the fourth finger, amputation of the little finger of the right hand and several tendon injuries, in an active musician. The fourth metacarpal bone was offset close to the base, the hand narrowed, and the ring finger transferred to the base of the little finger. The outcome was very favourable.
Assuntos
Amputação Traumática/cirurgia , Traumatismos dos Dedos/cirurgia , Dedos/transplante , Traumatismos da Mão/cirurgia , Ossos Metacarpais/lesões , Ossos Metacarpais/cirurgia , Articulação Metacarpofalângica/lesões , Articulação Metacarpofalângica/cirurgia , Traumatismos dos Tendões/cirurgia , Idoso , Amputação Traumática/diagnóstico por imagem , Traumatismos dos Dedos/diagnóstico por imagem , Dedos/diagnóstico por imagem , Fixação Interna de Fraturas , Traumatismos da Mão/diagnóstico por imagem , Humanos , Masculino , Ossos Metacarpais/diagnóstico por imagem , Articulação Metacarpofalângica/diagnóstico por imagem , Destreza Motora/fisiologia , Música , Complicações Pós-Operatórias/diagnóstico por imagem , Radiografia , Traumatismos dos Tendões/diagnósticoRESUMO
Closed ruptures of the deep flexor tendons are rare, even though they occur more often than those of the superficial flexor tendons. We report about a closed distal rupture of the deep flexor tendon of the little finger as experienced by a 50-year-old man who suffered an injury at work. The proximal stump allocated to the torn flexor tendon of zone I had noticeably pulled back to the middle of the palm of hand, and had come to rest around the tendon of the ring finger. We illustrate the problems linked with diagnosis, care and follow-up treatment of such a case.