The use of the brachialis muscle for tendon transfers in cerebral palsy has not been described previously. In this study, was used transfer 11 patients with spastic restoration forearm supination, wrist extension, or finger extension. Four underwent rerouting supinatorplasty. Active supination increased two (60° and 50°), minimally one (5°), did change patient. Five had a to extensor carpi radialis brevis transfer. mean gain postoperative active extension 65°. Two flexion deformity no...

Correction of gynecomastia in males is a frequently performed aesthetic procedure. Various surgical options involving the removal excess skin, fat, or glandular tissue have been described. However, poor outcomes, including flat depressed pectoral area, limit success these techniques. The authors sought to determine patient satisfaction with results upper chest augmentation by direct intrapectoral fat injection conjunction correction gynecomastia. In this prospective study, 26 patients...

Scaphoid fracture is the most common carpal of upper extremity and a significant proportion these can eventually progress to nonunion. Excision pseudoarthrosis fibrous scar tissue at nonunion site regarded as one important steps in management scaphoid nonunions. We describe technique internal bone grafting, where curettage was performed through drill hole graft packed this same before fixation with headless compression screw. have been able achieve union rate 86% using technique. The...

A wide variety of autologous grafts have been used for the coverage contour deformities in rhinoplasty. Mastoid fascia tissue (MFT) are easy to harvest and very versatile, resulting donor site scar is not visible. Natural looking results can be obtained with MFT when dorsal irregularities, augmentation, camouflaging abnormalities related skin atrophy, even tip-of-nose tip augmentation. was as a graft 8 primary 22 secondary cases various purposes. All patients had satisfactory cosmetic...

We report outcomes of 17 children with brachial plexus birth palsy that underwent extensor carpi ulnaris to brachioradialis and abductor pollicis longus transfers correct supination ulnar deviation deformity. Mean age at the time surgery was 8.7 years mean follow-up 21 months (8–44). These patients had marked increases in active forearm rotation Canadian Occupational Performance Measure scores. Activity performance score on measure increased from 1.1 6.7 satisfaction 0.8 final follow-up....

A microanastomosis might tolerate a torsion up to 360°, but the effects of arterial on survival flap it supplies are unclear. The aim this study was investigate consequences microarterial anastomosis groin in rats. Forty Sprague-Dawley rats were divided into five groups. An oblique harvested as an island and patch-to-side performed with angles 0°, 90°, 180°, 270°, 360°. Six eight flaps Group I (0° torsion), six II (90°), three III (180°), none Groups IV V (270° 360°) found be viable after 1...

Angioleiomyoma is a solitary form of leiomyoma which typically encountered in the subcutis. They are mostly seen lower extremities, and upper extremity second most common location for these lesions. There only few reports about presence an angioleiomyoma within peripheral nerve extremity. Here we report 56-year-old male patient who was referred to our clinic after attempt made removal forearm mass at another institution. The lesion encased median there unusual hypervascularity around tumor...

Epithelioid hemangioendothelioma (EHE) is an extremely rare tumor of vascular origin with intermediate malignancy potential. It usually originates from veins and very rarely arteries. This case report presents a patient who underwent femoral mass resection after multiple artery interventions for coronary heart disease probable preoperative diagnosis pseudoaneurysm the artery. He had complete corresponding segment because atypical gross appearance. The histopathology revealed intravascular...

Objective/Hypothesis: In this study, our aim is to present results with the “switch technique” in dynamic restoration of forearm pronation and wrist radial deviation patients “the beggar’s hand” caused by obstetric brachial plexus palsy. technique,” tendons two functional muscles are sectioned at different levels, proximal muscular units transposed presectioned distal tendon ends a cross fashion. This technique enables paralytic complex deformity. Materials Methods: Eleven palsy (6 male, 5...

Objective: Abnormal lymphatic function defined by scintigraphy in hand transplant patients has been reported. In cases of chronic edema, it is not clear whether swelling due to inadequate function, vascular leakage, or both. transplantation, deep vessels are anastomosed. Surface drainage reestablishes spontaneously. Feasibility upper limb infrared imaging with indocyanine green (ICG) demonstrated breast cancer patients. However, there no body information on objective measurement ICG using...

Objective: First web space is very important for overall hand function. One of the methods frequently utilized to manage contractures in this area are skin transposition flaps harvested from dorsal radial aspect index finger. In study, we present our results with bilobed flap modification dorsoradial designed facilitate and minimize contour deformity at donor site. Materials Methods: A retrospective chart review was made gather information on eight cases operated using Results: Satisfactory...