Introduction The COVID-19 pandemic has enormously affected the psychological well-being, social and working life of millions people across world. This study aimed to investigate distress, fear coping strategies as a result its associated factors among Malaysian residents. Methods Participants were invited an online cross-sectional survey from Aug-Sep 2020. assessed distress using Kessler Psychological Distress Scale, level Fear Brief Resilient Coping Scale. Univariate multivariate logistic...

The free thenar flap is useful for coverage of volar finger defects but has an inconstant innervation based on the presence either lateral antebrachial cutaneous nerve (LABC) or superficial sensory branch radial (SSRN). A detailed anatomic study 30 adult fresh frozen cadavers preinjected with silicone rubber compound to demarcate arterial anatomy documented locations, numbers, and diameters arteries skin perforators surrounding nerves. palmar median (PCMN) was present within in all cases....

Introduction: Wide-awake local anesthesia and no tourniquet (WALANT) has come a long way. It been reported to be successful in the surgery of distal radius ulna fractures. We report case olecranon fracture plating under WALANT. Methods: Surgery was performed with patient fully conscious where tumescent injected into surgical site without application 30 minutes before first incision. Posterior approach elbow used, fixed anatomical locking plates. Results: The successfully completed pain....

Introduction: Distal end radius fractures are common commonly treated with an option of open reduction and plating. Traditionally, plating is performed under general anesthesia (GA) or regional block. Recently, a new technique wide-awake local no tourniquet (WALANT) has been introduced. We aim to compare the preoperative anxiety level, intraoperative pain scores, post-operative operating time, blood loss clinical outcome distal WALANT versus GA tourniquet. Methods: conducted randomized...

Measles is an internal disease (VPD) caused by Morbilivirus. This characterized the appearance of fever, reddish spots, cough, runny nose, red eyes and rashes all over body which generally occurs in children. Measles, also known as Morbili or a measles virus Paramyxovirus group. Transmission can occur through air that has been contaminated droplets (spit) infected person. case tends to attack early childhood elementary school age Once person had measles, he she will have lifelong immunity...

Implanon NXT is a widely used contraceptive implant that generally inserted and removed safely by primary healthcare providers. Although complications are rare, providers must remain vigilant for potential adverse events. One such complication ulnar neuropathy, rare but serious nerve injury can occur during the removal process due to inadvertent impingement or trauma. This condition may result in significant functional impairment chronic pain, representing catastrophic outcome patient if not...

Stingray injuries, though rare, can cause significant complications due to mechanical trauma, envenomation, and secondary infections. This case report describes a stingray injury the right hand of an aquatic enthusiast pet shop owner while handling in his aquarium. The patient arrived at emergency department with severe, localized pain, classic sign envenomation. A comprehensive evaluation, including species identification through photograph provided by patient, enabled targeted treatment...

Background. Autologous nerve grafts to bridge gaps pose various drawbacks. Nerve tissue engineering promote regeneration using artificial neural conduits has emerged as a promising alternative.Objectives. To develop an conduit collagen-coated polylactic-glycolic acid (PLGA) and analyse the survivability propagating ability of neuro-differentiated human mesenchymal stem cells in this conduit.Material Methods. The PLGA was constructed by dip-molding method coated with collagen immersing bath....

Background: Trigger finger release utilizing wide-awake local anesthesia no tourniquet (WALANT) usage in extremity surgery is not widely used our setting due to the possibility of necrosis. Usage a generally acceptable for providing surgical field hemostasis. We evaluate hemostasis score, visibility, onset and duration anesthesia, pain potential side effects WALANT. Methods: Eighty-six patients scheduled trigger between July 2016 December 2017 were randomized into control group (1%...

Glomus tumours are rare benign epithelial and mesenchymal neoplasms of the glomus body, which primarily occur in subungual area fingers, characterized by excruciating pain, point tenderness, cold sensitivity. also reported to be extradigital almost every organ, makes them difficult diagnose due their rarity. Delayed diagnosis commonly happens negative imaging from plain radiograph ultrasound imaging. Early recognition this disease with proper complete surgical excision is typically...

Adult proximal radioulnar synostosis is a rare complication where its manifestation due to either post-surgery or post-traumatic effect causing limitation in the function of forearm especially supination and pronation. Most common occurrences over region can be divided based on anatomical location, which involves distal third, middle third region. We report case 42-year-old woman who developed following conservatively treated radial head fracture 18 months earlier. She presented with pain...

ABSTRACT Introduction: Bone and soft tissue sarcomas historically required amputation for local control. But the development of imaging, chemotherapy, radiotherapy, surgical methods means that LSS (limb salvage surgery) becomes a treatment choice in many cases, so tumor can be removed while limb function is retained. Historical Perspective: Until 1970s, was mainstay musculoskeletal oncology treatment, before advancements diagnostic imaging systemic therapies made procedures possible. Early...

Tendon transfer for radial nerve palsy is a common procedure done under general anesthesia. We describe surgical technique of triple tendon with wide awake local anesthesia no tourniquet (WALANT). flexor carpi radialis to extensor digitorum communis, palmaris longus pollicis longus, and pronator teres brevis. This commonly known as the Brand transfer. Our anesthetic or WALANT solution consists up 200 mL 1:400,000 epinephrine, 0.25% lidocaine buffered sodium bicarbonate. overcomes problem...

Abstract Autologous nerve grafts to bridge gaps have donor site morbidity and possible neuroma formation resulting in development of various methods bridging without using autologous grafts. We fabricated an acellular muscle stuffed vein seeded with differentiated mesenchymal stem cells (MSCs) as a substitute for autografts. Human were both decellularized by liquid nitrogen immersion subsequent hydrolysis hydrochloric acid. MSCs subjected series treatments reducing agent, retinoic acid,...

Elbow dislocations associated with a medial epicondyle fracture and ulnar nerve palsy are uncommon injuries. We present the case of an 11-year-old girl elbow dislocation treated by closed manual reduction. The was missed initially until she developed 2 months later. Intraoperatively we discovered bony piercing joint capsule compressing nerve. Removal fragment relieved her symptoms returned to normal activities at 1 year follow-up. would like highlight this rare occurrence detailed history...

Background: Second toe-to-thumb transfer is a good alternative to using the great toe for reconstruction of thumb. It achieves excellent function and reduces morbidity donor foot. However, cosmesis often poor. The second has three unattractive features, narrow "neck," bulbous tip, short nail. Methods: authors describe modified that addresses in six patients. These include (1) harvesting flap from adjacent side insetting it into volar aspect give more bulk, (2) making skin excisions on each...