A vascularised bone-graft procedure from the base of second metacarpal was performed in 14 patients with nonunion scaphoid. There were 11 men and three women a mean age 22 years. In eight patients, who had dorsiflexed intercalated segment instability (DISI), an open wedge formed at site nonunion, vascular pedicle grafted volar side. six without DISI, transplantation carried out through same dorsal skin incision. Complete bony union obtained all after post-operative period 10.2 weeks, DISI...

Carpal tunnel syndrome (CTS) is the most common peripheral compression neuropathy of upper extremity. Repetitive wrist and finger motion has been suggested as a major factor pathogenesis CTS. However, little known about pathomechanics We aimed to evaluate movement median nerve in carpal during motions using transverse ultrasound 21 patients with CTS (5 men 16 women mean age 69.0 years). examined quantitatively location coordinate within at varied positions all fingers full extension flexion...

To compare the clinical outcomes of 2 procedures, closed or mini-open reduction with percutaneous pinning (ORPP), for treatment supracondylar fractures humerus in children.Patients aged less than 15 years who had undergone surgery fracture between 2004 and 2013 were identified. The case records radiographs from 34 patients reviewed. Twenty-one followed by (CRPP), while 13 through anterior approach (mini-ORPP). average age at time was 5.4 (1-13) CRPP group (2-9) mini-ORPP group. Based on...

Abstract The purpose of this study is to clarify, measure, and show the anatomic locations areas specific ligamentous attachments paths second through fifth carpometacarpal (CMC) joints on a three‐dimensional (3D) surface model. Ten fresh‐frozen cadaver wrists were used dissect identify CMC ligaments. Their whole bone surfaces digitized three‐dimensionally their calculated. each ligament represented in model combining CT overlaid by 3D surface, also visually demonstrated with color images...

Abstract Treatment of chronic Monteggia fracture-dislocations remains controversial in skeletally immature patients. The present study aimed to review the clinical outcomes surgical treatment with an Ilizarov mini-fixator for children. From April 2003 March 2014, 5 pediatric patients (4 males, 1 female) fracture-dislocation were treated at our institution. median age time surgery was 9 years (range 5–14 years), duration from injury 31 months 2–125 months), and follow-up 12 11 months–10...

Vascularized second metacarpal-base bone grafting from the palmar side for scaphoid non-union was performed in seven patients (six males and one female, with a mean age of 26 years). In all patients, union obtained at 10.2 weeks. six preoperative dorsal intercalated segment instability (DISI) corrected. The results were excellent three good two fair showing that more than 80 percent had satisfactory results. this procedure, metacarpal artery, large vascular diameter, is used as pedicle,...

We aimed to compare the movement of median nerve within carpal tunnel during wrist and finger motions between before after release (CTR) using transverse ultrasound in syndrome (CTS) patients evaluate biomechanical efficacy CTR for CTS.Twenty-four with CTS were examined by ultrasound. The location was quantitatively as a coordinate at varied positions extension flexion, respectively, CTR.We found that moved statistically significantly more palmarly than all motion. average displacement...

The purpose of this study was to investigate the displacement median nerve in carpal tunnel during finger motion at varied wrist positions using transverse ultrasound healthy volunteers, order clarify appropriate position a splint treating syndrome.Fifty wrists 25 asymptomatic volunteers were evaluated by ultrasound. location examined 5 (neutral, 60° dorsiflexion, palmar flexion, 40° ulnar 10° radial flexion) with all fingers full extension, and isolated thumb respectively.The located...

We present a new method for treating fracture of the hook hamate with percutaneous screw using dorsal approach. Through this small incision, may be fixed easily and safely while avoiding damage to blood supply surrounding soft tissue.

Fibrolipomatous hamartoma of nerves without macrodactyly is a rare lesion characterized by fibrofatty proliferation causing epineural and perineural fibrosis with fatty infiltration around the nerve bundles. We report an unusual case fibromatous ulnar digital thumb in 43-year-old woman. Magnetic resonance imaging revealed large fusiform mass along nerve. The findings were pathognomonic included coaxial cable-like appearance on axial sections spaghettilike coronal both T1- T2-weighted images;...

We report an unusual case of bilateral Galeazzi fractures associated with dislocation the right elbow and fracture scaphoid caused by a motorbike accident in 32-year-old man. Bilateral radiuses were fixed plates, was screw after closed reduction elbow. A satisfactory result obtained return to work no radiographic problems 7 years surgery. The mechanism injury thought be high-velocity fall on outstretched hands combined extreme pronation forearms extension wrists elbows. This had favorable...

Purpose: The second dorsal metacarpal (SDMC) perforator flap has been widely used for the soft tissue reconstruction of hand. However, it is difficult to identify depth and branches perforators artery (SDMA) using only handheld acoustic Doppler flowmetry (HADF), which most common method. purpose this study was compare results examination by color ultrasonography (CDU) with those HADF evaluate efficacy CDU detection be in design SDMC flap. Methods: Twenty-two healthy volunteers (42 hands)...

Abstract To elucidate whether nonsurgical treatment for Preiser disease is effective. Eight patients with (median age 59 [47–69] years ) underwent symptom-onset-to-treatment interval 8 [9–180] months). At presentation, 7 complained of constant pain and 1 motion-related pain. Pain restricted wrist range motion modified Mayo score [MMWS] 17.5 [range 10–30]). Radiography revealed stages to 3 (Herbert–Lanzetta classification). Median scapholunate angle was 62° (54°–75°), wrists suffering dorsal...