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Biomedical subjects

A J Huffstadt

Publications and source records attributed to A J Huffstadt.

At least 19 recordsLinked to original sources

Carpal tunnel release; postoperative care.

By demonstrating slight bowstringing of the flexor tendons, computer tomography can explain any weakness of grip. A strong plea for adequate immobilization (three to six weeks) after carpal tunnel release is made.

Bandages↗

Microsurgery.

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Education, Medical, Continuing↗

Anatomical relations in the carpal tunnel: a computed tomographic study.

Computed tomography of the carpal tunnel was performed in the hands of both patients and controls in a neutral position, in flexion and in extension. The median nerve was not compressed between the long flexors and the flexor retinaculum in either flexion or extension of the wrist. In flexion, the nerve usually moved dorsally, away from the flexor retinaculum. No difference could be found between the cross-sectional area of the carpal tunnel between patients and controls.

Adult↗

Intraosseous ganglia.

A case report of a fifty eight year old lady with symmetrical cystic lesions in the bases of the metacarpal bones of both thumbs. The histology showed an intraosseous ganglion which has not previously been reported in this location.

Female↗

Polydactyly--bifid thumb.

The case of a five year old girl with a bifid thumb is presented. The radial thumb showed opposition function at the metacarpal but the phalanges were crooked and stiff. The ulnar thumb could flex and extend actively. The treatment consisted of amputation of the crooked phalanges of the radial thumb and transfer of the ulnar thumb on its neurovascular bundles to the first ray to provide extension, flexion and opposition. The final functional result is nearly normal.

Child, Preschool↗

Excision of the ulnar head in patients with rheumatoid arthritis.

In 40 patients with rheumatoid arthritis 43 operations for excision of the ulnar head were performed. A follow-up study was performed after 35 months. In 38 patients wrist pain had disappeared completely or almost completely. The function in use, supination and pronation of the wrists, and wrist strength had all much improved. The stability of the radiocarpal joint was good after operation. Only minor complications were seen.

Adult↗

Arterial patterns in the hand and pollicisation.

The arterial pattern of the human hand shows remarkable variations in so called normal individuals. In patients with congenital deformities of the hand there are also be variations based on embryonic disturbances. Therefore, the total pattern is complex. Successful transfer of fingers depends on an adequate blood supply. In some individuals there are variations in the patterns of blood supply which make a finger transfer more risky. Modern angiography makes the study of the arterial patterns of the hand possible. The authors state that angiography is essential in the pre-operative examination of a candidate for finger transfer. Three case histories illustrate this statement.

Angiography↗