New inventions. Splintage of the hand during operation. December 25, 1948.
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Biomedical subjects
Publications and source records attributed to G R Fisk.
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The author reviews the anatomy of the transverse volar carpal ligament. The division of this ligament results in a decrease on the carpal concavity and the distance between the two crests can increase by 3 mm on the average.
The author emphasizes the sequelar displacement of the scaphoid which may follow reduction of perilunar dislocations. Horizontal tilting of the scaphoid with its proximal pole maintained in contact with the posterior rim of the radius, may be due scapholunate dissociation, and immobilization of the wrist in flexion after reduction. Surgical reduction should be accomplished through a dorsal route and may call for division of the posterior rim of the radius.
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A compression lesion of the distal part of the terminal motor branch of the ulnar nerve is presented. One similar case has been previously described (McDowell, 1977) but some unusual features are recorded here. The reported clinical varieties of lesions of the ulnar nerve in the hand are listed (Table 1).
The large assortment of wrist injuries ranging from carpal instability, sprains, horizontal scaphoid, radiocarpal disorders, to fractures, especially scaphoid bone fracture, are some of the most interesting of all challenges to modern orthopedic practice.
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