Osteoarthritis of the distal interphalangeal joint.
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Biomedical subjects
Publications and source records attributed to R S Idler.
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A free digital fillet flap was used to achieve soft tissue coverage of the ulnar border of the hand in a 38 year old man with an industrial fan blade injury to the dominant hand. The use of a digital fillet flap from an unsalvageable ring finger allowed for a one-stage procedure avoiding donor site morbidity or need for additional reconstructive surgery.
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A case is described in which an anomalous insertion of the flexor pollicis longus tendon into the region of the carpal tunnel caused limited active flexion of the thumb in a child. This is the first reported case of this anomaly in which an apparent familial relationship has been noted, and the first reported case in the Caucasian race. Two similar cases in Japanese have been described. Abnormal insertion of a portion of the flexor pollicis longus must be included in the differential diagnosis of inadequate thumb flexion.
Central ray resection, without bony transposition, was performed in 13 patients. Closure of the defect created by the ray resection was accomplished by the approximation of the adjacent metacarpals, with reconstruction of the deep transverse metacarpal ligament and dorsal dermadesis. Esthetic and functional results were satisfactory in all but one patient. The average length of follow-up was 43 months. No late scissoring or malrotation occurred in this series.