Search PubMed⌕ Search

Biomedical subjects

R Vilain

Publications and source records attributed to R Vilain.

At least 55 records · Page 3Linked to original sources
PubMed1982

[Carpal tunnel syndrome. Cosmetic incision (author's transl)].

The median nerve compressed in the carpal tunnel can be released by an incision in the "line of life", a natural fold along the axis of the third metacarpal bone. By sectioning the carpal tunnel in the palm of the hand, on the cubital side of the median nerve, division of the external branch and of the sensory cutaneous rami of the nerve can be avoided. Hypertrophic scars are prevented. The part of the carpal tunnel situated in the forearm can be freed by a subcutaneous incision if needed, but compression at that level is much less frequent than in the palm of the hand.

Carpal Tunnel Syndrome↗
PubMed1982

Acute septic arthritis of the fingers. A clinical study of 87 cases.

The authors analyse a clinical series of 87 operated cases of acute septic arthritis of the fingers. Arthritis followed either a direct neglected punctiform inoculation or an adjacent infection (subcutaneous felon), or a serious open wound having received emergency surgery. During surgery a careful assessment was made of the extent of the infection, indicating the condition of the cartilage and that of the articular and periarticular soft tissues. Treatment was either conservative (surgical drainage, synovectomy and closure) or non-conservative (arthrodesis, articular resection or even amputation). The short term results were evaluated on recovery from infection and the long term results (after six months) on the joint function. There is a correlation between the causative factor, the pathology and the prognosis: direct punctiform inoculations operated upon at an early stage and simple joint wounds did not have a regional infection; in all other cases there was one. Conservative treatment was limited to those patients with no regional infection. In these cases, a localized abnormal aspect of the cartilage did not prove to be irreversible. Thus the prognosis was good only in cases of direct punctiform inoculations operated upon at an early stage. In the other cases, either the conservative treatment failed, or a non-conservative treatment was decided upon immediately. Severe joint infection leads to residual lack of motion, and the destruction of the articular surfaces may induce the surgeon to perform an arthrodesis. In the early stages of arthritis, surgical attempts have been made at controlling the infection and preserving articular motion (1, 2). The few works published on that matter deal with larger limb joints. In this paper we present a series of 87 cases of acute septic arthritis of the fingers.

Acute Disease↗