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Biomedical subjects

Y Allieu

Publications and source records attributed to Y Allieu.

At least 73 records · Page 4Linked to original sources
PubMed1990

[Subcutaneous avulsion of the flexor digitorum profundus and flexor digitorum superficialis tendons of the ring and little fingers caused by blast injury].

The authors report a case of subcutaneous avulsion of flexor profundus and flexor superficialis tendons of the ring and little finger, caused by a blast injury. Treatment consisted of excision of the flexor superficialis tendon with transosseous reinsertion of the flexor profundus tendon. The functional result was good. Subcutaneous traumatic rupture of flexor tendons occurs infrequently, but simultaneous rupture of both flexor tendons is extremely rare. Knowledge of the subject is limited and treatment of this disorder is poorly defined.

Adult↗
PubMed1990

[Long-term results of the Swanson implant for the treatment of basal joint arthrosis].

The authors present a review of Swanson's trapezium implants used in the surgical treatment of arthrosis of the basal joint of the thumb. 32 patients operated between 1970 and 1979 were invited to consultation, and 22 were examined again after an average period of 9.8 years. The clinical findings seemed to be good, with satisfactory subjective results in 95 per cent of all cases. On the contrary, radiographs showed 50 per cent of luxations and subluxations, and implant wear in 70 per cent of cases, increasing with time. In 39 per cent of cases, intracarpal cavities secondary to an adverse reaction to the silicon implant were noted. However, no second operation was needed. In spite of the good clinical results, the authors reserve Swanson's implants, considering the radiological findings, to subjects older than 65 years, because of the risks of long-term intolerance. Trapezectomy seems to be preferable in younger patients.

Female↗
PubMed1990

[Juvenile aponeurotic fibroma (Keasbey tumor) with metastatic course. Apropos of a case].

Juvenile aponeurotic fibroma, isolated in 1953 by Louisa Keasbey is a rare tumour which is characterized by its recurrence and infiltration, but which has no tendency to metastasis. The case we report differs in its long-term outcome. The tumour diagnosed in a seven-year-old child has recurred locally for seven years, necessitated hand amputation, and finally developed a fibroblastic process extending to lung and pleura which caused the child's death. This new finding in Keasbey's disease led us to reconsider the nosological situation in juvenile fibromatoses and its reputation for benignity.

Child, Preschool↗
PubMed1989

A double nidus osteoid osteoma in a finger.

The diagnosis of an osteoid osteoma in the proximal phalanx of the right index finger was suggested by the patient's history and the initial radiographs. The diagnosis was histologically confirmed postoperatively. One year later, however, persistent symptoms and typical radiographic findings, again suggested the presence of an osteoid osteoma. Subsequent en bloc resection of the second nidus, which was again histologically confirmed as an osteoid osteoma, was followed by complete resolution of the symptoms. The definitive diagnosis of a double-nidus osteoid osteoma was suggested after careful analysis of the initial radiographs demonstrated the existence of two distinct intracortical nidi.

Child↗
PubMed1989

[Juvenile aponeurotic fibroma (Keasbey's tumor) with metastatic progression. Apropos of a case].

The juvenile aponeurotic fibroma, isolated in 1953 by Louisa Keasbey is a rare tumour which is characterized by its recurrence and infiltration, but which has no tendency to metastasis. The case we report differs in its long-term outcome. The tumour diagnosed in a seven-year-old child has recurred locally for seven years, necessitated hand amputation, and finally developed a fibroblastic process extending to lung and pleura which caused the child's death. After this new finding in Keasbey's disease, we are led to reconsider the nosological situation in juvenile fibromatoses and its character of benign disease.

Adolescent↗
PubMed1989

[Blast injuries of the 1st commissure].

Explosions are responsible for severe hand injuries. Due to their extremely important functional role, lesions of the thumb and first commissure must be identified separately during assessment of the lesions. No classification of these injuries has been proposed since the one defined by Mac Gregor and Jackson. Based on their experience of 11 injuries, the authors propose a classification divided into four stages of increasing severity. In the emergency situation, the severe forms with disruption of the blood supply have a very poor prognosis. In the other forms, the degree of opening of the first commissure is of fundamental importance. Secondarily, the functional prognosis of the hand is dominated by retraction of the first commissure, ankylosis of the trapezo-metacarpal joint or its preservation during amputations.

Adolescent↗
PubMed1989

Post-operative Doppler evaluation of 48 arterial reconstructions at the wrist.

C. W. Doppler ultrasound was used for the assessment and follow-up of 35 ulnar or radial arteries, repaired in emergency, and 13 secondarily repaired arteries, after traumatic section. Doppler examination appeared to be more sensitive than Allen test, because it can distinguish, among non functional arteries, those with or without Doppler signal. Moreover, when a Doppler signal is present, the compression test of the other artery can increase or not this signal. Thus, Doppler examination gives an help for surgical decision.

Adolescent↗
PubMed1989

[Long-term results of surgical synovectomies of the rheumatoid wrist. Apropos of 60 cases].

Sixty rheumatoid wrists operated on for tendon articular synovectomies and resection of the ulnar head have been reviewed with an average follow-up of 5 years and 4 months. One-third of these patients who presented an average follow-up of 8 years and 8 months have been isolated for the radio-clinical analysis. The results on pain are good (78 per cent of patients are painless at 5 years and 67 per cent at 8 years); 80 per cent present no recurrence of tenosynovitis, and 75 per cent show a functional improvement. The study of mobility sectors shows a loss of 28 per cent on the sagittal plane and 21 per cent on the frontal plane at 5 years, which increases respectively at 33 per cent and 41 per cent at 8 years, with however a sector of useful mobility preserved. The prehension strength decreases but the parameter must take into account the polyarticular evolution of the disease. If long-term results are clinically satisfactory, isolated synovectomy does not prevent radiological aggravation which is due to the evolution of the disease. This is the reason why, prevently, intracarpal arthrodeses or tendon transfers must also be performed, when there are signs of instability or partial wrist destructions.

Activities of Daily Living↗
PubMed1988

Juvenile fibromatosis resembling aponeurotic fibroma and congenital multiple fibromatosis. One case with pleuropulmonary involvement.

This article deals with a young school boy born in 1971 with a tumor in the palm of his right hand. We have considered this a juvenile aponeurotic fibroma. This tumor has recurred several times, leading to unavoidable amputation of the right wrist and hand. Seven years after the initial diagnosis, the axillary area became involved, then the pleura and lung. Such an unusual process leads to reconsidering the diagnosis and to regard this case as an intermediate form between Keasbey's juvenile aponeurotic fibroma and generalized fibromatosis.

Child↗
PubMed1988

[Cervical peridural selective sensitive anesthesia in surgery and rehabilitation of the hand].

Active patient participation in the operative and postoperative programme is very important for tenolysis, tendon grafts and joint releases. Different anesthesic means can be used to perform selective sensitive analgesia. Cervical epidural anesthesia was used for fifteen cases of hand surgery. The technique is described, the results are analyzed. Indications and use of cervical epidural anesthesia for hand surgery are discussed.

Adult↗
PubMed1988

[Osteoid osteoma of the hand. Apropos of 46 cases].

On the basis of a multicentre study, 46 cases of osteoid osteoma of the hand were reviewed on behalf of the GETO. The phalangeal localization is unusual both clinically (segmental digital hypertrophy, pseudo-hippocratism), radiologically (cortical hypertrophy with poorly or non-visible nidus) and therapeutically. The preoperative diagnosis is difficult, but must be as precise as possible in order to select the site of incision and to accurately resect the nidus. Treatment must consist of block resection of the lesion followed, when necessary, by autologous bone graft with arthrodesis of an adjacent joint.

Adolescent↗
PubMed1988

Traumatic dislocation of the trapezio-metacarpal joint.

Fifteen cases of trapezio-metacarpal dislocations are reported. The authors recommend a surgical procedure which, alone, allows a reduction and a stabilisation in the right place of this joint. This stabilisation is ensured by a dorsal ligament reconstruction, which allows an elastic stability of the first metacarpal. An anatomical study proved the worth of the dorsal ligamentous apparatus, the lesion of which enables the dorso-radial dislocation of the first metacarpal. These lesions were found as much in the course of cadavers experimentation as in the course of clinical experience. The follow-up of the authors cases confirms the value of the surgical procedure and the superiority of their technique as opposed to others ligamentous reconstructions. This dorsal approach, easy to perform, ensures in a trice the "resting position" of the thumb and the articular congruity. At last, it protects a good stability without perturbing the normal laxity of this joint.

Adolescent↗