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Results for “Forearm Injuries”

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At least 199 records · Page 11Linked to original sources
PubMed1984

Microvascular reconstruction for close-range gunshot injuries to the distal forearm.

Three patients with compound defects in the distal forearm resulting from close-range gunshot injuries were treated with a free microvascular composite groin flap. The composite flap, which consisted of groin skin, the iliac crest, and abdominal muscles, was used to cover the exposed nerves, tendons, and vessels in one stage. The iliac crest replaced the segmental radial and ulnar defects, and the attached muscles were placed deep to the tendons to provide a gliding surface and to prevent adhesions to the bone. "Sandwiching" the damaged nerves and tendons between highly vascular soft tissue has the potential to improve tendon excursion, nerve regeneration, and ultimately the functional result in the hand. This microvascular reconstruction is presented as an alternative to conventional staged skin flap transfer and cancellous bone grafting.

Adult↗
PubMed1990

[Fresh nerve and vascular injuries of the forearm and hand (management, results and problems)].

Lacerations of arteries and nerves not only result in motor and sensory deficiencies. Trophic changes occur as well, more frequently after nerve injuries than after vascular injuries. The major progress in their treatment consists in primary repair of the injured structures in order to keep their loss of function as brief and as minimal as possible. Although the results after nerve laceration are still far from being ideal, there are strong indications that an improvement can be obtained with this treatment strategy. Alternatives to primary repair are discussed.

Female↗
PubMed1997

Ulnar nerve injury following midshaft forearm fractures in children.

We report three cases of ulnar nerve deficit in children following closed fractures of the forearm bones. Significant anterior angulation and displacement of the ulna was noted in all patients. Two patients were operated on at a later stage when no evidence of recovery was demonstrated; the ulnar nerve was found to be embedded in dense scar tissue. One patient was operated on at the time of injury; entrapment of the nerve on the anterior spike and partial transection was found. Early exploration is indicated in such cases and may result in full recovery.

Adolescent↗
PubMed1990

[Fresh extensor tendon injuries of the forearm and hand (management, results and problems)].

1944 patients with 2418 lacerations of extensor tendons in the hand were treated since 1966. Follow up study was possible in 1031 (53%) patients. The discussion about the best method to evaluate the results of treatment lead to a better scheme for critical examination. The preoperative status was taken into consideration as well as the subjective meaning and brought into harmony with the objective results.

Finger Injuries↗
PubMed1992

Subclinical injuries in lacerations to the forearm and hand.

This report describes the incidence and severity of subclinical injuries to underlying structures in lacerations to the hand and forearm. One hundred consecutive hand and forearm lacerations that penetrated the full thickness of subcutaneous tissue were studied prospectively. Lacerations were explored under either biceps or forearm tourniquets. Injuries, treatment, tourniquet time, causative agent and complications were recorded. In all, 97 patients sustained 100 lacerations. A total of 49 deep injuries were discovered, none of which was detected clinically before exploration. Of these, 33 were tendon lacerations; 21 tendons, including three flexor tendons, were repaired. Nineteen patients required treatment in a volar slab for at least 3 weeks. Five patients of 49 returning for review developed wound infection. No patient developed significant problems related to the tourniquet, which was inflated for a mean time of 4.9 min. There is a high incidence of subclinical injury in full-thickness lacerations of the forearm and hand. These should be explored under tourniquet, which should minimize complications such as wound infection and delayed tendon rupture.

Forearm↗
PubMed2005

Does radial artery harvesting for coronary revascularization cause neurological injury in the forearm and hand?

OBJECTIVE: Radial artery (RA) is now used widely as a conduit of choice in coronary artery bypass grafting. Although RA removal is considered safe in the presence of adequate collateral arterial supply, there is still a considerable suspicion on the functional status of the forearm and hand. However, a neurological dysfunction may occur owing to either surgical trauma or ischemic neuropathy. This study was aimed to investigate the functional outcome of the donor forearm nerves of the patients who underwent coronary artery bypass grafting surgery with RA conduits. METHODS: A consecutive series of 50 patients who underwent coronary artery bypass graft surgery with one or two RA grafts were investigated in the study. Motor and sensory functions of donor forearm nerves were measured by ENMG studies, pre- and postoperatively at the third week and sixth month of the operation. The conduction velocities, distal latencies and amplitudes of action potentials for motor and sensorial conductions of radial, ulnar and median nerves were measured in each ENMG examination. Neurologic status of the donor forearm and hand was assessed by the same neurologist who performed a detailed neurologic physical examination and ENMG studies. Results were statistically compared using one-way ANOVA test. RESULTS: The incidence of any neurologic symptoms was 32% in early postoperative period. All reported neurologic complaints were associated with sensory conduction deceleration in ENMG investigations of related nerves. In postoperative assessment, median nerve sensory-motor, and ulnar nerve motor conduction records were slightly lower than the preoperative values, but no statistical difference was observed. Pre- and postoperative radial nerve motor and sensory conduction records were statistically similar (P>0.05). CONCLUSIONS: We advocate that removal of RA does not lead to any major neurologic hand complications in the presence of adequate collateral arterial blood supply. ENMG studies confirmed minimal conduction alterations with no statistical significance, even if neurologic symptoms were stated.

Action Potentials↗