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Results for “Forearm Injuries”

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At least 253 records · Page 14Linked to original sources
PubMed1989

Treatment of skin and median nerve defects with peroneal neurofasciocutaneous flap.

A large neurofasciocutaneous flap that consisted of a peroneal flap and a segment of sural nerve was used in the simultaneous reconstruction of a large soft tissue and nerve defect caused by a crushing injury of the distal forearm. A 10 x 15 cm peroneal flap, including a 10 cm segment of sural nerve, was successfully transferred to an 8 x 12 cm skin defect, reconstructing a 5 cm defect of the median nerve. Two years after repair, the opponens pollicis muscle showed good contraction, although palmar abduction of the thumb remained poor. Static two-point discrimination was 20 mm on the pulp surface of both thumb and index finger and 15 mm on the middle finger.

Adult↗
PubMed1992

Clinical analysis and evaluation of the function of replanted and revascularized parts of the upper limb.

During the past four years, we have attempted to replant and revascularize 57 hands and fingers in 43 patients. The total success rate was 81%. Replantation of hands severed cleanly (guillotine type) and those with slight local crush injuries had the highest success rate. As for hand function, amputations at zones III and IV with end-to-end suturing of the tendons and nerves presented the highest degree of function when evaluated objectively and subjectively. All patients presented a high degree of satisfaction with the outcome of the operation.

Adolescent↗
PubMed1984

The pronator quadratus muscle flap.

Traumatic injuries to the distal forearm present a challenging problem for soft tissue coverage. There is a need for a local flap to provide a vascularized soft tissue bed. This article demonstrates the anatomic basis that enables the pronator quadratus muscle potentially to fulfill these needs.

Adult↗
PubMedDate not supplied

Krukenberg kineplasty: a case study.

Functional independence has always been one of the most important goals in hand therapy. Following below-elbow amputation, this goal is often achieved by means of a prosthetic device. Unfortunately, there are rare instances in which an individual possesses an additional debilitating injury, such as blindness, that may preclude the use of a prosthetic device. Few hand therapists or surgeons actually have the opportunity to treat this type of patient. The purpose of this case study is to report the surgical methods, assessment techniques, and therapy guidelines for a 13-year-old male patient who suffered a below-elbow amputation of the left upper extremity and loss of vision after stepping on a land mine in his native country, Nicaragua.

Adolescent↗
PubMed2006

Split flexor carpi ulnaris transfer: a new functioning free muscle transfer with independent dual function.

BACKGROUND: A functioning free muscle transfer is a well-established modality of restoring upper limb function in patients with significant functional deficits. Splitting the neuromuscular compartments of the free muscle based on its intramuscular neural anatomy and using each compartment for a different function would allow for restoration of two functions instead of one at the new distant site. METHODS: The authors previously reported on the clinical use of a pedicled split flexor carpi ulnaris muscle transfer. They now report the use of this muscle as a functioning free split muscle transfer to restore independent thumb and finger extension in a patient with total extensor compartment muscle loss in the forearm and a concomitant high radial nerve avulsion injury. RESULTS: Nine months postoperatively, the patient was able to extend his thumb and fingers independent of each other. CONCLUSION: This is the first report of a functioning free split muscle transfer demonstrating two independent functions in the upper limb.

Accidents, Occupational↗
PubMed2004

Free adipofascial flap interposition for pediatric posttraumatic forearm synostosis with closed head injury.

A case report is presented of a 12-year-old male after a motor vehicle accident: head injury and multiple fractures, including bilateral both bone forearm fractures. The patient developed bilateral extensive forearm synostosis that required release and interpositional free flap at 6 months postinjury. At 3-year follow-up, the patient has maintained full forearm rotation and reports unrestricted sports and other recreational activities.

Child↗