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At least 577 records · Page 32Linked to original sources
PubMed1988

Flexor tendon rupture associated with an anomalous muscle.

A rupture occurred in the substance of an apparently normal flexor digitorum profundus tendon of a left small finger. It was associated with a previously undescribed anomalous flexor digitorum superficialis of the brevis type to the same finger. Clinical reports of 20 anomalous flexor digitorum superficialis muscles were found in the literature; all but one were on the right side or bilateral and occurred predominantly in females. Three cases were of the brevis type and all involved the index finger. Although the precise reason for rupture is not known we have speculated that the anomalous superficialis may have given rise to a deficient vinculum longus to the profundus predisposing it to failure.

Adult↗
PubMed1990

A complication of the buried suture.

A buried suture used in the repair of the central slip of a digital extensor resulted in an erosive lesion of the proximal interphalangeal joint of the long finger. In a review of the literature I can find no other reports describing this unusual complication.

Adult↗
PubMed1987

Central slip tenotomy for chronic mallet finger deformity.

Twenty patients with chronic mallet finger deformity were treated with central slip tenotomy. Seventeen patients had normal passive motion at the distal joint preoperatively. In them the average extensor lag was 37 degrees before the operation and 9 degrees after the operation. The average recurvatum at the proximal interphalangeal (PIP) joint was 10 degrees before the operation; postoperatively the extensor lag was less than 2 degrees.

Female↗
PubMed1996

Bundle pattern of the flexor digitorum profundus tendon in zone II of the hand: a quantitative assessment of the size of a laceration.

Assessing the cross-sectional area of a partial laceration of a flexor digitorum profundus tendon based on its width, using magnification and calipers, is often inaccurate. As the threshold for repairing a partial laceration for most surgeons is the involvement of 50% of the tendon area, an accurate method of naked-eye evaluation to detect a 50% (or larger, or smaller) laceration was developed. This assessment is based on the size of the radial and ulnar bundles in the tendon. The relative area of the two bundles at four levels in zone II in the index, middle, ring, and small fingers was measured. In the index and small fingers, the ulnar bundle had a mean area consistently greater than and the radial bundle consistently less than 50% of the total tendon area. In the middle finger, the mean areas of both bundles were close to 50% of the total tendon area, but the radial bundle was reduced at the level of the proximal interphalangeal joint and distally. In the ring finger, both bundles remained close to 50% of the total tendon area at all levels. The bundles involved in a laceration can be easily identified with the naked eye; the data provided by this study may improve the accuracy of partial laceration size assessment.

Aged↗
PubMed2001

The flexor digitorum profundus "demi-tendon"--a new technique for passage of the flexor profundus tendon through the A4 pulley.

The flexor digitorum profundus (FDP) tendon may retract after avulsion or division in Zone 1. When treatment has been delayed, the oedematous tendon can be too swollen to pass freely through the A4 pulley. We present a new technique for dealing with this situation which depends on the "double-barrelled" nature of the distal part of the FDP tendon. One half of the tendon is excised longitudinally and the remaining "demi-tendon" is passed through the intact A4 pulley to allow tendon repair or re-attachment. This technique has been used in six cases in which passage of the FDP tendon through the A4 pulley would otherwise have been impossible.

Adult↗
PubMed1988

The holding technique for flexor tendon repair.

This paper introduces a technique for tendon holding during tendon repair. A segment of rubber glove is used to wrap severed tendon ends, is clamped at one side by a curved mosquito hemostat, and then is transfixed with a needle. All the items are readily available in any operating room or emergency room. The elasticity of the rubber loop provides steady holding power without doing damage to the outer surface of the tendon.

Finger Injuries↗
PubMed1999

[New methods of joint replacement in the hand yield better function and pain relief].

Arthroplasty of the hand has hitherto been performed with rather simple methods such as the interposition of soft tissue or silicone implants. Surface replacement techniques, both cemented and cementless, currently routine methods in orthopaedic surgery, are becoming more and more commonly used in hand surgery. The article consists in a review of old and new methods for the replacement of wrist and finger joints, and a report of the results of osseo-integrated titanium implants in metacarpophalangeal (MCP) and proximal interphalangeal (PIP) joints, and of short-term outcome of non-constrained implants in wrist and PIP joints.

Arthroplasty, Replacement↗
PubMed2000

Digital flexor sheath: repair and reconstruction of the annular pulleys and membranous sheath.

Rupture or transection of the digital pulley may necessitate repair or reconstruction to treat symptomatic flexor tendon bowstringing. When reconstruction is necessary, intrasynovial tendon grafts may provide superior gliding characteristics when compared with traditional extrasynovial tendon grafts. Lacerations of the membranous portion of the digital sheath and of noncritical annular pulleys usually do not require operative repair.

Biomechanical Phenomena↗
PubMed1990

Reverse vascular pedicle hypothenar island flap.

The vascular supply of the skin of the hypothenar region was investigated using 12 cadavers and 24 hands. The ramifications of the proper palmar digital artery of the little finger were also investigated by angiogram in 20 hands. It was found that it is possible to raise the hypothenar skin as an island flap, using the reverse vascular pedicle of the proper palmar digital artery of the little finger. We applied this island flap in three cases. With the result of these anatomical and radiological studies, the details of three cases are described.

Adult↗
PubMed1990

[Causalgia in neurologic expert assessment].

Rendering an expert opinion on causalgia, after having clear determined it as the disease, poses many problems to the examiner. One ought to make this diagnosis with its serious consequences only under the following conditions: --when it is a case of a mostly partial trauma of a nerve with considerable intermingling of sympathetic fibres; --when the pains have a burning and primarily superficial character; --when the pain appear soon (hours, mostly days or weeks, more rarely months afterward) after the trauma; --when the pains are accompanied by considerable vasovegetative symptoms (cold sweats, cyanosis, hyperhidrosis and others). Secondary algodystrophic changes (muscle, joints, bones, and skin) are to be considered. In quantitatively judging the effects, an over-evaluation, as well as an underevaluation, is to be avoided by all means. Therapeutic effects and spontaneous remission after six to twelve months are to be considered. An exemplary case, in which a deterioriation of the capacity to work from 20 to 100% (!) was assumed, showed the need for taking the personality structure of patient into consideration.

Adult↗