1/29. Irreducible palmar metacarpophalangeal joint dislocation due to junctura tendinum interposition: a case report and review of the literature.Three different anatomic structures have been reported to prevent reduction of a palmar dislocation of metacarpophalangeal joint: dorsal capsule, palmar plate, and a ruptured collateral ligament. In our case, extensor digitorum communis of the fifth finger and extensor digiti minimi subluxated on the ulnar side of the fifth metacarpal neck. Extensor digitorum communis of the fourth finger remained in its anatomic location. The junctura tendinum connecting the fourth and fifth extensor digitorum communis tendons slipped distal and then palmar to the metacarpal head, where it was trapped between the metacarpal neck and the base of the proximal phalanx. It was easily pulled out and the joint promptly reduced. Residual subluxation persisted due to rupture of the radial collateral ligament and the dorsal capsule. Repair restored joint reduction and stability. (J hand Surg 2000; 25A:166-172.- - - - - - - - - - ranking = 1keywords = palm (Clic here for more details about this article) |
2/29. The role of magnetic resonance imaging in late presentation of isolated injuries of the flexor digitorum profundus tendon in the finger.Four patients had magnetic resonance imaging (MRI) after a clinical diagnosis of a flexor digitorum profundus tendon rupture of the hand. The delay before presentation ranged from 1 to 5 weeks. Three patients had closed ruptures and one had a minor laceration which had healed. MRI showed proximal retraction of the profundus tendon to the palm in two patients and limited retraction in the other two. MRI provides important preoperative information for surgical decision-making and planning in patients who present late with closed flexor tendon injuries of the hand.- - - - - - - - - - ranking = 0.14285714285714keywords = palm (Clic here for more details about this article) |
3/29. Postfracture extensor pollicis longus tenosynovitis and tendon rupture: a scientific study and personal series.rupture of the extensor pollicis longus (EPL) tendon after a distal radius fracture is an uncommon event; the incidence is 3%,according to a review of treatment of 200 consecutive patients with Colles fractures. diagnosis is based on persistent dorsal wrist pain and a positive retroflexion sign. Recommended treatments in the prerupture setting include a third dorsal compartment release with or without an extensor retinacular patch graft. Also recommended are a palmaris longus graft in the acute rupture setting and a transfer from the extensor indicis proprius to the EPL tendon in the subacute or chronic setting. Results of all treatments seem to be clinically satisfactory.- - - - - - - - - - ranking = 0.14285714285714keywords = palm (Clic here for more details about this article) |
4/29. A case of rupture of the deep tendon of the third palmar interosseous muscle.The authors present a case of traumatic subcutaneous rupture of the deep tendon of the third palmar interosseous muscle. This injury is characterized primarily by the abduction of the little finger. Surgical fixation of the proximal loose end of the tendon to the base of the proximal phalanx yields excellent clinical and functional results.- - - - - - - - - - ranking = 0.71428571428571keywords = palm (Clic here for more details about this article) |
5/29. Irreducible dislocation of the interphalangeal joint of the thumb: a case report.A case of open irreducible dislocation of the interphalangeal joint of the thumb with interposed flexor pollicis longus tendon and palmar plate with sesamoid bone is described.- - - - - - - - - - ranking = 0.14285714285714keywords = palm (Clic here for more details about this article) |
6/29. The neglected rupture of deep transverse metacarpal ligament.The deep transverse metacarpal ligament (DTML) extends in radio-ulnar direction between the palmar plates of the metacarpophalangeal (MCP) joints of the second through fifth finger rays. On the radial aspect of the index and the ulnar aspect of the small fingers, the ligament merges with the collateral ligament of the MCP joints. The ligament has palmar grooves for the flexor tendons at the MCP joints and act as a support for the metacarpal arch. Closed DTML injury is an unusual case, but the physical findings of DTML injury are a decrease in grip strength, deviation of the finger in flexion and pain on the affected site of the hand. We have experienced a case of neglected DTML injury of left third interdigital space in a 23-year-old man.- - - - - - - - - - ranking = 0.28571428571429keywords = palm (Clic here for more details about this article) |
7/29. Irreducible volar subluxation of the metacarpophalangeal joint of the thumb.An unusual case of irreducible volar metacarpophalangeal (MCP) joint subluxation of the thumb is described. The tendon of the extensor pollicis longus (EPL) was trapped palmar to the metacarpal head and open reduction was necessary.- - - - - - - - - - ranking = 0.14285714285714keywords = palm (Clic here for more details about this article) |
8/29. Closed partial rupture of a common digital nerve in the palm: a case report.Nerve injuries in the upper extremity after trauma are common. Typically nerve damage is the result of traction, crush injury, ischemic insult, or direct laceration of the peripheral nerve. Examination of the literature shows that nerve damage in closed traumatic injury is much less common than in open trauma, especially when this standard is applied to closed nerve injuries distal to the wrist. We report a case of closed partial neurotomy of a common digital nerve.- - - - - - - - - - ranking = 0.57142857142857keywords = palm (Clic here for more details about this article) |
9/29. Attritional rupture of the flexor digitorum profundus tendon to the index finger caused by accessory carpal bone in the carpal tunnel: a case report.We describe a case of attritional rupture of a flexor digitorum profundus tendon to the right index finger in a 73-year-old man by an accessory carpal bone located on the palmar side of the capitate and triquetrum. The radial edge of the accessory carpal bone appeared to be the cause of the rupture. Excision of the accessory carpal bone, bridge tendon graft using the palmaris longus tendon, and early controlled mobilization after surgery led to a successful outcome.- - - - - - - - - - ranking = 0.28571428571429keywords = palm (Clic here for more details about this article) |
10/29. Irreducible palmar dislocation of the proximal interphalangeal joint of a finger evaluated by magnetic resonance imaging: a case report.The irreducible palmar dislocation of the proximal interphalangeal joint (PIPJ) of a finger is rare and central slip rupture with the interposition of the lateral band in the PIPJ is extremely rare. In our present case, magnetic resonance imaging (MRI) enabled a very effective and detailed evaluation of soft tissue damage.- - - - - - - - - - ranking = 0.71428571428571keywords = palm (Clic here for more details about this article) |
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