1/304. The use of magnetic resonance imaging in the diagnosis of triceps tendon ruptures.Triceps tendon rupture is a rare injury. Three cases are presented with a brief review of the literature. Additionally, the use of magnetic resonance imaging to facilitate the diagnosis of triceps tendon rupture is described for the first time in the English literature. Each of the three patients has done well with a Mersilene tape repair of the triceps tendon.- - - - - - - - - - ranking = 1keywords = injury (Clic here for more details about this article) |
2/304. Ultrasonic assistance in the diagnosis of hand flexor tendon injuries.In contrast to routine flexor tendon injuries, flexor tendon ruptures following blunt injury or re-ruptures following repair can be difficult to diagnose. The authors investigated the efficacy of using ultrasound to assist in the diagnosis. From 1996 to 1997, 8 patients underwent evaluation of the flexor tendons using an ATL HDI-3000 ultrasound machine with a high-resolution, 5 to 9-MHz hockey stick linear probe. Dynamic evaluation was performed in real time, simulating clinical symptoms. Six patients underwent surgical exploration. Sonographic diagnosis and intraoperative findings were correlated. Ultrasound was used to diagnose 3 patients with ruptured flexor digitorum profundus tendons. Mechanisms of injury included forceful extension, penetrating injury, and delayed rupture 3 weeks after tendon repair. Subsequent surgical exploration confirmed the ruptures and location of the stumps. Five patients had intact flexor tendons by ultrasound after forceful extension, penetrating injury, phalangeal fracture, crush injury, and unknown etiology. In 3 patients who underwent surgery for tenolysis, scar release, or arthrodesis, the flexor tendons were found to be intact, as predicted by ultrasound. The authors found ultrasound to be accurate in diagnosing the integrity of flexor tendons and in localizing the ruptured ends. They conclude that ultrasound is helpful in evaluating equivocal flexor tendon injuries.- - - - - - - - - - ranking = 5.0363656395526keywords = injury, hand (Clic here for more details about this article) |
3/304. Serratus fascia "sandwich" free-tissue transfer for complex dorsal hand and wrist avulsion injuries.The serratus anterior fascia was used as a free-tissue transfer in four patients for the reconstruction of dorsal hand defects. All patients had multiple open metacarpal fractures with extensor tendon injuries. The fascia was used to "sandwich" the extensor tendons in a bed of areolar gliding tissue to avoid adhesions. The mean follow-up was 2 years. There were no complications and all flaps survived completely. All flaps were grafted with meshed split-thickness skin at the time of transfer with a 100 percent take in all cases. A good functional result was noted in all patients. This free-tissue transfer is recommended for complex injuries to the dorsum of the hand associated with soft-tissue defects.- - - - - - - - - - ranking = 0.054548459328939keywords = hand (Clic here for more details about this article) |
4/304. Simultaneous ipsilateral avulsion of the extensor carpi radialis longus and brevis tendon insertions: case report and review of the literature.Avulsion injuries of the radial wrist extensors are rare. We present a case of simultaneous ipsilateral avulsion of the extensor carpi radialis longus and brevis tendons resulting from a fall on an outstretched upper extremity. At the time of surgery the tendons were found retracted and not attached to avulsion fragments. Both tendons were repaired with the aid of suture anchors within 24 hours of the injury. After surgery, the patient regained full function with some loss of grip and wrist extension strength.- - - - - - - - - - ranking = 1keywords = injury (Clic here for more details about this article) |
5/304. Secondary reconstruction of the extensor tendons and overlying soft tissue deficiency.Reverse-flow pedicled radial forearm tendocutaneous flap transfers were performed to reconstruct simultaneous skin and tendon defects in the dorsum of the hand in six patients. All flaps survived and four of six patients obtained good functional results. To obtain satisfactory functional outcome, early surgical repair is critical after trauma. The only disadvantage of this operation is unacceptable donor site morbidity.- - - - - - - - - - ranking = 0.0090914098881565keywords = hand (Clic here for more details about this article) |
6/304. bone resorption of the proximal phalanx after tendon pulley reconstruction.A 35-year-old male worker sustained a degloving injury of the left hand. An abdominal flap was used for skin coverage. Tenolysis and reconstruction of the A2 pulley was done using a procedure based on the 3-loop technique, which was modified by putting the tendon loop under the extensor apparatus and periosteum. X-ray revealed hourglass-shaped bone resorption around the proximal phalanx, just under the reconstructed pulley. Diaphyseal narrowing remained present in follow-up x-rays obtained 9 and 10 years later. The remodeling of the resorption was poor. Too much pressure may have caused this bone resorption from the shortened pulley and the circulatory deprivation may have been caused by the dissected periosteum and blocking by the surrounding tendon loop. The degloving injury, which also deprived the digits of a blood supply, may have been an additional underlying risk factor. We recommend that future comparative studies of pulley reconstruction take into account mechanical effectiveness as well as force distribution.- - - - - - - - - - ranking = 2.0090914098882keywords = injury, hand (Clic here for more details about this article) |
7/304. median nerve injury in an expert skier: a case report.A 20-year-old expert skier presented with sustained ulnar arterial, median nerve, and multiple flexor tendon injuries. Surgery was performed repairing the nerve, artery, and tendons, and in subsequent follow-up, the patient had an excellent postoperative result.- - - - - - - - - - ranking = 4keywords = injury (Clic here for more details about this article) |
8/304. Peroneus longus tendon rupture as a cause of chronic lateral ankle pain.rupture of the peroneus longus tendon with an associated fracture of the os peroneum is an uncommon injury, which may present as chronic lateral ankle instability. There have been only seven cases documented in the literature since 1966. A case of chronic peroneus longus tendon rupture with os peroneum fracture is presented. The authors review their clinical, radiographic, and operative treatment of this patient and review the literature of this unusual injury.- - - - - - - - - - ranking = 2keywords = injury (Clic here for more details about this article) |
9/304. Traumatic rupture of the tibialis posterior tendon after ankle fracture: a case report.Degenerative tears of the posterior tibial tendon associated with chronic disease are well documented in the literature. Traumatic ruptures of this tendon, however, are much less common and consequently have received little attention. An association has been shown between pronation-external rotation ankle fractures and tears of the tendons that cross the medial aspect of the ankle, most commonly the posterior tibial tendon. In the present case report, we share our unique experience of an open-ankle fracture associated with the traumatic rupture of the posterior tibial tendon. This injury illustrates that soft-tissue injury must always be suspected concomitantly in the treatment of certain fractures on the basis of both mechanism of injury and fracture pattern.- - - - - - - - - - ranking = 3keywords = injury (Clic here for more details about this article) |
10/304. Dorsocommissural flap.We present a case of dorsoradial skin loss over the middle phalanx of the middle finger with section of the central slip of the extensor tendon and loss of one lateral band following mechanical injury. Successful primary reconstruction of the central slip was performed by retrograde flap from the central slip of the extensor tendon tied with barb-wire over a padded button, splinted for 2 weeks with a K-wire, and skin cover with a dorsocommissural flap based on the second web space. Other reconstructive options are discussed.- - - - - - - - - - ranking = 1keywords = injury (Clic here for more details about this article) |
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