1/98. Isolated tenosynovitis associated with psoriasis triggered by physical injury.A 60-year-old man who had been suffering from psoriasis for 20 years developed finger dactylitis and inflammatory swelling with pitting edema over the dorsum of the hand one week after a contusive trauma to the left hand. These were not followed by any other clinical manifestations of PsA.- - - - - - - - - - ranking = 1keywords = hand, injury (Clic here for more details about this article) |
2/98. Flexor tenosynovitis in the hand caused by mycobacterium terrae.The authors describe an uncommon case of flexor tenosynovitis caused by mycobacterium terrae, an atypical mycobacterium generally considered nonpathogenic in humans. A prolonged delay in diagnosis and various ineffective therapies led to synovial biopsy and culture. After confirming the diagnosis of M. terrae, appropriate antimycobacterial chemotherapy resolved the synovitis. For chronic tenosynovitis without a clear etiology, limited synovectomy and culture are essential in establishing a diagnosis and in initiating treatment for this atypical mycobacterial infection.- - - - - - - - - - ranking = 1.838608480631keywords = hand (Clic here for more details about this article) |
3/98. Save that arm: a study of problems in the remaining arm of unilateral upper limb amputees.A study has been made by questionnaire, personal examination and telephone interview of unilateral upper limb amputees seen at the Prince Henry Hospital, australia between 1994 and 1997. There were 60 questionnaires posted. Replies were received from 46. Problems were noted in the remaining arm of 23 (50%). The respondents' problems not only consisted of overuse symptoms, but also of an exacerbation of pre-existing arthritis and injury due to trauma to the remaining arm during the accident. Case histories are given in 3 typical cases. Treating professionals are warned about the hazards that one arm amputations present to the remaining arm.- - - - - - - - - - ranking = 0.020173939921122keywords = injury (Clic here for more details about this article) |
4/98. Distal extremity swelling with pitting edema in psoriatic arthritis: evidence of 2 pathological mechanisms.Distal extremity swelling with pitting edema due to altered lymphatic drainage has been reported in some patients with psoriatic arthritis (PsA). The edema usually affected the upper limbs in an asymmetric pattern and was resistant to therapy. We describe 2 additional cases. The distal swelling and pitting edema responded promptly and completely to corticosteroids in the first patient but persisted in the second. lymphoscintigraphy and magnetic resonance imaging (MRI) revealed a predominant tenosynovitis in the hand without lymphedema in the first patient, and impaired lymphatic drainage without tenosynovial sheath involvement in the second. We conclude that 2 different mechanisms, characterized by a different response to therapy, may be associated with the same clinical picture of distal swelling with pitting edema in patients with psoriatic arthritis. lymphoscintigraphy and MRI are useful in defining the structures involved and in predicting the prognosis.- - - - - - - - - - ranking = 0.45965212015776keywords = hand (Clic here for more details about this article) |
5/98. Sesamoiditis of the index finger presenting as acute suppurative flexor tenosynovitis.Sesamoiditis involving the hand is uncommon, usually reported in the thumb, and has not been reported in the index finger. As rare as this clinical entity remains, its presentation simulating an acute suppurative flexor tenosynovitis is even more rare. We report a patient who presented with Kanavel's 4 cardinal signs of acute suppurative tenosynovitis who was subsequently found to have an acute sesamoiditis of the index finger. This finding was supplemented by a cadaveric and radiographic study to better delineate the anatomy of the index sesamoid and further explain the clinical presentation.- - - - - - - - - - ranking = 0.45965212015776keywords = hand (Clic here for more details about this article) |
6/98. Infections of the hand.In this paper the importance is stressed of the dangers associated with neglecting hand infections in Paua new guinea, where, for understandable reasons, there is a tendency for people to be slow in seeking treatment. The prevention of hand infections is emphasised, and the principles in regard to rest, antibiotic therapy, and surgical decompression are discussed. The more common types of hand infection are described, with particular reference to surgical anatomy and surgical drainage. Some of the more complicated infections such as middle palmar and thenar space infections, suppurative tenosynovitis, osteomyelitis and septic arthritis are of sufficient importance to warrant the attentions of the specialist surgeon when this is possible.- - - - - - - - - - ranking = 3.2175648411043keywords = hand (Clic here for more details about this article) |
7/98. Isolated tuberculous tenosynovitis of the flexor tendon of the fourth finger of the hand. Case report.A 21-year-old woman presented with a painful swelling of her palm which prevented her from fully extending her fourth finger. magnetic resonance imaging showed synovial thickening around the flexor tendon and fluid in the tendon sheath. The mass was excised and histopathological examination showed tuberculosis. She had a six-month course of antituberculous treatment and was perfectly well three years later.- - - - - - - - - - ranking = 1.838608480631keywords = hand (Clic here for more details about this article) |
8/98. mycobacterium intracellulare as a cause of a recurrent granulomatous tenosynovitis of the hand.We report a case of recurrent granulomatous tenosynovitis with M. intracellulare in a 55-year-old hiv negative diabetic woman. Identification of the causative agent further than belonging to the M. avium-intracellulare complex is provided by specific PCR-amplification of genomic dna and sequencing of an hypervariable region within its 16S rna gene. Sixteen months antibiotic regimen of rifabutin and clarithromycin led to a complete resolution of the tenosynovitis.- - - - - - - - - - ranking = 1.838608480631keywords = hand (Clic here for more details about this article) |
9/98. The distally based radial forearm fascia-fat flap for treatment of recurrent de Quervain's tendonitis.A radial fascial flap has been described as a valuable and versatile option to provide appropriate tissue coverage of tendons, nerves, and soft tissues in the forearm and hand. We report the use of this distally based radial forearm fascia-fat flap to create a fascial tube to treat recurrent de Quervain's tendonitis.- - - - - - - - - - ranking = 0.45965212015776keywords = hand (Clic here for more details about this article) |
10/98. Aggressive keloid scarring of the Caucasian wrist and palm.keloid scarring of the distal upper extremity is very rare. We report a Caucasian woman who presented with aggressive keloids of the hand and wrist causing De Quervain's syndrome, superficial radial-nerve entrapment and ulnar-nerve compression at the wrist. Multiple operations were required to alleviate her symptoms. A number of management conundrums arose, requiring defensive planning to pre-empt the possible complications of recurrent keloid scarring as a result of the surgical procedures.- - - - - - - - - - ranking = 0.45965212015776keywords = hand (Clic here for more details about this article) |
| | Next -> |