1/18. 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 = 1keywords = palm (Clic here for more details about this article) |
2/18. 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 = 1keywords = palm (Clic here for more details about this article) |
3/18. 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 = 4keywords = palm (Clic here for more details about this article) |
4/18. myoclonus of peripheral origin: case secondary to a digital nerve lesion.We present a patient with myoclonus of the left hand appearing 1 month after surgical correction of a stenosing tenosynovitis of the thumb. An extensive fibrosis of the external palmar digital nerve was shown, and the successful liberation of this median nerve terminal branch completely and rapidly eliminated the movement disorder.- - - - - - - - - - ranking = 1keywords = palm (Clic here for more details about this article) |
5/18. Cavernous haemangioma in the hand mimicking subacute tenosynovitis.A case of cavernous haemangioma arising from the superficial palmar arch is described. The initial symptoms were those of a subacute tenosynovitis. Surgical exploration showed that the tumor was not affecting the flexor tendons. It was completely resected and the patient had full recovery of hand function.- - - - - - - - - - ranking = 1keywords = palm (Clic here for more details about this article) |
6/18. 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 = 1keywords = palm (Clic here for more details about this article) |
7/18. A palmar plaque and flexor tenosynovitis in a patient with sarcoidosis.Involvement of the soft tissues of the hand by sarcoidosis is rare. We report a patient with sarcoidosis who presented with a large subcutaneous plaque of the palm and flexor tenosynovitis of the middle finger.- - - - - - - - - - ranking = 5keywords = palm (Clic here for more details about this article) |
8/18. Gouty flexor tenosynovitis of the digits: report of three cases.Gouty tenosynovitis in the hand is a rare entity. To date the limited cases described have involved predominantly extensor tendons in the fingers and flexor tendons in the palm or wrist. Flexor tendon involvement is less common and has been reported only twice to our knowledge distal to the palm. We report 3 cases of extra-articular gout presenting as tophaceous involvement of flexor tendons in the fingers. All cases were treated surgically. These cases are presented to heighten awareness of this rare entity and to provide a setting for a discussion of management.- - - - - - - - - - ranking = 2keywords = palm (Clic here for more details about this article) |
9/18. tenosynovitis caused by mycobacterium kansasii associated with a dog bite.A 68-year-old man with adult-onset diabetes mellitus suffered an accidental puncture wound to the palm of his hand while playing with his pet dog. He received cephalosporin prophylaxis for 1 week. No inflammation occurred. Six months later, a mass developed near his elbow. It was removed. Histopathology revealed granulomas containing acid-fast bacilli (AFB). No culture was done. Swelling and decreased motion of the wrist and fingers developed. magnetic resonance imaging revealed inflammation of the flexor compartment of the hand, wrist, and forearm. Surgical incision and drainage yielded purulent material, granulomatous inflammation, with AFB. Cultures yielded mycobacterium kansasii. Several surgical procedures were required; M kansasii was recovered. He received isoniazid and rifampin for 1 year and prolonged rehabilitation. After 4 years, he was relatively asymptomatic, with good function of wrist and fingers. We believe this to be the first report of tenosynovitis caused by M kansasii in association with a dog bite.- - - - - - - - - - ranking = 1keywords = palm (Clic here for more details about this article) |
10/18. Case of trigger finger related to an intertendinous connection between the flexor tendons.We report a rare cause of trigger finger related to an anatomical variation of an intertendinous connection between the flexor digitorum superficialis and flexor digitorum profundus tendons in the palmar region.- - - - - - - - - - ranking = 1keywords = palm (Clic here for more details about this article) |
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