Cases reported "Arm Injuries"

Filter by keywords:



Filtering documents. Please wait...

1/5. Bilateral high upper limb replantation in a child.

    Bilateral high amputation of upper limbs in a child is a very unusual injury. In the present case, although the amputation was high and significant avulsion was present, the age of the child (6 years) made the case both challenging and encouraging--challenging because of the anticipated systemic effects of reperfusion, and encouraging because the long-term prognosis is always more encouraging in a child.
- - - - - - - - - -
ranking = 1
keywords = prognosis
(Clic here for more details about this article)

2/5. Acute compartment syndrome of the upper arm: a report of 2 cases.

    compartment syndromes of the upper arm are rare clinical entities but can be a serious problem, especially in unconscious patients or those presenting with altered mental status. A high index of suspicion is needed to make an accurate diagnosis. Measuring compartment pressures is helpful, but the role of pressure measurement in the diagnosis and treatment may be secondary to the clinical examination. In patients presenting without histories of trauma, who have sustained long periods of immobilization, a suspicion of a crush syndrome should also be included during the workup of a compartment syndrome. Fasciotomy and debridement of necrotic and nonviable tissue are the treatments of choice for a patient with a compartment syndrome, but initiating medical management and providing medical stability for systemic complications resulting from a crush syndrome may be necessary prior to surgical intervention to prevent organ failure and death. overall, prognosis is improved by early diagnosis and treatment.
- - - - - - - - - -
ranking = 1
keywords = prognosis
(Clic here for more details about this article)

3/5. Vascularized ulnar nerve graft.

    ABSTRACT: The purpose of this article is to describe the indications, anatomy, and harvesting technique of vascularized ulnar nerve graft based on the superior ulnar collateral artery (SUCA) for reconstruction of upper extremity function. The ulnar nerve has an extrinsic blood supply consisting of multiple dominant systems: the SUCA, the inferior ulnar collateral artery, the posterior ulnar recurrent artery, and the ulnar artery. The entire length of the ulnar nerve can survive based on the SUCA and its venae comitantes. The vascularized ulnar nerve graft is used when there is a hopeless prognosis for ulnar nerve repair. This technique may be selected if there is a definite evidence of preganglionic injuries of the C8 and T1 roots in brachial plexus injuries. This technique can be recommended for reconstruction of a large defect of the median or radial nerves in selected cases, such as upper arm replantation.
- - - - - - - - - -
ranking = 1
keywords = prognosis
(Clic here for more details about this article)

4/5. Supraclavicular traction injuries of the brachial plexus.

    Thirty supraclavicular traction injuries of the brachial plexus are reported. Young motor cyclists are frequently involved. Recovery is slow and often incomplete. myelography remains the most useful investigation for prognostic purposes. The management of intractable pain is discussed. An early assessment of prognosis is an important fact in planning and supervising the long-term management of these patients.
- - - - - - - - - -
ranking = 1
keywords = prognosis
(Clic here for more details about this article)

5/5. Bone growth after replantation in children.

    Bone growth and the development of epiphyseal plates are disturbed after the replantation of amputated extremities in children, but the potential for continued skeletal growth is almost always maintained in the replanted part. In this reported series of 12 children, all younger than 15 years old, 13 amputated parts of the upper limb have been successfully replanted. After long-term follow-up (from 21 to 216 months), bone growth of the replanted parts was clinically and radiologically evaluated. Two different growing segments were distinguished: the proximal bone segment, directly injured from the initial trauma, and the distal replanted part. Average longitudinal growth recorded was 94.5 percent and 92.7 percent, respectively. Two young patients demonstrated overgrowth of the proximal bone segment, which attained 110 percent and 118 percent of expected growth. Although it is difficult to determine all the parameters affecting the prognosis of post-traumatic reactions in growing cartilaginous plates, the level of amputation is considered to be a significant prognostic factor for the epiphyseal growth of the replanted part.
- - - - - - - - - -
ranking = 1
keywords = prognosis
(Clic here for more details about this article)


Leave a message about 'Arm Injuries'


We do not evaluate or guarantee the accuracy of any content in this site. Click here for the full disclaimer.