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1.
Journal of Korean Foot and Ankle Society ; : 179-182, 2011.
Article in Korean | WPRIM | ID: wpr-159091

ABSTRACT

Naviculocuneiform coalition is one of uncommon tarsal coalitions and especially symptomatic cases which need operative treatment are rare. Authors report 2 cases of pediatric naviculocuneiform patients who showed symptomatic condition as mainly pain. Plain radiographs, computed tomography or magnetic resolution imaging study showed bony bridge in naviculo-medial cuneiform joint. After over six months conservative treatment, excision of coalition and interposition Tisseel(R) was performed for motion preservation and relief of pain.


Subject(s)
Child , Humans , Joints , Magnetics , Magnets
2.
Journal of the Korean Society for Surgery of the Hand ; : 149-153, 2011.
Article in Korean | WPRIM | ID: wpr-45589

ABSTRACT

PURPOSE: To describe the surgical treatment of the complex dorsal metacarpophalangeal dislocations and its results, emphasizing on the modified volar approach with A1 pulley release. MATERIALS AND METHODS: We experienced 6 cases of dorsal dislocation of the metacarpophalangeal joint. We performed open reduction with the modified volar approach described by Eaton and Dray. Postoperatively posteroanterior and lateral radiographs of the index finger metacarpophalangeal joint and metacarpophalangeal joint range of motion was followed. RESULTS: One case with a large osteochondral fracture was operated with volar and doral approach both. Overall end results were good without any significant restriction of motion and stability of the fingers. CONCLUSION: Modified volar approach with A1 pulley release is an excellent method for complex dorsal metacarpophalangeal dislocations without osteochondral fracture.


Subject(s)
Benzodiazepines , Joint Dislocations , Fingers , Metacarpophalangeal Joint , Range of Motion, Articular
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