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Background: Extraction of teeth is the commonest surgical procedure carried out in the dental surgery setting. The purpose of this survey was to identify the causes of teeth extraction in Kashmiri population. Material & Methods: This study was done on the patients who were referred to Department of Oral and Maxillofacial Surgery Government Dental College Srinagar for tooth extraction for the period of 6 months from February 2019 to July 2019. Total of 3000 patients were included in this study. Results: There were 1680 (56%) extractions in males and 1320 (44%) in females with male?to?female extraction ratio of 1.2:1. In both male and female gender, there were more teeth extractions between the ages of 11 and 30 years. The commonest tooth to be extracted was 1st molar both in upper (27.2%) and lower (30.4%) arch. The commonest reasons for teeth extraction were caries (53.4%; 1602/3000). Conclusions: The result of this study shows that dental caries is the commonest reason for tooth extraction in Kashmiri population. It is hoped that the study will facilitate the development of treatment and preventive procedures relevant to the problems, thus minimizing the loss of teeth and its expected adverse consequences.
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Background: Anthropometry has continuously been used in forensic examinations of unknown commingled human remains. Forensic Anthropology is concerned with the building of ante mortem histories of individuals from skeletonized remains The aim and objective is to find out the bilateral and bisexual variations from the percutaneous measurement of length of hand and middle and little fingers of both hands of males to reconstruct the stature.Material & Methods:100 male undergraduate students were taken up for the study. The stature was measured by a stadiometer. The hand length and finger length were measured by the measuring scale and vernier calipers. The prediction of estimation of stature from the length of both hands, middle finger length and little finger length of both hands was determined.Results:The mean height in males is 174.3690±6.18 cm. The mean hand length in males is 19.74±0.87 cm in right hand and 19.65±0.83 cm in left hand. The mean length of right middle finger length is 8.32±0.45 cm and left middle finger length in males is 8.28±0.49 cm. The mean length of right little finger length is 6.38±0.43 cm and left little finger length in males is 6.27±0.52 cm.Conclusions:Positive and statistically significant correlation can be observed among the different variables taken up in the present study. Pearson’s correlation was used which can predict a significant relationship between the height and the length of hand and middle finger of male.
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El sarcoma de Ewing se presenta en la segunda década de la vida y tiene predilección por las diáfisis de los huesos largos y en la pelvis. Pueden existir localizaciones raras como en los metacarpianos. Reportamos un caso de sarcoma de Ewing localizado en la falange proximal proximal del 5to dedo de la mano izquierda en un paciente masculino de 44 años de edad. Ante la poca frecuencia de presentación, resulta importante considerar los diagnósticos diferenciales de otras patologías neoplásicas de la mano, como el osteosarcoma de células pequeñas. Ésta es una rara pero agresiva forma de osteosarcoma cuyo diagnóstico es difícil de realizar y fue nuestra primera sospecha diagnóstica por valoración radiológica. Sin embargo, se caracterizó al sarcoma de Ewing con la ayuda de la biopsia y la histopatología. El control local de la enfermedad se logró mediante la excéresis del tumor con márgenes amplios.
Ewing's sarcoma occurs in the second decade of life and has a predilection for the diaphysis of long bones and pelvis. There may be rare locations, such as in the metacarpals. A case is reported of Ewing's sarcoma located in the proximal phalanx of the 5th finger of the left hand in a male patient aged 44. Given the infrequency of presentation, it is important to consider the differential diagnosis of other neoplastic diseases of the hand and small cell osteosarcoma. The latter is a rare but aggressive form of osteosarcoma, which is difficult to diagnose and was our first suspicion diagnosed by radiological assessment. However Ewing's sarcoma was characterized with the help of the biopsy and histopathology. Local disease control was achieved by tumoral exeresis with wide margins.
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Humans , Male , Adult , Sarcoma, Ewing , Biopsy , Osteosarcoma , Metacarpal Bones , Diagnosis , Research ReportABSTRACT
Objective To investigate the feasibility of repairing soft-tissue defects of the fifth phalange and the back of hand with ulnar palmar artery perforator flaps from the little finger.Methods Based on anatomic dissection,the fifth phalange ulnar palmar artery perforator flaps were created and transferred to repair soft-tissue defects at the little finger and the back of hand in 15 cases.Types of injury were stamping injury in 5 cases,planer injury in 4 cases,mechanical crash injury in 3 cases,blast injury in 2 cases,and cicatrical contracture following electric burn in 1 case.Injury involved in the palmar aspect near the middle segment of fifth phalange in 4 cases,dorsal aspect near the middle segment of fifth phalange in 6 cases,ulnar mesiodistal of the back of hand in 3 cases,and distal ulnar palmar aspect of hands in 2 cases.There were 6 patients wounded in left hands and 9 patients wounded in right hands.Results All flaps survived and all wounds healed by first intention.At the follow-up of 2-18 months,the flaps resurfaced the soft-tissue defects with good color and texture match and the maintenance of contour and function of donor and recipient sites were satisfactory.Conclusion The fifth phalange ulnar palmar artery perforator flap,as it has advantages of constant perforator vessels,rich blood supply and good texture and can be operated safely and easily,is considered an ideal treatment choice in repairing softtissue defects of the fifth phalange and the back of hand.
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The extension type locked metacarpophalangeal joint of the little finger is an extremely rare condition characterized by loss of flexion with little or no loss of extension. The most common cause for locking is entrapment of a strap of the ruptured palmar plate. We treated a locked metacarpophalangeal joint of the little finger due to a hyperextension injury. The mechanism of locking was a torn part of the palmar ligament that forcefully rides across the prominence of the radial condyle of the metacarpal bone together with the accessory collateral ligament. These dislocated parts of the ligament formed a constricting bundle that prevented closed reduction. Locking was released successfully by an open reduction using the dorsal approach of the metacarpophalangeal joint without complication.
Subject(s)
Collateral Ligaments , Fingers , Ligaments , Metacarpophalangeal Joint , Palmar PlateABSTRACT
Purpose: The purpose of this study was to find the correlation between vertical dimension of occlusion (VDO) and length of fingers. Materials and Methods: A cross-sectional study was conducted on 400 dentate subjects comprising of 200 males and 200 females. Anthropometric measurements of VDO, length of index finger, length of little finger, and distance from tip of thumb to tip of index finger of right hand were recorded clinically using modified digital vernier caliper. Correlation between VDO and length of fingers was studied using Spearman's coefficient. For the execution of regression command and preparation of prediction equations to estimate VDO, Statistical Package for Social Sciences Software Version 11.5 was used. Results: VDO was significantly and positively correlated with all the parameters studied. In males, correlation of VDO was strongest for length of index finger (r-0.406) whereas in females, it was strongest for length of little finger (r-0.385). VDO estimation using regression equation had a standard error of ± 3.76 in males and ± 2.86 in females for length of index finger, ±3.81 and ± 2.74 in males and females respectively for length of little finger, ±3.99 and ± 2.89 in males and females respectively for distance from tip of thumb to tip of index finger. Conclusions: Since the variations between VDO and finger lengths are within the range of 2-4 mm, VDO prediction through this method is reliable, and reproducible. Also the method is simple, economic, and non-invasive; hence, it could be recommended for everyday practice.
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Objective To explore the effect of shifting the little finger abductor muscle and cutting open the metatarsophalangeal joint dorsal articular capsule to improve the appearance and function of reconstructed thumb.Methods From August 2007 to May 2012,twelve cases of Ⅳ°or Ⅴ°defect of thumb were repaired by free transplantation of the second toes with metatarsophalangeal joint.During operation,using the abductor muscle of little finger to reconstruct palmar opposition function,cutting open the joint capsule of metatarsophalangeal joint,adjusting the tension of the joint by the little finger abductor muscle and toe short extensor muscles,which were used to improve the appearance and function of reconstructed thumb.Results Twelve reconstructed thumbs all survived.Followed up from 6 to 24 months,the appearance and function were improved obviously.According to the evaluation trial standards,nine cases were optimal and 3 cases were good.Conclusion The shift of the little finger abductor muscle could reconstruct palmar opposition function,combined with metatarsophalangeal joint dorsal articular capsule incision and adjusting joint tension,could improve the appearance and function of reconstructed thumb.The effect of operation was satisfied.
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Objective Through investigating the anatomical features of the perforator from the ulnar palmar digital artery of the little finger and the dorsal descending branch of the ulnar artery,to establish a new approach for the reconstruction of sofi tissue defect of the ulnar palm and the little finger.Methods The fifth caput metacarpale was taken as the observation points on 30 specimens of adult human upper limb perfused with red latex.Something as follows were observed under surgery magnifier:①The origin,external diameter,branches,distribution and the backbone length of the perforator of the ulnar palmar digital artery of the little finger;the distance from the fifth caput metacarpale to the perforate artery ; ② The route and distribution of the dorsal descending branch of the ulnar artery.Mimic operation was performed on another fresh specimen.Results The origin of the ulnar palmar digital artery of the little finger has two different type:93.3％ spring from the external of the arcus volaris superficialis,6.7％ formed by the combination of the third arteriae metacarpeae palmares and the branch from arcus volaris profundus.Although it has two different origins,the perforator has only one piercing point,which located at (1.3 ±0.3)cm upon the fifth caput metacarpale.The perforator,ultimately,combines with the descending branch of the ulnar artery after it pass through the slot between the muscle tendon of hypothenar superficial layer (the flexor digiti minimi brevis and the abductor digiti minimi) and the fifth metacarpale bone.External diameter of the perforator was (0.8 ± 0.4) mm and the backbone length was(2.0 ±0.6)cm.Conclusion The location of the anastomose point between the perforator,which springs from the ulnar palmar digital artery of the little finger,and the dorsal descending branch of the ulnar artery is constant.The perforator flap based on the perforator of ulnar palmar digital artery of the little finger,with sufficient blood supply,can be transferred flexiblely,and can be designed to repaire the defect of soft tissue on the ulnar palm and the little finger.
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PURPOSE: To evaluate the anatomic and functional outcome of retrograde intramedullary single wire fixation for metacarpal shaft fractures of the little finger. MATERIALS AND METHODS: hirty one consecutive patients with closed metacarpal shaft fractures of the little finger who have been treated with retrograde intramedullary single wire fixation were evaluated. Fracture union and angulation were analyzed radiologically, and clinical evaluations were performed including range of motion, DASH score and complications. RESULTS: Fracture union was achieved in all cases and callus formation was obvious at postoperative 41 days. Average angulation of fracture site was 3degrees in the coronal plane and 1.2degrees in the sagittal plane at the last follow up and no measurable metacarpal shortening was observed. Mean TAM was 253degrees and DASH score was 2.6. There were two cases of pin migration as intermediate complications. CONCLUSION: Closed reduction with subsequent percutaneous retrograde K-wire fixation produced good radiological and functional results. We recommend this minimally invasive technique which provides adequate fixation of displaced little finger metacarpal shaft fractures with good functional results and low morbidity.
Subject(s)
Humans , Bony Callus , Fingers , Follow-Up Studies , Range of Motion, ArticularABSTRACT
A 17-year-old male experienced pain on his right outstretched hand due to a motor cycle accident. The diagnosis was obtained by clinical examination and simple radiography, closed reduction failed in the emergency room. Under general anesthesia, open reduction was performed by volar plate incision via the dorsal approach. A short arm splint was applied for 3 weeks and later ROM exercise produced a good result.