RESUMO
ABSTRACT Robert Wartenberg was a renowned 20th century neurologist who contributed greatly to our understanding of the neurological examination. This article aims to illustrate his legacy by highlighting five seminal neurological signs.
RESUMO Robert Wartenberg foi um renomado neurologista do século XX que contribuíu enormemente para o entendimento do exame neurológico. Este artigo tem como objetivo principal ilustrar seu legado, ressaltando cinco sinais neurológicos seminais.
Assuntos
Humanos , História do Século XX , Exame Neurológico/história , Exame Neurológico/métodos , Neurologia/história , Palpação , Polegar/fisiopatologia , Vibração , Punho/fisiopatologia , Nervo AcessórioRESUMO
Trigger wrist is a relatively rare disease compared to trigger finger, which is the most common disorder found in hands. Patients with trigger wrist usually complain about the following symptoms: snapping and clicking or triggering around carpal tunnel with or without mild to moderate median neuropathy. There are a total of five cases of trigger wrist: three cases of anomalous muscle belly of flexor digitorum superficialis and two cases of fibroma around flexor tendon sheath within carpal tunnel. This study reports on two of those cases: one with anomalous muscle and the other with fibroma of flexor tendon sheath. Accurate examination and proper diagnosis are mandatory to obviate improper and time-wasting treatment for patients with trigger wrist.
Assuntos
Adulto , Feminino , Humanos , Masculino , Fibroma , Tenossinovite/fisiopatologia , Punho/fisiopatologiaRESUMO
Se presentan en este informe dos casos de músculo anómalo extensor digitorum manus indicis que simulaban quiste sinovial en el dorso de la muñeca. Una prueba diagnóstica es la extensión de los dedos palpando la tumoración en la que puede percibirse contracción muscular. La tumuración se hace más prominente durante la dorsiflexión activa de la muñeca y extensión de los dedos en oposición al quiste sinoval que es más prominente en flexión palmar. El dolor que se presenta puede ser debido a la compresión del músculo bajo el ligamento dorsal del carpo o contra su borde distal en la dorsiflexión activa.
Assuntos
Humanos , Masculino , Feminino , Adulto , Cisto Sinovial/diagnóstico , Ligamentos Articulares/anormalidades , Neoplasias de Tecido Muscular/diagnóstico , Diagnóstico Diferencial , Punho/fisiopatologia , Músculos/anormalidadesRESUMO
The results of dissecting 100 wrists of 50 cadavers were analyzed. There were 45 males and 5 females, all were adult wrists. Dissection of the osteofibrous canal, over the radial region of wrist stressing only on anatomical structures of the 1st dorsal compartment, which formed the anatomical bases of de Quervain's disease. The results showed that the superficial radial nerve was bifurcated in 88% and single in 22%, common synovial sheath was evident in 62%. The osteofibrous groove was single in 64% and duplicated in 36% of cases. The abductor pollicis longus tendon was more than one in 80%, and one tendon in 20% of wrists. The extensor pollicis brevis tendon was never duplicated; what is regarded as normal in the text books of anatomy should be regarded as the exception and not the rules