ABSTRACT
Systematic angiographic examination (87 angiographies) done in all the congenital malformations of the hand and in particular in cases of syndactyly in patients 6-11 years of age, has given the authors the opportunity to observe anomalies of the vascular topography of the hand (distal displacement of the bifurcation of the common digital arteries, anomalies of excess or lack of arteries of the palm: common digital arteries, proper digital arteries, etc.) and of performing surgery carefully according to the angiographic appearance of the malformation.
Subject(s)
Syndactyly/diagnostic imaging , Acrocephalosyndactylia/diagnostic imaging , Angiography , Arteries/abnormalities , Child , Child, Preschool , Fingers/abnormalities , Fingers/blood supply , Hand/blood supply , Hand Deformities, Congenital/diagnostic imaging , Humans , Infant , Microsurgery , Poland Syndrome/diagnostic imaging , Thumb/abnormalities , Thumb/blood supplyABSTRACT
Morgagni-Larrey hernia is a rare diaphragmatic form whose time of onset is almost impossible to determine. Its symptoms, if any, are not easy to interpret. A standing X-ray of the chest is the only way in which its presence may be suspected and diagnosis must be confirmed by the use of contrast media. Abdominal or thoracic surgery is mandatory, even in symptom-free cases. The choice of route will be determined by the facts of the case and the patient's age. The clinical picture observed in two personal cases and their treatment are described.
