ABSTRACT
A rare case of an extra-abdominal desmoid tumour in the hand is reported. Its treatment and a short survey of the literature is given.
Subject(s)
Fibromatosis, Aggressive/surgery , Hand , Soft Tissue Neoplasms/surgery , Adult , Biopsy , Diagnosis, Differential , Fibromatosis, Aggressive/diagnosis , Humans , Male , Soft Tissue Neoplasms/diagnosis , Tomography, X-Ray ComputedABSTRACT
If neglected or misdiagnosed, non-union of a scaphoid fracture will almost inevitably progress to radiographic and symptomatic osteoarthritis of the wrist with subsequent morbidity and lifelong disability, especially in young males in which the fracture is more common. Fractures of the scaphoid bone are the most common fractures of the carpus and second in occurrence among fractures of the wrist. The diagnosis and treatment are not simple. Familiarity with different imaging methods and treatment options is required. The treatment in most cases is conservative and will lead to uneventful union, but an operation may be needed in certain cases primarily and in the treatment of non-union. The current literature on the diagnosis and treatment of scaphoid fractures is reviewed, and the authors try to make a clear and concise picture of this complex and sometimes controversial field.
Subject(s)
Fracture Fixation/methods , Fractures, Bone/diagnostic imaging , Scaphoid Bone/injuries , Casts, Surgical , Fractures, Ununited/surgery , Humans , Radiography , Scaphoid Bone/diagnostic imagingABSTRACT
Seven patients suffering from an acute (less than two weeks) infection of a total hip arthroplasty were treated by irrigation and debridement, with appropriate antibiotic therapy and retention of the prosthesis. They were followed for an average of 30 months. Infection did not recur in five (71%) patients, but the other two required further surgery. We conclude that a cure can be obtained by this method, although the results are inferior to re-implantation. A minimal procedure spares a patient the morbidity and cost of a more extensive operation. Higher success rates might have been achieved by selecting patients infected with organisms of low virulence, but there are insufficient data to predict whether this treatment would decrease the success of subsequent re-implantation.
Subject(s)
Arthroplasty, Replacement, Hip , Cross Infection/therapy , Surgical Wound Infection/therapy , Anti-Bacterial Agents/therapeutic use , Cross Infection/microbiology , Debridement , Female , Humans , Male , Postoperative Care , Reoperation , Surgical Wound Infection/classification , Surgical Wound Infection/microbiology , Therapeutic Irrigation , Treatment OutcomeABSTRACT
We report our experience with the Ilizarov apparatus in performing ankle arthrodesis in 6 patients. The average age of the patients was 52 (42-60) years. 3 patients had posttraumatic arthrosis and active infection of the ankle or distal tibia and the other 3 had posttraumatic arthrosis of the ankle without infection. Solid and painless arthrodesis was achieved in all patients in 7-15 weeks, including those with an active infection or failed multiple previous operations. While the method is useful for primary treatment of ankle arthrosis, we think it is better for treatment of certain complicated cases.
Subject(s)
Ankle Joint/surgery , Arthrodesis/instrumentation , Ilizarov Technique/instrumentation , Adult , Ankle Joint/diagnostic imaging , Arthrodesis/methods , Female , Humans , Male , Middle Aged , Prospective Studies , RadiographyABSTRACT
We adapted the use of talcum powder in chest surgery to create a reactive pleuritis for treating recurrent olecranon bursitis. The 11 patients who underwent this procedure all had favorable outcomes.
Subject(s)
Bursitis/surgery , Elbow Joint , Reoperation/methods , Talc/therapeutic use , Aged , Aged, 80 and over , Female , Follow-Up Studies , Humans , Male , Middle Aged , Recurrence , Treatment OutcomeABSTRACT
We report a condition we call the "plastic bag syndrome" in which pressure on the neurovascular bundles causes temporary ischaemia in the distal part of the finger together with a neuropraxia of the digital nerves. Although in most cases the discomfort or numbness is fleeting, requires no medical assistance and is readily forgotten, in some instances the symptoms are such that medical advice is sought. Since the injury can lead to permanent damage and subsequent limitation in the use of the finger, we believe that the public should be advised to take simple precautions to prevent it from happening.
