Subject(s)
Hand Injuries/surgery , Osteotomy/methods , Acute Disease , Bone Screws , Bone and Bones/surgery , Humans , Time FactorsABSTRACT
A case of subcutaneous phenytoin extravasation in the hand is reported. Treatment consisting of compressive dressing, elevation, and splinting was successful in restoring hand function.
Subject(s)
Extravasation of Diagnostic and Therapeutic Materials , Phenytoin , Aged , Extravasation of Diagnostic and Therapeutic Materials/therapy , Hand , Humans , Male , Phenytoin/administration & dosageABSTRACT
A case is described in which an anomalous insertion of the flexor pollicis longus tendon into the region of the carpal tunnel caused limited active flexion of the thumb in a child. This is the first reported case of this anomaly in which an apparent familial relationship has been noted, and the first reported case in the Caucasian race. Two similar cases in Japanese have been described. Abnormal insertion of a portion of the flexor pollicis longus must be included in the differential diagnosis of inadequate thumb flexion.
Subject(s)
Tendons/abnormalities , Thumb/physiopathology , Biomechanical Phenomena , Child, Preschool , Female , Finger Joint , Humans , Infant , Male , Wrist JointABSTRACT
Thumb metacarpophalangeal (MCP) fusion to treat posttraumatic arthritis is retrospectively reviewed in 18 patients, 16 of whom were examined and functionally tested, with an average follow-up of 18 months. All patients were satisfied. There was 100% fusion in an average of 59.9 days. Preoperative disabling MCP pain was present in all patients, and mild postoperative pain and difficulty in picking up small objects were present in 78%. Results did not depend on position of fusion or preoperative arc of MCP motion. Key pinch strength was significantly increased by fusion. Complications included four pin tract infections without sequelae and three cases of prominent tension band hardware, which were removed in two.
