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1.
Handchir Mikrochir Plast Chir ; 54(3): 197-204, 2022 Jun.
Article in German | MEDLINE | ID: mdl-35688427

ABSTRACT

Diagnosis and therapy of the Apert foot are scarcely described in extant literature. This article describes anatomical changes observed in 30 Apert feet. By analysis of X-rays and computed scans 5 types of bony Apert foot malformations were identified. We developed therapeutic recommendations based on this classification.


Subject(s)
Acrocephalosyndactylia , Acrocephalosyndactylia/surgery , Humans , Radiography
2.
Handchir Mikrochir Plast Chir ; 54(1): 65-71, 2022 Feb.
Article in German | MEDLINE | ID: mdl-34571545

ABSTRACT

The authors present two young patients with atypical development of painful post-traumatic hand muscle compartment syndrome. The first patient showed congenital hyperplasia of the thenar and first dorsal interosseous muscle and developed chronic exertional pain that only occurred after trauma and is indicative of compartment syndrome. The second patient developed compression of the second palmar interosseous muscle due to post-traumatic haematoma in the third interdigital space.


Subject(s)
Compartment Syndromes , Hand , Compartment Syndromes/diagnosis , Compartment Syndromes/etiology , Compartment Syndromes/surgery , Hand/surgery , Humans , Muscle, Skeletal , Pain , Pressure
3.
Handchir Mikrochir Plast Chir ; 53(1): 76-81, 2021 Feb.
Article in German | MEDLINE | ID: mdl-33588495

ABSTRACT

A three-year-old girl experienced a fifteen-month odyssey before the surgical removal of an osteoid-osteoma at the distal phalanx of the thumb to relieve her pain. Osteoid-osteoma is a benign bone tumor rarely found in the hand and not yet described as occurring in a small child in extant literature. In one of the first x-ray examinations, a small foreign body was found in the soft tissues of the right thumb. This finding subsequently led to the assumption that trauma was the cause for the pain.We critically discuss the numerous examinations and therapies that the child underwent as well as the lack of interdisciplinary cooperation among specialists for more than a year. The thumb was immobilized for months because of pain and is slowly being reintegrated into the child's body scheme following the last successful intervention.This publication highlights this tumor's rare occurrence in a small child and the importance of interdisciplinary cooperation facilitated today by digital media. This, along with early diagnosis, could save unnecessary suffering and financial resources.


Subject(s)
Bone Neoplasms , Finger Phalanges , Osteoma, Osteoid , Bone Neoplasms/diagnostic imaging , Bone Neoplasms/surgery , Child , Child, Preschool , Female , Finger Phalanges/diagnostic imaging , Finger Phalanges/surgery , Humans , Internet , Osteoma, Osteoid/diagnostic imaging , Osteoma, Osteoid/surgery , Thumb/diagnostic imaging , Thumb/surgery
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