Subject(s)
Clavicle/injuries , Fractures, Bone/therapy , Athletic Injuries/therapy , Clavicle/surgery , Fracture Healing , HumansABSTRACT
Tendon transfer and bulk reduction procedures are an alternative to amputation of the elephantoid enlarged limb with neurofibromatosis and paralysis. A patient with this progressive disease has been followed-up for 10 years and retains sufficient function to work as a computer operator.
Subject(s)
Arm , Neurofibromatosis 1/complications , Paralysis/etiology , Tendon Transfer , Adolescent , Child , Female , Humans , Methods , Neurofibromatosis 1/surgerySubject(s)
Surgery, Plastic , Thumb/abnormalities , Abnormalities, Multiple/surgery , Child, Preschool , Humans , Infant , Thumb/surgeryABSTRACT
Taking into consideration the enlargement and sclerosis of the entire pisiform bone and the smooth articular surfaces of the pisotriquetral joint, the author has speculated that this may represent a nonspecific avascular necrosis with an as yet unknown cause.
Subject(s)
Carpal Bones/surgery , Osteonecrosis/surgery , Carpal Bones/diagnostic imaging , Carpal Bones/pathology , Humans , Joint Diseases/diagnosis , Male , Middle Aged , Osteonecrosis/diagnosis , Osteonecrosis/pathology , RadiographySubject(s)
Fingers/surgery , Skin Transplantation , Surgery, Plastic , Thumb/abnormalities , Child, Preschool , Humans , Male , Thumb/surgery , Transplantation, AutologousSubject(s)
Cervical Vertebrae/abnormalities , Neck , Ribs/abnormalities , Female , Humans , Infant , Radiography , Ribs/diagnostic imagingABSTRACT
Increased numbers of injuries to the upper extremity are being seen since improved equipment is available to protect the lower extremity. Three patients, who are excellent skiers, have been seen in which significant structures of the wrist were lacerated by the sharp outer edge of the ski. Well fitted leather gloves or mittens designed to protect the palmar surface of the wrists are recommended during skiing. We must now focus our attention to design better protection for the more vulnerable upper extremity during the sport of skiing.
Subject(s)
Athletic Injuries , Median Nerve/injuries , Skiing , Adolescent , Humans , Male , Protective ClothingABSTRACT
Fifteen patients with radiation-induced brachial plexus paralysis were studied. Thirteen women had been treated for breast cancer. Two men developed symptoms and signs following radiation therapy for lung cancer. The brachial plexus paralysis initially was not static and progressed, but spontaneous arrest with permanent residual paralysis was seen in three patients. Three were noted to have intractable pain, but the major complaint of the remaining 12 was the inability to use their hand. The ten patients on whom an earlier operation directed at the brachial plexus had been performed were not relieved. Two of these were later considered excellent candidates for a tendon transfer in the hand. One did not desire surgery. The other underwent operation and showed marked improvement of her grasp and general hand function.
