ABSTRACT
Transverse bayonet dislocation of an interphalangeal joint is an unstable injury caused by the disruption of both collateral ligaments. This injury pattern in proximal interphalangeal joint was first described by Patel et al. (Clin Orthop Rel Res. 1978;133:219), who coined the term "bayonet dislocation" to describe this particular type of injury. The case of a distal interphalangeal transverse dislocation is presented. This dislocation was successfully treated by closed reduction and immobilization with an aluminum splint and buddy taping to the adjacent finger.
Subject(s)
Finger Injuries/diagnostic imaging , Joint Dislocations/diagnostic imaging , Adult , Finger Injuries/physiopathology , Finger Injuries/therapy , Humans , Joint Dislocations/physiopathology , Joint Dislocations/therapy , Male , RadiographyABSTRACT
Percutaneous release was done using the tip of an 18-gauge, 2.5-cm-long needle, mounted on a 3-mL3 syringe in 225 trigger digits. It was successful in 92 (89%) of the digits without cortisone injection (n = 105) and in 115 (96%) of the digits with cortisone injection (n = 120). Negligible or intermittent pain persisted for 8 weeks in the noncortisone group and 6 weeks in the cortisone group after percutaneous release. Of the first 10 digits, 2 needed repeat percutaneous release. With modification of technique, the incidence of repeat percutaneous release was zero in both groups. Open release was needed in 8% in the noncortisone group and 3% in the cortisone group. The procedure was done under local infiltration anesthesia in the office. This reduced patient anxiety, inconvenience and hospital cost.
Subject(s)
Anti-Inflammatory Agents/therapeutic use , Betamethasone/therapeutic use , Fingers/surgery , Glucocorticoids/therapeutic use , Tenosynovitis/surgery , Adult , Aged , Aged, 80 and over , Ambulatory Surgical Procedures/economics , Ambulatory Surgical Procedures/psychology , Anesthesia, Local , Anti-Inflammatory Agents/administration & dosage , Anxiety/prevention & control , Betamethasone/administration & dosage , Cost Control , Female , Glucocorticoids/administration & dosage , Hospital Costs , Humans , Incidence , Injections, Subcutaneous , Male , Middle Aged , Minimally Invasive Surgical Procedures/economics , Minimally Invasive Surgical Procedures/psychology , Needles , Pain Management , Reoperation , SyringesABSTRACT
Multiple schwannomas may occur as visible tumors or may occur as tumors in situ. The tumors in situ may be missed when the visible tumors are excised. In time, the schwannomas in situ grow and appear to be recurrent, while in fact, they are multicentric. The prognosis on multicentric schwannomas thus remains guarded.
