ABSTRACT
Giant cell tumors of the tendon sheath are usually benign, but their tendency to recur is well documented. Malignant giant cell tumors are extremely rare and their prognosis is very poor. We report a case of a "borderline" giant cell tumor of the tendon sheath and the puzzle in determining the right therapy.
Subject(s)
Amputation, Surgical , Hand/surgery , Synovitis, Pigmented Villonodular/surgery , Adult , Diagnosis, Differential , Epidermal Cyst/diagnosis , Follow-Up Studies , Giant Cell Tumors/diagnosis , Humans , Male , Recurrence , Soft Tissue Neoplasms/diagnosis , Synovitis, Pigmented Villonodular/pathologyABSTRACT
Eight patients with delayed rupture of the extensor pollicis longus tendon are presented. Six had suffered from a fracture of the wrist without dislocation. This is in our opinion a predisposing factor in the etiology of delayed tendon rupture. Our treatment of choice is transfer of the extensor indicis proprius tendon. In all patients satisfactory thumb function was restored.
Subject(s)
Tendon Injuries/surgery , Wrist Injuries/surgery , Adolescent , Adult , Aged , Carpal Bones/injuries , Carpal Bones/surgery , Female , Follow-Up Studies , Humans , Male , Middle Aged , Postoperative Complications/etiology , Postoperative Complications/surgery , Radius Fractures/complications , Radius Fractures/surgery , Retrospective Studies , Rupture , Tendon Injuries/etiology , Tendon Transfer/methods , Wrist Injuries/etiologyABSTRACT
The use of the basilic vein as an in situ bypass in upper extremity revascularisation has not as yet been reported. Two patients with an occlusion of the brachial artery and disabling arm claudication in whom the basilic vein was a suitable vascular conduit are discussed.
Subject(s)
Arterial Occlusive Diseases/surgery , Brachial Artery/surgery , Cardiac Catheterization , Veins/transplantation , Adult , Angiography , Arm/blood supply , Arterial Occlusive Diseases/diagnostic imaging , Brachial Artery/diagnostic imaging , Collateral Circulation/physiology , Female , Graft Occlusion, Vascular/diagnostic imaging , Humans , Ischemia/diagnostic imaging , Ischemia/surgery , Male , Middle AgedABSTRACT
Three weeks after radial forearm free flap phalloplasty, a 28-year-old female-to-male transsexual presented with ischaemia of the neophallus. A salvage procedure was started 7 hours after onset of ischemia. Thrombectomy of the arterial pedicle did not result in venous return of the arterial inflow. Perfusion of the flap with streptokinase restored venous return. Flap perfusion was confirmed by intraoperative direct angiography of the neophallus. Six months after this salvage procedure, the flap is doing well and tactile sensibility has occurred.
