[Combined carpometacarpal dislocations, hand lesions and fractures of the two bones of the forearm: a report of two cases]. / Luxations spatulaires et lésions associées de la main et des deux os de l'avant-bras. A propos de deux cas.

The authors report two cases of complete dorsal carpometacarpal dislocations associated with lesions of the hand and the two bones of forearm. These dislocations are rare, and their clinical and radiological diagnosis is difficult. These cases are original through the association of carpometacarpal dislocation with lesions of the two bones of forearm. They demonstrate the need to stress the importance of a complete evaluation of the patient. Treatment must be immediate and begin with the osteosynthesis of the proximal lesions to avoid any irreducibility. These elements will determine the functional outcome.

[Forum: reconstruction of the traumatised thumb. Reconstruction of the amputated thumb by progressive lengthening of the 1st metacarpal using mini-fixator. Apropos of 2 clinical cases]. / Forum: la reconstruction du pouce traumatique. Reconstruction du pouce amputé par allongement progressif du premier métacarpien, à l'aide d'un mini-fixateur. A propos de deux cas cliniques.

The authors report two cases of reconstruction of a mutilated thumb by progressive elongation of the first metacarpal without the need for bone grafts, using a minifixation elongation device, which is very easy to use. It allows distraction which can be performed by the patient himself and adjustment to the desired length, up to 40 mm.

[Supraepitrochlear process and median nerve compression]. / Apophyse sus-épitrochléenne et compression du nerf médian.

The supra-condylar process exists in a small percentage of the population. Infrequently this process may cause compression of the median nerve. The authors such a case associated with compression of the ulnar nerve. Excision of the bony process led to immediate resolution of the symptoms. In the presence of compressive symptoms with neurologic deficit, it is important to always to look for a supracondylar process by palpation.

The Kapandji technique and its evolution in the treatment of fractures of the distal end of the radius. Report on a series of 159 cases.

The authors analyse the results of treatment of 159 fractures of the distal end of the radius by the "Kapandji Technique". Of these 159 fractures, 129 were extra-articular, 27 intra-articular and 3 fractures affected both the two bones of the forearm. The technique should be applied strictly, with primary reduction and direct control of the tendinous and nervous elements through the incisions. A third pin is sometimes necessary. A 5 years postoperative period is sufficient to get a meaningful analysis of the results which were very good or good in 93% of our cases. The only real problem was anterior over-reduction due to progressive secondary displacement which necessitated regular postoperative follow-up.