Intravenous Foreign Body at the Hand: Case Report.

Intravenous foreign bodies following trauma to the hand are relatively uncommon with sparse reports of this condition being published in the literature. They have been reported to migrate as far as the thoracic cavity and the heart. In the following case report, we describe a case of an intravenous foreign body following hand trauma, and the treatment and potential complications are also discussed.

One-stage Distal Interphalangeal Joint Fusion With External Fixator for the Treatment of Septic Joint Arthritis.

Septic joint arthritis in the small joints of the hand can be caused by penetrating trauma, ruptured ganglion cysts, or open joint dislocations, among others. The use of external fixation for the treatment of this condition has been reported in the past as a means of temporary joint distraction, or for secondary fusion procedures. In the present article, the authors describe a surgical technique involving the use of a low-cost external fixator for the primary arthrodesis of infected distal interphalangeal joints of the hand. The external fixator is fabricated with simple materials, threaded Kirshner wires, bone cement, and an insulin syringe, which the authors have used to fuse the distal interphalangeal joint primarily when destroyed by septic arthritis.

Major Surgery Affects Memory in Individuals with Cerebral Amyloid-ß Pathology.

BACKGROUND: Major surgery has been associated with perioperative neurocognitive disorders (PND), but the contributing factors and long-term prognosis are uncertain. We hypothesize that preclinical Alzheimer's disease (AD) might predispose to cognitive deterioration after surgery. OBJECTIVE: To analyze the effect of amyloid-ß on the cognitive trajectory after orthopedic surgery in a sample of non-demented subjects. METHODS: Non-demented individuals older than 65 years that were on the waiting list for orthopedic surgery with spinal anesthesia underwent a neuropsychological assessment before and after surgery. During surgery, cerebrospinal fluid samples were obtained to determine AD biomarkers. RESULTS: Cumulative incidence of PND was 55.2%during a mean follow-up of nine months. The most affected cognitive domains were executive function and constructional praxis. The presence of abnormal levels of amyloid-ß was associated to a postoperative impairment in verbal and visual memory tests. According to their AD biomarker profile, participants were categorized as either Amyloid Positive (A+) or Amyloid Negative (A-). The incidence of PND did not differ between both groups. The A- group showed a tendency similar to the global sample, worsening in executive function tests and improving on memory scales due to practice effects. In contrast, the A + group showed a notable worsening on memory performance. CONCLUSION: Our findings support the hypothesis that surgery may promote or accelerate memory decline in cognitively asymptomatic subjects with brain amyloid-ß deposits.

Unusual Forearm Deformity Solved by 3D Custom Made Guides.

We report a case of a symptomatic forearm deformity due to a premature distal ulnar fracture solved by 3D custom made cutting guides. Our patient is a sixteen years old girl referred to us due to a forearm deformity and a dysplasic ulnar head associated to pain at the dorsum of the distal ulna and at the radial head at the elbow. Using custom-made cutting guides on a 3D model, a both bone forearm osteotomy was performed. At 18 months of follow up, the range of motion did not improve significantly but our patient referred no pain and she was satisfied with the procedure. The accuracy of single cut osteotomies, utilizing three-dimensional planning and custom patient guides has been previously established. This technique helped with the pain in our case.

The Bilobed Racquet Flap or Extended Seagull Flap for Thumb Reconstruction: A Case Report.

The treatment of extensive soft tissue defects in the thumb with dorsal metacarpal artery flaps has been previously reported in the literature. Island flaps from the dorsum of the index and long fingers have been the subject of many reports and studies. However, when the defect involves the whole thumb, a 360° circumferential defect, standard first or second dorsal metacarpal artery flaps are usually insufficient. There are fewer reports on the use of bilobed flaps for this application and we have found no reports on the use of bilobed racquet flaps or extended seagull flaps as treatment for this condition. We report the salvage of a thumb degloving injury with use of a bilobed racquet flap.

Is the Queen conch Strombus gigas (Mesogastropoda: Strombidae) a species with Allee effect? / Es el caracol marino Strombus gigas (Mesogastropoda: Strombidae) una especie con efecto Allee?

The marine park of Xel-Há has a population of Strombus gigas which breeds in the area. We determined the relationship between reproductive activity, conch density and environmental parameters. Samples were collected from February to December 2012, using the transect method, at four sites of Marine Park Xel-Ha, Quintana Roo, Mexico. Sediment samples were analyzed and classified using Folk & Ward’s method. Temperature, salinity and dissolved oxygen were also recorded. Density had a small correlation with sediment (Pearson r=0.29 with very coarse and r=0.26 with coarse sand), while mating and spawning had a correlation of r=0.54 and 0.62 with medium sand, respectively. Density was high in the four sites and was not associated with mating and spawning (r=0.08 and 0.03, respectively). For reproduction, S. gigas requires specific substrate conditions (sandy effect) and not just a density of 56 Conch Ha-1 (Allee effect).

El parque marino de Xel -Há tiene una población de Strombus gigas que se cría en la zona. Determinamos la relación entre la actividad reproductiva, la densidad de la concha de S. gigas y los parámetros ambientales. Las muestras fueron recolectadas de febrero a diciembre de 2012, utilizando el método de transecto, en cuatro sitios del Parque Marino de Xel -Ha, Quintana Roo, México. Fueron analizados y clasificados utilizando la metodología de Folk & Ward. También se registraron temperaturas, salinidad y oxígeno disuelto. La densidad de concha mostró una baja correlación en la categoría de sedimentos (r = 0.29 , con muy gruesos y r = 0.26 con arena gruesa ), mientras que el apareamiento y desove con arena media mostraron una correlación de r = 0.54 y 0.62, respectivamente. Las densidades en cuatro sitios fueron altas y no se asociaron con el número de apareamientos y desove (r = 0.08 y 0.03, respectivamente). Para la reproducción, S. gigas requiere condiciones específicas de sustrato (efecto arenoso) y no sólo una densidad de 56 Conch Ha-1 (efecto Allee ).