ABSTRACT
The aims of this study were to evaluate the impact of the COVID-19 pandemic on emergency and elective hand surgery in four Italian regions that had either a high (Lombardy and Piemonte) or a low (Sicilia and Puglia) COVID-19 case load to discuss problems and to elaborate strategies to improve treatment pathways. A panel of hand surgeons from these different regions compared and discussed data from the centers they work in. The COVID-19 pandemic had an enormous impact on both elective and emergency surgery in Italy, not only in highly affected regions but also - and paradoxically even at a higher extent - in regions with a low COVID-19 case load. A durable and flexible redesign of hand surgery activities should be promoted, while changing and hopefully increasing human resources and enhancing administrative support. Telematics must also be implemented, especially for delivering rehabilitation therapy.
Subject(s)
COVID-19/epidemiology , Hand/surgery , Orthopedic Procedures/statistics & numerical data , Pandemics , COVID-19 Testing/statistics & numerical data , Elective Surgical Procedures/statistics & numerical data , Health Services Accessibility/statistics & numerical data , Humans , Italy/epidemiology , Personnel Staffing and Scheduling/organization & administration , Physical Therapy Modalities/organization & administration , Physical Therapy Modalities/statistics & numerical data , Postoperative Care , Surveys and Questionnaires , Telemedicine/statistics & numerical dataABSTRACT
The experience of numerous cases of surgical operations carried out over the ten years from 1990-2000, has meant we have been able to reflect on the fact that the median, ulnar, radial (upper extremity), tibial and external popliteal sciatic (lower extremity) nerves are more greatly exposed to compressive pathology. This is due to certain anatomical topographical relationships with canals, semi-canals, tunnels in well-defined and unchanging sites. From this point of view, a pathology with an etiopathogenic topographical tendency is emerging.
Subject(s)
Arm/innervation , Brachial Plexus/pathology , Leg/innervation , Nerve Compression Syndromes/pathology , Peripheral Nerve Injuries , Peripheral Nerves/pathology , Brachial Plexus/physiopathology , Causality , Humans , Muscle, Skeletal/innervation , Nerve Compression Syndromes/physiopathologyABSTRACT
Here are analysed personal observation about high duplication of median nerve at the wrist. Here are reported 18 cases on 3300 operations for carpal tunnel. The results are compared with the literary casuistry.
Subject(s)
Carpal Tunnel Syndrome/pathology , Genetic Variation/genetics , Hand/innervation , Hand/surgery , Intraoperative Complications/pathology , Median Nerve/surgery , Wrist/abnormalities , Carpal Tunnel Syndrome/physiopathology , Carpal Tunnel Syndrome/surgery , Female , Hand/physiopathology , Humans , Intraoperative Complications/physiopathology , Male , Median Nerve/physiopathology , Muscle, Skeletal/innervation , Ulnar Nerve/abnormalities , Ulnar Nerve/physiology , Ulnar Nerve/surgery , Wrist/physiology , Wrist/surgeryABSTRACT
The first case of mycotic keratitis caused by Neosartorya fischeri var. fischeri the teleomorph of Aspergillus fischerianus, is described. The patient, a 62-year-old man, had no history of trauma to his infected left eye. The infection progressed despite treatment with ketoconazole and the eye had to be eviscerated. Histological studies revealed the presence of hyaline, septate mycelium in the eye tissue. Cultures gave rise to a thermotolerant mould that developed both its asexual and sexual forms. The isolate was identified on the basis of the morphologic features of its anamorphic and teleomorphic states. In the literature only seven other species of Aspergillus have been unequivocally reported as causing mycotic keratitis.
