RESUMO
Two cases of a rare anomalous muscle in the forearm, palmaris profundus, are described. In one case, symptoms were caused by the median cutaneous palmar branch which crossed the tendon at a point where it could easily be traumatized by different movements of the wrist. In the other, the tendon was an incidental discovery in one wrist of a patient with a bilateral carpal tunnel syndrome caused by tenosynovitis.
Assuntos
Antebraço/anormalidades , Músculos/anormalidades , Punho/cirurgia , Adulto , Síndrome do Túnel Carpal/cirurgia , Humanos , Masculino , Pessoa de Meia-IdadeAssuntos
Doenças do Desenvolvimento Ósseo/diagnóstico por imagem , Síndrome de Camurati-Engelmann/diagnóstico por imagem , Dedos/diagnóstico por imagem , Osso e Ossos/diagnóstico por imagem , Pré-Escolar , Feminino , Humanos , Masculino , Ossificação Heterotópica/diagnóstico por imagem , Radiografia , Terminologia como AssuntoRESUMO
In 10 children with altogether 17 malformed thumbs radiography revealed true triphalangism in 13 of the thumbs and pseudotriphalangism in the remaining 4. Two varieties of triphalangism were distinguished, and clinically significant morphologic variation was recognized also in pseudotriphalangism.
Assuntos
Polegar/anormalidades , Adolescente , Criança , Feminino , Humanos , Lactente , Recém-Nascido , Masculino , Radiografia , Polegar/diagnóstico por imagem , Polegar/cirurgiaRESUMO
A kindred with an unusual congenital hand and foot anomaly is presented. It is an autosomal dominant hereditary disorder characterized by brachymesophalangia, slight clinodactyly, deformed metacarpal heads, osteochondritis dissecans in metacarpophalangeal joints, absence or hypoplasia of the ulnar styloid processes, and brachyhypophalangia in the feet.
Assuntos
Deformidades Congênitas do Pé , Deformidades Congênitas da Mão , Osteocondrite/genética , Adulto , Pré-Escolar , Feminino , Dedos/anormalidades , Humanos , Masculino , Metacarpo/anormalidades , Pessoa de Meia-Idade , Osteocondrite/complicações , Linhagem , Síndrome , Dedos do Pé/anormalidades , Ulna/anormalidadesRESUMO
Clinodactyly in 10 fingers (9 patients) with longitudinally bracketed diaphysis (LBD) was treated surgically with various methods. In 4 cases with LBD in the middle phalanx of a triphalangeal thumb this phalanx was removed and the ligaments reconstructed. In the other 6 digits the LBD was in the base phalanx of a thumb or in the middle phalanx of some other digit. One of these was treated in infancy with transverse resection of the bracket. In 3 cases (4 digits) wedge osteotomy with reversal of the wedge was carried out. In the remaining case simple osteotomy was performed and a wedge-shaped bonegraft was interposed in the space created. Treatment in the last-mentioned case was unsuccessful because postoperatively the graft slipped out of position, but in all other cases the results achieved appear satisfactory.
