RESUMO
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.
Assuntos
Amputação Cirúrgica , Mãos/cirurgia , Sinovite Pigmentada Vilonodular/cirurgia , Adulto , Diagnóstico Diferencial , Cisto Epidérmico/diagnóstico , Seguimentos , Tumores de Células Gigantes/diagnóstico , Humanos , Masculino , Recidiva , Neoplasias de Tecidos Moles/diagnóstico , Sinovite Pigmentada Vilonodular/patologiaRESUMO
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.
Assuntos
Traumatismos dos Tendões/cirurgia , Traumatismos do Punho/cirurgia , Adolescente , Adulto , Idoso , Ossos do Carpo/lesões , Ossos do Carpo/cirurgia , Feminino , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Complicações Pós-Operatórias/etiologia , Complicações Pós-Operatórias/cirurgia , Fraturas do Rádio/complicações , Fraturas do Rádio/cirurgia , Estudos Retrospectivos , Ruptura , Traumatismos dos Tendões/etiologia , Transferência Tendinosa/métodos , Traumatismos do Punho/etiologiaRESUMO
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.
Assuntos
Arteriopatias Oclusivas/cirurgia , Artéria Braquial/cirurgia , Cateterismo Cardíaco , Veias/transplante , Adulto , Angiografia , Braço/irrigação sanguínea , Arteriopatias Oclusivas/diagnóstico por imagem , Artéria Braquial/diagnóstico por imagem , Circulação Colateral/fisiologia , Feminino , Oclusão de Enxerto Vascular/diagnóstico por imagem , Humanos , Isquemia/diagnóstico por imagem , Isquemia/cirurgia , Masculino , Pessoa de Meia-IdadeRESUMO
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.
