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The diagnostic difficulties and the potential serious course of Mycobacterium marinum synovitis are illustrated in a patient in whom treatment with local steroid injections and immunosuppressive therapy resulted in local destruction of the wrist and systemic reactions. Healing was achieved after correct medical and surgical treatment was initiated.
In the present study 19 patients with postanesthetic ulnar nerve lesions treated during the period 1973--76 are reviewed. The lesions were localized to the cubital tunnel region and appeared subsequent to recent, otherwise uncomplicated operative procedures commonly performed under general anesthesia. Mechanical factors caused by malpositioning of the arm… (More)
A rare case of total palmar trans-scaphoid-lunate dislocation is reported. Open reduction, bone grafting and internal fixation were followed by uneventful healing. At follow-up 70 months after injury there is no osteonecrosis and the wrist function is almost normal.
Malignant hemangioendothelioma is a tumour of vascular origin with wide distribution in various organs and tissues of the body. However, it is seldom localized primarily in bone. In this report our experience with a case of primary multifocal malignant hemangioendothelioma of the metacarpal bones is reported. Because of the focal pattern of malignancy… (More)
Paired plasma and synovial fluids from 17 patients with seropositive rheumatoid arthritis were examined for electrophoretic homogeneity/heterogeneity and enzymic inhibitory capacity of the protease inhibitors. The high degree of saturation (approximately 90%) of the polyvalent protease inhibitor alpha 2-macroglobulin in the rheumatoid synovial fluid… (More)
Surgery for recurrence of Dupuytren's disease often results in a volar skin defect. The use of the distally-based dorsal hand flap for resurfacing is reported. 17 flaps were used to cover 16 fingers after radical digital fasciectomy. All flaps survived with minor areas of partial necrosis in four of them. The raising of the flap was a simple procedure and… (More)
Multifocal neurilemomas in different nerves of the same upper extremity are rare. A 36-year-old woman presented with five neurilemomas involving the main trunks of the median and radial nerve and digital nerves of her left upper extremity. These were excised and she recovered without complications. Fifteen years later she presented with several recurrences… (More)
Syndactyly correction results in skin deficiency. Skin grafting is avoided by the use of an extended dorsal interdigital flap for the web and approximation of the side flaps to cover the length of the digits. The technique has been used in 17 cases with all varieties of syndactyly. There were no early complications. The follow-up averaged 2 years. There… (More)
Correction of syndactyly without skin grafts is simple and reliable. Combined with an absorbable suture technique the non-grafting method is further advantageous minimising risks and saving time and costs. Three methods are compared: skin grafts plus monofilament polyamide (Ethilon, Ethicon) (n = 32), no skin grafts plus Ethilon (n = 19), and no skin grafts… (More)
Over a three-year period 14 consecutive cases of amputated thumbs, 10 complete and 4 incomplete, were replanted/revascularized. Eight thumbs (57%) survived. These cases were compared with a control group, in which replantation had failed or had not been attempted. The control group was chosen to be as similar as possible with respect to thumb amputation… (More)