{"title":"Open coronal plane fracture of the distal phalanx treated by flexion block pinning: a case report.","authors":"Tetsushi Aizawa, Yukako Ishihara, Ryuichi Azuma","doi":"10.1080/23320885.2025.2477175","DOIUrl":"10.1080/23320885.2025.2477175","url":null,"abstract":"<p><p>A distal phalanx may fracture in an atypical shape after high-energy trauma. A 61-year-old man sustained an open fracture of the distal phalanx of his left thumb while using a power saw. The fracture occurred in the coronal plane and the volar bone fragment was dislocated under traction by the flexor pollicis longus tendon. The patient underwent surgery the day after the injury. A flexion block pin was inserted to reduce the volar bone fragment, and an external flexion force was applied using a dorsal splint to compress the dorsal bone fragment into the volar bone fragment. The pin was removed 6 weeks postoperatively, and active range of motion exercises were started 8 weeks postoperatively. Bone union was achieved with good alignment, and although the interphalangeal joint remained slightly restricted in range of motion, the patient returned to his previous job and was satisfied with the function of the left thumb.</p>","PeriodicalId":42421,"journal":{"name":"Case Reports in Plastic Surgery and Hand Surgery","volume":"12 1","pages":"2477175"},"PeriodicalIF":0.4,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11912232/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651085","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Abdulrahman N AlGhazi, Mohammed H AlZahrani, Wijdan A AlMutiri, Nora M AlZoum
{"title":"Disseminated tuberculosis presenting as finger swelling in a 2-year-old: a case report of TB osteomyelitis.","authors":"Abdulrahman N AlGhazi, Mohammed H AlZahrani, Wijdan A AlMutiri, Nora M AlZoum","doi":"10.1080/23320885.2025.2473383","DOIUrl":"10.1080/23320885.2025.2473383","url":null,"abstract":"<p><p>Tuberculosis (TB) is a chronic granulomatous infection caused by <i>Mycobacterium tuberculosis</i>. TB primarily affects the lungs. A small percentage of cases are associated with extrapulmonary TB (EPTB). Of all EPTB, skeletal TB accounts for 1-5% of the cases, with the vertebrae being the most commonly affected. Involvement of the hands usually occurs in children under the age of six, with the bones of the proximal phalanx of the middle and index fingers being the most reported sites of infection. We describe a case of disseminated TB presenting as swelling in the index finger. Due to its nonspecific symptoms and insidious course, this condition is frequently overlooked. The presented case is unique compared to other documented TB cases as the child did not undergone Bacillus Calmette-Guérin (BCG) vaccination, a factor that might have contributed to the disease progression. Additionally, traditional cauterization was noted in the patient's history, a practice that could complicate the diagnosis. Physicians should consider TB osteomyelitis when encountering young patients with finger swelling, particularly in endemic areas. Prompt recognition and diagnosis of TB osteomyelitis are crucial for early intervention and better outcomes.</p>","PeriodicalId":42421,"journal":{"name":"Case Reports in Plastic Surgery and Hand Surgery","volume":"12 1","pages":"2473383"},"PeriodicalIF":0.4,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11899214/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143617479","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Reverse abdominoplasty: easily solving complicated situations.","authors":"Daniele Brunelli, Francesca Mazzarella, Chiara Zanettin, Pasquale Zona, Diego Cappellina, Cesare Cappellina, Franco Bassetto, Vincenzo Vindigni","doi":"10.1080/23320885.2025.2475902","DOIUrl":"10.1080/23320885.2025.2475902","url":null,"abstract":"<p><strong>Background: </strong>Epigastric tissue abundancy after abdominoplasty or liposuction is a complicated scenario that requires a precise and targeted approach. Especially when concurrent mammoplasty is planned or has already been done by the patient, a surgical operation through a submammary skin incision can solve this problem.</p><p><strong>Aim: </strong>To showcase our personal experience regarding reverse abdominoplasty and compare it to the state of the art.</p><p><strong>Methods: </strong>To identify indications, possible complications and outcomes, detailed surgical insights as well as graphical examples are provided. In addition, our personal experience from the last four years is showcased and compared with the literature using PubMed and Cochrane Library databases with Reverse AND Abdominoplasty as search strings.</p><p><strong>Results: </strong>All the 12 patients operated in our facilities between 2020 and 2024 had either a pre-existing submammary scar or a plan to undergo a contestual mammoplasty; at a mean of 25,1 weeks follow up, one major complication occurred.</p><p><strong>Discussion: </strong>There is a lack of publications on reverse abdominoplasty. Small case series are available in the literature, most of which focus on aesthetic indications. Only a few cases address the reconstructive implications of this surgical technique. In our experience, the concomitant desire or necessity of a mammoplasty and an already present inframammary scar favor the surgery. Careful recreation of a new inframammary sulcus must be considered to avoid unpleasant complications.</p><p><strong>Conclusions: </strong>Despite the poor literature supporting this technique, reverse abdominoplasty is a must-known procedure for successfully addressing thorny abdominal wall conditions and is characterized by consistent, replicable and safe outcomes.</p>","PeriodicalId":42421,"journal":{"name":"Case Reports in Plastic Surgery and Hand Surgery","volume":"12 1","pages":"2475902"},"PeriodicalIF":0.4,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11892065/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143598000","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hatan Mortada, Razan Albrahim, Rahaf Issa Almughamsi, Haya Fahad Alotaibi, Saad Alrobaiea, Rayan Alalola
{"title":"An unusual late complication of mitek suture anchor use 10 years after primary repair of a flexor digitorum profundus tendon laceration: a case report and literature review.","authors":"Hatan Mortada, Razan Albrahim, Rahaf Issa Almughamsi, Haya Fahad Alotaibi, Saad Alrobaiea, Rayan Alalola","doi":"10.1080/23320885.2025.2473373","DOIUrl":"10.1080/23320885.2025.2473373","url":null,"abstract":"<p><p>Flexor tendon lacerations require precise surgical repair, often using Mitek suture anchors. This report describes a recurrent infection 10 years post-FDP repair, caused by anchor migration and inflammation. Anchor removal was necessary to prevent further complications, highlighting potential long-term risks.</p>","PeriodicalId":42421,"journal":{"name":"Case Reports in Plastic Surgery and Hand Surgery","volume":"12 1","pages":"2473373"},"PeriodicalIF":0.4,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11892040/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143597994","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sydney Bormann, Tiffany Bender, Benjamin Kulesa, Jason Fowler
{"title":"Palmar pseudoaneurysm following carpal tunnel release.","authors":"Sydney Bormann, Tiffany Bender, Benjamin Kulesa, Jason Fowler","doi":"10.1080/23320885.2025.2468438","DOIUrl":"10.1080/23320885.2025.2468438","url":null,"abstract":"<p><p>Carpal tunnel release surgery is a common and relatively safe surgical procedure; however, rare complications such as pseudoaneurysms can occur. Treatment of palmar pseudoaneurysms typically includes endovascular embolization or open ligation. We present a case of open surgical excision and repair of a pseudoaneurysm of the superficial palmar arch following carpal tunnel release surgery. This case study demonstrates how common surgical procedures can yield serious complications, thus highlighting the importance of thorough evaluations in pre-and post-operative care.</p>","PeriodicalId":42421,"journal":{"name":"Case Reports in Plastic Surgery and Hand Surgery","volume":"12 1","pages":"2468438"},"PeriodicalIF":0.4,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11881654/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568437","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Long-term follow-up of a case of bilateral elbow ulcers in a patient with Werner syndrome treated with pedicled radial forearm flaps.","authors":"Yusuke Hayashibara, Kenji Kawamura, Hideo Hasegawa, Shohei Omokawa, Yasuhito Tanaka","doi":"10.1080/23320885.2025.2463321","DOIUrl":"10.1080/23320885.2025.2463321","url":null,"abstract":"<p><p>Werner syndrome is a rare autosomal recessive disorder caused by WRN gene mutations, leading to premature aging and genomic instability. Clinical symptoms include diabetes, skin lesions, and microvascular issues, with patients frequently developing difficult-to-heal ulcers on the distal legs, feet, and elbows. Surgical treatments, such as flap surgery, are rarely reported. We present the case of a 45-year-old male with Werner syndrome who developed refractory ulcers on both elbows. Despite conservative treatments, the ulcers persisted, leading to successful radial forearm pedicle flap surgeries. Postoperative results were favorable, with no complications, ulcer recurrence, or infections over a 16-year follow-up period. The patient maintained a full range of motion in both elbows. This case highlights the challenges of managing ulcers in Werner syndrome and the successful long-term outcomes of flap surgery, providing valuable insights into this rare condition's treatment.</p>","PeriodicalId":42421,"journal":{"name":"Case Reports in Plastic Surgery and Hand Surgery","volume":"12 1","pages":"2463321"},"PeriodicalIF":0.4,"publicationDate":"2025-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11809173/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143392024","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Patellar tendon reconstruction using a medial gastrocnemius flap: review of the literature and an illustrative case report, including some technical Tipps.","authors":"Mauro Maniglio, Robin Martin, Pietro Di Summa","doi":"10.1080/23320885.2025.2454433","DOIUrl":"10.1080/23320885.2025.2454433","url":null,"abstract":"<p><p>Patients with chronic patellar tendon ruptures, failed primary repair, injuries with significant loss of tendon tissue or skin coverage require a complex reconstruction. Several reconstructive options are available, but in the case of a revision surgery with an associated infection, most of them seems contraindicated. The use of a vascularized gastrocnemius tendon graft to reconstruct the knee extensor apparatus, is in our opinion, the most appropriate treatment option. We will report a complex case of chronical patellar tendon rupture (after failed allograft reconstruction) in the context of an infection with soft tissue defect. This 65-year-old patient was successfully treated with the reconstruction of the patellar tendon and a soft tissue coverage using a medial gastrocnemius flap. We followed her up for three years and the clinical outcome was recorded including several clinical scores and isokinetic strength measurements, showing an excellent result, with full patient satisfaction and without any limitation in daily activities. In addition, we will review the literature about patellar tendon reconstruction using a medial gastrocnemius flap, presenting the indications and advantages of this technique, sharing our personal experience and some technical aspects of the technique. Finally, we discuss why this flap, is our first choice in such cases.</p>","PeriodicalId":42421,"journal":{"name":"Case Reports in Plastic Surgery and Hand Surgery","volume":"12 1","pages":"2454433"},"PeriodicalIF":0.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11789222/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143123746","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"An unusual case of deep vein thrombosis of the upper extremity following breast reduction.","authors":"Gorkem Kazaz, Berkhan Yılmaz, Bülent Saçak","doi":"10.1080/23320885.2025.2451632","DOIUrl":"10.1080/23320885.2025.2451632","url":null,"abstract":"<p><p>Breast reduction surgery is a commonly performed procedure relieving physical discomfort and improving quality of life for individuals with macromastia. Despite its benefits, there are inherent risks associated with surgical intervention, one of which is the development of deep vein thrombosis (DVT). This relatively rare complication can lead to significant morbidity and mortality if not recognized and managed properly. We present a case of a 28-year-old female who underwent bilateral breast reduction surgery consequently developing swelling, pain and discoloration of her left arm. Duplex ultrasound confirmed the diagnosis of upper extremity DVT. The patient was immediately started on anticoagulation therapy and subsequently resolution of thrombosis and was confirmed by Duplex ultrasound. Lower extremity DVT is a rare complication following breast reduction surgery. Yet, we present the first case of upper extremity DVT following breast reduction, to our knowledge. Clinicians should maintain a high index of suspicion for this condition, particularly in patients with predisposing risk factors.</p>","PeriodicalId":42421,"journal":{"name":"Case Reports in Plastic Surgery and Hand Surgery","volume":"12 1","pages":"2451632"},"PeriodicalIF":0.4,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11770851/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143053842","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Levator aponeurosis advancement with partial orbicularis oculi muscle resection for the treatment of Marin Amat syndrome with aponeurotic ptosis: two Case reports.","authors":"Kaito Noguchi, Ikubun Osawa, Satomi Kurihara, Sho Yokoyama, Yosihiko Tanabe","doi":"10.1080/23320885.2025.2451633","DOIUrl":"10.1080/23320885.2025.2451633","url":null,"abstract":"<p><p>Marin Amat syndrome is a phenomenon in which eyelids close upon opening of the mouth during the recovery phase after facial nerve paralysis. In this report, we present two surgically treated cases of Marin Amat syndrome with aponeurotic ptosis. Case 1: A 66-year-old man had developed left Bell's palsy a year prior to presentation and underwent rehabilitation at the Neurology Department of Japan Community Healthcare Organization Chukyo Hospital. He was subsequently referred to the Ophthalmology Department for left eyelid ptosis. Case 2: A 75-year-old man developed left Bell's palsy more than 10 years prior to presentation and was referred to the Ophthalmology Department for left eyelid ptosis. Both patients had Marin Amat syndrome with aponeurotic ptosis. Levator aponeurosis advancement surgery and partial orbicularis oculi muscle resection were performed on the affected eyes. Both patients showed favorable postoperative outcomes. Simultaneous surgery involving levator aponeurosis advancement and partial orbicularis oculi muscle resection is effective for treating Marin Amat syndrome with aponeurotic ptosis.</p>","PeriodicalId":42421,"journal":{"name":"Case Reports in Plastic Surgery and Hand Surgery","volume":"12 1","pages":"2451633"},"PeriodicalIF":0.4,"publicationDate":"2025-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11730868/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142984922","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Matilde Tettamanzi, Federico Ziani, Anna Manconi, Giovanni Arrica, Claudia Trignano, Edoardo Filigheddu, Silvia Rampazzo, Ilaria Ginatempo, Michail Sorotos, Fabio Santanelli di Pompeo, Corrado Rubino, Emilio Trignano
{"title":"Evaluation of Negative Pressure Wound Therapy dressing in the management of mommy makeover surgery wounds.","authors":"Matilde Tettamanzi, Federico Ziani, Anna Manconi, Giovanni Arrica, Claudia Trignano, Edoardo Filigheddu, Silvia Rampazzo, Ilaria Ginatempo, Michail Sorotos, Fabio Santanelli di Pompeo, Corrado Rubino, Emilio Trignano","doi":"10.1080/23320885.2025.2450102","DOIUrl":"10.1080/23320885.2025.2450102","url":null,"abstract":"<p><strong>Background: </strong>This investigation explores the potential impact of Negative Pressure Wound Therapy (NPWT) dressing on mommy makeover surgical wounds. The focus is on optimizing the healing process and post-surgical care to mitigate complications like wound dehiscence, seroma, and hematoma.</p><p><strong>Patients and methods: </strong>A prospective study spanned from October 2015 to April 2022, involving 40 patients undergoing mommy makeover surgery for aesthetic purposes. The randomized division resulted in two groups. Group one (<i>n</i> = 20) had donor sites covered with NPWT dressing, while group two (<i>n</i> = 20) received standard dressings lacking known healing-promoting agents. The assessment of complications served as an index of NPWT efficacy, and scars were evaluated using the Vancouver Scale.</p><p><strong>Results: </strong>Immediate post-surgical use of NPWT dressings significantly expedited wound healing compared to fine-mesh gauze dressings. Furthermore, it almost eradicated discomfort and pain in all patients, indicating excellent compliance. Patients tolerated NPWT well, with no instances of dressing failure or non-compliance.</p><p><strong>Conclusion: </strong>This study underscores the utility of NPWT dressing in managing mommy makeover surgery wounds. The dressing's bio-occlusive properties create an optimal environment for wound healing, simultaneously minimizing pain, discomfort, and preventing key complications such as seroma and unfavorable scar appearance.</p>","PeriodicalId":42421,"journal":{"name":"Case Reports in Plastic Surgery and Hand Surgery","volume":"12 1","pages":"2450102"},"PeriodicalIF":0.4,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11721609/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142972649","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}