Chirurgie De La Main最新文献

{"title":"Nouvelle technique d’aponévrotomie endoscopique à une porte pour syndrome de loges chronique d’effort (SLCE) du sportif à l’avant-bras. Note de technique","authors":"M. Burnier, G. Herzberg, M. Goff","doi":"10.1016/j.main.2015.10.113","DOIUrl":"https://doi.org/10.1016/j.main.2015.10.113","url":null,"abstract":"","PeriodicalId":50699,"journal":{"name":"Chirurgie De La Main","volume":"34 1","pages":"371-372"},"PeriodicalIF":0.0,"publicationDate":"2015-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.main.2015.10.113","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54783568","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Robotic harvest of the latissimus dorsi muscle – a feasibility study on a cadaver and application on a clinical case","authors":"S. Ichihara, J. Pedersen, Paolo Porto de Melo, P. Liverneaux, S. Facca","doi":"10.1016/J.MAIN.2015.10.140","DOIUrl":"https://doi.org/10.1016/J.MAIN.2015.10.140","url":null,"abstract":"","PeriodicalId":50699,"journal":{"name":"Chirurgie De La Main","volume":"34 1","pages":"381"},"PeriodicalIF":0.0,"publicationDate":"2015-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/J.MAIN.2015.10.140","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54783902","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Utilisation des nouilles « konnyaku shirataki » comme modèle d’entraînement de faible fidélité à la chirurgie microvasculaire en salle d’opération","authors":"G. Prunières, S. Facca, P. Liverneaux, C. Taleb, S. Hendriks","doi":"10.1016/j.main.2015.10.171","DOIUrl":"https://doi.org/10.1016/j.main.2015.10.171","url":null,"abstract":"","PeriodicalId":50699,"journal":{"name":"Chirurgie De La Main","volume":"34 1","pages":"391"},"PeriodicalIF":0.0,"publicationDate":"2015-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.main.2015.10.171","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54784223","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Arthrose carpo-métacarpienne post-traumatique des 4e et 5e rayons de la main – technique chirurgicale de l’arthroplastie par implant en pyrocarbone","authors":"C. Roger, M. Moughabghab, V. Rotari, N. Lebeau, Vittorio Ferrari, Elias Benkacem, A. Djebara, G. Bon, Y. Tanwin","doi":"10.1016/j.main.2015.10.179","DOIUrl":"https://doi.org/10.1016/j.main.2015.10.179","url":null,"abstract":"","PeriodicalId":50699,"journal":{"name":"Chirurgie De La Main","volume":"34 1","pages":"393"},"PeriodicalIF":0.0,"publicationDate":"2015-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.main.2015.10.179","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54784298","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The use of thermoplastic splints in the reeducation of children with obstetrical brachial plexus palsy","authors":"Leonarda Tubuo","doi":"10.1016/J.MAIN.2015.10.180","DOIUrl":"https://doi.org/10.1016/J.MAIN.2015.10.180","url":null,"abstract":"","PeriodicalId":50699,"journal":{"name":"Chirurgie De La Main","volume":"111 3S 1","pages":"393-394"},"PeriodicalIF":0.0,"publicationDate":"2015-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/J.MAIN.2015.10.180","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54784306","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nerve transfer in the management of upper extremity paralysis after brachial plexus and central neurologic injuries: Experience of Huashan","authors":"Wendong Xu, Jian-guang Xu, Y. Gu","doi":"10.1016/J.MAIN.2015.10.187","DOIUrl":"https://doi.org/10.1016/J.MAIN.2015.10.187","url":null,"abstract":"","PeriodicalId":50699,"journal":{"name":"Chirurgie De La Main","volume":"17 1","pages":"396"},"PeriodicalIF":0.0,"publicationDate":"2015-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/J.MAIN.2015.10.187","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54784381","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Distal radius isoelastic resurfacing prosthesis – a preliminary report","authors":"Satoshi Ichihara ,&nbsp;Juan José Hidalgo Díaz ,&nbsp;Brett Peterson ,&nbsp;Philippe Liverneaux ,&nbsp;Sybille Facca","doi":"10.1016/j.main.2015.10.048","DOIUrl":"https://doi.org/10.1016/j.main.2015.10.048","url":null,"abstract":"<div><h3>Background</h3><p>Here, we present a preliminary case series of unicompartmentalisoelastic resurfacing prosthesis of distal radius to treat comminuted articular fractures of osteoporotic elderly patients.</p></div><div><h3>Materials and methods</h3><p>Our study included 12 patients, mean age 76-year-old, who presented which a comminuted osteoporotic distal radius fracture. Because of the severity of injury and poor bone quality + osteosynthesis was not deemed to be a good option.</p></div><div><h3>Description of technique</h3><p>The surgery was performed through a dorsal approach. The subchondral bone of the entire distal radial articular was excised and a unicompartmental prosthesis was applied.</p></div><div><h3>Results</h3><p>The average follow-up was 32 months. Patients reported an average of pain on a VAS score of 2.8/10. The QuickDASH was 37.4/100. The grip strength was in neutral 49.9%, in supination 59.0%, in pronation 56.2% of the contralateral side respectively. The wrist range of motion in flexion and extension were 56.1% and 79.3%, in supination and pronation 87.7% and 91.0%, respectively compared to the contralateral side. Four postoperative complications were noted. Two patients experienced a complex regional pain syndrome type II + these resolved spontaneously. One patient experienced distal radio-ulnar joint stiffness, this improved after an ulna head resection. Finally, one patient required revision surgery after a secondary traumatic fracture. This was revised with another Unicompartmental prosthesis. Radiographically+ the average volar tilt was 9.8° + the average of radial inclination was 11.6°.</p></div><div><h3>Conclusion</h3><p>The concept of a unicompartmental isoelastic resurfacing prosthesis offers a promising option for the treatment of comminuted, osteoporotic distal radius articular fractures of elderly patients.</p></div>","PeriodicalId":50699,"journal":{"name":"Chirurgie De La Main","volume":"34 6","pages":"Pages 348-349"},"PeriodicalIF":0.0,"publicationDate":"2015-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.main.2015.10.048","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92091035","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"","authors":"P. Guerreschi","doi":"10.1016/j.main.2015.09.003","DOIUrl":"10.1016/j.main.2015.09.003","url":null,"abstract":"","PeriodicalId":50699,"journal":{"name":"Chirurgie De La Main","volume":"34 6","pages":"Pages 328-329"},"PeriodicalIF":0.0,"publicationDate":"2015-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.main.2015.09.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54782192","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A rare cause of ulnar nerve entrapment at the elbow area illustrated by six cases: The anconeus epitrochlearis muscle","authors":"J. Fernandez ,&nbsp;O. Camuzard ,&nbsp;M.-O. Gauci ,&nbsp;M. Winter","doi":"10.1016/j.main.2015.09.005","DOIUrl":"10.1016/j.main.2015.09.005","url":null,"abstract":"<div><p>Ulnar nerve entrapment is the second most common compressive neuropathy after carpal tunnel syndrome. The accessory anconeus epitrochlearis muscle – present in 4% to 34% of the general population – is a known, but rare cause of ulnar nerve entrapment at the elbow. The aim of this article was to expand our knowledge about this condition based on six cases that we encountered at our hospital between 2011 and 2015. Every patient had a typical clinical presentation: hypoesthesia or sensory deficit in the fourth and fifth fingers; potential intrinsics atrophy of the fourth intermetacarpal space; loss of strength and difficulty with fifth finger abduction. Although it can be useful to have the patient undergo ultrasonography or MRI to aid in the diagnosis, only electromyography (EMG) was performed in our patients. EMG revealed clear compression in the ulnar groove, with conduction block and a large drop in nerve conduction velocity. Treatment typically consists of conservative treatment first (splint, analgesics). Surgical treatment should be considered when conservative treatment has failed or the patient presents severe neurological deficits. In all of our patients, the ulnar nerve was surgically released but not transposed. Five of the six patients had completely recovered after 0.5 to 4<!--> <!-->years follow-up. Ulnar nerve entrapment at the elbow by the anconeus epitrochlearis muscle is not common, but it must not be ignored. Only ultrasonography, MRI or, preferably, surgical exploration can establish the diagnosis. EMG findings such as reduced motor nerve conduction velocity in a short segment of the ulnar nerve provides evidence of anconeus epitrochlearis-induced neuropathy.</p></div>","PeriodicalId":50699,"journal":{"name":"Chirurgie De La Main","volume":"34 6","pages":"Pages 294-299"},"PeriodicalIF":0.0,"publicationDate":"2015-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.main.2015.09.005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54782210","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Utilisation d’un double lambeau cross-finger dans les avulsions digitales par bague de type III d’Urbaniak non replantables","authors":"Amirouche Dahmam ,&nbsp;Dimitri Giannikas ,&nbsp;Martine Dury ,&nbsp;Etienne Rapp","doi":"10.1016/j.main.2015.10.039","DOIUrl":"10.1016/j.main.2015.10.039","url":null,"abstract":"<div><h3>Introduction</h3><p>Les avulsions digitales par bague ne sont pas toujours accessibles à une replantation microchirurgicale. Dans le cas d’un dégantage complet du fourreau cutané de stade III d’Urbaniak, des méthodes de sauvetage ont été décrites pour préserver la longueur du doigt et éviter l’amputation proximale. Nous proposons une nouvelle technique faisant appel à la réalisation d’un double lambeau <em>cross-finger</em> dorsal et palmaire prélevé sur les doigts voisins.</p></div><div><h3>Technique chirurgicale et série</h3><p>Nous présentons quatre cas d’avulsion digitale par bague de stade III d’Urbaniak non replantables. Il s’agissait de trois hommes et d’une femme, d’âge moyen 28<!--> <!-->ans (19–37), le doigt atteint était l’annulaire. La face palmaire de l’annulaire a été reconstruite par un lambeau <em>cross-finger</em> prélevé sur la face dorsale du troisième doigt. La face dorsale de la première phalange de l’annulaire a été reconstruite par un lambeau <em>cross-finger</em> palmaire prélevé sur le cinquième doigt. Le fourreau cutané avulsé a été dégraissé et repositionné en greffe de peau totale sur la face dorsale de la deuxième phalange de l’annulaire et sur les sites donneurs. Le sevrage des lambeaux a été réalisé à la 3^e semaine. Au recul moyen de 28 mois (6–42), l’arc de mobilité moyen était de 80°, la sensibilité était de 12 à 15<!--> <!-->mm au test S2PD et la force au Jamar était à 80 % de la force controlatérale. Aucune séquelle majeure n’a été relevée sur les sites donneurs. Tous les patients étaient satisfaits malgré la durée du traitement et le prélèvement réalisé sur les doigts voisins.</p></div><div><h3>Discussion</h3><p>Dans les avulsions digitales par bague non replantables, les solutions thérapeutiques sont limitées à l’amputation à la hauteur de la première phalange et à la couverture cutanée des structures ostéoarticulaires et tendineuses restantes. La couverture cutanée peut-être assurée par un lambeau « en nourrice », un lambeau pédiculé ou un lambeau libre. Le lambeau « en nourrice » prélevé au niveau inguinal est très contraignant pour le patient et pose le problème de l’épaisseur du revêtement cutané. Les lambeaux pédiculés laissent d’importantes séquelles sur le site donneur, les lambeaux libres sont de réalisation technique complexe et le risque d’échec reste non négligeable. La technique présentée utilisant un double lambeau <em>cross-finger</em> nous semble simple et fiable, sans séquelle importante et constitue pour nous une bonne alternative thérapeutique dans le traitement de ces lésions.</p></div>","PeriodicalId":50699,"journal":{"name":"Chirurgie De La Main","volume":"34 6","pages":"Page 345"},"PeriodicalIF":0.0,"publicationDate":"2015-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.main.2015.10.039","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54782781","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}