{"title":"[Very small ganglia as the cause of wrist pain].","authors":"U Lanz, W Romen","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In 10 patients with severe pain localised over the dorsal aspect of the lunate, the capsule of the wrist joint was exposed and fenestrated over the scapho-lunate ligament. In two cases flat ganglion cysts were found, too small to be palpated before surgery. In the other 8 cases without macroscopically visible changes, histologically, areas of mucoid degeneration and very small ganglion cysts could be seen in the capsule. All patients were pain free after surgery. It is concluded that very small intracapsular cysts in the area of the dorsal scapho-lunate ligament, the most common origin of ganglia, may irritate the posterior interosseus nerve which is located in this area.</p>","PeriodicalId":75892,"journal":{"name":"Handchirurgie","volume":"12 1-2","pages":"27-30"},"PeriodicalIF":0.0,"publicationDate":"1980-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18266150","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":"[Reoperation after surgery of flexor tendons].","authors":"H Nigst","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>After stabilizing operations such as tenodesis or arthrodesis used for lesions of flexor tendons in the hand, secondary operations to achieve more suitable angulation are mainly needed when there is elongation of the tenodesis. Complications are more frequent after mobilizing operations such as reinsertion, advancement, Z-lengthening, primary suture, tendon graft or tendon transfer. Tenolysis, the operation most frequently used, since contractures may occur after all the prementioned procedures, is treated in a separate paper. Tendon rupture, for instance after reinsertion or advancement operations may require repetition of the primary procedure. More often another procedure will be indicated, for instance a graft after rupture of a primary suture. Pulley reconstruction is necessary when correction of bow-stringing is the aim. Synovitis after the first stage of HUNTER's tenoplasty, a consequence of mechanical or chemical irritation from the silastic rod, is best treated by a short period of immobilisation. Tardy, secondary contractures after tendon graft are a real problem. If conservative treatment using splints is ineffective, either the hook-deformity has to be accepted or the finger amputated.</p>","PeriodicalId":75892,"journal":{"name":"Handchirurgie","volume":"12 3-4","pages":"155-7"},"PeriodicalIF":0.0,"publicationDate":"1980-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18344743","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 double-innervated dorsal index finger flap].","authors":"I Matev","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The double-innervated flap is raised from the dorsal surface of the index in a width of three to four centimeters and includes both dorsal digital nerves. This flap provides for tactile sensation to the major part of the prehension area of the thumb including the first web. It seems that this flap has a functional advantage over the various island flaps used to restore sensibility to the thumb pulp.</p>","PeriodicalId":75892,"journal":{"name":"Handchirurgie","volume":"12 1-2","pages":"61-3"},"PeriodicalIF":0.0,"publicationDate":"1980-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18068097","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":"[Intra-articular block of the metacarpophalangeal joint of the index finger].","authors":"A Renner, E Sántha","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A case of rare intraarticular block of the metacarpophalangeal joint of the index finger is described. This block occurs exclusively in the metacarpophalangeal joint of the index finger in young persons as a result of trauma which forces the joint into severe flexion and strong ulnar deviation while maintaining normal articular relationship.</p>","PeriodicalId":75892,"journal":{"name":"Handchirurgie","volume":"12 1-2","pages":"85-7"},"PeriodicalIF":0.0,"publicationDate":"1980-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18265001","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 case of carpo-tarsal osteolysis].","authors":"U Ludwig, P M Karpf","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":75892,"journal":{"name":"Handchirurgie","volume":"12 1-2","pages":"97-100"},"PeriodicalIF":0.0,"publicationDate":"1980-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18265003","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":"[Isolated traumatic lesions of the motor nerve branches in the hand].","authors":"P Haussmann","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Isolated injuries of the motor branches of the median and ulnar nerve in the hand are rare. The resulting loss of function is so important that primary or secondary repair is necessary. Using microsurgery techniques the results are very satisfying. The procedure is demonstrated in three cases: 1. Primary perineural suture in a case of double severance of the motor branch of the median nerve caused by the blow of an axe. 2. Resection of neuroma and secondary suture of the motor branch of the median nerve after former knife cut. 3. Bridging a gap in the deep motor branch of the ulnar nerve by autologous nerve grafting after former stab injury of the hypothenar eminence. In all patients denervation after the injury as well as regeneration in the healing process was demonstrated by myography.</p>","PeriodicalId":75892,"journal":{"name":"Handchirurgie","volume":"12 1-2","pages":"23-5"},"PeriodicalIF":0.0,"publicationDate":"1980-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18266149","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":"Polydactyly in Japan.","authors":"T Miura","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The author has studied 194 cases of polydactyly in the Japanese, and found 87% of the cases to be preaxial polydactyly. Preaxial polydactyly differed from postaxial polydactyly in many points. In preaxial polydactyly, the more proximal the level of bifurcation, the more frequent was the complication by a brachymesophalangy 5. Hypoplasia of the thenar muscles, while also varying with the level of bifurcation, was more closely connected with the presence of triphalangism. In almost all cases of preaxial polydactyly, the apical ectodermal ridge may be the site of pathogenesis.</p>","PeriodicalId":75892,"journal":{"name":"Handchirurgie","volume":"12 1-2","pages":"39-46"},"PeriodicalIF":0.0,"publicationDate":"1980-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18266152","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":"[Several years' experience with thumb saddle joint prosthesis by the de la Caffinière method].","authors":"A Wyss, G Segmüller","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This type of endoprosthesis was used for four years in chronically painful idiopathic osteoarthritis of the carpometacarpal joint of the thumb. Our results match exactly those published by the originator of the endoprosthesis CAFFINIERE, i.e. 70% excellent results, nearly 30% problem cases. The problem of loosening of the stem or the cup of the prosthesis seems to depend in our cases on the operative technique rather than on the design or other factors. In the rheumatoid patient as well as in polyarthrotic hands we cannot encourage the prosthetic replacement of the carpometacarpal joint of the thumb.</p>","PeriodicalId":75892,"journal":{"name":"Handchirurgie","volume":"12 1-2","pages":"65-8"},"PeriodicalIF":0.0,"publicationDate":"1980-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18266155","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":"[Late complications of infections and their treatment].","authors":"J Geldmacher","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Operations to improve function after pyogenic infections of the hand and fingers should not be planned as long as a flare up of the infection is to be feared. There sould be no disturbance of circulation, no scars of skin or subcutaneous tissue and an adequate range of passive finger joint-movement. If there is little chance of restitution, one should not hesitate to amputate.</p>","PeriodicalId":75892,"journal":{"name":"Handchirurgie","volume":"12 3-4","pages":"253-6"},"PeriodicalIF":0.0,"publicationDate":"1980-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18344455","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":"[Paralysis of the inner thumb muscles. Treatment by tendon transfer].","authors":"R Tubiana, M Talke","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The management of paralysis of the intrinsic muscles of the thumb by tendon transfers cannot be realized by indiscriminate application of standard operations. For each of the three types of paralysis i. e.: -- paralysis of the external muscles of the thumb -- paralysis of the internal muscles of the thumb and -- combined paralysis of the external and internal muscles of the thumb, exists a different indication and for each one of the three elements of the procedure, namely: -- choice of the motor-muscle, -- location of the pulley and -- fixation of the transfer, the operative modalities must be adapted to each type of paralysis.</p>","PeriodicalId":75892,"journal":{"name":"Handchirurgie","volume":"12 3-4","pages":"143-50"},"PeriodicalIF":0.0,"publicationDate":"1980-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18344741","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}