The Journal of hand surgery, European volume
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J Hand Surg Eur Vol · Feb 2007
Case ReportsVolar lunate dislocation associated with a Salter-Harris Type III fracture of the distal radial epiphysis in an 8 year-old child.
Carpal fracture-dislocations in children are extremely rare injuries and are easily missed or misdiagnosed. An 8 year-old boy who presented with a volar lunate dislocation associated with a Salter Harris Type III injury of the distal radial epiphysis is reported. Open reduction without internal fixation followed by plaster immobilisation achieved good short-term results.
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J Hand Surg Eur Vol · Dec 2006
The clinical significance of the palmaris longus tendon in the pathophysiology of carpal tunnel syndrome.
Carpal tunnel syndrome is associated with increased intracarpal canal pressure. The effect of tendon loading on intracarpal canal pressures is documented in biomechanical studies. Palmaris longus loading in wrist extension induces the greatest absolute increase in intracarpal canal pressure. ⋯ Each subject was clinically examined for the presence of the palmaris longus tendon. The prevalence of palmaris longus agenesis was significantly lower in the carpal tunnel group. The palmaris longus tendon is a strong independent risk factor for carpal tunnel syndrome.
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J Hand Surg Eur Vol · Dec 2006
Randomized Controlled Trial Comparative StudyLocal anaesthesia for carpal tunnel decompression: a comparison of two techniques.
Carpal tunnel decompression is mostly performed as a day case procedure using local anaesthesia. The local anaesthetic is commonly administered by subcutaneous infiltration alone (the Gale technique) or by infiltration of the local anaesthetic into the carpal tunnel in addition to the subcutaneous infiltration (the Altissimi and Mancini technique). The intention of this study was to compare the efficacy of anaesthesia using these two techniques. ⋯ Pain was evaluated using the numerical rating pain scale (0-10). Six patients experienced intraoperative pain with the Gale technique, while none had pain with the Altissimi and Mancini technique (P = 0.02). The postoperative pain was not significantly different between the two groups, although the patients anaesthetised by the Altissimi and Mancini technique required significantly lower numbers of analgesic tablets.