Chirurgie de la main
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Chirurgie de la main · Feb 2007
Case Reports[Intramedullary stabilisation of hematometacarpal fracture-dislocation. A case report].
We report a case of a dorsal coronal fracture of the hamate associated with an unstable hematometacarpal dislocation in a 15 year old patient. An accurate assessment was done only after a 3D-CT was performed. Open reduction and intramedullary fixation yielded a very good result.
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Chirurgie de la main · Feb 2007
Comparative Study[Primary flexor tendon ruptures of the little finger within the carpal tunnel. Proposed classification based on six clinical cases and review of the literature].
Six cases of primary flexor tendon rupture of the little finger within the carpal tunnel are presented. All of them were attritional ruptures caused by a rough hook of the hamate. ⋯ Ultrasound may by helpful to determine the level of rupture. The surgical treatment consists of excision of the hook of the hamate and tendon repair.
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The authors report the case of a 23 year old patient, who presented the following combination of injuries after a fall, namely a divergent dislocation of the elbow, a fracture of the radial head, a fracture of the ulna and a perilunate dislocation with scaphoid fracture. The entire injury thus represented a bipolar dislocation of the forearm. ⋯ Satisfactory healing of the scaphoid was observed. This combination of injuries has only rarely been reported in the literature.
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Chirurgie de la main · Dec 2006
[Bone lengthening by distraction of the metacarpal or phalanx in children].
We report the results of bone lengthening using progressive distraction performed for congenital hand deformities in 12 children between 1998 and 2004. The series is retrospective. Patients were aged between 2 and 11 years. ⋯ It is feasible in very young patients as a micro distraction device is used. Family education may prevent complications. This therapeutic procedure gave functional improvement without impairment of distal sensitivity.
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Chirurgie de la main · Nov 2006
Review[Shoulder arthroscopy: setting, portals and normal exploration].
Arthroscopy has been established as a valuable technique in diagnosis and treatment of the injured and deseased shoulder. Arthroscopy is not a new diagnostic tool but offers new approaches to the surgical treatment of shoulder pathology. Shoulder arthroscopy is usally performed under general anesthesia or/with scalene block. ⋯ Diagnostic arthroscopic is initiated with insertion of the arthroscope from the posterior portal into the gleno humeral joint. Inspection should be organized systematic visualization of the entire joint (articular surfaces of the glenoid and humeral head, glenoid labrum, long head of the biceps tendon, sub scapularis tendon, axillary pouch, capsular ligaments, synovial membrane). Then endoscopic visualization of the subacromail space is a valuable and essential adjunct to the gleno humeral arthroscopy (impingement syndrome, rotator cuff tears, calcific tendinitis, acromiocalvicular joint disorders).