The Journal of hand surgery, European volume
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J Hand Surg Eur Vol · Jun 2011
Excision of aberrant abductor pollicis longus tendon slips for decompression of de Quervain's disease.
Release or excision of the first extensor compartment is a commonly performed surgical procedure to treat de Quervain's disease. This technique can potentially cause palmar subluxation of the extensor tendons. The abductor pollicis longus (APL) tendon has multiple slips which can be used as a resource for tendon transfer without loss of function. ⋯ All our patients had relief from pain and tenderness. No patients needed immobilization and none had subluxation of the extensor tendons. Patients without workers' compensation returned to work 15 days after surgery.
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J Hand Surg Eur Vol · Jun 2011
What kinds of hand injuries are more likely to result in amputation? An analysis of 6549 hand injuries.
We analysed 6549 hand injuries treated between 1992 and 2005 at a specialist hospital in Turkey to identify risk factors for amputations. There were 2899 (44%) hand amputations. Left-side injuries were more prone to amputation. ⋯ Doors were the most frequent objects of amputation in children, followed by powered wood cutters. Education, enforcement, and improved engineering are the keys to prevent amputations. Precluding illegal child labour is essential.