The Journal of hand surgery, European volume
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J Hand Surg Eur Vol · Aug 2002
Randomized Controlled Trial Comparative Study Clinical TrialA prospective, randomized, controlled trial of forearm versus upper arm tourniquet tolerance.
This prospective, randomized, controlled trial studied the duration of upper and forearm tourniquet tolerance in 24 fit, healthy volunteers. Upper arm and forearm tourniquets were applied to either arm and inflated simultaneously. ⋯ Under the conditions of this study, forearm tourniquets were tolerated for a mean of 7 min longer than upper arm tourniquets. The increase in tourniquet time afforded by a forearm tourniquet is clinically important in hand surgery performed under local anaesthetic.
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J Hand Surg Eur Vol · Aug 2002
Case ReportsDigital artery damage associated with closed crush injuries.
This retrospective study describes closed finger crush injuries in seven patients (eight fingers) in which each finger sustained a loss of blood supply. Clinical findings included numbness, decreased two-point and sharp/dull sensation, cyanosis or pallor, and decreased capillary filling. ⋯ The only finger not explored progressed to necrosis and amputation. Crush injuries to the fingers, especially those associated with displaced fractures, should be carefully evaluated for symptoms and signs of ischaemia.
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J Hand Surg Eur Vol · Aug 2002
Case ReportsParoxysmal finger haematomas (Achenbach's syndrome) with angiographic abnormalities.
We present two cases of women with Achenbach's syndrome (paroxysmal finger haematomas) with abnormal angiograms.
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J Hand Surg Eur Vol · Apr 2002
Reconstruction of finger tip amputations with advancement flap and free nail bed graft.
Fifteen finger tip amputations through the proximal half of the nail bed were reconstructed with palmar V-Y advancement flaps and full thickness nail bed grafts. The undersurface of the V-Y flap was sutured to the nail bed remnant and the raw area was covered with full thickness nail bed grafts from the amputated part. ⋯ This technique results in an average gain of 5 mm of extra length to the nail. This is a useful technique when replantation of a distal fingertip amputation is not possible.