The Journal of hand surgery, European volume
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J Hand Surg Eur Vol · Apr 2002
The prespinal route in contralateral C7 nerve root transfer for brachial plexus avulsion injuries.
Contralateral C7 nerve root transfer for brachial plexus injury is described, passing the nerve through a subcutaneous tunnel on the anterior surface of the neck and chest. We recommend passing the nerve graft through the retropharyngeal space. This route has the benefits of a simpler dissection, a shorter distance and protected placement of the graft. It has been used in one clinical case.
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J Hand Surg Eur Vol · Feb 2002
Case ReportsTreatment of soft tissue injuries to the dorsum of the metacarpophalangeal joint (Boxer's knuckle).
We retrospectively reviewed the surgical treatment for 16 cases of traumatic soft tissue injury to the metacarpophalangeal joint (Boxer's knuckle). A history of trauma was present in all cases and there was an associated extensor tendon dislocation in seven cases. Eight cases were initially treated conservatively, but their symptoms persisted. ⋯ Surgical closure of the rupture of the joint capsule resulted in a successful outcome in all cases. We consider that conservative treatment of this injury may not be effective when the joint capsule of the metacarpophalangeal joint is ruptured. We recommend arthrography of the metacarpophalangeal joint to assist in the decision as to whether to proceed with surgical or conservative treatment.
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J Hand Surg Eur Vol · Oct 2001
The Mexican hat splint--a new splint for the treatment of closed mallet finger.
A new splint for the treatment of closed mallet finger injuries is described. This is a modified aluminium-foam ('Zimmer') splint, which takes account of the skin circulation at the distal interphalangeal joint, and is specifically designed to alleviate the potential problems which can be seen with the traditional 'mallet finger' splints.
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J Hand Surg Eur Vol · Aug 2001
Case ReportsFlexor tendon anomalies in a patient with carpal tunnel syndrome.
A case of an anomalous interconnection between the tendons of the flexor pollicis longus and the flexor digitorum profundi to both the index and middle fingers at the wrist of a patient presenting with carpal tunnel syndrome is described. The contents of the carpal tunnel should be inspected carefully at the time of median nerve decompression in cases where preoperative clinical examination suggests associated pathologies.