Scand J Plast Recons
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Twenty-eight patients were treated by ulnar shortening osteotomy for static or dynamic ulnar impaction syndrome. Ulnar variance was measured on a true anteroposterior radiograph. There were 25 wrists that were too long, two neutral, and one that was short. ⋯ There was no correlation between the anatomy and the functional outcome scores. Mean consolidation time (10 months) (range 2-32) and return to work were longer than in similar studies. Our findings confirm the usefulness of ulnar shortening osteotomy in the relief of ulnocarpal impingement symptoms.
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Scand J Plast Recons · Jan 2007
Variations in abductor pollicis longus and extensor pollicis brevis tendons in the Quervain syndrome: a surgical and anatomical study.
Eighty-two wrists of Thai cadavers and the wrists of 66 patients with de Quervain syndrome were studied, and the variation in the number of tendons and the fibro-osseous tunnel in the first extensor compartment were recorded. The abductor pollicis longus had more than one tendon in 73 of the cadavers (89%) and in 32 of the patients (49%) (p <0.001). ⋯ There was division with the septum that made a fibro-osseous tunnel in the first extensor compartment in 30/82 (37%) cadavers and in 38/66 (58%) patients with de Quervain syndrome (p = 0.01). The results indicate that the number of fibro-osseous tunnels and multiple compartments in the first extensor compartment may be associated with a predisposition to de Quervain syndrome.
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Scand J Plast Recons · Jan 2007
Single-cuff Bier's block in the forearm: factors affecting its efficacy and need for supplementation with local anaesthetics.
Bier's block in the forearm is a safe, effective, and reliable method of regional anaesthesia for operations on the upper extremity. We report 155 patients, of whom only 25 had residual sensation after placement of the block, that required additional local anaesthetic. ⋯ No patients required conversion to a general anaesthetic. The body mass index, the difference of the systolic and tourniquet pressures, and the site of incision were the three factors correlated with the need for additional anaesthesia.