Chirurgie de la main
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Chirurgie de la main · Sep 2013
Review Case Reports[Compression of the superficial branch of the radial nerve by a synovial ganglion of the elbow (about one case and literature review)].
Compression of the radial nerve at the elbow is quite rare; entrapment of its superficial branch is exceptional. Extrinsic compression is the most frequent etiology. Magnetic resonance imaging plays a major role in the diagnosis, and early surgical excision or echoguided drainage - in case of synovial ganglion - allows a total recovery. The authors report the case of a compression of the superficial branch of radial nerve by an elbow synovial cyst treated by surgical resection.
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Chirurgie de la main · Sep 2013
Case ReportsContinuous in situ diffusion of ropivacaine for ambulatory congenital hand disorders surgery in young children.
Pediatric ambulatory surgery presents a specific set of challenges to the anesthesiologist. Similarly to adult ambulatory surgery, we report four ambulatory surgical procedures in two young children with congenital hand disorders. For each surgical procedure pain was controlled with continuous in situ infusion of ropivacaine.
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Chirurgie de la main · Sep 2013
Case Reports[Comorbid puffy hand syndrome and factitious disorders: an unusual association with poor prognosis].
The authors report an original clinical presentation of factitious disorders of the upper extremity in an ex-drug-addict patient with puffy hand syndrome. Chronic self-inflicted ulcerations appeared with sequential manner. The patient confessed deliberate self-harm and transfer of anxiety on his hands, the aspect of which had become intolerable. Association of puffy hand syndrome with comorbid psychosis and major depression explained immediate recurrence of ulcerations despite fitted medication and long-term psychotherapy.