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Classification of limb anomalies in oral-facial-digital syndromes. A classification of limb anomalies in oral-facial-digital (OFD) syndromes is offered to help differentiate between the various types of OFD syndromes. A clinical case is presented with clinical features consistent with both OFD syndrome type I (Papillon... |
Unilateral hypertrophy of the upper extremity due to aberrant muscles. We present a case of congenital unilateral hypertrophy of an upper extremity due to aberrant muscles. Reviewing the previous Japanese reports, we discuss the clinical features and the pathogenetic factors of this rare anomaly. |
Functional motor innervation of brachial plexus roots. An intraoperative electrophysiological study. The electrophysiological properties of the normal brachial plexus and functional motor innervation were examined during the operation of transfer of contralateral C7 transfer from the healthy side. Different roots of th... |
Transposition of the bicipital tuberosity for treatment of fixed supination contracture in obstetric brachial plexus lesions. In nine patients with obstetric brachial plexus lesions (Klumpke type), an impingement of the bicipital tuberosity on the ulna was the main cause for the forearm and hand to be fixed in supinati... |
Closure of fasciotomy wounds. A technical modification. The closure of fasciotomy wounds creates problems for patient and surgeon alike. Split thickness skin grafting results in unsightly and insensate wounds and often requires general anaesthesia and prolonged inpatient care. We describe an improvement of a previously... |
Grip and pinch strength variations in different types of workers. We measured grip and pinch strengths in non-manual, light manual and heavy manual workers using a Jamar dynamometer and a pinch measuring device. Heavy manual workers had the strongest grips with the least difference between sides. Office workers had the... |
Passive axial rotation of the metacarpophalangeal joint. We measured passive axial rotation at the metacarpophalangeal (MCP) joints of the index, long, ring and small fingers of both hands in 100 healthy subjects using a magnetic position and orientation system called an Isotrak. Large degrees of passive rotation were ... |
Variations of the flexor digitorum superficialis tendon of the little finger. Seventy cadaveric hands were dissected to study variations of the flexor digitorum superficialis tendon (FDS) to the little finger. Anatomical variations were present in 13% of hands and 10% of the hands showed an anatomical variation that wo... |
Results of dynamic splintage following extensor tendon repair. We report a prospective study of dynamic splintage following extensor tendon repair. Eighty-four patients with 101 extensor tendon injuries were studied. Using Dargan's evaluation system, there were 97% excellent results for the thumb and 93% excellent and ... |
Does sympathetic blockade prevent the physiologic changes associated with tourniquet use in children? This study investigated a means of controlling the altered physiologic effects that occur when tourniquet inflation time is > or = 50 min during orthopaedic surgery in children. Forty patients were assigned randomly, 2... |
Humerus shaft fractures in young children: accident or abuse? We performed a retrospective review of 34 humerus shaft fractures (HSFs) in children younger than 3 years to determine the frequency of child abuse in young children with this injury. Data were obtained from hospital records (including previous and subsequen... |
Management of pulseless pink hand in pediatric supracondylar fractures of humerus. Thirteen (3.2%) of 410 patients seen in British Columbia's Children's Hospital in Vancouver from January 1984 to September 1992 with supracondylar fractures did so with an absence of a radial pulse in an otherwise well perfused hand. A c... |
Osteochondral lesions in the radiocapitellar joint in the skeletally immature: radiographic, MRI, and arthroscopic findings in 13 consecutive cases. Radiography, magnetic resonance imaging (MRI), and arthroscopy were performed in 13 consecutive cases of osteochondral lesions of the radiocapitellar joint in 12 patients ... |
Compartment syndrome associated with bupivacaine and fentanyl epidural analgesia in pediatric orthopaedics. Two patients had a compartment syndrome after surgery at a remote site performed under a continuous lumbar infusion of a mixture of narcotic (fentanyl) and local anesthetic (bupivacaine 0.1%). Each patient had in... |
Fractures of the capitellum in adolescents. Fractures of the capitellum are rare in children. The treatment of these injuries has been controversial. At a major pediatric trauma center, seven capitellar fractures were seen in children between 1988 and 1994. The average age of the children was 14.7 years (range, 11-17).... |
Brachialis muscle entrapment in displaced supracondylar humerus fractures: a technique of closed reduction and report of initial results. A retrospective review was conducted of 152 extension-type supracondylar humerus fractures in 151 children. Ninety-two (61%) of 152 of these fractures were displaced (Gartland type I... |
Factors affecting fracture position at cast removal after pediatric forearm fracture. The outcome of a pediatric forearm fracture is related to the angulation of that fracture at the time of union. We discuss the factors affecting the position of the fracture at union. Three hundred forty-six children with 369 reductio... |
Long-term outcome of sacroiliac disruptions in children. We retrospectively evaluated the outcome of sacroiliac-joint disruption in 18 children, ranging in age from 2 to 16 years. Ten patients were treated with bedrest; eight were treated surgically. Follow-up was performed at an average of 14 years (range, 8-23); thre... |
Surgical treatment of displaced olecranon fractures in children. Thirty-five children who had fractures of the olecranon were reviewed. Age at the time of injury ranged from 0 years 2 months to 15 years 4 months. Fractures were retrospectively classified as type I or II according to the amount of displacement apparent ... |
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