A 51-year-old female patient presented with a carpal giant cell tumor (GCT) of the right capitate bone. The lesion was initially misdiagnosed as having an osteomyelitis. First, the diagnosis of a benign GCT was confirmed by histological examination. Second, an intralesional curettage and packing of the cavity with cancellous iliac crest bone grafts combined with a fusion of the third carpometac...

INTRODUCTION Perilunate and lunate dislocations are uncommon high energy injuries and have extensive soft tissue, cartilaginous and bony damage. The most common pattern is trans-scaphoid perilunate fracture dislocation which constitutes approximately 50% of these injuries. Unusual injury pattern like Scaphocapitate syndrome can occur with fracture through scaphoid waist and capitate that rotate...

Perilunate Dislocation Anterior-posterior (AP) view (Figure 1) demonstrates the distal and proximal carpal rows overlapping, as well as a complete radial styloid fracture. Lateral view (Figures 2 and 3) demonstrates dorsal dislocation of the capitate, whereas the lunate remains articulated with the radius. More often seen in young men in their teens to twenties, rather than children or the elde...

BACKGROUND The aim of surgical management of Kienböck's disease has been proposed to slow the progressive osteonecrosis and secondary carpal damage. The aim of this case series was to evaluate the results of a new technique, combining distal capitate shortening with capitometacarpal fusion for the treatment of Kienböck's disease (Lichtman stage II or stage IIIA) in neutral ulnar variance patien...

absractall perilunate fracture-dislocations combine bone avulsions, ligament disruptionand fractures in different forms. the most frequent pattern is the dorsal transscaphoidperilunate fracture-dislocation. the reported risk of missed initial diagnosisin perilunate dislocations is as high as 20%. concerning pathomechanics of theperilunate fracture-dislocation, it should be noted that most dorsa...

The distribution and types of glandular trichomes and essential oil chemistry of Thymus quinquecostatus were studied. The glandular trichomes are distributed on the surface of stem, leaf, rachis, calyx and corolla, except petiole, pistil and stamen. Three morphologically distinct types of glandular trichomes are described. Peltate trichomes, consisting of a basal cell, a stalk cell and a 12-cel...

R cforms in the nation's healthcare system are raising the pressure on managed care plans to capitate payments to physicians and hospitals, said David N . Schopp at the seminar " U n d e r s t a n d i n g Capitation and Risk Sharing," held following the Catholic Health Assembly (pp. 33-59). Insurance reforms, Schopp explained, will prevent a plan from using experience rating—that is, raising pr...