Between 1990 and 1996 we performed 20 consecutive ulnohumeral arthroplasties for primary osteoarthritis of the elbow. The outcome was assessed using the Disabilities of Arm, Shoulder and Hand Score (DASH) and the Mayo Elbow Performance Score (MEPS) at a mean follow-up of 75 months (58 to 132). There were excellent or good results in 17 elbows (85%) using the DASH score and in 13 (65%) with the ...

Erosive hand Osteoarthritis (EOA) is a subtype of osteoarthritis (OA) which manifests as pain, swelling, redness, and warmth and is associated with radiographic changes such as central collapsing erosions and gull wing deformity. EOA eventually leads to joint deformity and ankylosis. Despite greater analgesic use, patients with EOA have worse functional outcome and more pain than those with con...

The Madelung deformity can result in pain and decreased function of the wrist and hand. None of the surgical techniques available has been shown consistently to improve grip strength, range of movement or relieve pain. In this prospective study we have treated 18 patients with the Madelung deformity (25 wrists) by wedge subtraction osteotomy of the radius and shortening of the ulna. Our results...

Shoulder deformity remains the most common musculo-skeletal sequela following a brachial plexus birth injury. The natural history of untreated glenohumeral deformity is one of progression in this unique patient population. In infants and young children with persistent neurological deficits, shoulder dysfunction becomes a major source of morbidity, as these children have extreme difficulty placi...

Supracondytar fractures of the humerus are common in childhood, and in less developed countries many late malunions are seen. A restricted range of elbow movement often makes it difficult to measure varus-valgus deformity clinically. This can be assessed from bony points but may be hindered by chronic swelling around the elbow. In these cases the pronation-supination range of the forearm is alm...

Thoracoschisis is a rare condition. A female newborn presented with right-sided thoracoschisis, associated with diaphragmatic hernia and protrusion of an accessory liver lobe through the chest wall defect along with deformity of the right forearm and hand duplication. Diagnosed as part of the limb-body wall complex (LBWC), management included resection of the exteriorized liver lobe followed by...

From the functional standpoint, the hand is one of the most important organs of the body. However, its significance depends largely upon the pincer action of the thumb-index. The management of traumatic lesions of the hand is nowadays' subject of numerous scientific discussions. We present here the case of a patient with a recent laceration of the central slip of the extensor tendon with bouton...

The Holt–Oram syndrome or atriodigital dysplasia is an autosomal dominant disorder with near complete penetrance and variable expression, caused by mutations of the TBX5 gene (12q24.1), affecting one in 100 000 live births. 60% of cases are familial and 40% sporadic. We present the case of a 8 months old male patient presented with respiratory problem .Patient had characteristic right sided han...

Pisa syndrome is (PS) usually seen in patients receiving antipsychotic drugs and characterised by lateral flexion of trunk and axial dystonia. It is believed that antipsychotic drugs lead to dopamine blockage causing PS. We describe a Parkinson's disease patient who was doing well with levodopa/carbidopa for 3 years and developed lateral flexion of trunk. His abnormal posture used to completely...

Congenital trigger fingers are rare. I 4 Of seven reported cases, only one involved digits of both hands.:! Although they usually resulted in a flexion deformity, we found one report of a joint blocked in extension. 2 Our patient was unable to make a fist with either hand or to flex the interphalangeal joint of either thumb. Surgical release of all ten digits corrected his extension block and r...