Osteopoikilosis (OPK) is a very rare and primarily benign autosomal dominant disorder of unknown etiology. Genetic studies showed heterozygous mutations of the LEMD3 gene. It is characterised by the occurrence of hyperostotic spots throughout the skeleton, with the most frequent localizations in the epiphyses and metaphyses of long bones, as well as in the carpal and tarsal bones. The clinical ...

Arthroscopy is an accepted technique for evaluation of intra-articular pathology and treatment of a variety of disorders even in the wrist joint. Dedicated miniaturized instrumentation is needed along with a specific traction system. The external distraction alone (dry technique) allows for complete joint exploration and several type of arthroscopic surgery, avoiding annoying leaking in the sub...

Carpal tunnel release is required to treat patients with severe carpal tunnel syndrome. The regional anesthesia of the upper limb by brachial plexus block (BPB) may be a good alternative to general anesthesia for carpal tunnel release surgery, because it results in less complications. However, the regional anesthesia still has various side effects, such as hematoma, infection, and peripheral ne...

OBJECTIVES To determine the effect of HLA type and hypocomplementaemia on the duration and severity of joint involvement in parvovirus infection (HPV). METHODS Forty seven patients were selected on a geographical basis from 83 with proven HPV infection during an outbreak that occurred in Oxfordshire in 1993. They were contacted by questionnaire a year later. Thirty five patients were availabl...

Introduction The median nerve courses through the carpal tunnel before entering the hand. Numerous descriptions of this pathway exist [1, 2], which state that the terminal branches of the median nerve bifurcate into radial and ulnar divisions, at the distal border of the transverse carpal ligament. Several variants exist and have been documented. Some variations describe the course of the thena...

Legend: O-CTR= open carpal tunnel release, E-CTR= endoscopic carpal tunnel release, CSA= cross sectional area, MN-UA: distance between the median nerve and ulnar neurovascular bundle, US= ultrasound, SD=standard deviation, p values < 0.05 were considered as statistically significant and are highlighted with bold. Table 1. Overview of the data from the preoperative ultrasound evaluation of the p...

Carpal instability is often related to ruptured or lax carpal ligaments. Wrist cineradiography has been shown to be a good modality for diagnosing carpal instability. To create uniformity in obtaining and assessing wrist cineradiography, a wrist cineradiography protocol is desirable. This protocol will focus on wrist cineradiography for diagnosing carpal instabilities. It describes the patholog...

Carpal tunnel syndrome is the most common entrapment neuropathy, affecting 1 to 3% of population. Digital ulcers and skin lesions are unusually related this neuropathy. We present case a patient with digital secondary carpal syndrome.

Osseous scaphotrapezial coalition is one of the rarest forms of carpal coalition of the hand. Often discovered incidentally, pain and functional limitation have not been reported. Carpal coalitions occurring across the carpal rows are thought to occur as a result of some insult or congenital anomaly. Isolated scaphotrapezial coalition calls into question the traditional thinking that fusion bet...