The timing of the repair of divided tendons may be debated but in most cases a clearly divided tendon should be repaired primarily and, whether or not primary repair is indicated, 'the ideal treatment programme is immediate surgery performed by an experienced surgeon' (McGrouther et al., 1990). If a tendon injury is missed, deformity may occur, the patient may need further surgical procedures, ...

Objective: A comparison between the treatment used and hand deformities in patients with RA. The treatment includes conventional disease modifying drugs (DMARD) or DMARD and biological agents. Methods: This study involved 70 female patients admitted between February 2016 and August 2016 to The Central Clinical Hospital in Warsaw to the Rheumatology Department. The group was divided as follows: ...

This is how we successfully treat chronic boutonnieres 1) serial cast them until full or near full extension of the PIP joint is obtained and the DIP joint is able to flex as much as the DIP joint of the same finger on the other hand. The lateral bands are still volar to the axis of the PIP joint if the DIP is still hyperextending. 2) start an 8 week full time (24/7) PIP extension splint. In th...

diagnosis of knee osteoarthritis can be confirmed based on clinical and/or radiological features. the potential of a progressive disease can be prevented or decreased by earlier recognition and correction of associated factors. obesity and alignment especially varus malalignment are recognized factors of a progressive disease. both nonpharmalogical as well as pharmacological modalities of treat...

rhinoplasty is one of the most common aesthetic procedures in the world. it is the most common aesthetic surgery procedure in iran. achieving complete patient satisfaction is almost impossible but improving the aesthetics and function of the nose is the aim of surgery. this report describes a 34 years old woman with a large bump in the tip of the nose after three times cosmetic rhinoplasties. t...

OBJECTIVE Surgical repair of digital flexion deformities can result in vascular injuries threatening the viability of the affected digit. While uncommon, these injuries are reported to have a rate as high as 0.8% following palmo-digital fasciectomy for Dupuytren's disease. Late presentation of such vascular events pose a challenge, since taking the patient to the operating room does not guarant...