False aneurysms of the palmar arteries are rare. They are usually associated with traumatic injuries to the hand vasculature. We present a case of superficial palmar arch aneurysm (SPAA), complicating carpal tunnel decompression which presented as a pulsatile mass at the site of previous surgery. Initial diagnosis was made on clinical examination and confirmed on doppler ultrasound (US) and com...

Key Points: • Complex suspensory injury includes a plethora of ligamentous and associated bony abnormalities. • Accurate diagnosis is confirmed with selective “sub-carpal” and “sub-tarsal” regional perineural analgesic techniques and elimination of distally located limb injuries. • Surgical management includes one or combination of fasciotomy, neurectomy, and bone marrow (stem cell) or other no...

The stability of the wrist during motion and interrelated motions depends on the capsuloligamentous integrity and the contact surface contours of the carpal bones [1]. Perilunate fracture dislocations (PLFD) are high-energy injuries, produced by wrist hyperextension. It can be palmar or dorsal. Palmar dislocation is extremely rare and result from a fall on the dorsum of the flexed wrist. This i...

The wrist is one of the most intricate articulations of the musculoskeletal system, in which the delicate balance is maintained by a complex set of intrinsic and extrinsic ligamentous connections between seven carpal bones. Injuries to the bones and ligaments in the wrist may potentially irreversibly disrupt this balance and initiate progressive degenerative disease and osteoarthritis (OA). Mus...

In order to reduce straw input, soft lying mats are used increasingly instead of straw bedding in cubicle systems for dairy cows. This study aimed at comparing different types of soft lying mats with straw bedding regarding cow behaviour and leg injuries. Data were collected on five farms with straw bedding and on 13 farms using four types of soft lying mats consisting of different materials. O...

Of all wrist dislocation, the perilunate is the most common type of dislocation. There is ligament disruption typically begins radially and propagates around the lunate. It may be associated with different carpal fractures which the most common pattern is the trans-scaphoid perilunate fracture-dislocation [1,2] which constitutes approximately 50% of these injuries [1-5]. Injury to the distal ra...

Joint injection of the wrist and hand region is a useful diagnostic and therapeutic tool for the family physician. In this article, the injection procedures for carpal tunnel syndrome, de Quervain's tenosynovitis, osteoarthritis of the first carpometacarpal joint, wrist ganglion cysts, and digital flexor tenosynovitis (trigger finger) are reviewed. Indications for carpal tunnel syndrome injecti...

Cat bites at the hand are common situation in emergency departments. Neglected or poorly supported, these lesions sometimes lead to serious injuries that may compromise the function of the hand. Pasteurellamultocida is the most offending germ in these lesions, despite their sensitivity to antibiotics; it can sometimes lead to deep infections involving the skin, bones and joints. Acute carpal tu...

Fractures of trapezium are very rare accounting for about 0.4% of the hand’s injuries [1]. However, they should not be missed because inadequate treatment of trapezium fractures can lead to permanent impairment based on the substantial forces experienced at the trapeziometacarpal (TMC) joint in pinch and grip [2]. When present, often result of high energy trauma and occur in association with ot...