UNLABELLED Historically, the dorsal arterial system of the hand received less attention than the palmar system. The studies concerning dorsal arterial anatomy present some controversies regarding the origin and presence of the dorsal metacarpal artery branches. Knowledge of the anatomy of dorsal metacarpal arteries is especially applied in the surgical planning for flaps taken from the dorsum o...

UK) fixation requires a 2.5mm drilled entry point at the base of the metacarpal. This can damage soft tissues including the extensor tendon and also risks breaching the volar cortex. We recommend opening the dorsal metacarpal cortex with a curved artery clip (Fig 1). Initially, Figure 2 Clip turned 180° to continue along medullary canal Figure 1 Entry point gained using clip to penetrate the ne...

Surgical treatment of thumb basal joint arthritis is aimed at pain relief, restoration of pinch strength, and stability. We describe a variation of the abductor pollicus longus (APL) suspension arthroplasty originally described by Thompson, which maximizes strength of repair and is technically simple to perform. The technique consists of a trapeziectomy followed by resection of a slip of the AP...

Chondrosarcomas of the hand are very rare, constituting less than 0.5% of all chondrosarcomas. Metacarpal involvement and juxtacortical location are still rarer. We report a case of periosteal chondrosarcoma of metacarpal bone in a 38-year-old man, who presented with swelling of the left hand. He underwent extended ray amputation with removal of the entire left third metacarpal bone. Histopatho...

The article describes the case of a 6-month-old Hucul mare with an additional second finger right thoracic limb. surgery to eliminate deformity was planned on basis clinical picture and results radiological examination. removed along fragment metacarpal bone. postoperative management rehabilitation went well. horse showed no lameness in follow-up outline phalango-metacarpal joint operated limb ...

conclusions metacarpal neck fractures are a common injury in young and active patients that results in substantial missed time from work. while the surgical indications are well-described, there is no consensus on the optimal treatment modality because of high complication rates. dorsal plating has higher complication rates than closed reduction and percutaneous pinning, but is necessary in com...

INTRODUCTION Thumb carpometacarpal osteoarthritis is a common and disabling disorder that affects 15% of adults over the age of 30, and 66% of women over the age of 55.1 Thumb use is affected by pain, weakness and loss of dexterity, leading to significant impairment (40%-50%)2 of the upper extremity due to its central role in nearly all grasp and handling maneuvers. Since Kellgren and Lawrence’...