BACKGROUND We describe here a very rare congenital deformity that involves the splitting of the right upper limb with the superior limb articulating with the shoulder joint, and the inferior limb laterally attached to the chest wall. MATERIAL AND METHODS The child with this rare split limb was treated by transferring the inferior limb on an islanded pedicle to the superior one while creating ...

OBJECTIVES The aim of this study was to investigate: (i) the frequency and patterns of radiographic OA (ROA) in the thumb joints; and (ii) associations between thumb ROA and the clinical characteristics of thumb OA in older adults with hand pain or problems. METHODS Participants were 592 community-dwelling older adults with hand pain or hand problems who attended a research clinic. Hand X-ray...

treatment can only be palliative ; and 3) the frequent impairment of the intellectual ability and emotional stability of the patient. The variability of the clinical picture of the spastic hand and the uncertainty in predicting the outcome of surgery necessitate a cautious and individual approach to these problems. Nevertheless surgery can offer a significant improvement in carefully selected c...

T HE MECHANISMS and clinical settings of the swan-neck deformity (SND) have interested physicians for more than a century. Archibald E. Garrod, son of the famed Sir Alfred Garrod, in his 1890 Treatise on Rheumatism and Rheumatoid Arthritis,’ published an illustrated description of an arthritic deformity of the hand, characterized by “[flexion of] the terminal phalanges upon those of the second ...

Muscular atrophy of the first web space in the hand is a common finding following ulnar nerve palsy and this deformity is very stigmatizing among leprosy patients in some countries and cultures. We present our experience with the carvable soft-silicone rubber block implant to correct this deformity. We discuss the procedure, results and advantages over other techniques. Fifteen operations were ...

We present a case of Guyon's canal syndrome caused by a synovial cyst within the left wrist of a 48-year-old female patient. The patient presented pain and paresthesia in the region of the ulnar nerve, with loss of muscle strength and left-hand deformity. Electroneuromyography showed a compression of the ulnar nerve at the wrist level. Surgical decompression of the nerve at Guyon's canal with r...

Patients frequently present with deformity of forearm with bone loss in either of the forearm bones due to various reasons. In this study two children suffering from chronic osteomyelitis and one having neglected Monteggia fracture were selected. In all three cases, single bone forearm reconstruction by radioulnar fusion was attempted successfully. Cosmetic and functional outcomes were evaluate...

The present study examined the effectiveness of a 6-week experimental program of splinting and joint protection education in reducing the progression of the early boutonniere deformity. Nine patients with mild or moderately reducible boutonniere deformities were randomized into experimental and control groups and followed for 1 year. Improvements in active extension of the proximal interphalang...

Introduction Loss of radius either due to trauma or infection results in a deformity resembling congenital radial club hand. This difficulty perform hand functions and cosmetic appearance is called acquired There are few case reports for the treatment this severe deformity, but there no proper guidelines management disease. From our experience, we decided provide Objectives To evaluate outcome ...

A new system for measuring strength of the hand using a torsion dynamometer linked to a microprocessor is described. The system permits analysis of timed squeezes of both grip and pinch and is adjustable to all sizes of hand and degrees of hand deformity. Results obtained with the system were found to be reproducible, and the rigid device was acceptable to a group of patients with arthritic han...