We experienced two cases of pustuloticarthro-osteitis (PAO) with hyperostosis. The first case was a sixty-year-old female who developed a protrusion in the left sternocastoclaiclar side with pain and swelling.Pathological finding following biopsy of the protrusion revealed inflammatory granulation tissue. After admission, she had pusturosis palmaris et plantaris (p.p.p) and diagnosed her as having PAO.The second case was a forty-six-year-old female who presented with a protrusion on the left side of her sternocastoclavicular joint with pain and swelling in addition to fever and neck pain.She showed abnormal X-rays in the spine, and sternocastoclavicular joint. Pathological biopsy findings of the protrusion revealed inflammatory granulation tissue. After admission, she had P.P.P. thus we diagnosed this case as PAO.
We reviewed 23 fingers (22 cases) which had mallet fractures treated by Ishiguro's procedure since 1989. Subjects included sixteen males and six females. Patient's ages ranged from fourteen to sixty-one years with an average of thirty-five years. Follow-up period after surgery ranged from two to twenty-six months (mean, 10.5 months). We removed the K-wires at four to six weeks after the operation. Twenty-two cases achieved bony union but there was one case of non-union. The range of motion of their DIP joints was almost full. No cases had pain or disturbance of activities of daily living. We concluded that Ishiguro's procedure is a very reliable method to treat mallet fracture.
From 1981 to 1990. 25 cases of cubital tunnel syndrome were treated by the modified King's procedure, that is medial epicondylectomy with external neurolysis of the ulnar nerve. The ages of the patients at the time of surgery ranged from 14 to 64 years (average, 44.4 years). The follow-up term was 7 months to 10 years and 6 months (average, 3 years and 3 months) after surgery. Using Ikuta's scoring system, excellent results were obtained in 3, good in 7, fair in 11, and poor in 2 elbows. The results were dependent on the duration of their symptoms and the age at the time of surgery. Therefore early diagnosis and treatment is important for cubital tunnel syndrome .
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