The collected data implies that resection-arthroplasty of the carpometacarpal joint of the thumb with stabilisation by radiopalmar capsular tissue yields similar results compared to tendon-sling arthroplasty.
Bacterial infections in the hand may begin slowly after innocent wounds. They may spread rapidly especially following risk wounds. Destruction of anatomical structures causes local defects, severe loss of function and septicemia is possible. Causes, pathophysiological, clinical signs, and therapeutical management are described. It is most important and un-dispensable to have an early and exact diagnosis and consistent therapy: immediate radical surgical debridement, open wounds, antibiotic treatment, immobilisation and early mobilisation are necessary to have good results.
We report about a chondrosarcoma of the pisiform in a 39-year-old man. 1.5 years after exstirpation of the tumor, an extended recurrence developed. Two years after the first operation, an amputation was performed at midshaft of the upper arm. One year later, multiple metastases in both lungs were found.
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