The management of de Quervain's disease (DD) is nonoperative in the first instance, but surgery should be considered if conservative measures fail. We present the long-term results of operative treatment of DD. From July 1988 to July 1998, 94 consecutive patients with DD were treated operatively by a single surgeon. There were 80 women and 14 men. Average age at the time of operation was 47.4 years (range 22-76). The right wrist was involved in 43 cases, the left in 51 cases. All operations were done under tourniquet control with local infiltration anaesthesia using a longitudinal incision and partial resection of the extensor ligament. There were six perioperative complications, including one superficial wound infection, one delayed wound healing, and four transient lesions of the radial nerve. A successful outcome was achieved in all cases with negative Finkelstein's test. Simple decompression of both tendons and partial resection of the extensor ligament with a maximum of 3 mm can be recommended in operative treatment of DD with excellent long-term results.
Modular designs of hip prosthesis have become increasingly popular in recent years. In several studies, modular head components have been reported to have many advantages, but few complications related to modularity of the femoral component were published. Dissociation of modular THA at the femoral head-neck interface is a rare condition and has been reported most often during attempts of closed reduction of dislocated total hip arthroplasties. We report the case of late detachment of a modular femoral component after revision arthroplasty of the hip and several closed reductions due to recurrent dislocation.
Osteochondrosis dissecans of the ankle accounts for approximately 4% of all osteochondrosis dissecans. Most osteochondrosis dissecans in the ankle is found in the talar dome. We report the case of osteochondrosis dissecans of the medial malleolus in a 46-year-old patient which has not been described yet.
Atraumatic patellar fractures after Total Knee Arthroplasty (TKA) are rare in unresurfaced patella. Previous reports are few and have highlighted association of these fractures with rheumatoid arthritis and gout along with interference with patellar blood flow after lateral release and Hoffas' fat pad excision. We report a case of insufficiency fracture of patella in a patient following TKA after post-operative haematoma and arthrofibrosis that was managed conservatively.
Bone island represents a focus of mature compact bone within the cancellous bone. A giant bone island is defined as having a diameter greater than 2 cm, it's a rare condition and usually asymptomatic. We report the case of a 41-year-old male patient with a symptomatic giant bone island of the tibia mimicking a lesion of the medial meniscus.
Mit bloßem Auge sichtbare kolbige Auftreibung des Mittelfingermittelglieds der rechten Hand Abb. 2: Das Röntgenbild offenbart eine große Osteolyse der Mittelphalanxbasis mit Arrosion der Kortikalis 1 2 springermedizin.de Wer seinen diagnostischen Blick prüfen möchte, hat unter www. springermedizin.de/blickdiagnose reichlich Gelegenheit dazu.
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