ObjectiveTo analyze the results from early intervention surgery in patients with the syndrome of fascial incarceration of the long thoracic nerve and consequent winged scapula.MethodsSix patients with a syndrome of nerve trapping without specific nerve strain limitations were followed up.ResultsThe patients achieved improvement of their symptoms 6–20 months after the procedure. The motor symptoms completely disappeared, without any persistent pain. The medial deformity of the winged scapula improved in all cases, without any residual esthetic disorders.ConclusionThe approach of early surgical release seems to be a better predictor for recovery from non-traumatic paralysis of the anterior serratus muscle.
Objectiveto analyze the results from surgical intervention to treat trauma of the nail complex.Methodswe retrospectively reviewed a series of 94 consecutive patients with trauma of the nail complex who were treated between 2000 and 2009. In 42 patients, nail bed suturing was performed. In 27 patients, nail bed suturing was performed subsequent to osteosynthesis of the distal phalanx. In 15, immediate grafting was performed, and in 10, late-stage grafting of the nail bed. The growth, size and shape of the nail were evaluated in comparison with the contralateral finger. The results were obtained by summing scores and classifying them as good, fair or poor.Resultsthe results were considered to be good particularly in the patients who underwent nail bed suturing or nail bed suturing with osteosynthesis of the distal phalanx. Patients who underwent immediate or late-stage nail grafting had poor results.Conclusiontrauma of the nail complex without loss of substance presented better results than did deferred treatment for reconstruction of the nail complex.
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