OBJECTIVE To compare two surgical techniques (denervation levels) for sympathectomy using video-assisted thoracoscopy to treat palmar hyperhidrosis in the long-term. METHODS From May 2003 to June 2006, 60 patients with palmar hyperhidrosis were prospectively randomized for video-assisted thoracoscopic sympathectomy at the T2 or T3 ganglion level. They were followed for a mean of 20 months and...

DESCRIPTION A 71-year-old right-hand-dominant retired man complains of inability to straighten the thumb, middle finger, and small finger of his left hand. This symptom has been progressively worsening over the past 2 or 3 years. On examination, the 3 affected digits cannot be fully extended, either passively or actively. There is a thick band of fibrous tissue tethering each digit in its contr...

Correspondence A surgical treatment for anxiety-triggered palmar hyperhidrosis is not unlike treating tearfulness in major depression by severing the nerves to the lacrimal glands SIR, The recent study of Krogstad et al. 1 in this Journal, reporting on the daily pattern of sweating and response to stress in patients with palmar hyperhidrosis, is an important contribution to the clinical literat...

A case of anomalous terminal branching of the axillary artery, concerning the variant called superficial brachioradial artery (arteria brachioradialis superficialis) was described, with special regard to its embryological origin. The left upper limb of a male cadaver was dissected in successive steps from the axillary fossa distally to the palmar region. A variant artery, stemming from the end ...

Numbness within the thumb involving palmar aspect with three and a half digits as division is common presentation of peripheral nerve injury. However, it rarely observed to be presented numbness at ulnar-palmar side thumb, where longitudinal melanonychia on nail plate acts division. We present case that reveals concurrence suffered from injury during course occupational therapy.

The purpose of this study was to compare sonographic and tenoscopic findings with the purpose of establishing the accuracy and limitations of ultrasonograophy as a non-invasive diagnostic modality in evaluating the DFTS and its enclosed tendons. The medical records from 22 horses which underwent tenoscopic desmotomy of the palmar/plantar annular ligament were evaluated in a retrospective study....

To cite: Bonnecaze AK, Willeford W. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2016216050 DESCRIPTION A 68-year-old African-American man with a history of duodenal adenocarcinoma was found to have innumerable 1 mm hyperkeratotic depressions along his palmar creases bilaterally (figures 1–3). The patient reported having these lesions since early in childhood. ...

Normal tendons, normal palmar aponeuroses and specimens from patients with Dupuytren's disease, namely apparently normal palmar aponeuroses and contracture bands were subjected to elastase and chondroitinase ABC digestion. Maximum Young's modulus, normalized hysteresis loop and residual elongation were determined before and after enzyme treatment. In normal tendons, normal and apparently normal...