PURPOSE To evaluate the condition of the tendons and neurovascular bundles after percutaneous release for trigger finger of the middle, ring, and little fingers. METHODS 30 women and 13 men aged 20 to 55 (mean, 40) years underwent percutaneous release of the A1 pulley using a 18-gauge needle for 43 trigger fingers of the middle, ring, or little finger unresponsive to conservative treatment. 1...

Cerebral microdialysis (MD) was introduced as a neurochemical monitoring method in the early 1990s and is currently widely used for the sampling of low molecular weight molecules, signaling energy crisis, and cellular distress in the neurointensive care (NIC) setting. There is a growing interest in MD for harvesting of intracerebral protein biomarkers of secondary injury mechanisms in acute tra...

The objective of the cavernous nerve preservation is to avoid injury of the unmyelinated nerve fibers and arteries destined to the corpora cavernosa. Dissection anatomical plans could be inter or extra fascial allowing complete or partial neurovascular bundle preservation. The technique is chosen according to the carcinological evaluated risk and anatomical characteristics. Accessory pudendal a...

Penetrating neck wounds are potentially dangerous and require emergency management because of the presence of vital structures in the neck. Organic foreign bodies further carries a risk of wound infection. We present a case of penetrating broken branch of a tree traversing from zone II to zone III without any neurovascular injury. Neck exploration was done with midline mandibulotomy approach an...

Received on: December 12, 2011; final version accepted on: February 22, 2012. From the Department of Pharmacology and Experimental Neuroscience, University of Nebraska Medical Center, Omaha, NE. the online-only data supplement is available with this article at http://atvb .ahajournals .org/lookup/suppl/doi:10 .1161/atVBaHa .112 .247668/-/ dC1 . Correspondence to James Haorah, Laboratory of Neur...

Examination and evaluation of the patient a with multiple ligament injured knee is a complicated process and best done in a methodical, comprehensive fashion with a particular emphasis placed on assessment of supporting soft tissues. Tissues that can be damaged during this devastating injury include bones, ligaments, meniscus, articular cartilage, and neurovascular structures. Uses of diagnosti...

We describe an arthroscopic technique for the treatment of isolated avulsion fracture of the tibial insertion of the posterior cruciate ligament. Arthroscopic examination of the injured joint permits visualization of the intra-articular structures and lavage of the joint. Such an approach reduces the risk of injury to the posterior neurovascular complex. K-wire fixation affords anatomic and rig...

Peter Whitfield Whitfield is ACNRs Neurosurgery editor. He is a Consultant and Associate Professor in Neurosurgery at the South West Neurosurgery Centre, Plymouth. His clinical interests are wide, including neurovascular conditions, head injury, stereotactic radiosurgery, image guided tumour surgery and lumbar microdiscectomy. He is an examiner for the Royal College of Surgeons of England and t...

During a six-year period we prospectively studied eight children who presented with supracondylar fractures of the humerus and of the forearm on the same side. They were treated by prompt closed reduction, percutaneous fixation with Kirschner wires, and appropriate management of neurovascular and soft-tissue injuries. The results were assessed clinically and radiographically at a minimum of 12 ...

From the charts, the following general data was recorded for each patient: age, gender, affected side(s), referringaccidentandemergencydepartment, monthofadmission, relevant orthopaedic historyand duration of inpatient stay. Specific to the femoral fracture the following datawas recorded: mechanism of injury, associated injuries, whether the fracture was open or closed, the presence of neurovas...