Hypothenar hammer syndrome is a cause of symptomatic ischemia of the hand secondary to the formation of aneurysm or thrombosis of the ulnar artery in the setting of a complete or incomplete palmar arch. Acute occlusive thrombus or embolus of the hand represents a complex problem that often may require immediate surgical intervention. We report a case of acute unilateral arterial hand ischemia r...

OBJECTIVE To determine the outcome and devise a protocol for emergency management of cut injuries in Flexor Zone 5 of hands. STUDY DESIGN Descriptive study. PLACE AND DURATION OF STUDY Department of Plastic Surgery and Burn Unit, Mayo Hospital, KEMU, Lahore, Pakistan, from January 2009 to March 2013. METHODOLOGY All patients above 12 years of age with single sharp cut injuries in Flexor Z...

ÖZET T approach (TRA) for coronary angiography is a popular alternative approach to transfemoral coronary angiography, with infrequent occurrence of access site complications including bleeding, hematoma and pseudoaneursym formation.[1–3] Patients prefer the transradial approach because of its comfort, resulting shorter hospital stay, lack of necessity to be in the supine position during the pr...

The accessory ADM is the most common anomaly among all the accessory hypothenar muscles , with a prevalence of 24%, and present bilaterally in 50% of the cases . During routine dissection of undergraduates we have come across the presence of this accessory muscle in the wrist when the carpal tunnel is opened. This presents with Abductor Digiti Minimi (ADM) muscle bilaterally , involving ulnar a...

BACKGROUND AND OBJECTIVES The axillary artery is the anatomical reference, in the surface, for axillary brachial plexus block. Anatomic studies suggest variability in the location of the structures in the brachial plexus in relation to the axillary artery. These variations can hinder blocks by neurostimulation. The ultrasound allows the identification of the structures within the brachial plexu...

During routine cadaveric dissection of the upper extremity an unusual muscle was discovered arising from the tendon of the flexor carpi ulnaris and inserting into the muscle belly of the flexor digiti minimi. The muscle's course was superficial to the ulnar nerve and artery in Guyon's canal. We review the literature regarding such muscle variations and discuss the potential for compression of t...

BACKGROUND Nonliving chickens are commonly used as a microvascular anastomosis training model. However, previous studies have investigated only a few types of vessel, and no study has compared the characteristics of the various vessels. The present study evaluated the anatomic characteristics of various chicken vessels as a training model. METHODS Eight vessels-the brachial artery, basilic ve...

The objective of this presentation is to reflect on the limited choices for vascular reconstruction in Yemen, which under war and siege; emphasize challenges surgeons conduct such a risky complicated operation with lack instruments materials needed; point out that an immensely critical almost amputated upper limb young man could be saved despite facilities. A 25-year-old presented acute ischemi...

An isolated neurovascular variation is common but multiple vascular anomalies on same upper limb is a very rare case. We observed an unusual variations in right upper limb during routine dissection of a Nepali cadaver. The variations were observed in Axilla, Forearm and Palm. In axilla, fi rst part of axillary artery did not give any branch, the second part of axillary artery gave off only two ...

Based on a study of 70 human cadavers (31 male, 39 female) and on cases described previously, we propose a new classification of the Martin-Gruber anastomosis, a neural connection between the median and ulnar nerves in the forearm. The anastomosis was found in 16 (22.9%) cadavers, being bilateral in three (18.7%) and unilateral in 13 (81.3%), five right and eight left. It occurred in eight (25....