PURPOSE Vascularized bone transplants resist infection and allow rapid healing but keeping small bony segments vascularized, as needed for a finger defect, is a challenge. The purpose of this article is to present a cohort of patients with traumatic intercalated compound bony defects in the fingers that were reconstructed by a vascularized toe phalanx (or part of a phalanx) in a single stage. ...

BACKGROUND & AIMS Children with cerebral palsy (CP) have a high prevalence of pathologic fractures. Bone quantitative ultrasonography (QUS) has emerged as a radiation-free method for the assessment of bone quality and fracture risk. In this study, we applied QUS technique in order to investigate bone status in handicapped institutionalized children and adolescents. METHODS This cross-sectiona...

Degloving injury is a serious trauma of the fingers. It difficult to establish an adequate extent debridement at time initial surgery. Therefore, additional surgery for necrotic areas related circulatory failure required in many cases. In this study, we performed replantation degloving 3 fingers 2 patients, and obtained findings regarding nailbed on Considering hemodynamics, when performing inj...

An evaluation was made of the ossification level of the metacarpal and phalangeal bones in human foetuses of both sexes from the 4th to the 9th month of gestation. Our results indicate that ossification of phalangeal bones 1 to 5 always started at the distal end of the phalanx and endochondral ossification prevailed in the proximal phalanx of the thumb.

Plain radiography can help in confirming the clinical diagnosis of a subungual glomus tumour, as erosive changes in the distal phalanx are present in 22% of cases. Such changes will be more easily identified on a lateral radiograph with the painful finger and its contralateral counterpart pointing toward each other: discrete scalloping of the distal phalanx will thus be made more evident.

Avulsion injury of the flexor digitorum profundus (FDP) with concomitant fracture of the distal phalanx dorsal base is uncommon. Simultaneous avulsion fractures of the insertion of this tendon associated with rupture of the tendon from the bony fragment and combination with dorsal base fracture is very rare and also complicated. A 36- year- old man fell and injured his right little finger. FDP ...

OBJECTIVE To determine the best fit of a hamate osteochondral graft to reconstruct a palmar defect of a middle phalanx articular fracture using three-dimensional remodelling. METHODS The proximal middle phalanx and distal hamate articular surfaces of 10 cadaveric right hands were scanned using a three-dimensional laser scanner. A defect was marked on the middle phalanx digital image to simula...