BACKGROUND Lesions in peripheral nerves are highly prevalent in the upper extremity. The present study compares different tendon transfer surgeries in patients with radial nerve palsy. METHODS Fifty patients with radial nerve palsy were randomly selected among patients who referred to Tehran 15(th) Khordad Hospital during 2006-2011. They were divided into two groups of 17 and 33 subjects. Sin...

Irreducible dislocation of the hallucal interphalangeal joint is a rare condition, with only 41 cases reported in the literature. We present a patient with a Miki type 2 irreducible dislocation of the hallucal interphalangeal joint and review literature pertinent to this condition.

A wide range of options is available to surgeons for fixation of the proximal interphalangeal joint when arthrodesis is undertaken for repair of the hammertoe deformity. In this technical report, we describe the use of an intraosseous loop of stainless-steel wire for permanent stabilization of the interface between the proximal and middle phalanges during fusion of the interphalangeal joint.

BACKGROUND The pathogenesis of the early stages of hand osteoarthritis is poorly understood, but recent high-resolution magnetic resonance imaging (hrMRI) studies suggest that the joint ligaments have a major role in the phenotypic expression of the disease. OBJECTIVE To combine hrMRI and cadaveric histological studies to better understand the mechanisms of damage, and especially the role of ...

BACKGROUND Electrical burns are one of the most devastating types of injuries, and can be characterized by the conduction of electric current through the deeper soft tissue such as vessels, nerves, muscles, and bones. For that reason, the extent of an electric burn is very frequently underestimated on initial impression. METHODS From July 1999 to June 2006, we performed 15 cases of toe tissue...

A 57-year-old woman presented with long-standing pain of both hands. She had been receiving treatment for hypertension and dyslipidemia for two years. A physical examination revealed tenderness and swelling of the proximal interphalangeal (PIP) and distal interphalangeal (DIP) joints of both hands (Picture 1, 2). There were no findings that would suggest spondyloarthritis, such as back pain or ...

Susan Peters is Hand Therapist, Hand and Upper Limb Rehabilitation Unit, EKCO Occupational Services, Brisbane, Queensland, Australia. Joint stiffness and joint contracture are secondary complications of traumatic hand injury resulting in loss of active range of motion (AROM) and passive range of motion (PROM; American Society for Surgery of the Hand, 2006; Colditz, 2004; Creighton & Steichen, 1...

OBJECTIVE To assess associations between joint-specific hand symptoms and self-reported and performance-based functional status. METHODS Participants were from the population-based Johnston County Osteoarthritis Project. Symptoms in the distal interphalangeal (DIP), proximal interphalangeal (PIP), first carpometacarpal (CMC), and metacarpophalangeal (MCP) joints were assessed on a 30-joint di...

Digital mucous cysts are benign ganglion cysts of the digits typically located on the dorsal aspect of the interphalangeal joint and distal phalanx of the digits. Usually the clinical diagnosis is straightforward, though sometimes it may mimic other lesions and diagnosis becomes a challenge. We present a series of three digital mucous cysts with a repeatable dermoscopic pattern consisted of lin...