background: sellick's maneuver (cricoid pressure) may make laryngoscopic view and tracheal intubation more difficult. this study compared the different techniques of cricoid pressure (cp) regarding to the laryngoscopic view and time to intubation. methods: in142 anesthetized patients, 4 types of cp was randomly applied; a) one-handed cp using thumb, index and middle fingers, b) one-handed cp us...

Many options exist for the management of post-traumatic thumb reconstruction. While the single most important factor for determining the most appropriate procedure is the level of the amputation, many other factors must be considered including patient considerations regarding function and cosmesis as well as the nature of the injury and the expertise of the surgeon. Patients must be included in...

The thumb carpometacarpal (CMC) joint is the most common site of surgical reconstruction for osteoarthritis in the upper extremity. In patients older than age 75 years, thumb CMC osteoarthritis has a radiographic prevalence of 25% in men and 40% in women. The thumb CMC joint obtains its stability primarily through ligamentous support. A diagnosis of thumb CMC arthritis is based on symptoms of l...

Background The upgoing thumb sign has been frequently observed in patients with minor strokes and transient ischemic attacks as an indicator of brain involvement. We assessed the effect of primary motor cortex (M1) inhibition in the development of the upgoing thumb sign. Methods Used repetitive Transcranial Magnetic Stimulation (rTMS, 1 Hz frequency for 15 min, 1s ISI, 900 pulses) at 60% of r...

The congenital vs acquired etiology of pediatric trigger thumb is the subject of considerable debate. Existing case reports of bilateral presentation in identical twins and first-degree familial association support the congenital hypothesis. However, prospective studies have yet to report a neonate presenting with this anomaly at birth. This article describes the first known set of dichorionic,...

Hand surgery has undergone substantial changes in recent years, especially for reconstructive techniques. We discuss the management of soft tissue defects thumb, discussing indications, and operative pearls pitfalls. cover non-operative treatment local advancement flaps small distal pedicled more significant defects. also composite vascularized free such as second-toe neurocutaneous partial hal...