The “case study in diagnostic imaging”, reported by Peh et al illustrates nicely a giant cell tumour of the tendon sheath as a slowly progressing, mildly tender mass of the wrist. Here we report another case of giant cell tumour of the tendon sheath, which had an unusual disease onset. A 33 year old man presented with acute swelling and severe pain of the palmar side of the right hand. He had s...

The functional roles of the three-dimensional fibrillar ultrastructure of the proximal interphalangeal joint volar plates of human fingers were studied by light microscopy and scanning electron microscopy. The results revealed that the volar plate consists of three layers of fibers. The first layer forms an intracavity wall with two parts, the proximal "membranous portion", and the distal "meni...

INTRODUCTION The management of purulent flexor tenosynovitis of the hand consists of surgical debridement followed by antibiotic treatment. Usually, the debridement is carried out by irrigating the tendon sheath in a proximal to distal direction facilitated by two small incisions. It is unclear whether intraoperative irrigation by itself is adequate for healing or if it should be combined with ...

There are a number of anatomically unique spaces and compartments in the hand. Gaining an understanding of these important structures is essential for accurate diagnosis, management, and prediction of the spread of infection in the hand. Typically, the proximal extent of the sheath in the thumb and little finger is more proximal than the flexor tendon sheaths in the other three fingers. Additio...

objectives: measuring outcomes of intervention is one of the most important components of occupational therapy process. the disabilities of arm, shoulder and hand (dash) questionnaire is a valid and reliable instrument to measure outcomes of the occupational therapy services in the area of hand therapy. the study aims to measure outcomes from interventions of hand therapy in patients with the c...

Introduction Flexor digitorum longus, flexor hallucis longus and tibialis posterior are the three deep muscles of the posterior compartment of the leg. Flexor digitorum longus arises from the posterior surface of tibia below the soleal line medial to tibialis posterior, and by a broad tendon from the fibula, then courses deep to the flexor retinaculum in the tarsal tunnel to enter the sole of f...