The Journal of Hand Surgery

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Fibrolipomatous hamartoma of nerve arising in the brachial plexus

A.J. Price, J.P. Compson, E. Calonje

Journal of Hand Surgery > 1995 > 20 > 1 > 16-18

Fibrolipomatous hamartoma of nerve is a rare benign infiltrating condition of peripheral nerves leading to progressive functional loss. Previous descriptions have virtually all been confined to the distal part of the upper limb, with the median nerve being the commonest reported site. Most cases occur in the first 3 decades of life and a third are associated with macrodactyly. A case is described...

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A retrospective study of 98 cases

M. Lanzetta, G. Foucher

Journal of Hand Surgery > 1995 > 20 > 1 > 105-110

Between March 1977 and December 1991, 98 surgical procedures on 85 patients were performed at SOS Main Strasbourg for osteoarthrosis of the carpometacarpal joint of the thumb. The mean age was 56 and 90% were female; 13 were operated on bilaterally. 40% had Swanson arthroplasties (group 1), 15% Ashworth-Blatt hemiarthroplasties (group 2), and 45% had soft tissue arthroplasties (group 3). 62 cases...

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Wrist arthrodesis for traumatic conditions: A study of plate and local bone graft application

Arnold-Peter C. Weiss, Hill Hastings

Journal of Hand Surgery > 1995 > 20 > 1 > 50-56

This study demonstrates the ability to obtain a predictable and complete wrist arthrodesis using local bone graft and a dorsal plate. The donor site morbidity often seen in using iliac crest graft is eliminated with this method.We examined the use of local distal radius bone grafting alone with dorsal plate fixation and its ability to provide a predictable fusion. Twenty-eight consecutive patients...

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S. Benjamin Fowler 1913–1994

Don L. Eyler

Journal of Hand Surgery > 1995 > 20 > 1 > 157

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The academic basis of hand surgery

David Evans

Journal of Hand Surgery > 1995 > 20 > 1 > 3

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Editorial Board

Journal of Hand Surgery > 1995 > 20 > 1 > 13A

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Aneurysmal bone cyst involving the lunate

K.P. Mankin, R.J. Bischoff, R.H. Gelberman, A.E. Rosenberg

Journal of Hand Surgery > 1995 > 20 > 1 > 12-15

Aneurysmal bone cysts are rare lesions which even more rarely involve the bones of the hand. We report a case of a cyst involving the lunate which was initially mistaken for interosseous ganglion. Due to delay in diagnosis, marked destruction of the lunate occurred, necessitating excision and scapho-capitate arthrodesis. Although rare, aneurysmal bone cysts should be included in the differential diagnosis...

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A new technique to shorten extensor tendons in the hand

B. Van Der Lei, F. Kazem, P.H. Robinson

Journal of Hand Surgery > 1995 > 20 > 1 > 76-77

A new simple cut and fold technique is described, which allows precise shortening of extensor tendons in the hand by a few millimeters.

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Index to advertisers

Journal of Hand Surgery > 1995 > 20 > 1 > 20A

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Closed avulsion of both flexor tendons of the ring finger

K.M.C. Cheung, S.P. Chow

Journal of Hand Surgery > 1995 > 20 > 1 > 78-79

Closed avulsion of both flexor digitorum profundus and superficialis from the same finger is rare. Only ten cases have been described in the literature. The majority were treated with a two stage reconstruction of the flexor digitorum profundus. We describe a case in which primary repair of both tendons was performed.

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The founders lecture: The narrowest hinge of my hand

Richard G. Eaton

Journal of Hand Surgery > 1995 > 20 > 1 > 149-154

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Sporotrichosis of the hand: An urban experience

M.M. Carr, J.C. Eielding, G. Sibbald, A. Freiberg

Journal of Hand Surgery > 1995 > 20 > 1 > 66-70

Sporotrichosis is uncommon in Canadian urban centers. Lymphocutaneous and fixed cutaneous are the most common cutaneous forms of the disease, typically seen in the upper extremily in adult patients. History usually reveals a puncture injury contaminated with soil. Lesions are refractory to commonly used antibiotics. Cultures of biopsy specimens reliably grow the fungus Sporothrix schenkii. First line...

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Late secondary rupture of flexor pollicis longus masquerading as primary trauma

L.R. Irwin, L.C. Bainbridge

Journal of Hand Surgery > 1995 > 20 > 1 > 80-81

Two cases of loss of function of the flexor pollicis longus tendon are presented. Initial assumptions that these were cases of primary tendon rupture proved to be wrong when unexpected intraoperative findings suggestive of previous long standing tendon rupture were later matched with a history of previous trauma. Spontaneous subcutaneous rupture is rare in otherwise healthy tendons.

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Influence of ulnar and palmar tilt

R. Bilić, L. Ružić, V. Zdravković, Z. Boljević, more

Journal of Hand Surgery > 1995 > 20 > 1 > 97-101

Assessment of the grade of deformity after fracture of the distal end of the radius demands an accurate method of determination of radial shortening. Radiographs of 50 patients with malunited Colles' fractures were analyzed in order to find the method which is least affected by changes in ulnar and palmar tilt. Two new landmarks, the centre-point in the distal articular surface of the radius and the...

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Lunate morphology: Can it be predicted with routine x-ray films

Scott D. Sagerman, Randy M. Hauck, Andrew K. Palmer

Journal of Hand Surgery > 1995 > 20 > 1 > 38-41

To assess our ability to predict lunate morphology, x-ray filsm of 81 cadaver wrists were obtained. The wrists were then dissected to determine true anatomy, specifically the presence or absence of a medial lunate facet. Thirty-five wrists were found to be type 1 lunates, while 46 were type 2. Cartilage erosion at the proximal pole of the hamate was found in association with 28 of the type 2 lunates...

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Aneurysmal bone cyst of the capitate

A.J. Platt, D.J. Klugman

Journal of Hand Surgery > 1995 > 20 > 1 > 8-11

Aneurysmal bone cysts are uncommon in the hand. An aneurysmal bone cyst in the capitate of a 16-year-old girl is presented, and 32 previously recorded cases are discussed.

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Limb transplantation in rats: Immunosuppression with FK-506

Zhao Min, Neil F. Jones

Journal of Hand Surgery > 1995 > 20 > 1 > 77-87

The efficacy of a new immunosuppressive agent, FK-506, to prevent the rejection of limb transplants was investigated across a major histocompatibility barrier in rats and compared with Cyclosporine. We performed 129 limb transplants between donor ACI rats and recipient Lewis rats. The mean rejection time of the skin component of limb allografts without immuno-suppression was 7 days. Animals receiving...

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Cardiovascular functional disorder and distress among patients with thoracic outlet syndrome

M. Gockel, H. Lindholm, M. Vastamäki, A. Lindqvist, more

Journal of Hand Surgery > 1995 > 20 > 1 > 29-33

Cardiovascular functional stability of 11 women with thoracic outlet syndrome (TOS; mean age 34.5) and nine female controls (mean age 35.1) was studied using an orthostatic test, a deep breathing test, Valsalva manoeuvre and hand-grip test. The heart rate at rest was significantly higher in TOS patients. The TOS group showed significant accentuation in T wave vacillation in the orthostatic test. The...

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