Plastic surgery in The Netherlands.
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Biomedical subjects
Publications and source records attributed to A J Huffstadt.
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By demonstrating slight bowstringing of the flexor tendons, computer tomography can explain any weakness of grip. A strong plea for adequate immobilization (three to six weeks) after carpal tunnel release is made.
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Computed tomography of the carpal tunnel was performed in the hands of both patients and controls in a neutral position, in flexion and in extension. The median nerve was not compressed between the long flexors and the flexor retinaculum in either flexion or extension of the wrist. In flexion, the nerve usually moved dorsally, away from the flexor retinaculum. No difference could be found between the cross-sectional area of the carpal tunnel between patients and controls.
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The arterial pattern of the human hand shows remarkable variations in so called normal individuals. In patients with congenital deformities of the hand there are also be variations based on embryonic disturbances. Therefore, the total pattern is complex. Successful transfer of fingers depends on an adequate blood supply. In some individuals there are variations in the patterns of blood supply which make a finger transfer more risky. Modern angiography makes the study of the arterial patterns of the hand possible. The authors state that angiography is essential in the pre-operative examination of a candidate for finger transfer. Three case histories illustrate this statement.
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