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Biomedical subjects

A Vespasiani

Publications and source records attributed to A Vespasiani.

At least 19 recordsLinked to original sources
PubMed1997

Unique digital skin lesions associated with systemic sclerosis.

A 40-year-old woman with systemic sclerosis presented with multiple, large soft skin lesions with a cystic appearance over the interphalangeal joints of both hands. Aspiration of one of these lesions revealed the presence of a yellowish mucoid material which rapidly reappeared. Surgical dissection and excision of the masses was followed by recurrence a few months later. Pre-operative diagnosis was that of myxoid cysts, but the histological picture was reminiscent of cutaneous focal mucinosis, another form of primary mucinosis. The origin of these unique skin lesions is unclear, but speculation on a possible aetiological relationship between them and systemic sclerosis is presented.

Adult↗
PubMed1983

[Self-induced giant lymphedema of the hand (sinistrosis)].

The authors describe a case of a self-caused giant lynphoedema of the hand. The authors underline the importance of hospitalization for the diagnosis, also to be able to exclude any form of organic pathology. They suggest the utility of a decompressive operation of the lynphatic circulation by a little fasciatomy at the root of the forearm, in order to avoid the application of a lace on the wound of the forearm root. Of great importance is furthermore to close the limb into a plastered apparatus for the same purpose.

Exercise Therapy↗
PubMed1983

[A rare case of cutaneous horn of the hand].

The authors report on a rare case of Cutaneous Horn of the hand: the lesion is interesting, for the considerable dimensions it reaches and for its evolution. The treatment has had the character of a radical local resection.

Aged↗
PubMed1980

[Fracture-detachment of the base of the 1st metacarpus in children].

After considering the traumatic mechanism of fracture-detachment of the base of the 1st metacarp, the Authors analyse the various proposed methods of treatment. Attention is drawn to the difficulties of reduction and restraint of such fracture and they illustrate a personal technique allowing its anatomical reduction.

Casts, Surgical↗
PubMed1979

[Local anesthesia: contraindications and complications].

The widespread use of local anesthetic agents in connection with minor office and emergency surgery prompted the authors to look into various aspects of this practice. Doubtless, these drugs are extremely handy and constitute a valuable aid in many situations; still, possible complications and contraindications must be clearly assessed. The authors conclude their discussion with an outline of essential things to do in the event of unexpected clinical mishaps.

Anesthesia, Local↗
PubMed1979

[Unusual compression of the ulnar nerve caused by a hematic cyst].

Among the various possible causes underlying compressive syndromes of the ulnar nerve at the wrist, classified as "occupational neuritides", we must number the presence of a hematic cyst in Guyon's canal. The authors describe the occurrence of a hematic cyst in the region of the pyramido-unciform joint, with prompt and complete restoration of ulnar nerve function after surgical removal of the cyst.

Adult↗
PubMed1979

[Intrafascicular neurolysis in carpal tunnel syndrome recurrences].

The authors view intrafascicular neurolysis of the median nerve as the only therapeutic solution for recurrencies of the carpal canal syndrome. The procedure should be carried out as early as as possible in order to obtain not only the control of pain but also the restoration of good trophic conditions of the tenar eminence.

Carpal Tunnel Syndrome↗
PubMed1979

[Considerations on the treatment of fractures of the proximal end of the tibia (author's transl)].

The authors discuss the treatment of fractures of the proximal end of the tibia with special attention to the relative merits and limitations of nonsurgical versus surgical procedures. In this respect the clinical material accumulated at the Istituto Ortopedico G. Pini of Milan affords a fruitful comparison of the two therapeutic approaches. More precisely, while the differences are not so dramatic as to favor one approach over the other in all cases, it appears evident that surgical aggression by suitable methods and in properly selected cases affords markedly shorter periods of immobilization and more rapid functional recovery.

Follow-Up Studies↗
PubMed1979

[Carpal tunnel syndrome: the causes of recurrence].

The authors discuss the possible causes of recurrency in patients with the carpal canal syndrome treated surgically by splitting of the transverse carpal ligament. With reference to possible technical errors in the surgical procedure, they explain the correct way to obviate not only the extrinsic compression of the nerve but also the intrinsic pressure exerted upon the axons.

Carpal Tunnel Syndrome↗