Ischemia of the forearm and hand.
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Biomedical subjects
Publications and source records attributed to D S Nairn.
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A prospective study of 21 triplane fractures of the distal tibia is presented. Nineteen cases (90.5%) had lateral triplane fractures, while the other two (9.5%) had medial triplane fractures. Two fragment fractures were encountered in 12 cases (57%); three fragment fractures in six cases (29%), and four fragment fractures in the remaining three cases (14%). Fourteen cases (67%) were managed non-operatively, while in seven cases (33%), open reduction and internal fixation was performed. Twenty patients (95%) were pleased with the final outcome. Objectively, 14 cases (67%) achieved excellent results.
The biceps brachii is the main supinator of the forearm. Unless the ruptured distal tendon is reattached to its correct anatomical site on the radial tuberosity, its action cannot be restored. We report four cases treated surgically, who all regained full forearm function, and on the basis of our experience suggest a simple method of reattaching the tendon.
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Compression of the ulnar nerve in the canal of Guyon is a well recognised condition but we have not been able to find another reported case resulting from extrinsic pressure from calcium deposits at the wrist level. The causes of pathological calcification are briefly reviewed.