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F Chaise

Publications and source records attributed to F Chaise.

53 records · Page 3Linked to original sources

[Measurement of carpal tunnel pressures in the idiopathic carpal tunnel syndrome without motor deficit].

The pressure in the carpal tunnel was measured in ten patients suffering from purely painful carpal tunnel syndrome. Five normal individuals were also investigated as controls. It was shown that the pressure was always high in involved patients. A rise of pressure on flexion and extension of the wrist was much greater in patients than in controls. It is concluded that true compression plays the main role in carpal tunnel syndrome. A localised tenosynovitis was constantly found at operation. It was responsible for the rise of pressure inducing a functional ischaemia of the nerve.

Adult↗

[Benign osteoblastoma of the hand. A case--review of the literature].

One case of a benign osteoblastoma, localised on the proximal phalanx of right thumb is reported. Three points are emphasized: the low frequency in the hand, only six observations are reported in the English literature, one from Jaffe (1932) and four from Lichtenstein (1964) and one from Mosher and coll (1978). The non-specificity of the signs and X-ray are must consider chondroma, giant cell tumor, chondrosarcoma or aneurysmal cyst. The lesion is benign and so the treatment must be conservative.

Adult↗

Isolated compression of the motor branch of the ulnar nerve.

This paper reports four cases of isolated compression of the deep branch of the ulnar nerve, and reviews the various etiologies (tumor, malformation and microtraumatism). The authors stress the importance of the electric examination, particularly conduction velocity in the palm in localizing the nerve lesion. Surgical exploration in these cases revealed a Giant cell tumor, two synovial cysts, and an abnormal fibrous band stretching between the flexor digiti quinti brevis and the opponents digiti quinti. Postoperative courses were uncomplicated and every patient recuperated quickly and completely. Early surgical exploration in such cases is mandatory.

Adult↗

[Results of direct surgery of the peroneal nerve in neuritis in Hansen's disease].

Twenty-two patients with common peroneal neuritis from Hansen's disease were treated surgically. Physiopathologic and semiologic features of the affection are discussed, as well as the rules for therapeutic protocols, which should involve both medical and surgical treatment, and the operative technique described. Results on motor function appear to be satisfactory, but are dependent on many factors (duration of the neuritis, importance of the compressive factor, immunopathological form of the disease, quality of medical treatment). The indications for these neurolytic procedures are defined, and are predominantly any hyperalgic deficiency neuritis. The only contraindications are chronic painless palsies where improvement is doubtful because of neural fibrosis.

Adolescent↗

[Results of the surgical liberation of the ulnar nerve in retro-epitrochlear tunnel syndromes].

Three different techniques have been employed for surgical treatment of 62 ulnar nerves at the elbow region provoking neuropathies. Disorders became worse in 2 out of 11 patients treated by endofascicular neurolysis and this procedure should be abandoned. Overall sensory-motor results of subcutaneous anterior transposition of the nerve, performed in 26 cases, were inferior (78 p. cent good results) to those obtained by neurolysis combined with longitudinal epineurotomy (95 p. cent good results), applied in 25 cases. Almost constant disappearance of subjective symptoms, pain and paresthesia, was observed with the two latter methods. Treatment proposed for the ulnar tunnel syndrome is therefore simple neurolysis combined with longitudinal epineurotomy. Prognostic factors cannot be assessed from this study, the age, time between onset and operation, and the degree of paralysis having no incidence on the postoperative improvement obtained.

Adolescent↗

[Anomalies of division of the median nerve. A case. Review of the literature].

Abnormalities of division of the median nerve are exceptional. Several cases are found in the literature. The authors report a case of high bilateral division of the median nerve into two trunks of identical volume in a patient with Hansen's disease. The external trunk of the division supplies the thenar branch and the first commissure and the internal trunk supplies the second and third commissures.

Carpal Tunnel Syndrome↗

[Primary malignant schwannoma of the hand. Apropos of a case. Review of the literature].

Primary malignant tumours of nerves stemming from Schwann cells are exceptional. One case of malignant schwannoma of a distal collateral nerve is reported. It would appear to be the first case. The elements of the histological diagnosis are recalled and the rules for treatment are advanced: wide excision involving, in this case, phalangeal amputation with a satisfactory result after one and a half years, with no local or loco-regional recurrence.

Aged↗

Ulnar neuritis in Hansen's disease results of fifty neurolyses in the arm and elbow.

Fifty cases of ulnar nerve neuritis in Hansen disease are reported. The authors analyse the type of lesion, the clinical feature, the treatment, and the results of neurolysis. Many points are emphasized: the requirement to an association antileprosy, chemotherapy and corticotherapy with a careful neurolysis; pain and paresthesia were relieved immediately after neurolysis, recovery within two years after neurolysis; the amount of recovery was directly related to the extent and stage of involvement of the nerve; and thus the sooner procedure give the best result.

Adolescent↗

[Blount's disease: a review of 8 cases (author's transl)].

The authors have reviewed eight cases of infantile tibia vara. All were treated operatively. Five patients were young children (less than 5 years old); they were treated by a single osteotomy into valgus and lateral rotation. Three children were older at the time of surgery. The deformity recurred in all of them and a second operation was required of elevation of the lateral tibial plateau and lateral epiplysiodesis. The authors emphasise the need for early correction of deformity to produce better mechanical function of the knee and balanced epiphyseal growth.

Age Factors↗