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Biomedical subjects

H S Sturim

Publications and source records attributed to H S Sturim.

At least 19 recordsLinked to original sources

Plantar fibromatosis: an isolated disease.

Plantar fibromatosis is a relatively uncommon benign disease characterized by bilateral nodular thickening of the plantar fascia similar in appearance to the disease which occurs in the palm of the hand. Descriptions of plantar fibromatosis in the literature were usually included as a part of a syndrome described as ectopic diseases of Dupuytren. Isolated case reports have described Dupuytren-like contractures of the plantar fascia but often suggested a relationship with palmar lesions. We have recently treated four patients with isolated plantar fibromatosis without other stigmata of Dupuytren's disease. These patients were treated by removal of all the involved plantar fascia with a wide margin of normal-appearing fascia.

Adult↗

Intraosseous nerve transposition for treatment of painful neuromas.

Symptomatic painful neuromas of the sensory nerves are a frequent cause of major impairment of the hand. Numerous techniques and measures have been used for managing this challenging problem. Boldrey first advocated a technique in 1943 in which the nerve end was transposed and implanted into bone and reported the successful use of this method in one patient. In 1981, Hemmy used a similar technique in five patients with no recurrence of pain. To date, no other studies that used this method have been reported. We performed intraosseous transposition of 23 painful neuromas in the hand of 11 patients and were successful in 10 cases.

Adult↗

Applicator for intranasal avitene.

Microfibrillar collagen hemostat (Avitene) is a readily available, effective method of controlling bleeding following turbinate resection. The granular form, when introduced by syringe, allows the Avitene to conform to the irregularities of the cavity into which it is introduced. This method has simplified management of difficult bleeding problems found in the deep recesses of the nasal cavity.

Collagen↗

Carpal tunnel compression syndrome secondary to a retracted flexor digitorum sublimis tendon.

Carpal tunnel compression syndrome caused by a retracted divided sublimus tendon has been presented. The case presented here represents another cause of carpal tunnel compression syndrome. With resection of the space-occupying retracted and scarred sublimis tendon, the symptoms of median nerve compression remitted. Considering the large volume of hand surgery done annually, it is surprising that this particular cause of carpal tunnel compression syndrome has not been reported previously.

Adult↗