Extensor digitorum brevis manus associated with a dorsal wrist ganglion: a review of five cases.
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Adult↗
Biomedical subjects
J V Mogan
Publications and source records attributed to J V Mogan.
Extension splinting of palmar plate avulsion injuries of the proximal interphalangeal joint.
Hyperextension injuries of the proximal interphalangeal joint have traditionally been immobilized in flexion. This may lead to a proximal interphalangeal flexion contracture of the joint. In an effort to prevent flexion contracture and to simultaneously avoid hyperextension laxity, we have immobilized these injuries in zero degrees of extension for 7 to 10 days. Immobilization is followed by buddy taping and active range of motion until 3 weeks after injury. Protective buddy taping is used until the 6-week point. We report our results using this treatment for only palmar plate avulsion fractures. We did not include proximal interphalangeal joint injuries associated with dorsal dislocation or major collateral ligament injury. Twenty-two of 45 patients were available for follow-up evaluation. Length of follow-up averaged 30 months (range, 6 to 36 months). A high percentage of patients had good or excellent results. In no patient did hyperextension laxity develop and in only one was there a flexion contracture. On the basis of these results, we recommend this treatment protocol for hyperextension injuries of the palmar plate of the proximal interphalangeal joint associated with small avulsion fractures.
Contracture↗
Upper extremity injuries in skiing.
Grade III rupture of the ulnar collateral ligament of the thumb is a common injury, especially in skiers. If not treated appropriately, it can lead to symptoms that are quite disabling. The historical methods of diagnosis and treatment have been outlined, and a protocol to accurately establish the diagnosis was suggested. Specifically, vigorous clinical stress testing should not be performed, so that adductor interposition is not created by the testing. Instead, the metacarpophalangeal joint arthrogram is recommended to establish the correct diagnosis, thereby allowing appropriate treatment to be instituted. We recommend casting for Grade III ruptures without adductor interposition and surgical reduction and repair for ruptures with adductor interposition.
Athletic Injuries↗
Intraosseous ganglion of the lunate.
Intraosseous ganglion of the lunate is a relatively rare entity. Two cases are reported, in one of which a communication with the scapholunate joint was demonstrated by polytomography. Curettage and bone grafting resulted in complete relief of pain.
Adult↗