The "sign of horns" in the diagnosis of injury or disease of the extensor digitorum communis of the hand.
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Biomedical subjects
Publications and source records attributed to M Spinner.
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In the region of the passage of the ulnar nerve from the anterior to the posterior compartment of the arm an arcade is formed which can be a primary or secondary factor in the production of traumatic lesions of this nerve in the arm. It is the purpose of this paper to present the details of this arcade and to note its clinical significance.
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Congenital absence of the median-innervated intrinsic muscles and flexor pollicis longus was seen in varying degrees of severity in eleven hands of eight patients. Three members were involved in one family in which the anomaly was probably an autosomal dominant. There were no chromosomal abnormalities. Surgical treatment of seven hands, including release of the adduction contracture and transfer of the ring-finger superficialis tendon to provide opposition and to reinforce the ulnar collateral ligament of the metacarpophalangeal joint, resulted in significant improvement in pinch and grasp.
Fractures of the distal phalanx of the hand occur usually by crushing can be irreducible, if the nail fold is interposed between the fracture fragments. Details of the regional anatomy producing the deformity and the management are discussed.
A patient with bilateral extrinsic contracture of the wrists is described. The management of this deformity is presented in detail.
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