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S D Boles

Publications and source records attributed to S D Boles.

2 recordsLinked to original sources

Simultaneous ipsilateral avulsion of the extensor carpi radialis longus and brevis tendon insertions: case report and review of the literature.

Avulsion injuries of the radial wrist extensors are rare. We present a case of simultaneous ipsilateral avulsion of the extensor carpi radialis longus and brevis tendons resulting from a fall on an outstretched upper extremity. At the time of surgery the tendons were found retracted and not attached to avulsion fragments. Both tendons were repaired with the aid of suture anchors within 24 hours of the injury. After surgery, the patient regained full function with some loss of grip and wrist extension strength.

Humans↗

Pyogenic flexor tenosynovitis.

The clinical features of an infected finger flexor tendon sheath have changed dramatically since the pre-antibiotic time of Kanavel. The hand surgeon is encountering increasing numbers of gram-negative and mixed organism infections, especially in immunocompromised patients or those with comorbidities such as diabetes mellitus. The prognosis is directly related to the early recognition of the disease process and prompt surgical drainage and sheath irrigation, in combination with an appropriate antibiotic regimen. Despite appropriate management, some patients still develop significant complications. This possibility must be particularly recognized in diabetic and immunocompromised patient populations.

Aged↗