Biomedical subjects
Publications and source records attributed to T Barfred.
A case of congenital carpal tunnel syndrome associated with melorheostosis is described. The symptoms were lack of use of the hand since birth, hypotrophy of the fingers innervated by the median nerve, and severe atrophy of the thenar muscles. The total degeneration of the nerve in the carpal tunnel was successfully treated with a sural nerve graft.
Among the large group of carpal tunnel syndromes, it is possible to distinguish two distinct entities, which are related to a persistent median artery. The first is associated with thrombosis, which causes a sudden onset of pain and paresthesia, often severe, while the second is associated with a normal median artery. In the latter case, symptoms predominate during work, and the physical signs are inconsistent. For both entities, the patients are fairly young, with a mean age of 33.6 years. Resection of the artery is recommended after ensuring an adequate arterial supply to the fingers.
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A 3-year-old boy during a picnic collected caterpillars of Macrothylasia rubi. He developed dermatitis and was generally ill during some days. Edema developed on the affected hand and reduced the mobility. Osteitis developed corresponding to all falangeal bones on his right hand. The changes disappeared following immobilisation of the severely affected hand.
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The results of using 28 abdominal Shaw flaps (tubed axial pattern flaps based upon the inferior superficial epigastric artery and vein, are reported. One flap was totally lost and 4 partially. The cosmetic results have been acceptable. This type of flap will still be our method of choice, partly because it is easy to apply, but particularly because it facilitates placing the hand in a position of function.
The commonest tumours of the peripheral nerves are neurolemomas and neurofibromas, both arising from the nerve sheath. Both tumour types are described. It is established that the neurofibroma becomes malignant in about 10% of cases and that removal involves resection of the nerve. Radical resection is nevertheless recommended and the defect in the nerve may be overcome by free nerve transplantation. Two cases are reported.
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Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.