Metacarpal brown tumor in secondary hyperparathyroidism due to vitamin-D deficiency. A case report.
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Adult↗
Biomedical subjects
Tufan Kaleli
Publications and source records attributed to Tufan Kaleli.
Double reverse-flow island flaps for two adjacent finger tissue defect.
INTRODUCTION: Soft-tissue reconstruction of fingertip injuries remains a challenge for hand surgery. Tissue loss of multiple digits is a serious problem for hand surgeons. Surgical possibilities include regional, distant and local flaps. In this study, five patients presented with tissue loss of two adjacent fingers and were treated by double reverse-flow island flaps. MATERIALS AND METHODS: The surgical technique is an application of the reverse-flow homodigital island flap for two adjacent finger tissue defects. Instead of one flap, double island flaps are applied to two adjacent finger tissue defects. The flaps are raised from the lateral or medial palmar surface of the proximal phalanx level. Anastomoses between the radial and ulnar digital arteries at the distal interphalangeal joint level are preserved. RESULTS: Three of the patients had tissue defects at the fingertip. In these cases, digital nerve anastomosis with the counter lateral digital nerve made the flaps sensitive. In two patients, the tissue defect was on the dorsum of the middle phalanx level. In these cases, the flaps were non-sensitive. Neither infection nor flap failure was seen in the patients. Sensitive function was satisfactory in fingertip applications. CONCLUSION: The reverse-flow homodigital island flap is a commonly used surgical technique for tissue defects in the fingers. The double reverse-flow island flaps involve the application of this technique for two adjacent fingers. The important point in the surgical technique is that the vascular supply of the two flaps should originate from the same common palmar digital artery. This technique offers a possibility to repair the defects of two adjacent fingers.
Adolescent↗
Surgical treatment of tennis elbow: percutaneous release of the common extensor origin.
Twenty six patients who had undergone percutaneous release of the common extensor tendon for lateral epicondylitis were investigated. Fourteen were female and twelve were male. The mean follow-up period was 32 months. Symptoms had been present for an average of 8.9 months. Before the surgery, all the patients were surgically treated with conservative methods; only those that did not respond to conservative methods were surgically treated. The common extensor origin was released percutaneously. Pain relief was achieved on average eight weeks after surgery. The clinical results were evaluated in terms of pain, activity level and patient satisfaction. The results were excellent in twenty-four patients, good in one and poor in one. Release of the common extensor origin appears as a commendable treatment in patients with lateral epicondylar pain not relieved by conservative management.
Cohort Studies↗
Pseudomalignant myositis ossificans of the wrist causing compression of the ulnar nerve and artery. A case report.
Myositis ossificans (MO) is a condition characterised by focal, benign and self-limited idiopathic heterotopic bone formation. It is extremely rare in the hand and wrist and may lead to concomitant nerve compression. Because of the rare incidence of pseudomalignant MO at the wrist and hand, we found it of interest to report a case of this condition localised to the wrist. A 31-year-old female patient presented with swelling and pain of her left wrist. The physical examination findings, magnetic resonance imaging and Tc-99m bone scan suggested acute osteomyelitis or a tumoral condition. Incisional biopsy and pathological examination was done. The microscopic findings confirmed that the lesion was pseudomalignant MO. The lesion was removed totally and decompression of the ulnar nerve and artery was achieved. The patient regained full asymptomatic range of motion of all digits and wrist and the numbness of the fourth and fifth digits had subsided at follow-up five months later.
Adult↗