Primary meningococcal tenosynovitis.
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The two types of tenosynovial infections in the hand are acute pyogenic and chronic atypical mycobacterial. Each has specific diagnostic criteria and a different therapeutic approach. If untreated or maltreated through misdiagnosis, either type can lead to significant long-term disability.
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The aim of this article is to draw attention to an uncommon lesion associated with classical Spanish ballet dancing - an activity with both artistic and competitive sporting influences. The lesion is characterised by a clicking great toe and pain in the region posterior to the medial malleolus, together with inability to point the toes. An analysis is made of the literature and of the treatment used in a bilateral case.
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The history, anatomy, and pathology of trigger finger, carpal tunnel syndrome, and de Quervain's disease are discussed. A review of 171 such cases treated with steroid injections indicates that injection for trigger finger and de Quervain's disease can be quite successful. The results in cases of carpal tunnel syndrome are less predictable.
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