[The rheumatoid hand].

Rheumatoid arthritis usually affects the hand (90%). Without treatment, joint damages and deformities lead to loss of the ability to grip, grasp, and pinch, often leaving the patient unable to perform the activities of daily living. Early treatment with DMARDs ± physical therapy is the best way to control the disease and prevent deformity, as well as disability, which often occurs when joints get damaged.

Oblique ulnar styloid osteotomy--a treatment for ulnar styloid impaction syndrome.

Purpose: We report a series of 5 patients (mean age, 41 y) presenting with ulnar styloid impingement syndrome (USIS) and treated by an oblique ulnar styloid osteotomy. The purpose of the study was to determine whether the osteotomy is an effective method for treating USIS.

Methods: The diagnosis of USIS was made based on a history of ulnar-sided wrist pain supported by clinical and radiological findings.

Bilateral avascular necrosis of the trapezoid.

We present a 5-year follow-up of a patient with bilateral necrosis of the trapezoid that improved clinically and radiographically with nonoperative treatment.

Locked metacarpophalangeal joint of long fingers: classification, definition and treatment based on 15 cases and literature review.

Objectives: The purpose of this study was to clarify the definition, classification and treatment of the disorder known as the locked metacarpophalangeal (MCP) joint of long fingers, through the analysis of 15 cases and a literature review.

Patients And Methods: We carried out a retrospective study of 15 patients with locked MCP joint of long fingers, all treated between 1997 and 2007. All patients underwent some imaging investigations including lateral, anteroposterior and Brewerton X-ray examinations.

[Trapeziometacarpal osteoarthritis].

Trapeziometacarpal osteoarthritis, usually defined as arthrosis of the trapeziometacarpal joint, is frequently observed in perimenopausal women and can induce a functional disability, severe in some cases. Most of the time, discomfort is moderate and resolves spontaneously within several months or several years and requires a medical therapy based on analgesics, anti-inflammatory drugs and nocturnal splinting aiming at reducing pain and joint deformity. The spontaneous evolution of the disease leads to joint stiffness in a position of variable deformity of the thumb, with adduction of the trapeziometacarpal joint and compensating hyperextension of the metacarpophalangeal joint allowing to keep a satisfying function despite a decrease in strength and dexterity.

Compression of the median nerve in the proximal forearm by a giant lipoma: A case report.

Background: Compression of the median nerve by a tumour in the elbow and forearm region is rare. We present a case of neuropathy of the median nerve secondary to compression by giant lipoma in the proximal forearm.

Case Presentation: A 46-year-old man presented with a six month history of gradually worsening numbness and paresthesia on the palmar aspect of the left thumb and thenar eminence.

CT-guided percutaneous laser photocoagulation of osteoid osteomas of the hands and feet.

Percutaneous local ablation of osteoid osteoma has largely replaced surgery, except in the small bones of the hands and feet. The objective of this study was to describe the technical specificities and results of computed tomography (CT)-guided percutaneous laser photocoagulation in 15 patients with osteoid osteomas of the hands and feet. We retrospectively examined the medical charts of the 15 patients who were treated with CT-guided percutaneous laser photocoagulation therapy at our institution between 1994 and 2004.