Macrodactyly.

Macrodactyly is a rare congenital limb difference manifesting as an overgrowth of one or more fingers or toes. The pathological process affects all tissues of the ray in the hand or foot. The enlargement can significantly alter the limb's appearance and impair its function.

Psychosocial Functioning of Individuals at Risk of Developing Compulsive Buying Disorder.

(1) This study aimed to establish the connection between depressiveness, workaholism, eating disorders, and personality traits, according to the five-point model called the Big Five, in women with a risk of compulsive buying disorder. (2) The study was conducted on 556 Polish women from the West Pomeranian Voivodeship. The study employed the diagnostic survey method using a questionnaire technique including Personality Inventory NEO-FFI, the Buying Behaviour Scale, the Beck Depression Inventory I-II, the Three-Factor Eating Questionnaire, and a self-questionnaire.

Personality traits and the degree of work addiction among Polish women: the mediating role of depressiveness.

Objectives: Workaholism is an addiction, however the obsessive-compulsive components alone may prove insufficient in determining its nature. The aim of the following study was to determine the mediating role of depressiveness in the relationships between workaholism and personality traits according to the five-factor model among Polish women.

Methods: The research study was carried out among 556 women residing in the West Pomerania Voivodeship in Poland.

Relationships of Body Mass Index, Relative Fat Mass Index, and Waist Circumference with Serum Concentrations of Parameters of Chronic Inflammation.

(1) Background: Obesity in the perimenopausal period is associated with hormonal changes, lifestyle, and environment. In obesity, elevated levels of IL-6 and TNF-α and reduced levels of adiponectin are observed, and the associated chronic inflammation favors the development of cardiometabolic diseases. Therefore, the aim of our study was to assess the relationship between selected measures of obesity (BMI, WC, RFM, VAI, WHtR) and parameters of chronic inflammation (CRP, TNF-α, IL-6) in perimenopausal women.

An assessment of quality of the surgical curriculum in Pomeranian Medical University in years 2015-2017.

Unlabelled: The objective of this study was assessment of quality of the surgical curriculum in Pomeranian Medical University in years 2015-2017.

Material And Methods: A questionnaire-survey has been conducted in a group of 100 of Polish students from the Medical Faculty just before the final test-exam in subject surgery. Main topics of the questionnaire items concerned students' opinion on the expected usefulness of acquired surgical knowledge for future medical practice, acquired manual skills, range of knowledge learned in particular academic years and on understanding the term "skill/competency-oriented teaching" surgery.

Dupuytren's Disease in an Adolescent - Case Report.

Dupuytren's disease is typically observed in adults, in children and adolescents being rarely diagnosed. Only several cases were reported in children under the age of 10 years, including two infants under one year. There were no such reports in Polish literature.

[Mucoepidermoid cancer of parotid gland in 14-years-old girl--case report].

Introduction: Malignant tumors of salivary glands are rare, especially in children.

Material And Method: We present a case report of 14-years-old girl affected by mucoepidermoid cancer of parotid gland.

Results: Patient was admitted to our Department in May 2007 due to small, hard, moveable tumor localized in right mandibular angle.

Reconstruction of the distal radio-ulnar joint with a prosthesis of the distal ulna in the treatment of a recurrent giant cell tumour.

We present a case of 35-year old left-handed woman with recurrent giant-cell tumour affecting 1/4 of the distal part of the left ulna, with associated ulnar nerve involvement. After resection of the tumour and 1 cm of the ulnar nerve, the distal ulna was reconstructed with an individually designed and matched prosthesis, followed by ulnar nerve reconstruction. At 12 months follow-up the patients was free of pain, had excellent recovery of ulnar nerve function, satisfactory wrist range of motion and moderately impaired function of the left hand (DASH score 42).

[The results of the treatment of thumb carpometacarpal arthritis by trapezium resection and modified thumb metacarpal suspension arthroplasty].

Arthritis of the thumb carpometacarpal joint is a fairly common disorder of unclear etiology, affecting mostly women in the postmenopausal age. The results of the operative treatment of 21 patients, 20 women and 1 men in a mean age of 59 years with the disorder classified in 3rd and 4th grade in Eaton-Littler scale are presented. Operation consisted in resection of the trapezium followed by thumb metacarpal suspension arthroplasty with flexor carpi radialis tendon, using a slip of the palmaris longus tendon.

[A reasonable algorithm for treatment of distal radius fractures].

Fracture of the distal radius is one of the commonest injuries affecting upper limb, particularly in the older age. To date, no optimal treatment of these fractures was determined, although in the past twenty years an increased tendency to operative treatment with stable plate fixation is observed. Authors personal observations indicate a common malpractice associated with treatment of these fractures in our country, resulting from unjustified acceptance of some false preconceptions.

[Results of the treatment of intra-articular fractures of the fingers with a modified Suzuki traction device].

The results of the treatment of 7 patients, 6 men and 1 woman, aged a mean of 33 years, with intraarticular fractures of the base of the middle fingers. All fractures were displaced, and in 2 patients a palmar sub-luxation of the middle phalanx was seen. The treatment was accomplished with the Suzuki's type traction device in authors' modification.

[Treatment of the radial shaft loss with pedicled graft from the ulna--a case report].

A case of 68-year-old woman with severe deformation of the left forearm and disability of the hand as a consequence of total dissociation and partial loss of radial shaft, after fracture sustained one year earlier is reported. The restoration of the length and shape of the radius was performed with the use of 4 cm long fragment of the ulna pedicled on the interosseous membrane, fixated with plate. Normal shape of the radius was achieved and the hand was held in the axis of the forearm.

[Post-traumatic cyst of the scaphoid--a case report].

Carpal bone cysts are very uncommon and they are usually occasionally diagnosed during radiological examination of the wrist after trauma. Some carpal bone cysts are symptomatic and then they are revealed on routine X-ray investigation. We present a case of 14 years old boy, in whom a scaphoid bone cyst developed around the foreign body (a splinter), stacked into the wrist when he fell on the wooden board.

[An assessment of the results of upper limb replantation].

During the period 1996-2005, in General and Hand Surgery Department in Szczecin, 47 patients, 45 males and 2 females, with a me an age of 42 years, with total (72%) and subtotal (28%) amputations within the metacarpus and more proximal were operated. 35 replants survived, however 10 (21%) necrotized, in 2 cases (5%) blood flow was not re-established during the operations. The study presents results of assessment of objective parameters of 19 patients who received replantation of amputated extremities at the level of metacarpus - 5 cases, wrist - 9, forearm - 3, elbow - 1 and arm - 1 case.

[Post-traumatic aneurysm of the ulnar artery--a report of 2 cases].

Two cases of post-traumatic aneurysms of the ulnar artery within the hand in patients aged 28 and 45 years are presented. First one developed following blunt trauma of the hypohtenar during use of the screwdriver, other one was caused by puncture, penetrated injury. Both were typically localised at the base of the hypothenar and both were asymptomacic.

[Results of the reconstruction of small sensory nerves defects with autologous vein conduits].

Sural nerve grafting for the reconstruction of small defects of sensory nerves is associated with relatively considerable donor site sacrifice which is loss of sensation on the lateral side of the foot. One of the alternative and accepted methods of reconstruction of nerve gaps is bridging with autologous vein conduit. Material and methods.

[The use of first dorsal metacarpal artery flap for thumb reconstruction].

The use of the first dorsal metacarpal artery flap in the reconstruction of soft tissue defects in 6 patients suffered from severe injuries of the thumb is presented. Detailed description of the operative technique is given and results of the treatment of 3 patients who were examined at 1-2 years after operation are evaluated. All flaps healed uneventfully and defects were covered in all patients without terminalization of the thumb.

[Reconstruction of soft tissue defects of the fingers using homodigital V-Y flap].

A series of 54 patients is presented in which full-thickness soft-tissue defects on 57 digits were reconstructed using homodigital V-Y flaps. This is a modification of the Moberg procedure, which was designed for coverage of injuries of distal thumb. The V-Y flap is pedicled on two digital neurovascular bundles, possible advancement is up to 2 cm, and V-shaped base of the flap allows direct closure of the proximal defect, without skin grafting.