Surgical Management of Peripheral Vein Thrombophlebitis in the Upper Extremity.

Purpose: Peripheral vein thrombophlebitis has a reported overall incidence ranging from 20% to 80%. Thrombophlebitis can progress despite antibiotic therapy to become a challenging clinical problem requiring surgical intervention. There is currently no consensus on its optimal management.

Hand Surgery in Singapore.

Singapore as an island nation is one of three countries in the world that has hand and reconstructive microsurgery (HRM) as an independent specialty. The 52 accredited hand surgeons serving a population of 5.7 million facilitate hassle free access to patients.

Concomitant Lipoma and Ganglion Causing Ulnar Nerve Compression at the Wrist: A Case Report and Review of Literature.

We present a rare case of ulnar nerve compression caused by concurrent lumps-a lipoma and a ganglion at the wrist, with no prior report cited in the English literature. This case illustrates the possibility of dual concurrent pathologies causing ulnar neuropathy and the importance of not missing one.

Surgical treatment for total root avulsion type brachial plexus injuries by neurotization: a prospective comparison study between total and hemicontralateral C7 nerve root transfer.

Purpose: We conducted a clinical study to evaluate the effects of neurotization, especially comparing the total contralateral C7 (CC7) root transfer to hemi-CC7 transfer, on total root avulsion brachial plexus injuries (BPI).

Methods: Forty patients who received neurotization for BPI were enrolled in this prospective study. Group 1 (n = 20) received hemi-CC7 transfer for hand function, while group 2 (n = 20) received total-CC7 transfer.

Comparative study of outcomes between pollicization and microsurgical second toe-metatarsal bone transfer for congenital radial deficiency with hypoplastic thumb.

With the advent of microsurgery, various surgical options exist to treat the hypoplastic thumb in patients with radial deficiency. This study aims to compare the outcome assessments between index finger pollicization and microsurgical second toe-metatarsal bone transfers for thumb reconstruction in these patients. Between 1996 and 2002, a total of 30 patients were included and equally divided into two groups: Group 1 (pollicization) and Group 2 (toe transfer).

Outcomes of open carpal tunnel releases and its predictors: a prospective study.

A prospective study of 74 patients who underwent open carpal tunnel releases was conducted, with a follow-up period of six months. We analyzed multiple preoperative variables in order to identify factors that might predict outcomes. These outcomes included improvement in symptom severity and functional severity scores, grip strength as well as patient satisfaction.

Spontaneous partial posterior interosseous nerve palsy not caused by an adjacent ganglion.

We report a case of spontaneous partial posterior interosseous nerve palsy where the ganglion adjacent to the nerve was not the main cause of the compression. Instead, a thick fascial band deep to the distal edge of the supinator was found responsible. This case illustrates the importance of completing the nerve exploration to fit with the clinical picture.