Publications by authors named "L Lievain"

Article Synopsis
  • - The study aimed to characterize a previously unreported ligamentous structure called the distal dorsal intermetacarpal ligament, which connects the metacarpal heads of the long fingers in the dorsal intermetacarpal spaces.
  • - Twenty-five hands were dissected, revealing this ligament in every case, along with measurements taken for size and position, and analyses conducted via histology and ultrasound.
  • - The results showed that this ligamentous structure stabilizes the metacarpal heads, particularly at the second and fourth spaces, by limiting excessive movement (hyperabduction).
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Every doctor can be confronted, during his career, with patients presenting symptoms they created themselves. Because it is easily accessible, the hand is a favored target organ for these self-inflicted injuries. The diagnosis of factitious disorder of the hand is very difficult, rarely suggested and widely under-estimated.

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Mycobacterium marinum is an atypical and non-tuberculosis mycobacterium that mainly leads to cutaneous infections. Infections occur through inoculation of the organism through injury to the skin in the presence of contaminated water or fish. The patient often presents with unspecific symptoms and the evolution, in the absence of adequate treatment, is characterized by an expansion of the cutaneous lesion and a spread to deep structures.

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Background: Scarring alopecia resulting from burns may be difficult to treat and involves various plastic surgery techniques such as expanded scalp flaps.

Observation: Herein, we report the case of a 19-year-old male patient who suffered burning of the scalp with scarring alopecia following an attack with a Taser(®) electrical gun. Given the extent and site of alopecia, we decided to create a prosthesis by means of scalp expansion.

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