Publications by authors named "Laurent Wehrli"

Hand injuries in sportives are becoming increasingly common, accounting for approximately 25% of all sports-related injuries. The recent growing popularity for sports such as climbing, which even became an Olympic discipline in 2022, is increasing hand and finger injuries in the active population. Some sports are more prone to typical hand and finger injuries.

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Acquired arteriovenous fistula (AVF) in the hand can occur after trauma, fracture, or surgery. It is a rare condition, and only a few cases have been reported in the literature. Clinically they appear as palpable or painful lesions that persist long after the local hematoma has resolved.

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Lateral elbow pain syndrome in adults is a frequent complaint leading to consultation in primary care medicine. The lateral side of the elbow joint represents a complex anatomy with close proximity of bony structures (humerus, radius, and ulna), ligaments (lateral ligament complex), tendons (origin of the extensors of the wrist and fingers), and nerves (branches of the radial nerve) making diagnostic and therapeutic management demanding. This article aims to provide a basis for reflection to better define treatment options for pathologies frequently encountered in clinical practice.

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Lipomatosis of nerve is a rare, ill-defined, fibrofatty tumor intermingled among nerve fascicles. The classic presentation of lipomatosis of nerve describes focal distal involvement of the median nerve at the wrist. The purpose of this study was to determine the level of proximal lesion extension in cases of upper extremity lipomatosis of nerve using magnetic resonance imaging.

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The general practitioner is often the first person to have to assess and treat a patient complaining about his hand, especially in areas far away from an emergency health center. The hand is the largest sensitive area of our cortex. It is the most used part of our body and is therefore prone to traumas, cuts, infections, tendinous inflammation and compressive nerve disorders.

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Background: The combination of an elbow dislocation, a radial head fracture, and a coronoid process fracture is known as "terrible triad" injury of the elbow. This injury is one of the most challenging injuries of the musculoskeletal system and almost always causes instability of the elbow. The use of an adjuvant hinged external fixator in such injuries is still debated.

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Purpose: To determine the value of applying finger trap distraction during direct MR arthrography of the wrist to assess intrinsic ligament and triangular fibrocartilage complex (TFCC) tears.

Materials And Methods: Twenty consecutive patients were prospectively investigated by three-compartment wrist MR arthrography. Imaging was performed with 3-T scanners using a three-dimensional isotropic (0.

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Although restoration of hand function in brachial plexus patients remains a formidable challenge, the past decade has brought significant improvement in our ability to restore hand function even in the most severe cases. Today, the following options are available to restore hand function: (1) direct nerve repair; (2) nerve grafting; (3) nerve transfers from intraplexal or extraplexal sources; (4) tendon transfers (and tenodesis); (5) free functioning muscle transfer; (6) arthrodesis; and (7) a combination of these techniques. Opportunity for future improvement exists, and the next decade will no doubt bring further innovation.

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Management of the distal part of the medial intermuscular septum and the internal brachial ligament (both described by Struthers in 1854), the medial head of the triceps, and the "arcade of Struthers" (a concept created by Kane et al. in 1973) is still unclear regarding anterior transposition of the ulnar nerve because of anatomical controversies. Dissection of the medial aspect of 30 arms was performed.

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