Masquelet Technique for Phalangeal Reconstruction and Osteomyelitis.

Osteomyelitis of the finger presents a challenging problem. Although there are multiple treatments described in the literature, the infection often results in eventual amputation. The authors present a case of an open fracture of the index finger complicated by nonunion, infection, and osteomyelitis.

Minimally Invasive Resection of Symptomatic Cervical Rib for Treatment of Thoracic Outlet Syndrome.

Background: Neurogenic thoracic outlet syndrome treatments have high morbidity and recurrence rates. We present for the first time to our knowledge a minimally invasive spine surgery technique for complete resection of a cervical rib via a costotransversectomy approach.

Case Description: A patient with an 8-year history of progressive thoracic outlet syndrome presented with right C8 pain, weakness, and atrophy of her right forearm and thenar eminence.

Intraneural synovial sarcoma of the median nerve.

Synovial sarcomas are soft-tissue malignancies with a poor prognosis and propensity for distant metastases. Although originally believed to arise from the synovium, these tumors have been found to occur anywhere in the body. We report a rare case of synovial sarcoma arising from the median nerve.

Late surgical results of reattachment to bone in repair of chronic lateral epicondylitis.

All cases of lateral epicondylitis surgically treated in Dr. Pruzansky's office practice between October 1986 and December 2005 yielded 24 elbows for this study. Patients were treated with surgical débridement and direct repair to bone through bone tunnels (18 elbows), repair with suture anchors (3 elbows), or augmentation with autologous tendon graft and reattachment to bone via suture anchors (3 elbows).

Using the semitendinosus tendon to stabilize sternoclavicular joints in a patient with Ehlers-Danlos syndrome: a case report.

Symptomatic recurrent anterior dislocation of the sternoclavicular joint is a rare but sometimes painful condition. A novel technique of extrathoracic reconstruction using tendon autograft is presented in this case report. When spontaneous ankylosis of an anterior dislocation of the sternoclavicular joint does not occur, and the patient remains symptomatic, surgical reconstruction using this procedure may be a viable alternative.

Compression of the radial branch of the median nerve due to an anomalous muscle belly of the first lumbrical in a child.

Compression of the radial branch of the median nerve due to an anomalous muscle belly of the first lumbrical is a new diagnostic entity. We found this in the case of a 12-year-old girl with intermittent pain, weakness and paresthesias in the right hand. Provocative signs and symptoms in the distribution of only the radial branch of the median nerve are the most important signs distinguishing this case from carpal tunnel syndrome.