Massive neurofibromatosis of the upper extremity with paralysis.

Tendon transfer and bulk reduction procedures are an alternative to amputation of the elephantoid enlarged limb with neurofibromatosis and paralysis. A patient with this progressive disease has been followed-up for 10 years and retains sufficient function to work as a computer operator.

Nonspecific avascular necrosis of the pisiform bone: a case report.

Taking into consideration the enlargement and sclerosis of the entire pisiform bone and the smooth articular surfaces of the pisotriquetral joint, the author has speculated that this may represent a nonspecific avascular necrosis with an as yet unknown cause.