Self-Inflicted Hand Amputation without Replantation in a Patient with Body Integrity Identity Disorder: A Case Report.

Case: We describe a patient who self-amputated his hand using a log splitter, because of a long-standing belief that the limb "did not belong to him." On admission, he refused replantation and was found to be nonpsychotic. He was diagnosed with body integrity identity disorder (BIID) and declared competent to make his own medical decisions.

Ultrasound diagnosis of pyogenic flexor tenosynovitis in a 9-month-old infant: a rare case report.

Pyogenic flexor tenosynovitis (PFT) is an aggressive infection of the flexor tendon sheath, requiring prompt intervention to minimize adverse outcomes. The diagnosis of pediatric PFT is often delayed due to the variable presence of Kanavel's signs in children and communication difficulties. A 9-month-old male presented to the emergency department with one of four Kanavel signs.

Three-Dimensional Printed Targeting Device for Scaphoid Fracture Fixation.

Percutaneous guide wire insertion for scaphoid screw fixation can be challenging and often requires multiple attempts with significant radiation exposure to the surgical team. A 3-dimensional (3D) printed targeting device has the potential to reduce procedure time and intraoperative radiation exposure. Our targeting device protocol included a preprocedure computed tomography (CT) scan of a casted cadaver wrist, followed by 3D printing of a customized targeting guide.

Ciprofloxacin-Induced Extensor Tendon Rupture in the Hand: A Case Report.

Case: An eighty-one-year-old man had begun taking ciprofloxacin one week prior to the sudden inability to extend the metacarpophalangeal joint of the ring finger of the dominant right hand. He presented to us three months after he initially noticed this finding.

Conclusion: Ciprofloxacin-induced tendon rupture appears to be possible in the extensor digitorum communis tendons of the hand.

Functional outcome of low lumbar burst fractures. A multicenter review of operative and nonoperative treatment of L3-L5.

Study Design: A retrospective review of 42 patients treated at three major medical centers for burst fractures of L3, L4, and L5. This is the largest low lumbar (L3-L5) burst fracture study in the literature to date. The study was designed to assess both radiographic and clinical outcomes in a cohort of patients treated during a 16-year period.

Bone mineral density changes in the forearm after immobilization.

This study determined the early natural history of disuse osteoporosis in the ulna and radius. Six women and 2 men (mean age, 48.5 years; range, 35-60 years) having surgery on their wrists or hands had bone mineral density determined by single energy xray absorptiometry at 4 sites of the distal radius and ulna before operation, at cast removal (mean, 4.

Complications of wrist arthroscopy and how to prevent them.

The incidence of complications related to wrist arthroscopy is unknown because of the small number of reported cases. Potential complications have been identified and are classified as (1) traction related; (2) complications incurred during the establishment of portals; (3) procedure-specific complications; and (4) miscellaneous. Techniques are described that may decrease the likelihood of each of these complications.

Lipofibromatous hamartomas of the median nerve.

Five cases of lipofibromatous hamartoma of the median nerve are reported. The initial onset of symptoms and recognition of a mass occurred in adults in four cases. The fifth patient was an infant when the mass was first noticed, and she also had macrodactyly.