Two cases of post-traumatic aneurysms of the ulnar artery within the hand in patients aged 28 and 45 years are presented. First one developed following blunt trauma of the hypohtenar during use of the screwdriver, other one was caused by puncture, penetrated injury. Both were typically localised at the base of the hypothenar and both were asymptomacic. Presence of the pulsating tumour in the palm was a cause of the medical appointment. Arteriography was performed in both cases that confirmed diagnosis of the aneurysm. Patients were operated on 2 months after initial injury. The aneurysm was resected and ulnar artery was re-anastomosed by vein graft in one case, and by direct suture in the other one. Anticoagulants were administered post-operatively. In both cases the course was uneventful, and phone call one year after operation revealed only some symptoms of cold intolerance in one patient. The likelihood of aneurysm formation as a consequence of blunt and sharp trauma of the hand was suggested as well as the necessity of prompt diagnosis and operative treatment.
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J Cardiothorac Surg
December 2024
Centre for Human Anatomy Education, Department of Anatomy and Developmental Biology, Biomedical Discovery Institute, Faculty of Medicine, Nursing and Health Sciences, Monash University, Clayton, Australia.
Arterial variations in the upper limb are of significant clinical importance, especially in procedures such as venepunctures, coronary artery bypass grafts, trauma reconstructive surgeries, brachial plexus nerve blocks, and breast reconstructions. This report presents previously undocumented arterial variations in the upper limbs in a 95-year-old female cadaveric donor. We observed bilateral superficial ulnar arteries originating at the cubital fossa, deviating from the previously reported origin at the proximal brachial artery.
View Article and Find Full Text PDFAnn Vasc Dis
December 2024
Department of Plastic and Reconstructive Surgery, University of Tsukuba Hospital, Tsukuba, Ibaraki, Japan.
We present a case of arterial bypass for extensive stenosis of the ulnar artery and superficial palmar arch. The ulnar artery and the superficial palmar arch were bypassed using the great saphenous vein. Postoperatively, blood flow to the affected fingers gradually improved and the pain disappeared.
View Article and Find Full Text PDFJ Hand Surg Glob Online
November 2024
1 Orthopaedic Department, Aristotle University of Thessaloniki, Papanikolaou Hospital, Thessaloniki, Greece.
Peripheral nerve neuromas may present significant therapeutic challenges especially when neuromas in continuity are scar-tethered to adjacent vital structures. We report a case of a patient who presented with delayed neurotmesis of median and ulnar nerves in the arm while extensive scarring of the median nerve was found in close proximity to the repaired brachial artery. For the surgical restoration of the continuity of the median nerve, the scarred segment was left in situ to avoid reinjury of the brachial artery and a "fly-over" nerve grafting technique with sural nerve autografts was employed.
View Article and Find Full Text PDFAnat Sci Int
December 2024
Department of Anatomy, All India Institute of Medical Sciences, Raebareli, Uttar Pradesh, Dalmau Road, Munshiganj, 229405, India.
The human upper limb has undergone various evolutionary myologic changes, accompanied by corresponding modifications in the anatomical course of neurovascular structures. In this study, we aimed to elucidate the emergence of the accessory head of the flexor pollicis longus (AHFPL) muscle as a beneficial biomechanical evolutionary development and its topographical relationship with adjacent neurovascular structures. In this pursuit to understand this phenomenon, dissections were conducted on sixty-two upper limbs from thirty-one cadavers.
View Article and Find Full Text PDFJ Orthop Case Rep
December 2024
Department of Orthopaedics, All India Institute of Medical Sciences, New Delhi, India.
Introduction: Giant cell tumor (GCT) of the bone, although benign, poses significant challenges due to its locally aggressive nature and high recurrence rates post-surgical intervention. Among skeletal GCTs, those affecting the distal radius present unique difficulties, especially when fungating masses encase vital structures such as blood vessels.
Case Report: We present a case of a 28-year-old male with a recurring GCT of the distal radius, where limb-preserving surgery was successfully performed despite encasement of the radial artery.
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