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A Case of Arterial Bypass for Extensive Stenosis of the Ulnar Artery and Superficial Palmar Arch due to Hypothenar Hammer Syndrome.
Ann 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 PDFReconstruction of the finger pulp with palmar digital artery perforator propeller flap using a digital artery perforator at the lateral base of the finger pulp.
J Hand Microsurg
December 2024
Saitama Hand and Microsurgery Institute, Saitama Jikei Hospital, 3-208 Ishiwara, Kumagaya City, Saitama, 360-0816, Japan.
Purpose: The digital artery perforator (DAP) flap is used to repair finger pulp defects as it can help preserve the digital artery. The standard DAP flap donor site is dorsal or lateral; however, the color of the flap typically poorly matches that of the finger pulp. The purpose of this study is to report two types of novel palmar DAP flaps.
View Article and Find Full Text PDFAn Educational Digital Tool to Improve the Implementation of Switching to a Biosimilar (Rapid Switch Trainer): Tool Development and Validation Study.
JMIR Form Res
November 2024
Medical Department, Sandoz Farmacéutica, Madrid, Spain.
Background: Switching to biosimilars is an effective and safe practice in treating inflammatory diseases; however, a nocebo effect may arise as a result of the way in which the switch is communicated to a given patient.
Objective: We aimed to design a gaming-based digital educational tool (including a discussion algorithm) to support the training of health care professionals in efficiently communicating the switch to biosimilars, minimizing the generation of a nocebo effect and thus serving as an implementation strategy for the recommended switch.
Methods: The tool was developed based on interviews and focus group discussions with key stakeholders, both patients and health care professionals.
The Small Finger Reverse Ulnar Digital Artery Hypothenar Palmar Perforator Flap: An Anatomical Study With Clinical Examples.
Plast Reconstr Surg Glob Open
November 2024
From the Department of Orthopedics and Rehabilitation, Stony Brook University, Stony Brook, N.Y.
Background: Local flaps are commonly used for reconstruction of digital soft-tissue defects. There remains a paucity of options available for small finger volar and dorsal soft-tissue defects distal to the proximal interphalangeal joint. The purpose of this study was to analyze perforators along the hypothenar palmar region arising from the artery of the ulnar side of the small finger as it comes off the superficial palmar arch for consistency and potential to be used for perforator-based flap reconstruction of soft-tissue defects and joint coverage of the small finger.
View Article and Find Full Text PDFEvaluation of digital radiographic measurements for the diagnosis of acute laminitis.
Equine Vet J
November 2024
Department of Clinical Studies-New Bolton Center, School of Veterinary Medicine, University of Pennsylvania, Kennett Square, Pennsylvania, USA.
Background: Traditional radiographic measurements of distal phalanx (Pd) displacement based on the outer hoof wall are not useful for diagnosis of acute laminitis.
Objectives: We hypothesised that the distance between the inner hoof wall and Pd ('lamellar lucent zone'; LLZ) measured on lateromedial digital radiographs would be increased in horses with acute and subacute laminitis compared with healthy horses.
Study Design: Retrospective cohort study and in vivo experimental study.
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