scholarly journals The Polyonychia and Distal Phalangeal Bone Underdevelopment on Right Second Toe

2018 ◽  
Vol 30 (1) ◽  
pp. 105
Author(s):  
Dong Hyuk Eun ◽  
Jun Hong Park ◽  
Han Jin Jung ◽  
Yong Hyun Jang ◽  
Seok-Jong Lee ◽  
...  
Keyword(s):  
Phalangeal Bone ◽  
Second Toe

Results of Vascularized Joint Transfers from the Foot

1997 ◽  
Vol 22 (4) ◽  
pp. 492-498 ◽  
Author(s):  
G. DAUTEL ◽  
M. MERLE
Keyword(s):  
Joint Space ◽  
Proximal Interphalangeal Joint ◽  
Interphalangeal Joint ◽  
Indications For Surgery ◽  
Pip Joint ◽  
Prosthetic Implant ◽  
Metatarsophalangeal Joints ◽  
Second Toe ◽  
The Average Range

We report our results in ten cases of vascularized joint transfer to reconstruct the proximal interphalangeal joint (five cases) or metacarpophalangeal joints (five cases). Donor sites were the proximal interphalangeal or the metatarsophalangeal joints of the second toe. Indications for surgery were the need to reconstruct both the growth plate and joint space in children or the impossibility of a conventional prosthetic implant. The average range of motion was 44° for the PIP joint and 53° for the MP joint at a mean follow-up of 22.7 months.

Resurfacing of the donor defect with a second toe plantar flag flap after free first toe pulp flap

2004 ◽  
Vol 38 (5) ◽  
pp. 306-309 ◽  
Author(s):  
Kazuma Sawabe ◽  
Toshihiro Ishiko ◽  
Akihito Miyata ◽  
Satoru Takemoto ◽  
Naoya Shigeyoshi
Keyword(s):  
Second Toe ◽  
Donor Defect

Reconstruction of Fingertip Amputations by Partial Composite Toe Transfer with Short Vascular Pedicle

1998 ◽  
Vol 23 (4) ◽  
pp. 457-464 ◽  
Author(s):  
G. DAUTEL ◽  
D. CORCELLA ◽  
M. MERLE
Keyword(s):  
Nail Plate ◽  
Surgical Reconstruction ◽  
Vascular Pedicle ◽  
Recipient Site ◽  
Fingertip Amputation ◽  
Custom Made ◽  
Initial Injury ◽  
Toe Transfer ◽  
Second Toe ◽  
Exact Amount

Five patients under 15 years-of-age, with a fingertip amputation through the nail plate, were treated with a custom-made partial toe transfer. Two of the patients hid had previous attempts at surgical reconstruction using either a local flap or replantation. Delay between initial injury and reconstruction ranged from 2 to 60 days. In all cases the flap was harvested from the second toe. This “custom-made” compound transfer included the exact amount of pulp, nail bed and bone required for reconstruction. All flaps were harvested on a short vascular pedicle, with anastomoses performed at a digital level on the recipient site. Good to excellent cosmetic results were obtained in all cases, with a nearly normal-looking fingertip. Duration of hospital stay ranged from 4 to 7 days. We recommend this technique for treatment of distal amputation close to the proximal nail fold, in young individuals.

Age-Related Trends in Phalangeal Bone Mineral Density in Sri Lankan Men and Women Aged 20 Years or More

2009 ◽  
Vol 12 (1) ◽  
pp. 58-62 ◽  
Author(s):  
Sarath Lekamwasam ◽  
Lalith Wijerathne ◽  
Mahinda Rodrigo ◽  
Udul Hewage
Keyword(s):  
Bone Mineral Density ◽  
Bone Mineral ◽  
Sri Lankan ◽  
Mineral Density ◽  
Men And Women ◽  
Age Related ◽  
Phalangeal Bone

scholarly journals Treatment of Phalangeal Joint Stiffness Related to Proximal Phalangeal Bone Fractures: Therapeutic Effects on the Range of Motion and Finger Pain

2021 ◽  
Author(s):  
Dongkeun Jun ◽  
Minkyoung Jeong ◽  
Donghyeok Shin ◽  
Hyungon Choi ◽  
Jeenam Kim ◽  
...  
Keyword(s):  
Range Of Motion ◽  
Bone Fractures ◽  
Joint Stiffness ◽  
Operative Procedures ◽  
Metacarpophalangeal Joints ◽  
Elastic Resistance ◽  
Group 2 ◽  
Phalangeal Bone ◽  
Swan Neck Deformity ◽  
Group 1

Purpose: Proximal phalangeal bone fractures with displacement are treated using operative procedures. These fractures can cause stiffness of the interphalangeal or metacarpophalangeal joints, which can be relieved using various operative and nonoperative techniques. This study analyzed the range of motion (ROM) and pain after a combination therapy to treat finger stiffness following proximal phalangeal fractures.Methods: Fifty-two patients who underwent operative procedures for proximal phalangeal fractures and showed finger stiffness from March 2015 to January 2021 were included in this retrospective study. The patients in group 1 (n=24) performed elastic resistance exercises, while those in group 2 (n=28) underwent conventional exercise. ROM and pain score were measured at 5, 8, and 12 weeks postoperatively. Furthermore, a patient with a swan-neck deformity and intractable stiffness was treated using partial translocation of the extensor apparatus, and the postoperative outcome is presented.Results: Group 1 showed a larger ROM and less pain than group 2 at 12 weeks postoperatively (p<0.05). Patients in both groups exhibited notable improvements with regard to ROM and pain during the study period (p<0.05). In addition, the swan-neck deformity accompanying hyperextension of the proximal interphalangeal joint was significantly relieved.Conclusion: Proximal phalangeal bone fractures can lead to stiffness of the interphalangeal and metacarpophalangeal joints. Joint stiffness was relieved using an elastic resistance exercise protocol in the early postoperative period. Intractable stiffness showing a fixed joint angle can be treated with thorough tenolysis and corrective surgery.

scholarly journals Schwannoma of the medial plantar nerve: a case report

2021 ◽  
Vol 15 (2) ◽  
pp. 171-174
Author(s):  
Adriano Machado Filho ◽  
Jefferson Soares Martins ◽  
Paulo Victor de Souza Pereira ◽  
Ademir Freire de Moura Júnior
Keyword(s):  
Case Report ◽  
Surgical Planning ◽  
Level Of Evidence ◽  
Medial Plantar Nerve ◽  
Plantar Surface ◽  
Patient Level ◽  
Red Flag ◽  
Plantar Region ◽  
Second Toe ◽  
Multiple Schwannomas

We report the case of a 60-year-old woman with a schwannoma of the medial plantar nerve. She presented with the complaint of pain for about 2 years and a painful lesion in the medial plantar region of the left forefoot and on the second toe. Physical examination showed well-defined, firm tumor masses painful to palpation on the medial and plantar surface of the left forefoot and second toe. We surgically explored the area and excised 3 lesions, resulting in complete pain relief and no aesthetic complaints. Schwannomas of the medial plantar nerve are rare tumors, with only a few reports of cases extending to the forefoot. The finding of multiple schwannomas may be a red flag for the possible existence of local, painful, nerve lesions despite a negative Tinel sign. Appropriate surgical planning contributed to our successful intervention, without aesthetic, painful, or functional sequelae for the patient. Level of Evidence V; Therapeutic Studies; Expert Opinion.

A novel technique for proximal interphalangeal joint fracture-dislocations: the second toe middle phalanx osteochondral graft

2021 ◽  
pp. 175319342110292
Author(s):  
Danielle Nizzero ◽  
Nicholas Tang ◽  
James Leong
Keyword(s):  
Range Of Motion ◽  
Surgical Techniques ◽  
Proximal Interphalangeal Joint ◽  
Interphalangeal Joint ◽  
Middle Phalanx ◽  
Joint Fracture ◽  
Acute Injuries ◽  
Fracture Dislocations ◽  
Chronic Injuries ◽  
Second Toe

Many different surgical techniques have been used to treat unstable dorsal proximal interphalangeal joint fracture-dislocations. The authors have used the base of the middle phalanx of the second toe base as an alternative autograft to treat this type of injury. This retrospective study assessed the clinical outcomes of this procedure in 11 patients. Range of motion, grip strength, Disability of the Arm, Shoulder and Hand score and donor site morbidity were assessed at regular intervals postoperatively. Nine patients had acute injuries and two had chronic injuries. The mean range of motion in the proximal interphalangeal joint at final review was 65° for patients with acute injuries and 41° for patients with chronic injuries. Other outcomes were satisfactory and there were no complications. Level of evidence: IV

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