Lacerated Hand [CN-231123]

Lacerated Hand [CN-231123]

Lacerated Hand [CN-231123]

A 12 years old school going child had an RTA. He fell from bike driven by his father and a pick up truck ran over his right hand.

He is right dominant.

First, Wound toileting, debridement and apposition of wound was done under wrist block. 

Wound was contaminated and there was infection postoperatively. Stitches were removed and wound left open.

Consequent dressing was done and there was a gap on palm which was covered with skin grafting. First web space was healed without grafting.

Now, his wound is healed. He can make fist, count and write. Thumb movement is also good and improving. Abduction of index finger is weak.

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Carpal Tunnel & Trigger Finger Release [CN-220927/1]

Carpal Tunnel & Trigger Finger Release [CN-220927/1]

Carpal Tunnel & Trigger Finger Release [CN-220927/1]

A 56 years female was suffering from tingling, numbness of her left hand and triggering of her 3rd finger for long time. She was on conservative treatment.

NCS shows Severe entrapment of median nerve at carpal tunnel.

She is diabetic, hypertensive. After proper evaluation she was scheduled for surgery.

Operation: Release of A1 Pulley & Release of Carpal Tunnel

Anaesthesia: Wrist Block

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Trigger Finger Release [CN-220927/2]

Trigger Finger Release [CN-220927/2]

Trigger Finger Release [CN-220927/2]

A 60 years old Female was suffering from triggering of her ring finger for 6 months. She got conservative treatment as well as steroid injection. Now triggering is in advanced stage, finger can not be extended without help of other hand.

She is diabetic, hypertensive.

Operation: Release of A1 Pulley

Anaesthesia: Wrist Block

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Carpal Tunnel Release [CN-230213/1]

Carpal Tunnel Release [CN-230213/1]

Carpal Tunnel Release [CN-230213/1]

A 43 years old female was diagnosed with severe compression of Median Nerve on right hand 4 years ago. She was then treated with Steroid injections. But the symptoms improved only for few months. Since then she had typical CTS symptoms.

Operation: Release of carpal tunnel

Anaesthesia: Wrist Block

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Dupuytren’s Contracture Excision [CN-230213/2]

Dupuytren’s Contracture Excision [CN-230213/2]

Dupuytren’s Contracture Excision [CN-230213/2]

A 90 years old Diabetic Female was having trouble of extending her ring fingers of both hand for long period. She had poor glycemic control. She was diagnosed as Dupuytren’s Contracture of both palms, right hand condition was more severe. Her sole of foot was not affected. She had no HO taking anti-epileptic drugs.

Diagnosis: Dupuytren’s contracture

Treatment: Excision of affected superficial palmar fascia

Anaesthesia: Wrist block

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