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The case report of a 36 years patient is described. He went to the Orthopedics and Traumatology Service of Dr. Juan Bruno Zayas Alfonso Teaching General Hospital in Santiago de Cuba, with a rusty big wire, ingrowing in the right wrist palmar face, with paresthesias in the innervation area of the median nerve. The x-ray revealed that inside the wrist structures there was 10 cm of the big wire, with the distal portion bent in hook form, reason why an emergency surgical intervention was carried out. Regional anesthesia, sedation and ischemia were used and the strange body was removed in sense contrary to the bend that presented. After the anesthetic effect eased the paresthesias of the index finger tip persisted that disappeared completely 4 months after the accident. He went back to his usual works 2 months after the operation. [ABSTRACT FROM AUTHOR]

The case report of a 78-year-old Haitian merchant is described, who had stifness to flex the proximal and medial interphalangeal joint of the left hand fourth finger for seven months, contracture of the palmar fascia and nodules. He underwent partial or subtotal fasciectomy and was discharged within 72 hours with good postoperative course. [ABSTRACT FROM AUTHOR]

A longitudinal, prospective, unicentric and analytic case-control study of 33 patients with delay in the consolidation of the tibial fractures treated with external fixers, assisted in "Dr. Juan Bruno Zayas Alfonso" Teaching General Hospital in Santiago de Cuba was carried out from January to December, 2012, aimed at identifying the associated risk factors. To validate the results odds ratio was calculated and the Chisquare and the Fisher tests were used with the corresponding confidence interval. Among these factors the inadequate follow-up and control, the static use of the external fixers, the intact fibula, the long lasting consumption of anti-inflammatory non-steroidal drugs and to be 40 years old and older prevailed, in that order. [ABSTRACT FROM AUTHOR]