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El síndrome del martillo hipotenar es una patología vascular poco frecuente que produce una degeneración aneurismática de la arteria cubital a su paso por el canal de Guyon. Se suele dar en trabajadores expuestos a microtraumatismos de repetición en eminencia hipotenar; por ello, algunos autores lo consideran una enfermedad profesional. La clínica varía según el tamaño del aneurisma y la inestabilidad de su contenido. Para el diagnóstico, es necesario realizar una adecuada anamnesis y exploración física del paciente, así como tener un elevado índice de sospecha. Su tratamiento varía desde el médico conservador hasta la cirugía reconstructiva, dependiendo de la permeabilidad y de la integridad vascular del arco palmar. Se presenta un caso clínico de varón de 67 años con aparición de tumoración pulsátil dolorosa en eminencia hipotenar tras realizar trabajos de reforma. Mediante angiorresonancia, se confirmó la sospecha clínica, y se procedió a la resección del aneurisma parcialmente trombosado con posterior reconstrucción arterial.

Los seudoaneurismas de las arterias de la mano son infrecuentes, se han publicado escasos reportes de casos de adultos, secundarios a un trauma cerrado o abierto. El diagnóstico se confirma mediante ecografía Doppler y otros estudios complementarios. Si no se trata, se puede complicar con trombosis, embolia distal de arterias digitales, lesión nerviosa o necrosis. La cirugía es el tratamiento recomendado y consiste en resección del segmento dañado y ligadura simple, arteriorrafia o reconstrucción vascular con injerto. Los objetivos de este reporte son describir un caso de seudoaneurisma hipotenar secundario a una herida penetrante en un niño y, dada la rareza de este cuadro, revisar, de manera no sistemática, la bibliografía actual.

El dolor cubital de muñeca en el deportista es una causa frecuente de consulta médica. La presentación clínica puede variar desde un contexto agudo traumático a una lesión de evolución lenta y progresiva. Un diagnóstico diferencial preciso es fundamental para un pronóstico y tratamiento efectivo. Las lesiones del complejo fibrocartílago triangular, lesiones del ligamento semilunar-piramidal y el síndrome de impactación cubital son frecuentes. Los exámenes de imágenes como la radiografía simple, la resonancia magnética y el TAC son de gran ayuda, su interpretación debe ser en un contexto clínico y en comparación al lado sano. La toma de decisiones terapéuticas exige de un acertado criterio y juicio médico.

Foreign bodies are encountered on day to day basis by a surgeon. Usually foreign bodies are lodged in narrow cavities of the body and the common age group is in children. They may range from foreign bodies in ear, nose, cricopharynx and even in rectum. Iatrogenic foreign bodies are not uncommon. Unknowingly, surgeons have been known to leave sponges, artery forceps in the abdomen which lead to hazardous sequelae. Intravascular foreign bodies occurrence has increased from a decade or so.

A sequel of supracondylar fractures of distal humerus in children is the angular deformity. It is usually more frequent cubitus varus, but there are reported cases of cubitus valgus. The latter may be the cause of the occurrence of a late ulnar nerve neuropathy, which will require treatment. There is controversy as to whether it is possible to successfully treat both problems at the same surgical procedure. This article describes the case of a girl of 11 years old, who has a cubitus valgus deformity secondary to supracondylar fracture of distal humerus of right elbow at the age of seven years, associated with progressive symptoms of ulnar nerve neuropathy. This patient was treated successfully by a single procedure for corrective dome-shaped supracondilar osteotomy associated with subcutaneous anterior transposition of the ulnar nerve through a posterior approach. [ABSTRACT FROM AUTHOR]

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Objective: To show the efficacy of LCP plates versus LC-DCP plates in radial and ulnar shaft fractures. Material and methods: 78 radial and/or ulnar fractures were reviewed prospectively in 54 patients; 42 were treated with LCP and 36 with LC-DCP in a 24-month period (from January 1st to December 31st, 2004). X-ray controls were obtained at 4, 8 and 12 weeks in all patients. Results: 30.76% of the fractures were of the radius and ulna, and 69.23% (54 fractures) involved a single bone. Ulnar fractures accounted for 53.84% (42); 42.85% (18) were treated with LCP plates and 57.14% (24) with LC-DCP. Fracture healing occurred within 4-7 weeks in 38.46% (30) of the fractures; 70% (21) of them were treated with LCP and 30% (9) with LC-DCP. It was found that 2.77% (1) of those treated with LC-DCP had pseudoarthrosis, and none of the patients treated with LCP reported this complication. Conclusions: Healing time is shorter with LCP versus LC-DCP plates, including open fractures. Complications were considerably less frequent with LCP than for LC-DCP plates. The pseudoarthrosis rate tended to be lower with LCP plates. [ABSTRACT FROM AUTHOR]

Foreign bodies are encountered on day to day basis by a surgeon. Usually foreign bodies are lodged in narrow cavities of the body and the common age group is in children. They may range from foreign bodies in ear, nose, cricopharynx and even in rectum. Iatrogenic foreign bodies are not uncommon. Unknowingly, surgeons have been known to leave sponges, artery forceps in the abdomen which lead to hazardous sequelae. Intravascular foreign bodies occurrence has increased from a decade or so. [ABSTRACT FROM AUTHOR]

A sequel of supracondylar fractures of distal humerus in children is the angular deformity. It is usually more frequent cubitus varus, but there are reported cases of cubitus valgus. The latter may be the cause of the occurrence of a late ulnar nerve neuropathy, which will require treatment. There is controversy as to whether it is possible to successfully treat both problems at the same surgical procedure. This article describes the case of a girl of 11 years old, who has a cubitus valgus deformity secondary to supracondylar fracture of distal humerus of right elbow at the age of seven years, associated with progressive symptoms of ulnar nerve neuropathy. This patient was treated successfully by a single procedure for corrective dome-shaped supracondilar osteotomy associated with subcutaneous anterior transposition of the ulnar nerve through a posterior approach.