Analysis of the surgical treatment of stenotic ligamentitis of fingers in children

Purpose of the study. Clinical analysis of the surgical treatment of stenotic ligamentitis of fingers in children. Materials and methods. A retrospective analysis of data examining 140 children and surgical treatment of 105 children with the diagnosis of "constrictive ligamentitis of fingers" was performed in the G. I. Turner Research Institute for Children’s Orthopedics in the period from 2011 to 2013. We considered gender and age of patients, the symptoms of the disease and patient complaints, and nature of the preferential affection of one or both hands and fingers as well as the family history. Results. Regarding gender, the patients were evenly distributed: 54 girls (51%) and 51 boys (49%). The largest number of children in need of surgical treatment (89) belonged to the age group of 1-4 years (85%). The prevalence of pre-emptive affection of fingers of one of the limbs has not been noted. The disease was mostly diagnosed on the first finger (131 cases). Recurrence of deformity in the long term was not noted. Conclusion. Conservative treatment may contribute to the progression of deformity. The applied surgical treatments permitted the maximum functional and cosmetic result

THE HISTORY OF THE METHOD OF DISTRACTION OSTEOSYNTHESIS IN HAND SURGERY, ITS DEVELOPMENT AND CURRENT STATE

This article is a brief historical review of distraction osteogenesis development in hand surgery. It describes the key steps in the evolution of methods beginning with immobilization and external fixation up to the distraction method in orthopaedics and its introduction in hand surgery

Central polydactyly: an alternative method of treatment

Polydactyly is a rare congenital malformationcharacterized by an increase in the number of segments of hand ray. Central polydactyly is much rarerthan other types of polydactyly and is characterizedby a doubling of the segments of the second, thirdand fourth fingers. The main methods of surgicaltreatment of central polydactyly consist in the resection of additional segments and removal of the existing union. Often, the result of this treatment is the development of secondary deformities, leading to unsatisfactory results. The article describes the clinical example of microsurgical reconstruction of the patient’s hand with central polydactyly of both hands and presentation of long-term outcome

CHRONIC TRAUMATIC DISLOCATION OF II-V METACARPAL BONES: CASE REPORT

Dislocations in the carpometacarpal joints of three-phalanx fingers are rare form of injury. Their clinical manifestations are often veiled by swelling, and radiographs in standard views provide little information, which leads to difficulty in diagnosis and a high incidence of unidentified dislocations in the primary treatment. The article describes the basic provisions of the diagnosis and treatment of this type of injury, a clinical case of surgical treatment of undiagnosed dislocations of II-V metacarpal bones in the acute period, and long-term results of treatment

Embryonic development and the structure of the growth plate

This article presents modern data on embryonic development and zonal structure of the meta-epiphyseal growth plate in which dysfunction has an important role in the formation of skeletal deformities in children