INTRA OPERATIVE PICTURE - PARTIAL MEDIAN NERVE DIVISION - 50 %

A young female presented to the casualty of our hospital with a sharp cut injury in both wrists  left > right. She was referred to plastic surgery for further management. She had superficial lacertion in the right wrist and in the left side

SHARP CUT INJURY LEFT HAND CAUSING
1.       6 CM LONG TRANSVERSE LACERATION OVER THE VOLAR ASPECT OF WRIST
2.       DIVISION OF
a)       RADIAL ARTERY (palmar branch)                                  100%
b)       FLEXOR CARPI RADIALIS TENDON                              100%
c)       SUPERFICIAL RADIAL NERVE        100%
d)       MEDIAN NERVE                                  >50%
e)       PALMARIS LONGUS                          100%
SHARP CUT INJURY RIGHT HAND CAUSING
1.       6 CM LONG FULL THICKNESS LACERATION OVER THE VOLAR ASPECT OF WRIST
2.       DIVISION OF  PALMARIS LONGUS

 Her pictures and results are shown below.

PRESENTING PICTURE
INTRA OPERATIVE PICTURE - PARTIAL MEDIAN NERVE DIVISION - 50 %
INTRA OPERATIVE PICTURE - RADIAL ARTERY, MEDIAN NERVE AND SUPERFICIAL RADIAL NERVE, REPAIRED
PICTURE SHOWING -  BOTH HANDS - HEALED WOUNDS

FINGER FLEXION -
FINGER FLEXION
VIDEO SHOWING THE POST OPERATIVE HAND FUNCTION



VIDEO SHOWING THE POST OPERATIVE HAND FUNCTION 


PARENTS AND THE PATIENT WERE HAPPY WITH THE OUTCOME
PATIENT  WAS ABLE TO RESUME ALL ACTIVITIES AFTER A PERIOD OF 4 MONTHS.
SHE WAS INSTRUCTED NOT TO LIFT WEIGHTS FOR A PERIOD OF 6 TO 8 MONTHS.
FROM

DR N.JITHENDRAN
M.S. (ORTHOPAEDICS),M.Ch (PLASTIC SURGERY), D.N.B. ( PLASTIC SURGERY)
CONSULTANT PLASTIC AND RECONSTRUCTIVE SURGEON
SAROOR NAGAR, HYDERABAD, INDIA
Mobile:- 09985591555, 09393220124
web site : drnjithendran.com




Visit our Blog sites -with full history and case photos 
  1. Crush injuries of the foot and Lower limb - crushinjury.blogspot.in
  2. Diabetic foot - http://diabeticfootsalvage.blogspot.in/
  3. Hand injuries and upper limb injuries - http://traumahand.blogspot.in/
  4. Burns , Hand burns and Electrical Burns - http://burnssurgery.blogspot.in/
  5. Traumatic scalp loss - http://scalplosstraumatic.blogspot.in/
  6. Breast surgeries - http://breastsurgeries.blogspot.in/
  7. Pressure ulcer treatment - http://pressureulcertreatment.blogspot.in/ 
  8. Periorbital injuries - http://periorbitalinjuries.blogspot.in/ 
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