Clinical Cases - Hand Archivos - Page 5 of 6 - Dr. Piñal y Asociados

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Vascularized neurocutaneous flap in case of Dupuytren

Vascularized neurocutaneous free flaps in Dupuytren cases may be the best option when the affected hand bed is poor, the defect is long or there is a loss of concomitant tissue,

1 July, 2020 | cirugía de la mano, colgajo libre neurocutáneo, cutaneous island, Dr. Piñal, Dupuytren, Dupuytren's contracture, Dupuytren's disease, Francisco del Piñal, hand surgery, isla cutánea, microcirugía @en, microsurgery, neurocutaneus toe free flap, reconstructive microsurgery |

From amputation to mobility: neurocutaneous flap transfer in Dupuytren’s contracture

The patient, a 70-year-old man, presents a picture of Dupuytren’s disease in the ring and little fingers of his left hand, which are contractured in flexion (Dupuytren’s contracture) causing a serious functional limitation.

25 June, 2020 | amputación @en, amputation, cirugía de la mano, colgajo libre neurocutáneo, contractura de Dupuytren, Dr. Piñal, Dupuytren's contracture, Dupuytren's disease, Francisco del Piñal, hand surgery, microcirugía reconstructiva @en, microsurgery, neurocutaneus toe free flap, reconstructive microsurgery |

Toes to hand transplant in a case of accidental amputation with a mechanical saw

The patient, a 42-year-old male, suffers the amputation of three fingers of the left hand at different levels, in an accident with a mechanical saw that severely damages the index and middle fingers and,

26 March, 2019 | accident at work, amputation, Dr. Piñal, Francisco del Piñal, hand surgery, microsurgery, microsurgical reconstruction, mutilations, reconstructive surgery, toe to hand transfer, toe to hand transplantation, toes transplant |

Diagnosis reassessment and surgery: healing of a patient with Sudeck’s atrophy

Diana Feijoo, 40, was operated on the wrist last September. Since then she has developed a picture of severe pain, diagnosed as reflex sympathetic dystrophy or Sudeck’s atrophy.

21 January, 2019 | burning sensation, cirugía de mano, cirugía de muñeca @en, complex regional pain syndrome, compresión del nervio mediano, distrofia de Sudeck, distrofia simpático refleja @en, dolor en las manos, Dr. Piñal, hand pain, hand redness, hand surgery, joint stiffness, manos dormidas, manos enrojecidas, median nerve compression, Numb hands, quemazón, reflex sympathetic dystrophy, rigidez articular, síndrome de dolor regional complejo, Sudeck's atrophy, wrist surgery |

Patient diagnosed with reflex sympathetic dystrophy or Sudeck’s atrophy: healing by means of diagnostic correction and surgery

The patient, Camelia, 46, who works as a cook, suffers from very intense pain, lack of function and numbness in her dominant hand, the left;

7 January, 2019 | burning sensation, cirugía de la mano, cirugía de muñeca @en, complex regional pain syndrome, compresión del nervio mediano, distrofia de Sudeck, distrofia simpático refleja @en, dolor en las manos, Dr. Piñal, Francisco del Piñal, hand surgery, hands numbness, hands pain, hot hands, manos calientes, manos dormidas, median nerve compression, quemazón, reflex sympathetic dystrophy, síndrome de dolor regional complejo, Sudeck's atrophy, wrist surgery |

Thumb reconstruction by microsurgery after accidental amputation

The patient, male, suffers the amputation of his right hand’s thumb and a serious damage to the surrounding tissue and musculoskeletal structure. The impact,

7 August, 2018 | caso clínico @en, cirugía de la mano, cirugía del miembro superior @en, cirugía reconstructiva @en, clinical case, Dr. Piñal, Francisco del Piñal, hand surgery, mano mutilada @en, microcirugía @en, microsurgery, mutilated hand, mutilation, osteosynthesis, reconstrucción del pulgar @en, reconstructive surgery, thumb amputation, toe to hand transfer, transferencia de dedo de pie a mano @en, upper limb surgery, vascularized free flap |

Vascular microsurgery in ischemic hand due to repetitive traumatisms

Young patient, miner, diverse symptoms of bad vascularization in his hand like the bluish coloration of his fingers. The diagnosis points to an ischemic upper limb due to poor irrigation,

20 February, 2018 | bypass, Dr. Piñal, fingers surgery, Francisco del Piñal, ischemia, ischemic hand, microsurgery, thrombosis, thrombus, ulnar artery, wrist surgery |

Tendon transfer in case of nerve injury by hand crushing with muscle extrusion

Young male with a picture of nerve injuries from accidental hand crush, caught in a press and in a catastrophic situation. The limb has complete cuts at two levels in the wrist,

9 November, 2017 | catastrophic hand, cirugía de muñeca @en, Dr. Piñal, Francisco del Piñal, free vascularized flap, hand surgery, mano catastrófica @en, mano mutilada @en, microcirugía reconstructiva @en, microsurgery, mutilated hand, nerve injuries, reconstructive microsurgery, tendon transfer, tendon transplant, wrist surgery |

Multifragmentary finger fractures: resolution through insertion of cannulated screws

The patient, a middle-aged male, presents severe multifragmentary crushing fractures of the proximal phalanges in the third, fourth and fifth fingers of his left hand.

18 August, 2017 | cannulated screws, cirugía de la mano, Dr. Piñal, fingers surgery, Francisco del Piñal, hand surgery, minimally invasive surgery, noninvasive surgery, osteosynthesis, proximal phalanges fractures, TVE |

Advanced hand rheumatoid arthritis: surgery and prosthesis insertion

The patient, a middle-aged woman, presents a picture of advanced rheumatoid arthritis in both hands. The degree of dislocation of the upper extremities and the state of nodulosis –

23 July, 2017 | arthritis symptoms, arthritis treatment, artritis reumatoide @en, artritis síntomas @en, artritis tratamiento @en, cirugía de mano, dislocation, Dr. Del Piñal, Dr. Piñal, finger arthritis, hand arthritis, hand surgery, rheumatoid arthritis, rheumatoid nodules |