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Multigen RF lesion generator .

03-OCTOBER-2019  INAS QAYS AL-HADITHY  44 YEARS  LEFT ULNAR NERVE ENTRAPMENT AFTER INJURY TO THE LEFT WRIST WITH FRACTURE AND MALUNION OF THE STYLOID ULNAR BONE.

 
 

Anamnesis

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The patient came to the clinic 19-Sptember-2019 complaining of numbness both hand more the left awakening her during night. Pain both shoulders more the left for 45 days. She had injury to the left wrist in March-2019. MRI cervical spine done 31-July-2019 and right knee were normal. MRI of the left wrist showing non union of the styloid left ulna with edema of the area.

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On examination: the patient has weak grip and extension left hand with hypalgesia of the ulnar distribution and hypotrophy of the interossii left hand.

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Lazy incision over the projection of the left ulnar nerve at the wrist. The Guyon's canal opened the the nerve follows down until the division to superficial and deep motor branch. The ulnar artery was preserved. A 2 cm incision was done over the styloid process of the ulnar bone. The part was flail. Decortication of the pseudojoint. The piece was fixed using 2.5X25 mm screw. The stages were confirmed with C-arm. Routine closure of the wounds. Back-slap was applied.

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Smooth postoperative recovery. She was sent to the ward.

Comments  

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The left ulnar nerve has post-traumatic entrapment with neurologic manifestations. Exploration of the Guyon's canal and release of the deep motor and superficial sensory branches and fixation of the loose fragment of the styloid of the ulnar bone were necessary.

Skyra MRI with all clinical applications in the run since 28-Novemeber-2013.


Inomed Riechert-Mundinger System, with three point fixation is the most accurate system in the market. The microdrive and its sensor gives feed back about the localization.


Inomed MER system

Leica HM500

Leica HM500
The World's first and the only Head mounted Microscope.
Freedom combined with Outstanding Vision, but very bad video recording and documentation.

TRUMPF TruSystem 7500

After long years TRUMPF TruSystem 7500 is running with in the neurosuite at Shmaisani hospital starting from 23-March-2014

 

Back Up!

Notice: Not all operative activities can be recorded due to lack of time.
Notice: Head injuries and very urgent surgeries are also escaped from the plan .

  

 

 

 

 

 

 

 

 

 

 

 

 

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