Browsing by Autor "Giovanni Osinaga"

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    Dynamic Tendon Transfer for the Treatment of Palmar Midcarpal Instability: A Case Report
    (2019) Ricardo Monreal; Giovanni Osinaga
    Midcarpal instability (MCI) means dysfunction of the MC joint and the radiocarpal joint.Palmar MCI (PMCI) is the most common of these MCIs characterized by tilting of the proximal carpal row in a palmar direction.Symptomatic PMCI in a 37-year female patient was corrected transferring the extensor carpi radialis brevis tendon to the hamate bone with good outcome.
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    Percutaneous Trigger Finger Release in Outpatient Clinics
    (2018) Ricardo Monreal; Giovanni Osinaga; Yblin Severiche
    Introduction:Trigger finger is a relatively common problem causing pain and disability of the hand.The first choice is conservative treatment.When conservative treatment fails, open release of the A12-4 pulley is recommended.Percutaneous release of trigger finger is advised by several authors.The purpose of this study is to evaluate the results of percutaneous release of trigger finger with 18 gauge needle.Materials and Methods: From January 2014 to December 2015, 18 patients (15 females and 3 males) underwent percutaneous trigger digit release using an 18-gauge hypodermic needle.Results: Seventeen of eighteen procedures (94.4%) led to complete relief of symptoms, and in the remaining, one-digit partial symptomatic relief was achieved.There were no complications.Conclusion: Percutaneous technique for release of trigger finger is safe, costeffective technique with significant patient satisfaction.This technique can be performed as an outpatient procedure.