FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2093026517> ?p ?o ?g. }

• W2093026517 endingPage "107" @default.
• W2093026517 startingPage "106" @default.
• W2093026517 abstract "Dear Sir,Pseudoaneurysm of the digital artery in the hand rarely occurs following hand injury. Since first described by Heuston in 1973, less than 25 cases have been described in the literature. Owing to the small caliber of digital artery, complete disruption of the digital artery is more common [1]. Hence, it is rarely suspected and misdiagnosis is common.A 15-year-old left hand dominant male was referred with increasing swelling and pain in the right palm for 3 days duration. Two weeks prior to this, he sustained a penetrating injury with a chisel in the school while doing woodwork. He attended his general practitioner on the day of injury and received wound care. He represented 2 weeks later with increasing pain and swelling, which restricted movement in the right hand. A 3 cm x 3 cm soft non-pulsatile discrete mass with surrounding ecchymosis on his right palm was identified. Mild altered sensation over the radial side of the right ring finger was elicited with palpation over the mass. Radiograph of the right hand was unremarkable. Wound exploration under general anaesthesia was performed via a limited Brunner’s incision. The swelling was identified at the level of the common digital artery supplying the third web space (ulnar and radial borders of the middle and ring fingers, respectively). The corresponding digital nerves and flexor tendon sheath were intact. A traumatic arteriotomy identified on the common digital artery was identified. The pseudoaneurysm and the traumatized vessel were isolated and excised under microscopic vision. End-to-end anastomosis of the common digital artery was performed with 9/0 Ethilon. The postoperative recovery was uneventful.Pseudoaneurysms are usually due to penetrating trauma that results in a traumatic arteriotomy. The formation of hematoma is followed by organization and subsequent recanalisation of the hematoma surrounding the injured vessel. The hematoma is eventually replaced by fibrous and scar tissue, and a false aneurysm remains. Signs of digital ischaemia may not occur in digital artery pseudoaneurysm as collateral circulation is usually sufficient. However, sensory disturbance may be present if the pseudoaneurysm is compressing the digital nerve, as presented in this case. Although one will expect to find a pulsatile mass, this does not always hold true as few cases involving non-pulsatile pseudoaneurysm has been reported in the literature [2]. Cases of pseudoaneurysm following repetitive blunt injury have also been reported, such as in baseball and softball players [1, 2].The management of a pseudoaneurysm varied in the literature. Some authors performed ultrasonographic, CT angiography or MR angiography evaluation to define the lesion preoperatively. Excision of the pseudoaneurysm is always recommended and ligation of the affected artery is most commonly performed. When perfusion is not compromised, concern regarding long term digital cold intolerance is a motivating factor to reconstruct the digital artery. As microvascular techniques are becoming commonplace, microvascular reconstruction with end-to-end anastomosis [1], or reconstruction using a reversed interpositional vein [3] or arterial graft [4] had been described.Although pseudoaneurysm of the digital artery is rare, it should be suspected when a seemingly trivial hand injury represents with a new swelling days after the initial trauma. The pseudoanerysm must be isolated and excised, and where possible, reconstruction of the digital artery with microvascular technique is encouraged (Fig. ​(Fig.11).Fig. 1Organised hematoma overlying the injured common digital artery and end-to-end anastomosis of the common digital artery following excision of the damaged segment" @default.
• W2093026517 created "2016-06-24" @default.
• W2093026517 creator A5028069570 @default.
• W2093026517 creator A5037474557 @default.
• W2093026517 creator A5048935330 @default.
• W2093026517 creator A5061106719 @default.
• W2093026517 date "2016-09-13" @default.
• W2093026517 modified "2023-10-17" @default.
• W2093026517 title "Post-Traumatic Pseudoaneurysm of the Common Digital Artery in a Child" @default.
• W2093026517 cites W1970413693 @default.
• W2093026517 cites W2019163908 @default.
• W2093026517 cites W2317485224 @default.
• W2093026517 cites W4238179220 @default.
• W2093026517 cites W2082649209 @default.
• W2093026517 doi "https://doi.org/10.1007/s12593-014-0166-y" @default.
• W2093026517 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/4461625" @default.
• W2093026517 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/26078515" @default.
• W2093026517 hasPublicationYear "2016" @default.
• W2093026517 type Work @default.
• W2093026517 sameAs 2093026517 @default.
• W2093026517 citedByCount "1" @default.
• W2093026517 countsByYear W20930265172022 @default.
• W2093026517 crossrefType "journal-article" @default.
• W2093026517 hasAuthorship W2093026517A5028069570 @default.
• W2093026517 hasAuthorship W2093026517A5037474557 @default.
• W2093026517 hasAuthorship W2093026517A5048935330 @default.
• W2093026517 hasAuthorship W2093026517A5061106719 @default.
• W2093026517 hasBestOaLocation W20930265172 @default.
• W2093026517 hasConcept C105702510 @default.
• W2093026517 hasConcept C140530291 @default.
• W2093026517 hasConcept C141071460 @default.
• W2093026517 hasConcept C2775901891 @default.
• W2093026517 hasConcept C2776098176 @default.
• W2093026517 hasConcept C2908988524 @default.
• W2093026517 hasConcept C71924100 @default.
• W2093026517 hasConceptScore W2093026517C105702510 @default.
• W2093026517 hasConceptScore W2093026517C140530291 @default.
• W2093026517 hasConceptScore W2093026517C141071460 @default.
• W2093026517 hasConceptScore W2093026517C2775901891 @default.
• W2093026517 hasConceptScore W2093026517C2776098176 @default.
• W2093026517 hasConceptScore W2093026517C2908988524 @default.
• W2093026517 hasConceptScore W2093026517C71924100 @default.
• W2093026517 hasIssue "01" @default.
• W2093026517 hasLocation W20930265171 @default.
• W2093026517 hasLocation W20930265172 @default.
• W2093026517 hasLocation W20930265173 @default.
• W2093026517 hasLocation W20930265174 @default.
• W2093026517 hasOpenAccess W2093026517 @default.
• W2093026517 hasPrimaryLocation W20930265171 @default.
• W2093026517 hasRelatedWork W1972169335 @default.
• W2093026517 hasRelatedWork W1993374410 @default.
• W2093026517 hasRelatedWork W2002120878 @default.
• W2093026517 hasRelatedWork W2018058815 @default.
• W2093026517 hasRelatedWork W2047967234 @default.
• W2093026517 hasRelatedWork W2068685628 @default.
• W2093026517 hasRelatedWork W2184345946 @default.
• W2093026517 hasRelatedWork W2397884650 @default.
• W2093026517 hasRelatedWork W2439875401 @default.
• W2093026517 hasRelatedWork W40023729 @default.
• W2093026517 hasVolume "07" @default.
• W2093026517 isParatext "false" @default.
• W2093026517 isRetracted "false" @default.
• W2093026517 magId "2093026517" @default.
• W2093026517 workType "article" @default.