Thumb resistance is a basic activity of thumb. Middle nerve paralysis meddles with an enormous number of customary exercises like resistance. This investigation planned to survey the result of ligament move for reclamation of resistance in instances of low middle nerve injury in regards to hand grasp and scope of movement and useful result. Thirty patients, 19 guys and 11 females with a mean time of was 29 years, with a standard deviation of 11 years were remembered for this examination. The interim between wounds to a medical procedure was 17 months, with a standard deviation of 3 months. All patients experienced segregated low middle nerve injury with lost resistance were incorporated for and flexor digitorum superficialis (FDS) opponensplasty. Evaluation of resistance by Kapandji score and appraisal of level of agony by VAS and hand grasp by QuickDASH score. Every one of the patients will have nerve conduction and electromyogram, clinically assessment following fourteen days and evacuation of the skin stitch then at about a month expulsion of the piece and consider controlled scope of movement, and at 3, 4 months postoperatively FDS opponensplasty give better outcomes in low middle nerve paralysis. The volar slanted cut offers clear perception while isolating the FDS ligament, diminishing the frequency of flexion distortion of the ring finger.

Background: Obstructive sleep apnea (OSA) is a common health problem affecting a large number of people all over the world with great psychological and physiological burdens. The aim of this study is to investigate the effect of implantation of septal cartilage and platelet rich plasma in the soft palate as a new technique in treatment of obstructive sleep apnea and snoring. Patients and Methods: This study included 30 Patients with mild to moderate OSA were divided into two groups (A and B) each was 15. Group A: n=15(Tonsillectomy and palatal implantation with septal cartilage). Group B: n=15(Tonsillectomy and platelet rich plasma (PRP) injection). Results: This study found that both techniques improved day time sleepiness with reduction of apnea-hypopnea index (AHI), also there was marked improvement in radiological parameters in the form of increase of the antro-posterior diameter and retro palatal cross-sectional area but also We found superiority of group A over group B in improvement of these parameters that in Group A: success rate was 86.6% while in Group B: it was 80%. No major postoperative complications were recorded. Conclusion: palatal implantation of septal cartilage and platelet rich plasma, both are effective as a treatment of obstructive sleep apnea due to retro-palatal collapse.