The current study's goal was to determine the effectiveness of a percutaneous approach for evaluating the effects of surgical trigger finger release. During flexion or extension, hypertrophy at the junction of the tendon with the tendon pulley hinders normal forward and backward movement of the tendon beneath the pulley. This results in an abrupt locking of the finger. Many trigger and locking events throughout the day, if accompanied with carpal tunnel release; many trigger fingers in the same or both hands; and, if percutaneous release was persuaded in the patient on the first appointment. After at least one prior corticosteroid injection, the research comprised twenty patients at Benha University Hospital and Zifta general hospital with a total of 23 trigger fingers with chronic symptoms. The trigger fingers of three individuals were found to be on both hands. According to Tanaka et al., the overall outcomes at the conclusion of the trial were outstanding in 17 patients (85%), good in 2 patients (10%), and bad in 1 patient (5%). (5 percent ). (95 percent) of the 19 individuals had good outcomes; just one patient had a negative outcome (5 percent ). The percutaneous release of trigger finger is a safe, straightforward, and effective alternative to open surgical release, with outcomes that are comparable.

Purpose This study aims to evaluate the functional, clinical, and radiological outcome of treatment of fractures of proximal interphalangeal joints of the hand by the Suzuki frame external fixator technique. Patients and methods A prospective study was held in Benha University Hospital that included 20 patients with intra-articular proximal interphalangeal joint (PIPJ) fractures treated with the Suzuki frame external fixator technique. All of the patients were followed up for a minimum period of 12 weeks, and the maximum period of follow-up was 36 weeks. Postoperatively, plain radiographs were used for assessing fracture reduction, congruity, and healing. The visual analog score and the Michigan Hand Outcome Questionnaire were used for functional evaluation. PIPJ range of motion and hand grip strength were also assessed. Results The mean age of the studied patients was 33.85 ± 8.65 years, and there was a male predominance (75%). The left hand was affected in 12 (60%) patients. The nondominant hand was involved in 13 (65%) patients. The mechanisms of injury were crushing by hard object (45%), followed by falling on the ground (35%), and sports injury (20%). The mean time from injury was 2.05 ± 1.88 days. The mean time of surgery was 17.55 ± 3.1 min. The mean time of the bony union was 11.8 ± 2.9 weeks. The mean time of the frame removal was 4.7 ± 0.57 weeks. At the final follow-up, all patients had no residual pain. The average PIPJ-range of motion was 86.25 ± 9.6°, and the average grip strength was 89.9 ± 8.19% as compared with the healthy side. The mean normalized Michigan Hand Outcome Questionnaire score was 86.1 ± 11.26 points, with seven, 10, and three patients having excellent, good, and fair results, respectively. Complications included pin-tract infection (three cases), stiffness (one case), aseptic loosening and osteolysis at head of proximal phalanx (one case), and flexion contractures (one case). Conclusion The pins and rubber traction frame technique is simple, reliable, available, reproducible, time saving, and cost-effective for managing complex PIPJ fractures while allowing early joint mobilization, which is proven to be effective in achieving high satisfactory functional results.

Careful adjustment of the intertrochanteric cracks and early activation of the patients are the ideal treatment to forestall the confusions of delayed immobilization, aside from in patients with clinical issues in whom medical procedure is contraindicated. The Dynamic hip screw (DHS) has been the norm and the best archived embed in rewarding intertrochanteric breaks and in a few randomized preliminaries it has been related with lower difficulties and reoperation rates. Also, it is a more affordable embed, however hypothetically it has a biomechanical drawback in view of a more extensive separation between the weight bearing pivot and the embed A sum of 20 instances of shaky proximal femoral breaks were incorporated, and they were partitioned into two equivalent gatherings; the principal bunch experienced PFN, while the other one experienced LP. Follow up visits was at 1st,3rd,6th weeks and third and sixth months in outpatient facility and results were recorded. Altered Harris Hip Score had a middle of 88 and 85 in the femoral nail and bolted plate bunches separately (p = 0.114). Postponed association was experienced uniquely in one case in the bolted plate gathering, while it was not experienced in the other gathering (p = 0.345). Radiological assessment uncovered a middle score of 3 in both examination gatherings. all the inserts in their own privilege are magnificent modalities in the administration of unsteady proximal cracks of the femur. Precarious proximal femoral cracks with rotational mal-arrangement issues were dealt with best by PFN. Precarious proximal femoral cracks particularly with expanded comminution do give a choice to be fixed by LP.

Background: The understanding of the anatomy of the proximal portion of the fifth metatarsal is essential as it explains the injury process and cures of various kinds of fifth metatarsal fractures that influence the appropriate treatment decision. Work objective: Comparison of clinical and radiographic outcomes among conservation therapy and acute surgical therapy of the fifth-metatarsal fracture base. Methods and patients: Twenty patients have been treated with percutaneous fixation with a 4,0 mm cannula screw and 20 have been conservatively treated with a lower knee cast. The length of the injury to hospital admission varied from 1 to 3 days with an average of 2 days between September 2020 and May 2021. The average follow-up time was six months (range from 5 to 7 months). Findings: Our results revealed that for zone 2 and zone 3 the acute fixation is superior than casting with respect to the union time and the AOFAS score. Conclusion: Early screw fixing is a safe and efficient therapeutic technique for acute fifth metatarsal base fractures, particularly zones 2 and 3. Early operational therapy leads to before clinical union and enables patients to return to regular daily activities rather than to cast therapy, leading to a high delayed union rate.