A spontaneous rupture of the extensor pollicis longus (EPL) tendon is associated with rheumatoid arthritis, fractures of the wrist, systemic or local steroids and repetitive, and excessive abnormal motion of the wrist joint. The authors encountered a case of a spontaneous rupture of the EPL tendon. The patient had no predisposing factors including trauma or steroid injection. Although the patient had a positive rheumatoid factor, he did not demonstrate other clinical or radiological findings of rheumatoid arthritis. During surgery, the EPL tendon was found to be ruptured at the extensor retinaculum (third compartment). Reconstruction of the extensor tendon using the palmaris longus tendon was performed. At the 18-month follow-up, the patient showed satisfactory extension of the thumb and 40° extension and flexion at the wrist.

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PurposeWe aimed to investigate the cardiopulmonary effects of pressurized cement insertion in elderly patients undergoing cemented hip hemiarthroplasty.Materials and MethodsWe conducted a randomized prospective study on elderly patients undergoing cemented hip hemiarthroplasty. Patients were divided into pressurized and non-pressurized groups based on the pressure application during cement insertion. We measured mean arterial blood pressure (MAP), systolic blood pressure (SBP), diastolic blood pressure (DBP), heart rate (HR), arterial blood gases and serotonin concentration in blood. These variables were measured before bone cement insertion, and 3 and 5 minute after insertion. They were also measured immediately and 15 minutes after reduction.ResultsIn cemented hip hemiarthroplasty, there were no significant change in MAP (P=0.92), SBP (P=0.85), DBP (P=0.98), HR (P=0.97) and serotonin concentration over time. There were no statistically significant difference between the two groups in MAP, SBP, DBP, HR, PO2, PaCO2, SaO2 and serotonin concentration, though three minutes after cement insertion, both groups showed decreases in SBP, DBP and MBP.ConclusionThe pressurization method in cemented hip hemiarthroplasty was not found to be related with development of bone cement syndromes in elderly patients.

The term neurolymphomatosis has included infiltration of the peripheral nervous system by lymphoma. In generally, direct invasion of the peripheral nervous system is rare. The difficulty in treatment of neurolymphomatosis is due to unclassified characteristic symptoms and diagnosis. We performed excision of mass on the antebrachial cutaneous nerve with no specific symptoms. After diagnosis of diffuse large B cell lymphoma, further treatment and observation were followed. However, recurrence of the lymphoma was found in the ipsilateral forearm ulnar nerve, therefore we described a case of neurolymphomatosis with a brief review of the literature.

Purpose: The purpose of this study was to investigate the accuracy of the Pollard method for meniscal sizing of the meniscal allograft by comparison with the MRI dimensions. Materials and Methods: The width and length of 50 medial and lateral menisci were measured and compared using the Pollard method and MRI. The meniscal thickness was measured using MRI and we evaluated the individual differences. Results: The measurements of the width of the medial meniscus and the length of the lateral meniscus using the Pollard method and MRI were similar (p=0.459, p=0.108, respectively). However, the measurements of the length of the medial meniscus and the width of the lateral meniscus using MRI were significantly higher that those measured using the Pollard method (p=0.000 and p=0.001, respectively). The medial and lateral meniscal thicknesses were 6.26±0.86 mm and 6.47±0.84 mm, respectively, and there was no significant individual difference. Conclusion: The measurements of the length of the medial meniscus and the width of the lateral meniscus, using the Pollard method and on MRI had significant differences. The Pollard method must be modified for meniscal sizing.