Digit IV (the smaller, outer toe) consists of 5 phalanges
and 4 interphalangeal joints.
Necrosis and infection involving subcutaneous tissue, phalanges
, and interphalangeal and metatarsophalangeal joints were observed during wound debridement, and a partial internal ray amputation of the first toe was performed.
During the 1980s and 1990s, the presence of bear skin remains was first associated with wealth and status, as phalanges
have been found, for example, in the Kings' mound in Uppsala, Sweden (Petre 1980, 8 f.), in the princely tomb near Varpelev on southern Seeland, Denmark, and in Welwyn Garden City, one of the wealthiest Iron Age burials found in Britain (Powers 1967; Schonfelder 1994, 217).
Management of skeletal giant cell tumour of the phalanges
of the hand.
Total 56 patients of age 20 to 60 years of both genders with multiple, comminuted and open fractures of metacarpal or phalanges
bone of the hand, Swanson's Type-I (clean wound, no significant contamination, no significant delay in treatment, no systemic illness) < 3 days were included in study by non-probability consecutive sampling technique and Swanson Type-II open fractures (contaminated wound (dirt, debris), bites, river/lake injuries, barnyard injuries, systemic illness), open fractures with associated neurovascular injury, fractures with tendon injury, and intra articular fractures were excluded from the study.
In this study the most common five musculoskeletal disorders were: limitation of joint mobility (0.89) degeneration of joint surface (0.69) lower and upper limb discrepancies (0.60) posterior fusion surgery (0.59) and the absence of the phalanges
in hand (0.51) (Table- II).
Bilateral incurving of the terminal phalanges
of the fifth fingers (osteochondrosis?).
If the foot is indeed a manus as interpreted herein, the ungual phalanges
might be of some importance.
This fracture pattern also mimics Saymours' fracture, but it is caused by direct trauma to the distal phalanges
physis, resulting in an open fracture.
The dorsal interossei (abduct the fingers) also insert into the proximal phalanges
and dorsal digital hood.
To obtain the mechanical linearization of the ratio between the generated force and the grabbing force and to solve the difficult problem of the constrictive actuator (the so called artificial "muscle"), needed to move the artificial hand's phalanges
, a simple, yet effective, mechanism was created (Stanciu et al., 2006).
At the level of the distal interphalangeal joint, the tendon of the DDF passes over the distal scutum, a very thick cartilaginous plate, strongly connected to the second and the third phalanges
, and to the digital cushion (Fig.