From to he was senior manager at Deloittesenior partner at Computer Sciences Corporation from toProgram Director for IT and Shared Services Centers at Carrefour from toand co-founded his own management consulting firm Waldner Consulting in During the s the increasing changes of sales forecasts, which resulted in continuous and manual adjustments of the production planhas in led to the MRP Material Requirement Planning model, which was strictly limited to the supply of materials.
At the first visit on the six day after onset, the X - ray was normal. On the same day, MRI findings was osteomyelitis in the middle phalanx. However, the serum inflammatory response was negative. Serum rheumatic response was also negative, but antinuclear antibody was positive at times.
On the 12th day after onset of disease, the vicinity of the epiphyseal line of the middle phalanx became erosive. At this point, from literature search and pediatric consultation, we got a diagnosis of Microgeodic disease.
The antibiotic was discontinued. Pain was relieved 2.
At 4 weeks after onset, the middle phalanx fractured and fixed with the splint. Bone fusion was somewhat late.
There was no deformation healing, but the epiphyseal line of middle phalanx and distal phalanx closed. At 7 months after onset, the difference in bone length between bilateral middle phalanges was 2 mm.
The finger healed without dysfunction. Redness and swelling of fingers and toes like frostbite.
It is accompanied by mild pain and itching. Predilection age is elementary school age 6 - 12 years old. It is mainly in the middle phalanx.
A bone resorption image is recognized in the X-ray image. The cause is unknown, it is thought to be a transient bone circulation disorder. Prognosis is usually good, it will heal spontaneously in about 6 months. In this case, owing to attaching a diagnosis at a relatively early stage, appropriate treatment could be done.
Microgeodic disease was reported 24 papers in PubMed. Since the arterial arch of the hand is predominant on the ulnar side, it seems that this disease is many in the index finger. Oberg-Manske-Tonkin [OMT]-classificationbut none of these describe involvement proximal from the wrist other than radio-ulnar synostosis.
One case of longitudinal cleavage of the upper extremity has been described in the literature. Materials and methods An otherwise healthy 8-month-old infant presented with congenital split right forearm. Results Starting from the elbow joint, the forearm is divided into a superior radial forearm with a thumb and an index finger and an inferior ulnar forearm with two fingers.
X-rays showed a radius and two metacarpals in the radial forearm and a hypoplastic ulna and a single metacarpal supporting two digits in the shorter ulnar forearm. The elbow joint of the radial part had an active and passive extension lag of 60 and 50 degrees, respectively, and an active and passive flexion of and degrees, respectively.
An ulnohumeral synostosis was present and the ulnar forearm showed no motion. Conclusions This is the first reported case of congenital forearm.
A possible suggested ethiologic theory would be an error of limb bud specification in the 4th or 5th week of gestation. It has been suggested that the timing of an error in limb bud specification would determine the extent of duplication.
An early insult would lead to a more proximal division of the upper limb.
We suggest that the case is a forearm cleavage - less severe than a total of upper extremity cleavage, but more severe as a conventional cleft hand. We suggest that a new category — cleft forearm complex — be added to the OMT —classification. Xuyang Song, Alexandria L. Case, Rory Carrol, Joshua M.
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Para incluir uma solicitaçao de login, preencha os campos abaixo e pressione confirmar. Finalidade da solicitação de acesso. A An anomalous accessory flexor digitorum profundus muscle to the ring finger originating from the flexor pollicis longus tendon: A case report.