C. Parolo - Academia.edu (original) (raw)
Papers by C. Parolo
SUMMARY Purpose: Arthrogryposis multiplex congenita causes severe articular contraction since bir... more SUMMARY Purpose: Arthrogryposis multiplex congenita causes severe articular contraction since birth. Manipulation and splinting of the articulation starting soon after birth improves the range of motion, which, if surgery needs to be do- ne, makes the operation less extensive. Materials and Method: An early approach to the patient with rehabilita- tion is mandatory. At about 6-8 months the patient could
Giornale italiano di medicina del lavoro ed ergonomia
We describe a case of lead poisoning in a worker after hand and forearm trauma with fracture of r... more We describe a case of lead poisoning in a worker after hand and forearm trauma with fracture of radius and multiple fractures of metacarpal bones and hand phalanges and tissue infiltration of lead oxide (PbO) paste. Orthopedic surgery was immediately performed. After 20 days the patient had abdominal colic pain episodes and severe stipsis and blood lead level (BLL) was 60 mcg/mL with urinary lead level (ULL) of 238 mcg/24 h. After mobilization test with calcium disodium edetate were observed a high increase of BLL (180 mcg/dL) and UBL (17,000 mcg/24h). An initial anemia was observed and became severe (Hb 7.6 g/dL). A NMR exam and echography showed forearm subcutaneous lead paste infiltration and the patient underwent to a second surgical debridement with local low temperature (5 degrees C) irrigation of saline and CaNa2EDTA made the removal of the hardened lead paste. The day after, oral succimer (DMSA) chelation treatment was started with recovery of lead poison.
La Pediatria medica e chirurgica: Medical and surgical pediatrics
Recessive distrofic epidermolysis bullosa creates severe hand deformities with disabling function... more Recessive distrofic epidermolysis bullosa creates severe hand deformities with disabling functional limitations. Hand surgeon should perform surgery when deformity inibits function, in order to restore the pinch. We present our experience on 44 patients and 58 operated hands, with the following schema: hand degloving, grafting of the first web and intraoperative dynamic splinting. In 30 patient with an 8 years follow up, 25 had had good or excellent results, and the 5 remaining shows early recurrence. Association of a correct surgical approach and adequate intra and post-operative rehabilitation improve hand function and a slow down inevitable recurrence.
Hand Surgery, 2008
The main complaint of the patients after an open trigger finger release is a discomfort at the in... more The main complaint of the patients after an open trigger finger release is a discomfort at the incision site. In this prospective study, we compared the two consecutive groups of patients with trigger fingers. One was treated by an open approach and the other by the endoscopic release of the A1 pulley. Pre- and post-operative evaluation at seven, 30 and 90 days showed a faster recovery from the discomfort with a faster return to daily and working activities, after the endoscopic procedure.
Hand Surgery, 2007
Basal joint arthritis of the thumb is usually seen in females beginning from the fourth and fifth... more Basal joint arthritis of the thumb is usually seen in females beginning from the fourth and fifth decades. In the last two decades, arthroscopic techniques have brought new chances of diagnosis and treatment for this condition. In this paper, the authors describe the indications and their experience concerning arthroscopic hemitrapezectomy and tendon interposition using the palmaris longus tendon. A series of 16 patients with a maximum follow-up of 12 months is analysed. All of the 16 patients were followed and assessed with grasp strength, pinch strength, DASH and MAYO evaluation score both pre- and post-operatively at 12 months follow-up. According to the MAYO score, there were six excellent results, six good, three fair and one poor. No complications occurred. According to our preliminary results, this procedure with the proper indications gives a valid option for the treatment of thumb carpometacarpal joint arthritis in stages I and II according to Eaton's classification.
La Pediatria Medica e Chirurgica, 2013
To analyse the classifications and the conservative protocols used by hand surgery operative&... more To analyse the classifications and the conservative protocols used by hand surgery operative's units and published in the last 15 years. To draw a comparison between those classifications and protocols and the ones used in our unit. The published conservative treatments have been analysed and then our protocol has been described through the analysis of three cases currently treated in our division. It has been highlighted that camptodactyly classifications are not homogeneous. Moreover, in conservative treatment, different typology and posology of splints have been adopted. Our unit uses the Foucher's classification to define the type of splint that it is necessary. Despite the authors choose different types of splint, they agree that in the most cases of camptodactily the initial approach is conservative. In our unit static and dynamic splints are made directly on the patient's hand and they are monitored with goniometrical measurements, obtaining great results.
SUMMARY Purpose: Arthrogryposis multiplex congenita causes severe articular contraction since bir... more SUMMARY Purpose: Arthrogryposis multiplex congenita causes severe articular contraction since birth. Manipulation and splinting of the articulation starting soon after birth improves the range of motion, which, if surgery needs to be do- ne, makes the operation less extensive. Materials and Method: An early approach to the patient with rehabilita- tion is mandatory. At about 6-8 months the patient could
Managment of epidermolysis bullosa SUMMARY Purpose: The recessive dystrophic epidermolysis bullos... more Managment of epidermolysis bullosa SUMMARY Purpose: The recessive dystrophic epidermolysis bullosa creates severe hand deformities with disabling functional limitations. Hand surgeon should perform surgery when deformity inhibit function, in order to restore the pinch. Materials and method: We present our experience on 38 patients and 48 operated hands, with the following sche- ma: hand degloving, grafting of the first web and intraoperative dynamic splinting. Results: In 26 patient with an 8 years follow up, 23 had had good or excellent results, while the 3 remaining show early recurrence. Conclu- sion: Association of a correct surgical approach to an adequate intra and post-operative rehabilitation improves hand function and a slows down inevitable recurrence. Riv Chir Mano 2006; 2: 144-147
SUMMARY Purpose: Arthrogryposis multiplex congenita causes severe articular contraction since bir... more SUMMARY Purpose: Arthrogryposis multiplex congenita causes severe articular contraction since birth. Manipulation and splinting of the articulation starting soon after birth improves the range of motion, which, if surgery needs to be do- ne, makes the operation less extensive. Materials and Method: An early approach to the patient with rehabilita- tion is mandatory. At about 6-8 months the patient could
Giornale italiano di medicina del lavoro ed ergonomia
We describe a case of lead poisoning in a worker after hand and forearm trauma with fracture of r... more We describe a case of lead poisoning in a worker after hand and forearm trauma with fracture of radius and multiple fractures of metacarpal bones and hand phalanges and tissue infiltration of lead oxide (PbO) paste. Orthopedic surgery was immediately performed. After 20 days the patient had abdominal colic pain episodes and severe stipsis and blood lead level (BLL) was 60 mcg/mL with urinary lead level (ULL) of 238 mcg/24 h. After mobilization test with calcium disodium edetate were observed a high increase of BLL (180 mcg/dL) and UBL (17,000 mcg/24h). An initial anemia was observed and became severe (Hb 7.6 g/dL). A NMR exam and echography showed forearm subcutaneous lead paste infiltration and the patient underwent to a second surgical debridement with local low temperature (5 degrees C) irrigation of saline and CaNa2EDTA made the removal of the hardened lead paste. The day after, oral succimer (DMSA) chelation treatment was started with recovery of lead poison.
La Pediatria medica e chirurgica: Medical and surgical pediatrics
Recessive distrofic epidermolysis bullosa creates severe hand deformities with disabling function... more Recessive distrofic epidermolysis bullosa creates severe hand deformities with disabling functional limitations. Hand surgeon should perform surgery when deformity inibits function, in order to restore the pinch. We present our experience on 44 patients and 58 operated hands, with the following schema: hand degloving, grafting of the first web and intraoperative dynamic splinting. In 30 patient with an 8 years follow up, 25 had had good or excellent results, and the 5 remaining shows early recurrence. Association of a correct surgical approach and adequate intra and post-operative rehabilitation improve hand function and a slow down inevitable recurrence.
Hand Surgery, 2008
The main complaint of the patients after an open trigger finger release is a discomfort at the in... more The main complaint of the patients after an open trigger finger release is a discomfort at the incision site. In this prospective study, we compared the two consecutive groups of patients with trigger fingers. One was treated by an open approach and the other by the endoscopic release of the A1 pulley. Pre- and post-operative evaluation at seven, 30 and 90 days showed a faster recovery from the discomfort with a faster return to daily and working activities, after the endoscopic procedure.
Hand Surgery, 2007
Basal joint arthritis of the thumb is usually seen in females beginning from the fourth and fifth... more Basal joint arthritis of the thumb is usually seen in females beginning from the fourth and fifth decades. In the last two decades, arthroscopic techniques have brought new chances of diagnosis and treatment for this condition. In this paper, the authors describe the indications and their experience concerning arthroscopic hemitrapezectomy and tendon interposition using the palmaris longus tendon. A series of 16 patients with a maximum follow-up of 12 months is analysed. All of the 16 patients were followed and assessed with grasp strength, pinch strength, DASH and MAYO evaluation score both pre- and post-operatively at 12 months follow-up. According to the MAYO score, there were six excellent results, six good, three fair and one poor. No complications occurred. According to our preliminary results, this procedure with the proper indications gives a valid option for the treatment of thumb carpometacarpal joint arthritis in stages I and II according to Eaton's classification.
La Pediatria Medica e Chirurgica, 2013
To analyse the classifications and the conservative protocols used by hand surgery operative&... more To analyse the classifications and the conservative protocols used by hand surgery operative's units and published in the last 15 years. To draw a comparison between those classifications and protocols and the ones used in our unit. The published conservative treatments have been analysed and then our protocol has been described through the analysis of three cases currently treated in our division. It has been highlighted that camptodactyly classifications are not homogeneous. Moreover, in conservative treatment, different typology and posology of splints have been adopted. Our unit uses the Foucher's classification to define the type of splint that it is necessary. Despite the authors choose different types of splint, they agree that in the most cases of camptodactily the initial approach is conservative. In our unit static and dynamic splints are made directly on the patient's hand and they are monitored with goniometrical measurements, obtaining great results.
SUMMARY Purpose: Arthrogryposis multiplex congenita causes severe articular contraction since bir... more SUMMARY Purpose: Arthrogryposis multiplex congenita causes severe articular contraction since birth. Manipulation and splinting of the articulation starting soon after birth improves the range of motion, which, if surgery needs to be do- ne, makes the operation less extensive. Materials and Method: An early approach to the patient with rehabilita- tion is mandatory. At about 6-8 months the patient could
Managment of epidermolysis bullosa SUMMARY Purpose: The recessive dystrophic epidermolysis bullos... more Managment of epidermolysis bullosa SUMMARY Purpose: The recessive dystrophic epidermolysis bullosa creates severe hand deformities with disabling functional limitations. Hand surgeon should perform surgery when deformity inhibit function, in order to restore the pinch. Materials and method: We present our experience on 38 patients and 48 operated hands, with the following sche- ma: hand degloving, grafting of the first web and intraoperative dynamic splinting. Results: In 26 patient with an 8 years follow up, 23 had had good or excellent results, while the 3 remaining show early recurrence. Conclu- sion: Association of a correct surgical approach to an adequate intra and post-operative rehabilitation improves hand function and a slows down inevitable recurrence. Riv Chir Mano 2006; 2: 144-147