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    Calcium Deposits of the Metacarpophalangeal Joint on the Fourth and Fifth Finger
    (2022) Ekrem, Serhat; Köse, Harun; Maraş, Zeynep; Ertem, Kadir
    Acute calcium deposition disease is characterized by calcium hydroxyapatite crystal deposition within tendons and surrounding tissue of joints. It can manifest acute or chronic. It’s most common symptom is pain in affected area. Two patients applied to our outpatient clinic with complaints of hand pain. Calcific masses were detected by radiological imaging. After radiological imaging and laboratory examinations the patients diagnosed acute calcium deposition disease. One of the patients had ongoing symptoms for 2 years, the other one had ongoing symptoms for 3 years. Both of the patients had tried conservative treatment multiple times. These patients were treated surgically because of long-standing symptoms. Although acute calcium deposition disease usually resolves spontaneously with conservative treatment, patients with recurrent or persistent lesions can be treated surgically.
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    Flexion contracture in 2-5 digits following hypothenar flap
    (Bayrakol Medical Publisher, 2022) Kose, Harun; Ekrem, Serhat; Sagir, Ahmet; Turkmen, Ersen; Ertem, Kadir
    We aimed to discuss a case of severe flexion contractures affecting 2nd-5th fingers as a late complication of a hypothenar skin flap that we applied to a patient with a fingertip injury that ended with tissue loss in the tip of the fifth finger of the right hand. Soft tissue defects of the little finger are challenging, especially when a bone, tendon or vascular pedicle is exposed because of trauma. The hypothenar random flap is easy to harvest and has a good color and texture match to the little finger pulp. For this complication, which did not improve sufficiently with physical therapy methods, contractures were tried to be eliminated by open surgical release of the 2nd-5th fingers to the proximal interphalangeal joints.