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Background: Prevention of adhesions that restrain tendon gliding is based on early mobilization techniques. Such approach, anyway, does not guarantee positive outcomes., Methods: Seventy-five patients for a total number of 98 flexors tendons have been treated at the University Hospital of Messina between December 1993 and January 2000. Twenty-five patients, for a total number of 26 tendons, have been seen at follow-up. Seventeen lesions involved zone 2 and 9 involved zone 1. The modified Kessler suture has been generally used. All the repairs have been followed by an adequate early mobilization protocol, according to Kleinert (passive extension/active flexion) in nine patients and according to Risitano and Savage (active extension/active flexion) in 16., Results: Minimum follow-up was 12 months. We present results with an assessment performed according to Strickland and to Elliot for lesion in zone 1 and according to Strickland and using Total Active Motion of the finger for lesions in zone 2., Conclusions: The suturing technique and mobilization protocol did not affect results, but we made some considerations about respective advantages and disadvantages of either method.

Aims: To investigate demographics, modalities and type of injuries among a population of isolated traumatic injuries of extensor tendons in order to evaluate the consequences on health service and on prevention., Methods: Retrospective study of injuries treated at the divisions of Plastic Surgery and Orthopedics in a third level referral center among the years 1993-1999., Main Results: Data from 173 patients were analyzed, a prevalence of males (81%) and injuries at home (55%) has been observed. Especially young adults (46.88%) have been involved, the thumb has been most interested finger and the middle finger the least, with two peaks of incidence in spring and autumn. The lesions, exposed through an extension of the existing wound, have been usually sutured according to Kessler, adding an early protected motion protocol., Conclusions: We discuss the possible causes and consequences of data observed, with special reference to the possibility of treating isolated extensor tendon injuries at district hospitals by non-hand surgeons, and primary actions of prevention.

Biliary ileus is a rare complication of the biliary pathology, appearing through obstructive pictures of patients in advanced age. After a careful study about this subject, the authors report two cases they had he opportunity to observe.

An original radioisotopic method was employed in an investigation of the effect of sulpiride on extrahepatic bile duct motility. Stress is laid on the primarily hyposthenic effect of the drug, and the influence of various factors on the functional status of the gallbladder.

The authors, after mentioning the anatomopathologic, physiopathologic and clinical features of cyrsoid aneurysms, presently classed in the chapter of the congenital artero-venous fistulas, show a case, angiographically discovered, of cyrsoid aneurysm with palmar location, elsewhere already subjected twice to unsuccessful operation, and successfully operated at the Institute of Surgical Pathology of the Pavia University. The Authors think the morphologic and topographic features of such lesion, its relative local malignancy and trend to relapsing, justify why the old denomination of cyrsoid aneurysm was kept, even in the frame of the more general chapter of artero-venous fistulas.