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  • 1
    ISSN: 1432-086X
    Keywords: Key words: Hypothenar hammer syndrome—Recreational sports activities—Muscle anomaly, wrist
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract A 34-year-old man with digital ischemia is reported. Angiography revealed thromboembolic occlusions of the proper digital arteries of the index, middle, and ring fingers and a tortuous ulnar artery in Guyon's canal. Though hypothenar hammer syndrome was suspected, there was no relevant occupational history. Magnetic resonance imaging and magnetic resonance angiography demonstrated an anomalous muscular sling around the ulnar artery immediately adjacent to the hook of the hamate. The ulnar artery showed mural thrombi in its tortuous segment. These findings were confirmed during operative exploration. After thrombectomy and embolectomy the involved segment of the ulnar artery was replaced by an autologous vein graft. Postoperatively there was complete resolution of the symptoms. Only during convalescence did it become clear that the patient was a passionate golfer.
    Type of Medium: Electronic Resource
    Library Location Call Number Volume/Issue/Year Availability
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  • 2
    ISSN: 1434-1948
    Keywords: Phosphanes ; Disilanes ; Disilanylamines ; Germanes ; Stannanes ; Stannanes ; Chemistry ; General Chemistry
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Chemistry and Pharmacology
    Notes: Reactions of dialkyl(trimethylsilyl)phosphanes RR′PSiMe3 (1:R, R′ = tBu; 3: R, R′ = iPr; 5: R = iPr, R′ = tBu) with Si2Cl6 provide stable trichlorosilylphosphanes RR′PSiCl3 (2, 4, 6); the reactions of silyl- and stannylamines of iPr2NMMe3 (M = Si: 11; M = Sn: 12) with Si2Cl6, however, provide the stable pentachlorodisilanylamine iPr2NSi2Cl5 (13). Heating of 1 with the technical mixture Me2(Cl)SiSiCl2Me/(MeCl2Si)2 yields the stable silylphosphane tBu2PSiMe2Cl (8) and the disilanylphosphane tBu2PSi(Me)(Cl)Si(Me)Cl2 (9). Methylation of 9 with MeLi gave tBu2PSi2Me510, which was isolated in a pure state. Reactions of tBu(iPr)PSiMe3 (5) and of organometal phosphanes tBu(iPr)PMR3 (14: M = Ge, R = Me; 17a-c: M = Sn; R = Me, Et, nBu) with Si2Cl6 were monitored by 31P, 29Si, and 119Sn NMR. - In the first step of these reactions, new tBu(iPr)PSi2Cl5 (7) is formed. 7 is accompanied by increasing amounts of tBu(iPr)PSiCl3 (6) and Me3GeSiCl3 (15)/(Me3Ge)2Si(SiCl3)2 (16) or traces of compounds R3SnSiCl3 (19a-c) that decompose providing (R3Sn)2Si(SiCl3)2 (18a-c) and nBu3SnSi(SiCl3)3 (20c). Subsequently, compounds 19a-c decompose providing increasing amounts of 18a-c. Stannylphosphane 17bis also cleaved by SiCl4 leading to 6 with liberation of Et3SnCl, whereas 17bis formedfrom the reaction of 5 with Et3SnCl under liberation of Me3SiCl. The suggestion of an extra stabilisation of P-Si bonds of trichlorosilylphosphanes was subjected to direct evidence through the structure determination of the trichlorosilylphosphane tBu2PSiCl3 (2) in the gas phase by electron diffraction. This crowded molecule has a “normal” P-Si bond length of 225.0(12) pm; its C1 symmetric conformation with both tBu groups and the SiCl3 group twisted about 17° from the perfectly staggered positions, and with each of the three groups tilted about 6° away from each other, allows to reduce steric strain.
    Additional Material: 3 Ill.
    Type of Medium: Electronic Resource
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