Definitive treatment in a spiral-fracture of the distal humerus shaft with severe osteoporosis after two failed osteosynthesis: problem and solution. A case report and literature review

2010 ◽  
Vol 36 (6) ◽  
pp. 537-542 ◽  
Author(s):  
F. Martetschlaeger ◽  
S. Siebenlist ◽  
G. Sandmann ◽  
T. Kraus ◽  
U. Stoeckle ◽  
...  
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Distal Humerus ◽  
Definitive Treatment ◽  
Severe Osteoporosis ◽  
Spiral Fracture ◽  
Humerus Shaft

scholarly journals Coaptation and functional bracing of adolescent humeral shaft spiral fracture: a case report and review of literature

2020 ◽  
Vol 6 (3) ◽  
pp. 628
Author(s):  
Thiyagarajan Thiagarajan Singaram ◽  
Giriraj Harshavardhan J.K.
Keyword(s):  
Case Report ◽  
Humeral Shaft ◽  
Proximal Fragment ◽  
Review Of Literature ◽  
Intramedullary Nails ◽  
Spiral Fracture ◽  
Humeral Shaft Fractures ◽  
Shaft Fractures ◽  
Transverse Fractures ◽  
Humerus Shaft

<p class="abstract">Adolescent humerus shaft fractures are uncommon. Direct injuries lead to transverse fractures and indirect injuries lead to spiral and most oblique fractures. There is fracture displacement, angulation and internal rotation of the proximal fragment. There is difficulty in maintaining reduction after closed manipulation of spiral fractures. Paediatric humeral shaft fractures are treated by elastic intramedullary nails more often nowadays. We present a case of isolated spiral fracture of the middle1/3rd and distal 1/3rd junction of the humerus shaft with displacement and angulation treated successfully with closed reduction, coaptation U slab followed by functional orthosis.</p>

scholarly journals Embolization of a Mesenteric Arteriovenous Malformation Associated with Idiopathic Myointimal Hyperplasia: A Case Report and Literature Review

2021 ◽  
Author(s):  
Yash B Shah ◽  
Derek Lee ◽  
Tamim S. Khaddash
Keyword(s):  
Smooth Muscle ◽  
Abdominal Pain ◽  
Case Report ◽  
Early Diagnosis ◽  
Literature Review ◽  
Endovascular Embolization ◽  
Definitive Treatment ◽  
Case Presentation ◽  
Smooth Muscle Proliferation ◽  
Potential Benefits

Abstract Background Idiopathic myointimal hyperplasia of the mesenteric vein (IMHMV) is a rare, often undiagnosed pathology affecting the colon. Patients typically present with severe abdominal pain and inflammation caused by smooth muscle proliferation of the veins, leading to arterialization, stenosis, and potential occlusion. The etiology remains unclear, but it has been hypothesized that an arteriovenous connection may be associated with the pathology. This is the first reported case supporting such an association. Endovascular embolization is generally a less invasive alternative to surgical resection in the treatment of such vascular disorders, and our case highlights the potential benefits of endovascular treatment. Case Presentation This report describes a 24-year-old female patient with findings of colitis and an abnormal arteriovenous connection of the inferior mesenteric arterial and venous system. Partial embolization of this arteriovenous connection temporarily improved symptoms, but the presence of multiple smaller feeder vessels not amenable to embolization ultimately necessitated colonic resection for definitive treatment. Although prior reports have hypothesized that arterial pressurization of the veins may cause myointimal hyperplasia, to the authors’ knowledge, this is the first report of IMHMV with an associated abnormal arteriovenous connection. Conclusions This case illustrates the possibility of a pathogenic relationship between an arteriovenous connection and IMHMV. It is presumable that early radiologic analysis for an abnormal arteriovenous connection in colitis patients may facilitate IMHMV diagnosis, and early diagnosis may even facilitate the success of embolization.

scholarly journals Severe Aplastic Anemia Developed after Thymectomy: A Case Report and Literature Review

2020 ◽  
Vol 2020 ◽  
pp. 1-4
Author(s):  
Bruna Cristine Duarte Rodrigues ◽  
Pedro José Galvão Freire ◽  
Beatriz Pinto e Siqueira Campos ◽  
Juliana Oliveira Vieira ◽  
Pedro Alves da Cruz Gouveia
Keyword(s):  
Stem Cell ◽  
Case Report ◽  
Literature Review ◽  
Aplastic Anemia ◽  
Rare Condition ◽  
Pure Red Cell Aplasia ◽  
Disease Recurrence ◽  
Severe Aplastic Anemia ◽  
Definitive Treatment ◽  
Red Cell

Thymus neoplasms are frequently related to paraneoplastic autoimmune manifestations. Its most common associations are myasthenia gravis and pure red cell aplasia. Aplastic anemia has been increasingly documented as an initial presentation of thymoma. Nevertheless, its development after successful surgical resection of thymoma is a rare condition. We report a case of a 53-year-old man with severe aplastic anemia preceded by amegakaryocytic thrombocytopenia three years after thymectomy with no signs of disease recurrence. He underwent immunosuppressive therapy with cyclosporine 5 mg/kg/day and prednisone 2 mg/kg/day for six weeks. Considering the availability of a compatible donor, allogeneic stem cell transplantation was carried out. However, the patient died 11 days after transplant. A literature review was conducted, and another ten cases of aplastic anemia, diagnosed three months to four years after thymectomy, were identified. These cases suggest persistence of peripheral self-reactive T lymphocytes even years after tumor definitive treatment.

scholarly journals Hyperextension Malunion of the Distal Humerus - Chevron Osteotomy: A Case Report

2020 ◽  
Vol 13 (62) (2) ◽  
pp. 65-72
Author(s):  
Radu Dan Necula ◽  
Bogdan Radu Necula ◽  
Daniel Balogh-Ungureanu
Keyword(s):  
Case Report ◽  
Range Of Motion ◽  
Distal Humerus ◽  
Rotational Stability ◽  
Future Studies ◽  
Chevron Osteotomy ◽  
Humerus Shaft ◽  
Multiple Interventions

"Treatment of hyperextension malunions of the distal humerus is done by osteotomy, several types being described in the literature. The aim of the paper is to highlight the possibility of using Chevron-type osteotomy in sagittal malunions of the distal humerus shaft. The patient presented in this case report has suffered multiple interventions after a 13C1 AO/OTA fracture of her right arm. When the malunion was identified her range of motion (ROM) was 40-90 degrees flexion. We have performed a supracondylar sagittal Chevron osteotomy at a 30 degrees angle open anteriorly. After the surgery, her ROM improved to 40-135 degrees flexion. The authors chose the Chevron osteotomy because it created an increased area (by 30%) of the interface between the two fragments and offers a good rotational stability. Unfortunately, information in the literature is limited and future studies must be done to endorse the usage of Chevron osteotomy in hyperextension malunion of the distal humerus."

Management of FDG avid Benign Sinonasal Schneiderian Papilloma: A Case Report and Review of the Literature

2020 ◽  
pp. 000348942095247
Author(s):  
Iram Shafqat ◽  
Allen S. Ho ◽  
Daniel Manzoor ◽  
Bonnie Balzer ◽  
Arthur W. Wu
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Preoperative Evaluation ◽  
Definitive Treatment ◽  
Benign Tumors ◽  
Fdg Uptake ◽  
Imaging Characteristics ◽  
Positron Emission ◽  
Increased Risk ◽  
Risk Of Malignancy

Background: The inverted and oncocytic subtypes of sinonasal Schneiderian papillomas are benign tumors with possible rare malignant transformation and are typically managed with complete surgical resection and close follow-up. While computed tomography (CT) and magnetic resonance imaging (MRI) are mainstays in preoperative evaluation of bony invasion and soft tissue extension of the lesion, their imaging characteristics by 18F-fluoro-2-deoxy-D-glucose positron emission tomography (FDG-PET) is less well characterized. Objective: To describe the clinical presentation and management of a PET positive sinonasal lesion. To conduct a literature review of FDG uptake in benign sinonasal papillomas. Methods: Case report (n = 1) and literature review of similar cases (n = 32). Results: We report the case of a 69-year-old man presenting with an isolated left maxillary sinus mass with avid FDG uptake, discovered on PET/CT imaging. An endoscopic left maxillary mega-antrostomy provided successful definitive treatment for final pathologic diagnosis of oncocytic papilloma. Literature review of cases of sinonasal papillomas with avid FDG uptake found that oncocytic papillomas, on average, exhibit greater uptake than inverted papillomas and both may be mistaken as malignancies on PET. Conclusion: While PET imaging demonstrating avid FDG uptake is associated with an increased risk of malignancy, it does not rule out the possibility of a benign sinonasal papilloma nor other benign inflammatory lesions. Particularly, oncocytic papillomas may have very high FDG uptake and mimic malignant lesions.

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