scholarly journals Compartment Syndrome: an Acute Femoral Stress Fracture in a Young Male Athlete

2021 ◽  
Author(s):  
Amelie Kanovsky ◽  
Ernst J. Mueller
Keyword(s):  
Compartment Syndrome ◽  
Muscle Mass ◽  
Stress Fracture ◽  
Acute Stress ◽  
Young Male ◽  
Young Males ◽  
Fatigued Muscle ◽  
Fracture Osteosynthesis ◽  
Initial Fracture ◽  
The Right

AbstractThe incidence of an acute compartment syndrome (ACS) of the thigh is less than 1%. It is most common in the setting of muscle overuse or muscle injury, as well as secondary to trauma, such as a femoral fracture. We present a case of an ACS in a young, healthy, and semiprofessional athlete with normal coagulation who sustained an acute stress fracture of the distal femur. After the initial fracture osteosynthesis, the patient suffered from a compartment syndrome in the right anterior aspect of the distal thigh. Following rapid surgical fasciotomy, the case was uneventful, and he returned to his preinjury sport level without any neurological consequences. This case confirms that ACS in the thigh is rare, but mainly occurs in young males with a large muscle mass due to participation in various athletic programs. We hypothesize that constant muscle over-usage primes for a larger amount of contused and protruding muscle mass in the small femoral compartment. Hence, the fatigued muscle subjects the bone to an increased mechanical force resulting in an overloading process. This ensues the accumulation of femoral microfractures and primes for the occurrence of an increased rate of stress fractures and an ACS in the thigh.

scholarly journals An unusual case report of nevoid hyperkeratosis of areola

2021 ◽  
Vol 7 (3) ◽  
pp. 272-274
Author(s):  
Raajitha N S S Penugonda ◽  
P Ramanamurty ◽  
P.V. Krishna Rao ◽  
R Roja
Keyword(s):  
Case Report ◽  
Unusual Case ◽  
Young Male ◽  
Benign Condition ◽  
Young Males ◽  
Histopathological Features ◽  
Cosmetic Appearance ◽  
Child Bearing ◽  
The Right ◽  
Unusual Case Report

Nevoid hyperkeratosis of the nipple and/or areola (NHNA) is a rare and benign condition first described by Tauber in 1923. NHNA mostly reported in female patients of child bearing age affecting both the nipples. The aetiology is not well defined and similarly the treatment is empirical. Usually the patient seeks treatment for the cosmetic appearance. Here we report a case of 17-year-old male presented with hyperpigmented to skin coloured verrucous plaques on either side of the right nipple which are asymptomatic and gradually increasing in size since six years. The histopathological features are consistent with nevoid hyperplasia of areola. Till now NHNA has not been reported in young males hence, we report a case of Nevoid hyperkeratosis of the areola in a young male. 

scholarly journals Relating Reactive and Proactive Aggression to Trait Driving Anger in Young and Adult Males: A Pilot Study Using Explicit and Implicit Measures

2021 ◽  
Vol 13 (4) ◽  
pp. 1850
Author(s):  
Veerle Ross ◽  
Nora Reinolsmann ◽  
Jill Lobbestael ◽  
Chantal Timmermans ◽  
Tom Brijs ◽  
...  
Keyword(s):  
Pilot Study ◽  
Cognitive Biases ◽  
Young Male ◽  
Proactive Aggression ◽  
Implicit Measures ◽  
Adult Males ◽  
Young Males ◽  
Targeted Interventions ◽  
Driving Anger ◽  
Reactive And Proactive Aggression

Driving anger and aggressive driving are main contributors to crashes, especially among young males. Trait driving anger is context-specific and unique from other forms of anger. It is necessary to understand the mechanisms of trait driving anger to develop targeted interventions. Although literature conceptually distinguished reactive and proactive aggression, this distinction is uncommon in driving research. Similar, cognitive biases related to driving anger, measured by a combination of explicit and implicit measures, received little attention. This pilot study related explicit and implicit measures associated with reactive and proactive aggression to trait driving anger, while considering age. The sample consisted of 42 male drivers. The implicit measures included a self-aggression association (i.e., Single-Target Implicit Association Test) and an attentional aggression bias (i.e., Emotional Stroop Task). Reactive aggression related positively with trait driving anger. Moreover, a self-aggression association negatively related to trait driving anger. Finally, an interaction effect for age suggested that only in young male drivers, higher proactive aggression related to lower trait driving anger. These preliminary results motivate further attention to the combination of explicit and implicit measures related to reactive and proactive aggression in trait driving anger research.

scholarly journals Aortic Valve Endocarditis with Anomalous Origin of the Right Coronary Artery and Unknown Infected Thrombus in the Dissected Descending Thoracic Aorta

Aorta ◽  
2020 ◽  
Vol 08 (03) ◽  
pp. 076-079
Author(s):  
Juan Caceres ◽  
Vikram Sood ◽  
Linda Farhat ◽  
Bo Yang
Keyword(s):  
Coronary Artery ◽  
Right Coronary Artery ◽  
Aortic Root ◽  
Recurrent Infection ◽  
Young Male ◽  
Descending Thoracic Aorta ◽  
Native Valve ◽  
Aggressive Approach ◽  
Aortic Thrombus ◽  
The Right

AbstractWe report an intricate aortic root replacement in a young male patient suffering from native valve infective endocarditis due to Serratia marcescens. Further complicating the total root replacement, there was an unknown infected aortic thrombus and a concomitant anomalous right coronary artery with an intramural course. As a result of our more aggressive approach, we believe that we lowered the risk of recurrent infection of the bioprosthesis of the aortic root.

scholarly journals Venipuncture Induced Complex Regional Pain Syndrome Presenting as Inflammatory Arthritis

2016 ◽  
Vol 2016 ◽  
pp. 1-4
Author(s):  
Punit Pruthi ◽  
Pramod Arora ◽  
Manoj Mittal ◽  
Anugrah Nair ◽  
Waqia Sultana
Keyword(s):  
Complex Regional Pain Syndrome ◽  
Inflammatory Arthritis ◽  
Young Male ◽  
Pain Syndrome ◽  
Poor Response ◽  
History Of ◽  
Diagnostic Modalities ◽  
Musculoskeletal Ultrasonography ◽  
The Right

Venipuncture is one of the most commonly done medical procedures. We report a unique case of a 23-year-old young male who presented with features suggestive of inflammatory arthritis. The symptoms, which initially started on the right side, also involved the other side after a few weeks. Although the patient’s symptoms and signs were simulating inflammatory arthritis, he had atypical features like poor response to anti-inflammatory medicines and normal laboratory parameters. His musculoskeletal ultrasonography was also not suggestive of arthritis. His history was reviewed and on direct questioning he revealed a history of venipuncture for blood sample withdrawal, done from right antecubital region for routine health check on the day prior to the onset of symptoms. Complex regional pain syndrome was suspected and triple-phase radioisotope bone scan was done which was highly suggestive of this diagnosis. The patient was managed with multidimensional approach and responded very well to the treatment. Complex regional pain syndrome is usually not thought of in the initial differential diagnosis of inflammatory arthritis. In this report we highlight the need to elicit the often overlooked history of trivial trauma like venipuncture, especially in atypical cases of arthritis. Also the role of newer diagnostic modalities in such cases is emphasized.

scholarly journals Changes in Spinal-Reflex Excitability during Static Stretch and/or Explosive Contraction

2021 ◽  
Vol 11 (6) ◽  
pp. 2830
Author(s):  
Kyeong Eun Min ◽  
YongSuk Lee ◽  
Jihong Park
Keyword(s):  
Motor Response ◽  
Vertical Jump ◽  
Spinal Reflex ◽  
Static Stretch ◽  
Young Males ◽  
Reflex Excitability ◽  
Contraction Condition ◽  
Exercise Activity ◽  
Point Condition ◽  
The Right

To examine individual or combined effects of static stretch and explosive contraction on quadriceps spinal-reflex excitability (the peak Hoffmann’s reflex normalized by the peak motor-response) and the latency times of the Hoffmann’s reflex and motor-response. Fourteen healthy young males randomly experienced four conditions (stretch, contraction, stretch + contraction, and control—no intervention). For the stretch condition, three sets of a 30 s hold using the modified Thomas test on each leg were performed. For the contraction condition, three trials of maximal countermovement vertical jump were performed. Quadriceps spinal-reflex excitability and the latent period of each value on the right leg were compared at pre- and post-condition. All measurement values across conditions were not changed at any time point (condition × time) in spinal-reflex excitability (F6,143 = 1.10, p = 0.36), Hoffmann’s reflex latency (F6,143 = 0.45, p = 0.84), motor-response latency (F6,143 = 0.37, p = 0.90), and vertical jump heights (F2,65 = 1.82, p = 0.17). A statistical trend was observed in the contraction condition that spinal-reflex excitability was increased by 42% (effect size: 0.63). Neither static stretch nor explosive contraction changed the quadriceps spinal-reflex excitability, latency of Hoffmann’s reflex, and motor-response. Since our stretch protocol did not affect jumping performance and our contraction protocol induced the post-activation potentiation effect, either protocol could be used as pre-exercise activity.

Blow/trauma to the chest and sudden cardiac death: Commotio cordis and contusio cordis are leading causes

2018 ◽  
Vol 58 (2) ◽  
pp. 93-96 ◽  
Author(s):  
Lydia Krexi ◽  
Mary N Sheppard
Keyword(s):  
Sudden Cardiac Death ◽  
Cardiac Death ◽  
Traffic Accidents ◽  
Left Ventricular ◽  
Young Males ◽  
Contusio Cordis ◽  
Commotio Cordis ◽  
Forensic Practice ◽  
Acute Changes ◽  
The Right

Background In forensic practice, a blow to the chest can lead to sudden cardiac death (SCD). Commotio cordis and contusio cordis are leading causes. Methods From a database of 4678 patients who suffered from SCD, we found three patients with commotio cordis and two patients with contusio cordis. All the patients were examined macroscopically and microscopically and had negative toxicology screen. Results The three patients who died due to commotio cordis were young males (16, 23 and 38 years old). The circumstances of death were: a blow to the chest by a football, by a friend during a party and during an assault. The hearts were completely normal at autopsy. The two patients who had contusio cordis were older males (42 and 63 years old). Both patients died during traffic accidents. At autopsy, one had significant contusion over the left ventricle, and the second had contusion over the right ventricle. Conclusion This study indicates that a blow to the chest is very important to document in the circumstances of death, and a detailed history is vital. It raises the left ventricular intra-cavitary pressure, leading to commotio cordis with immediate death with a normal heart. Blunt chest trauma can cause direct myocardial lesions, with acute changes leading to contusio cordis.

Abstract P038: Testosterone Supplements Have Differential Effects on Blood Pressure in Old and Young Male Spontaneously Hypertensive Rats

Hypertension ◽  
2015 ◽  
Vol 66 (suppl_1) ◽  
Author(s):  
Rodrigo O Maranon ◽  
Licy L Yanes Cardozo ◽  
Carolina Dalmasso ◽  
Chetan N Patil ◽  
Andrew Harris ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Spontaneously Hypertensive Rats ◽  
Young Male ◽  
Zucker Rats ◽  
Hypertensive Rats ◽  
Spontaneously Hypertensive ◽  
Young Males ◽  
The Metabolic Syndrome ◽  
Younger Men ◽  
Obese Zucker Rats

Testosterone (“T”) supplements are widely used by men to improve their quality of life, libido, and protect against osteoporosis. In clinical studies, both high and low “T” levels were found to be associated with hypertension and cardiovascular risk. Endogenous “T” levels are reduced in obese men and rats. We have shown previously that “T” supplements in middle-aged (6 mos) obese Zucker rats improved symptoms of the metabolic syndrome and caused weight loss, but increased their blood pressure. How “T” supplements affect hypertensive men and rats is unknown. We hypothesized that “T” supplements would further increase blood pressure (BP) in both old and young male spontaneously hypertensive rats (SHR). Old (O=20-22 mos) and young (Y=10 wks) male SHR were treated with “T” (testosterone propionate 8 mg/10 mm silastic pellet; OT and YT, implanted sc) or placebo (empty pellets; OP and YP, sc). Pellets were changed every 3 weeks for 8 weeks. Mean arterial pressure (MAP) was measured by telemetry for 2 weeks. MAP in OP was higher than in YP (OP: 166±7 vs YP: 148±0.5 mmHg, p<0.001). As we predicted, “T” increased MAP in YT (YP: 148±1 vs YT: 157±1 mmHg, p<0.001). In contrast, “T” decreased MAP in OT (OP: 166±1 vs OT: 155±1 mmHg, p<0.001). These data suggest that in younger men, especially men who are already hypertensive, blood pressure should be monitored closely during “T” supplementation in order to prevent further cardiovascular disease. Since “T” reduced MAP in older male SHR, these data suggest that “T” supplements may not be as detrimental in older hypertensive men as in young men. Future studies will need to be done to determine the mechanisms by which “T” increases BP in young males and the mechanisms by which “T” reduces BP in old males. Supported by NIH-R01HL66072, PO1HL51971 (JFR), 14POST18640015 (ROM), EFF Endocrine Res Grant (LLY).

scholarly journals Role of Th17-cell related cytokines in geriatric asthma

2018 ◽  
Vol 47 (2) ◽  
pp. 580-590 ◽  
Author(s):  
Zhang Quan-san ◽  
Xu Xiaohong ◽  
Li ying ◽  
Sun Zhaojia
Keyword(s):  
Pulmonary Function ◽  
Geriatric Patients ◽  
Immunoglobulin E ◽  
Airway Remodeling ◽  
Normal Population ◽  
Young Patients ◽  
Young Male ◽  
Asthma Control Test ◽  
Young Males ◽  
Male Patients

Objective This study aimed to investigate the pathogenesis of geriatric asthma through immunoglobulin E (IgE), interleukin-17A (IL-17A), IL-17F, and glucocorticoid receptor-β (GR-β) expression. Methods We studied 51 geriatric male patients with asthma and 50 young male patients with asthma. We also included 21 normal geriatric males and 21 normal young males. All geriatric and young patients were divided into groups according to pulmonary function. Levels of cytokines, such as IgE, IL-17A, IL-17F, and GR-β, were measured. Pulmonary function was assessed. The results from patients were compared with those from the 42 healthy subjects. Results Serum IgE, IL-17A, IL-17F, and GR-β levels in geriatric patients with moderate or severe asthma were significantly higher than those in young patients with moderate asthma and in the normal population. Geriatric patients with asthma had higher asthma control test scores than did young patients with asthma. Conclusion Hormone resistance in geriatric male patients with asthma is more serious than that in young male patients with asthma. Airway inflammation and airway remodeling in geriatric male patients with asthma may be more serious than those in young male patients with asthma, even when there is similar pulmonary function.

Acute Myocardial Infarction Due to Spontaneous Dissection of the Right Coronary Artery in a Young Male

2004 ◽  
Vol 27 (5) ◽  
Author(s):  
Dimitris P. Papadopoulos ◽  
Ioannis Moyssakis ◽  
Alexandros Perakis ◽  
Andreas Athanasiou ◽  
Sophia Anagnostopoulou ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Coronary Artery ◽  
Right Coronary Artery ◽  
Young Male ◽  
The Right ◽  
Spontaneous Dissection

scholarly journals Pacemaker-Generated Stress Fracture of The Second Rib: A Case Report

2020 ◽  
Author(s):  
Jus Ksela ◽  
Mark Racman ◽  
Rok Zbacnik ◽  
Anze Djordjevic ◽  
Matevz Jan
Keyword(s):  
Physical Activity ◽  
Computed Tomography ◽  
Female Patient ◽  
Stress Fracture ◽  
Pulse Generator ◽  
Pacemaker Implantation ◽  
Permanent Pacemaker ◽  
Direct Trauma ◽  
The Right ◽  
Intense Physical Activity

Abstract Background: Pocket-related complications following the implantation of cardiovascular implantable electronic devices primarily include pocket hematoma, infection, skin erosion or decubitus, device migration, and Twiddler's syndrome, with other pathologies such as nerve impairment or bone lesions being extremely rarely encountered. We report a case of a 20-year old asthenic, non-athlete female patient presenting with a device-generated fracture of the second rib several months after sub-muscular permanent pacemaker implantation due to repeated bilateral pre-pectoral pocket infections.Case presentation: A 20-year old female patient was readmitted to our institution 9 months following sub-pectoral implantation of a permanent pacemaker, complaining of severe pocket-related pain, which arose spontaneously in the absence of direct trauma, intense physical activity or vigorous coughing, and was associated with normal day-to-day activity. To rule out a pacemaker re-infection, a native computed tomography and a positron emission tomography - computed tomography of the thorax were performed. Both modalities excluded an infection but showed a healing fracture and a focus of enhanced metabolic activity in the anterolateral part of the right second rib, indicating a non-traumatic or stress fracture of the bone. Consequently, a complete extraction of the pulse generator and both leads was performed and the smallest available single-chamber pulse generator with a single atrial electrode was implanted in the sub-fascial, pre-muscular pocket in the now recovered and uninfected left subclavicular region, alleviating patient’s severe pain symptoms and significantly enhancing her quality of life.Conclusions: In the absence of direct trauma, intense physical activity or vigorous coughing, we assume that in this asthenic girl a normal day-to-day motion of the right shoulder has persistently forced the sub-muscularly placed pulse generator toward thoracic wall, putting increased repetitive pressure force on the underlying bones, finally causing a fatigue stress fracture of the second rib. In asthenic phenotype patients with small thorax and short subclavicular distance, a sub-muscular pacemaker implantation can potentially cause unique and unexpected pocket-related adverse events necessitating advanced diagnostics and timely treatment.

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