Foreign Bodies in Tendons

1989 ◽  
Vol 14 (1) ◽  
pp. 84-85 ◽  
Author(s):  
L. Jozsa ◽  
A. Reffy ◽  
Susanne Demel ◽  
J. B. Balint
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Lower Extremities ◽  
Upper Extremities ◽  
Foreign Body Granuloma ◽  
Lower Limbs ◽  
Upper Limbs ◽  
Foreign Material ◽  
Glass Sand

At the National Institute of Traumatology in Budapest, a search has been made for foreign bodies in tendons over the last 15 years. 53 foreign bodies have been found in 931 tendons removed at operation and 45 foreign bodies in 950 tendon samples at autopsy. The foreign material was found to be organic in 29 cases, metal in 20 cases and plastic in six cases. In the others, glass, sand, mineral grease and textiles could be detected. In 33 cases the material could not be identified. The foreign bodies were found in the tendons of the upper extremities in 51 cases and the lower extremities in 47 cases. Foreign bodies in the tendons were more likely to cause problems in the upper limbs than in the lower limbs: these problems were purulent tendonitis, necrosis, foreign body granuloma, fibrosis and peritendonitis and calcification.

INTRAVENOUS PRESSURE AND t-PA ANTIGEN RELEASE DURING VENOUS OCCLUSION OF UPPER AND LOWER LIMBS

1987 ◽  
Author(s):  
K A Haaland ◽  
H O SkjØnsberg ◽  
E Thaulow ◽  
G GjØnnes ◽  
C H Godal
Keyword(s):  
Cuff Pressure ◽  
Lower Extremities ◽  
Venous Occlusion ◽  
Lower Limbs ◽  
Upper Limbs ◽  
Time Graph ◽  
Pressure Time ◽  
Significant Difference ◽  
Upper And Lower Extremities ◽  
Blood Pressures

Venous occlusion by means of a sphygmomanometer cuff is a well-established part of the procedure for assessment of fibrinolytic capacity. It has been suggested that the resultant intravenous pressure is responsible for plasminogen activator release.In this present study we wanted to compare i .v. pressure in the upper and lower limbs, during venous occlusion, and measure t-PA ag release. 8 male volunteers participated. A VenfIon(O.D. 1.2 mm) was inserted in a distal, superficial vein. Blood samples, discarding the first 2-3 ml. were drawn at 4 min. intervals and pressure recordings (Hewlett-Packard)made every min. during the first 8 min. of venous occlusion and thereafter at 4 min. intervals. The cuff was inflated to a pressure midway between systolic and diastolic values after separate measurements of blood pressures of the upper and lower extremities. The occlusion lasted for 20 min.Blood pressure measurements in the lower limbs gave consistently higher values than for the upper limbs. Hence, the resultant cuff pressure was on the average 20 mmHg higher in the legs.There was no significant difference in i.v. pressure, evaluated as total area beneath a pressure/time graph, between the upper and lower extremities. In the arms the i.v. pressure reached a plateau phase after 2-4 min. The pressure buildup was slower in the legs.t-PA values for the upper limbs after 20 min. of venous occlusion: median 15 ng/ml (range 9.4-26.0) and for the lower limbs: 8.15 ng/ml (range 4.8-13.3). This difference is significant, p = 0.035. There was no sifnificant difference between resting t-PA ag' levels prior to occlusion.We conclude that the fibrinolytic response, measured as t-PA ag, after venous occlusion, is twice as high in the upper as in the lower limbs and not 4-times as high as previously claimed. A possible explanation for the lower fibrinolytic response, could be the slower buildup of i.v. pressure during venous occlusion in the lower extremities.

scholarly journals Occupational Brachial Artery Injury by a Foreign Body with Subsequent Soft Tissue Hematoma Superinfection

2021 ◽  
Vol 18 (12) ◽  
pp. 6400
Author(s):  
Paweł Gać ◽  
Piotr Macek ◽  
Barbara Dziadkowiec ◽  
Rafał Poręba
Keyword(s):  
Foreign Body ◽  
Soft Tissue ◽  
Brachial Artery ◽  
Lower Limbs ◽  
Vascular Injuries ◽  
Upper Limbs ◽  
Road Accidents ◽  
Military Operations ◽  
Limb Injury ◽  
Artery Injury

Vascular injuries constitute a significant problem worldwide. Nearly 90% of arterial injuries concern the vessels in the limbs, of which the arteries of the lower limbs are most often damaged in military operations, while in other cases (mainly road accidents), the vessels of the upper limbs are damaged more often. In this report, the authors present a case of occupational brachial artery injury by a foreign body with subsequent soft tissue hematoma superinfection. The presented case emphasizes the importance of computed tomography angiography as a precise diagnostic tool facilitating the planning of a surgical procedure in patients with an occupational upper limb injury.

Extraskeletal Osteosarcoma Induced by a Foreign Body Granuloma

2015 ◽  
Vol 51 (5) ◽  
pp. 315-319 ◽  
Author(s):  
Jennifer E. Slovak ◽  
Nina R. Kieves ◽  
Joseph Haynes
Keyword(s):  
Foreign Body ◽  
Poor Prognosis ◽  
Foreign Bodies ◽  
Foreign Body Granuloma ◽  
Preliminary Evaluation ◽  
Extraskeletal Osteosarcoma ◽  
Surgical Sponge ◽  
Retained Surgical Sponge ◽  
Histopathological Findings ◽  
Abdominal Organs

An 8 yr old spayed female Italian greyhound was presented with a mass in the cranial abdomen. Preliminary evaluation of the dog revealed a large, cavitary, irregularly shaped mass with no definitive association with any abdominal organs. During an exploratory celiotomy, a 16 cm × 12 cm × 6 cm mass was removed. On subsequent histopathology, extraskeletal osteosarcoma induced by a foreign body granuloma was diagnosed. The foreign body granuloma, based on histopathological findings, was suspected to be secondary to a retained surgical sponge from her routine ovariohysterectomy performed 7 yr prior to presentation. Animals with granulomas induced by foreign bodies can remain asymptomatic for years; however, those granulomas can progress to extraskeletal osteosarcomas, which carry a poor prognosis.

scholarly journals DIAGNOSTIC AND TREATMENT OF COMBINED DAMAGES OF LARGE BONES OF THE LIMBS AND ORGANS OF THE ABDOMINAL CAVITY IN CHILDREN

2019 ◽  
Vol 22 (1) ◽  
pp. 33-37
Author(s):  
Y. M. Yahyaev ◽  
M. I. Izrailov ◽  
I. A. Aliyev ◽  
M. -A. Magomedov ◽  
A. M. Aliskandiev
Keyword(s):  
Traffic Accident ◽  
Abdominal Cavity ◽  
Economic Effect ◽  
Lower Extremities ◽  
Upper Extremities ◽  
Lower Limbs ◽  
Diagnosis And Treatment ◽  
Multiple Injuries ◽  
Control Group ◽  
Abdominal Organs

The experience of the management of 141 victim cases aged from 1 year to 15 years with fractures of the large bones of the extremities associated with injuries of the abdominal organs is presented. The cause of injury in 56% of cases was a traffic accident with boys to prevalent to suffer. In 141 victims, 184 injuries of the abdominal organs were diagnosed with predominant damage in isolated injuries of the spleen (40%), in case of multiple injuries, a combination of damage to the spleen and liver (41.9%). In 47.6% of patients, fractures of the lower limbs were observed, fractures of the bones of the upper extremities were found in 41.8%, with predominant damage to the bones of the lower extremities with open fractures (65%). The use of the developed algorithm for diagnosis and treatment, providing for a differentiated approach to diagnosis and treatment at different periods of combined trauma, allowed obtaining more beneficial results in the main group (97.4%) compared with the control group (93.9%) with an economic effect of 28%.

scholarly journals DIAGNOSTICS AND SURGICAL TREATMENT OF GUNSHOT WOUNDS OF THE UPPER AND LOWER LIMBS WITH THE PRESENCE OF FOREIGN BODIES

2020 ◽  
pp. 36-43
Author(s):  
P.N. Zamyatin ◽  
V.V. Negoduiko ◽  
G.R. Mikhailusov ◽  
S.A. Beresnev ◽  
L.V. Provar ◽  
...  
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Spatial Perception ◽  
Pain Syndrome ◽  
Gunshot Wounds ◽  
Visual Control ◽  
Lower Limbs ◽  
Morphological Data ◽  
Surgical Interventions ◽  
X Ray

Summary. The aim. Comparison of clinical, clinical instrumental and morphological data to establish the most informative signs of extremity foreign bodies, the possibility of choosing surgical tactics and improving treatment results. Materials and methods. Removal of ferromagnetic metallic foreign bodies of various sizes was carried out under visual control using a magnetic search tool. Visual control of the removal of a foreign body allows you to assess the adequacy of its removal. Results and its discussion. Removal of a foreign body was carried out using general surgical instrumentation under tactile control using the surgeon's finger and a Billroth curved hemostatic clamp or a mosquito curved hemostatic clamp. Removal of foreign bodies of extremities under hardware control is possible both in continuous time (on line) and intermittent (step-by-step) mode - detection of foreign bodies, marking (leaving marks on the skin). Removal of a foreign body was also carried out under X-ray control. Most often, a step-by-step technique was used, in which the characteristics of a foreign body were first determined, then it was removed and, finally, a control X-ray study was performed with uncertainty about the completeness of removal. In cases where there were problems with the spatial perception of the location of foreign bodies, the removal of foreign bodies under visual, tactile and hardware control was difficult, we used a combination of these methods. Conclusions. As a result of using the proposed modern diagnostic technologies, the completeness of removal of extremities foreign bodies significantly increased from 6.2±0.1 to 1.4±0.1 (p<0.005); the duration of their removal decreased from 30.4±1.8 to 11.2±1.3 minutes (p<0.005); the number of surgical interventions decreased from 2.8±0.2 to 1.7±0.1 (p<0.005); the expressiveness of the pain syndrome decreased from 7.3±0.2 to 5.2±0.4 points (p<0.005); the duration of inpatient treatment decreased from 18.6±1.1 to 16.5±1.3 days.

scholarly journals STRUCTURE AND MECHANOGENESIS OF LONG BONE FRACTURES IN LOWER EXTREMITIES DUE TO FALL

2020 ◽  
Vol 20 (3) ◽  
pp. 179-184
Author(s):  
V.K. Sokol
Keyword(s):  
Bone Fractures ◽  
Body Height ◽  
Lower Extremities ◽  
Mechanical Injury ◽  
The Body ◽  
Lower Limbs ◽  
Long Bone ◽  
Long Bones ◽  
Upper Limbs ◽  
Pelvic Bones

Background. The study of the structure and mechanogenesis of falls is necessary to elucidate causal relationships in criminal catatrauma. Purpose of the study was to analyze the structure of mechanical injury resulting in fractures of the long bones of the lower extremities, and the mechanisms of their formation in victims as a result of a fall, according to the primary forensic examination. Material and methods. The study was carried out based on 130 reports of primary forensic examinations of victims with fractures of the femur and / or shin bones due to mechanical injury for the period February – June 2018. All victims were divided into 4 groups: group 1 included individuals sustaining mechanical injury; group 2 involved individuals sustaining injuries in car accidents; group 3 included patients with traumas from the fall, and group 4 included individuals with gunshot fractures. The methodology of the study was based on applying retrospective analysis, descriptive statistics. Results. In cases of catatrauma, the proportion of fractures of the lower extremities makes up 52%, while the proportions of fractures of the upper limbs, ribs and pelvic bones constitute 16% each; in case of car accident the fractures of low legs make up 82.1%, while the fractures of the upper limbs, ribs and pelvic bones constitute 7.8%; 2.4% and 7.7% each, respectively. There are two types of catatrauma included found out in this study: 1) household falls from the own body height (n = 4), and 2) falls from the height not exceeding 3 m (n = 9). The catatrauma mechanisms included the following: 1) active free uncoordinated fall from the own body height with the phase of primary collision with some isolated primary direct injuries; 2) passive free direct predominantly uncoordinated fall from a height of up to 3 m resulting in multiple combined injuries in the phase of primary collision (n = 4), and in the phases of primary and secondary collision of the body (n = 3). Conclusions. In the structure of mechanical injuries of the long bones in the lower extremities according to the initial forensic medical examination, falls from various heights rank the second position among the most frequent criminal injury (10%) after road traffic injuries (89,2%). Falls from own body height and from the height of up to 3 m were free, straight, and mostly uncoordinated, resulted in mainly primary direct injuries as the fractures of the long bones of the upper and lower limbs, ribs, pelvis, brain concussion, chest bruises and abdominal traumas.

scholarly journals Imaging features of foreign body granuloma in the lower extremities mimicking a soft tissue neoplasm

2009 ◽  
Vol 114 (1) ◽  
pp. 46-51 ◽  
Author(s):  
Akira Ando ◽  
Masahito Hatori ◽  
Yoshihiro Hagiwara ◽  
Shuji Isefuku ◽  
Eiji Itoi
Keyword(s):  
Foreign Body ◽  
Soft Tissue ◽  
Lower Extremities ◽  
Foreign Body Granuloma ◽  
Imaging Features ◽  
Soft Tissue Neoplasm

scholarly journals Complications of tracheobronchial foreign body aspiration in children: report of 5 cases and review of the literature

2002 ◽  
Vol 57 (3) ◽  
pp. 108-111 ◽  
Author(s):  
Cláudio Flauzino de Oliveira ◽  
João Fernando Lourenço de Almeida ◽  
Eduardo Juan Troster ◽  
Flavio Adolfo Costa Vaz
Keyword(s):  
Foreign Body ◽  
Causes Of Death ◽  
Foreign Bodies ◽  
Early Recognition ◽  
Tracheobronchial Tree ◽  
Foreign Body Aspiration ◽  
Foreign Material ◽  
Acute Complications ◽  
Tracheobronchial Foreign Body ◽  
Successful Removal

Foreign body aspiration (FBA) is one of leading causes of death in children, especially among those younger than 3 years of age. The inhalation of a foreign body may cause a wide variety of symptoms, and early diagnosis is highly associated with the successful removal of the inhaled foreign material. Despite the great advances in endoscopic procedures and anesthesia, a large number of difficulties and complications still result from foreign body aspiration. We describe 5 cases of serious acute complications following aspiration of foreign bodies that became lodged in the tracheobronchial tree, including pneumomediastinum, pneumothorax, total atelectasis, foreign body dislodgment, and need for thoracotomy in children admitted into our intensive care unit in 1999 and 2000; these were all situations that could have been prevented with early recognition and prompt therapeutic intervention.

Peripheral Nerve and Brachial Plexus Impairment, AMA Guides, Sixth Edition

2017 ◽  
Vol 22 (2) ◽  
pp. 3-5
Author(s):  
James B. Talmage ◽  
Jay Blaisdell
Keyword(s):  
Peripheral Nerve ◽  
Brachial Plexus ◽  
Complex Regional Pain Syndrome ◽  
Lower Extremities ◽  
Pain Syndrome ◽  
Upper Extremities ◽  
Motor Deficits ◽  
Type I ◽  
Sixth Edition ◽  
Nerve Entrapments

Abstract Physicians use a variety of methodologies within the AMA Guides to the Evaluation of Permanent Impairment (AMA Guides), Sixth Edition, to rate nerve injuries depending on the type of injury and location of the nerve. Traumatic injuries that cause impairment to the peripheral or brachial plexus nerves are rated using Section 15.4e, Peripheral Nerve and Brachial Plexus Impairment, for upper extremities and Section 16.4c, Peripheral Nerve Rating Process, for lower extremities. Verifiable nerve lesions that incite the symptoms of complex regional pain syndrome, type II (similar to the former concept of causalgia), also are rated in these sections. Nerve entrapments, which are not isolated traumatic events, are rated using the methodology in Section 15.4f, Entrapment Neuropathy. Type I complex regional pain syndrome is rated using Section 15.5, Complex Regional Pain Syndrome for upper extremities or Section 16.5, Complex Regional Pain Syndrome for lower extremities. The method for grading the sensory and motor deficits is analogous to the method described in previous editions of AMA Guides. Rating the permanent impairment of the peripheral nerves or brachial plexus is similar to the methodology used in the diagnosis-based impairment scheme with the exceptions that the physical examination grade modifier is never used to adjust the default rating and the names of individual nerves or plexus trunks, as opposed to the names of diagnoses, appear in the far left column of the rating grids.

A Large Bullet in the Bladder

Swiss Surgery ◽  
2001 ◽  
Vol 7 (3) ◽  
pp. 139-140 ◽  
Author(s):  
Halkic ◽  
Wisard ◽  
Abdelmoumene ◽  
Vuilleumier
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Gross Hematuria ◽  
Suprapubic Cystostomy ◽  
Laparoscopic Port ◽  
Urethral Trauma ◽  
Bullet Injury

All manner of foreign bodies have been extracted from the bladder. Introduction into the bladder may be through self-insertion, iatrogenic means or migration from adjacent organs. Extraction should be tailored according to the nature of the foreign body and should minimise bladder and urethral trauma. We report a case of a bullet injury to the bladder, which finally presented as a gross hematuria after remaining asymptomatic for four years. We present here an alternative to suprapubic cystostomy with a large bladder foreign body treated via a combined transurethral unroofing followed by removal using a grasper passed through a suprapubic laparoscopic port.

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