Pisotriquetral Loose Body

1994 ◽  
Vol 19 (2) ◽  
pp. 215-216 ◽  
Author(s):  
M. NEEDOFF ◽  
S. P. FROSTICK
Keyword(s):  
Loose Body ◽  
Wrist Pain ◽  
Surgical Removal ◽  
X Rays

A loose body flicking in and out of the pisotriquetral joint was found to be the cause of intermittent wrist pain and locking in two patients. Appropriate X-rays gave the diagnosis and surgical removal provided a satisfactory cure.

scholarly journals A Mobile Pisotriquetral Loose Body as a Cause of Severe Ulnar Sided Wrist Pain

2016 ◽  
Vol 07 (01) ◽  
pp. 133-135 ◽  
Author(s):  
Naohito Hibino ◽  
Anna Kobayashi ◽  
Yoshitaka Hamada
Keyword(s):  
Loose Body ◽  
Wrist Pain

scholarly journals Therapeutic dilemma and clinical issues in management of the button battery ingestion: a case report and literature review

2021 ◽  
Vol 69 (1) ◽  
Author(s):  
Olsi Agolli ◽  
Arjola Agolli ◽  
Namrata Hange ◽  
Kuchalambal Agadi
Keyword(s):  
Surgical Removal ◽  
X Rays ◽  
Gi Tract ◽  
Mortality And Morbidity ◽  
Button Battery ◽  
Asymptomatic Children ◽  
Mucosal Lining ◽  
Button Batteries ◽  
Made In

AbstractThe incidence of button battery ingestion in children less than 6 years, from year 1985 to 2019 was 59,000 and it is still a clinical challenge for pediatricians. Objects which are commonly ingested are large amounts of food, coins, toy parts, jewels, batteries, sharp materials and non-metallic sharp objects. It is an increased incidence of mortality and morbidity due to button battery ingestion, compared to accidental ingestion of other objects, due to its small size, and because of its potent source of energy. A literature search was carried out to evaluate the challenges in diagnosing, treatment, and follow-up of button battery ingested cases in children. A total of 36 original articles were included for the review.Conclusions: Button batteries can quickly cause severe damage to the mucosal lining of the GI tract. Esophageal button batteries require emergency removal because they can cause serious complications leading to hemorrhage, and death. In children, where the button battery has passed the esophagus watchful management should be made. In the majority of cases, the button batteries with a diameter less than 2 cm lodged in the stomach will pass spontaneously with no complications. However, asymptomatic children may be followed up with X-rays to assess progression up to 10–14 days after ingestion. Endoscopic or surgical removal may be required to prevent intestinal perforation with peritonitis. Symptomatic children will always need a consultation with a pediatric surgeon for surgery no matter where the button battery is placed in the GI tract. Developing countries shall adopt surveillance and reporting systems for BBI ingestion and related complications and it is recommended as essential to have management protocols in place for button batteries ingestion.

A Giant Peritoneal Loose Body: Report of a Case

2007 ◽  
Vol 73 (9) ◽  
pp. 895-896 ◽  
Author(s):  
Tomomi Mohri ◽  
Toshio Kato ◽  
Hiroshi Suzuki
Keyword(s):  
Loose Body ◽  
Surgical Removal ◽  
Loose Bodies ◽  
Observation Period

Peritoneal loose bodies are usually small, 0.5 to 2.5 cm in diameter, and rarely cause symptoms. However, “giant” peritoneal loose bodies, larger than 5 cm in diameter, presenting with various symptoms have been also reported. We report here a case of a “giant” peritoneal loose body found in a 73-year-old man. In this case, the peritoneal loose body was 9.5 cm in diameter, comparable to the largest one reported in the literature. The patient refused any treatment at his first visit but accepted surgical removal of the peritoneal loose body 5 years later. The size of the peritoneal loose body has increased from 7.3 cm to 9.5 cm in diameter during this observation period.

scholarly journals Loose intra-articular body in the temporomandibular joint: case report of a successful conservative management

2021 ◽  
Author(s):  
Yumi C Del Rey ◽  
Hian Parize ◽  
Christiano Oliveira-Santos ◽  
Marina G Almeida
Keyword(s):  
Temporomandibular Joint ◽  
Conservative Management ◽  
Temporomandibular Disorder ◽  
Mouth Opening ◽  
Signs And Symptoms ◽  
Loose Body ◽  
Low Level Laser Therapy ◽  
Surgical Removal ◽  
Invasive Approach ◽  
The Right

Loose intra-articular bodies are a rare finding in the temporomandibular joint. Surgical removal of the loose bodies isoften described as the only treatment option; however, it presents possible postoperative complications. The aim of thispaper is to report the successful conservative management of a temporomandibular disorder associated with a singleloose intra-articular body. A 62-year-old woman presented with pain in the right temporomandibular joint andpre-auricular region, limited mouth opening and open-lock episodes. Panoramic radiography and cone-beam computedtomography exams revealed the presence of a single loose body located anterior to the right condyle. Magnetic resonanceimages showed bilateral anterior disc displacement without reduction. A non-invasive approach consisting of an occlusalsplint and low-level laser therapy associated with home-based physical therapy was performed for management ofclinical signs and symptoms. The patient was followed up for 2 years and presented significant pain reduction andimprovement in the range of mandibular movements. The combination of conservative therapies may be an alternativefor surgical intervention to control pain and improve mandibular function in patients with temporomandibulardysfunction associated with a loose body in the temporomandibular joint.

Median Nerve Compression Secondary to a High Insertion of Pronator Teres

2010 ◽  
Vol 2 (2) ◽  
pp. 124-126 ◽  
Author(s):  
Robert A. Mcculloch ◽  
Simon B. M. Maclean ◽  
Jag Dhaliwal ◽  
Adrian W. Simons
Keyword(s):  
Median Nerve ◽  
Nerve Compression ◽  
Surgical Removal ◽  
X Rays ◽  
Upper Arm ◽  
Median Nerve Compression ◽  
Pronator Teres ◽  
History Of ◽  
History Of Pain ◽  
Supracondylar Process

We present a case of a 46-year-old male presenting with a 10 year history of pain and paraesthesia in the median nerve distribution together with a palpable lump in the upper arm. X-rays confirmed a supracondylar process of the humerus. Intra-operatively it was found that there was an aberrant insertion of one of the heads of pronater teres from the process. After surgical removal of the process and release of the head of pronator teres his symptoms improved.

Subcutaneous injection of metallic mercury

2003 ◽  
Vol 22 (6) ◽  
pp. 345-348 ◽  
Author(s):  
Y OY Soo ◽  
C H Wong ◽  
J F Griffith ◽  
T YK Chan
Keyword(s):  
Subcutaneous Tissue ◽  
Mercury Level ◽  
Systemic Absorption ◽  
Surgical Removal ◽  
X Rays ◽  
Metallic Mercury ◽  
Antecubital Fossa ◽  
Total Blood ◽  
Urinary Mercury ◽  
Continuous Absorption

Deliberate self-injection of metallic mercury into subcutaneous tissue is uncommon. A 41-year-old lady with a history of schizophrenia was admitted to our hospital after deliberate injection of metallic mercury into her right wrist and antecubital fossa. Physical examination was unremarkable except for the injection marks over right antecubital fossa and wrist. The presence of subcutaneous mercury deposits in her right elbow and wrist was confirmed by X-rays and ultrasound scan. Three days later, erythema, swelling, induration and tenderness were seen over the injection sites. At the operation on day 9, mercury streaks were seen within the brachialis muscle belly, surrounded by friable necrotic tissues along the tract. A similar picture was noted in her right wrist. The necrotic tissues and mercury streaks were removed. The patient had been unco-operative and she only received incomplete treatment with dimercaprol and 2,3-dimercaptosuccinic acid. Her total blood mercury level (normal B < 50 nmol/L) decreased from 101-151 nmol/L in the first two weeks to 42 nmol/L 3 months later. Her 24-hour urinary mercury excretion (normal B < 10 nmol) changed from 55.7-209.5 nmol in the first 7 weeks to 125.4 nmol 3 months later. This case illustrates that soft tissue metallic mercury can produce local necrosis and may allow continuous absorption with persistent elevations in blood and urinary mercury levels. Therefore, early surgical removal of subcutaneous mercury deposits is required to prevent local complications and minimize the risk of systemic absorption and toxicity.

scholarly journals Solitary Osteochondromas of the Metatarsal and Cuneiform, in an Adolescent

2021 ◽  
Vol 11 (7) ◽  
Author(s):  
Nikolaos Laliotis ◽  
Chrysanthos Chrysanthou ◽  
Panagiotis Konstandinidis ◽  
Elisavet Papadopoulou
Keyword(s):  
Ct Scan ◽  
Accurate Diagnosis ◽  
Uneventful Recovery ◽  
Surgical Removal ◽  
X Rays ◽  
Resonance Imaging ◽  
Plantar Surface ◽  
Medial Cuneiform ◽  
Solitary Osteochondroma ◽  
Sporting Activities

Introduction: Solitary osteochondromas are extremely rare in the bones of the foot. In the growing skeleton, few cases affecting the metatarsals and the talus have been reported. At present, there have been no reports of osteochondromas affecting the cuneiforms. Case Report: We report the case of a 13-year-old male patient. He presented with marked prominences in the plantar surface of his left foot and pain while participating in sporting activities. Radiological examination with X-rays, computed tomography (CT) scan, and magnetic resonance imaging revealed two solitary osteochondromas growing from the medial cuneiform and the head of the 1st metatarsal. The patient was treated surgically by excision of the osteochondromas. Histological examination confirmed the diagnosis of osteochondromas. He had an uneventful recovery and returned to his sporting activities. Conclusion: Solitary osteochondroma can present in the cuneiform and metatarsal of a growing adolescent. CT scan is useful for the accurate diagnosis and surgical removal of the tumor. Keywords: Osteochondroma, foot, metatarsal, cuneiform, child.

scholarly journals Fracture of a Heterotopic Ossification of the Syndesmosis in a Collegiate Football Player: A Case Report

2019 ◽  
Vol 4 (3) ◽  
Author(s):  
Stephen Cage ◽  
Brandon Warner ◽  
Diana Gallegos
Keyword(s):  
Conservative Treatment ◽  
Patient Care ◽  
Heterotopic Ossification ◽  
Athletic Training ◽  
Football Player ◽  
Surgical Removal ◽  
X Rays ◽  
Maisonneuve Fracture ◽  
New Diagnosis ◽  
Collegiate Football

Objective: Present a clinical case detailing the assessment and management of a collegiate football player suffering from the fracturing of a heterotopic ossification of the syndesmosis. Background: Heterotopic ossifications are not uncommon following surgical fixation of the tibiofibular syndesmosis. Typically, properly healed fibular fractures do not result in further complications associated with heterotopic ossification. Treatment: A 21-year-old collegiate football player (1.8 m, 77.1 kg) reported to the athletic training staff complaining of acute lateral ankle pain following a plant and twist mechanism while running receiving routes. Initial evaluation led to a diagnosis of a syndesmotic ankle sprain, with a plan to pursue conservative management. When patient was unable to participate in the following practice due to intensity of pain, the patient was referred for x-rays a revealed poorly healed Weber Type C fracture that had been mislabeled as a Maisonneuve fracture at the patient’s previous university. This previous injury led to a heterotopic ossification of the syndesmosis that had fractured during the more recent injury. With this new diagnosis, the patient consented to conservative treatment that allowed the patient to return to football activities the following offseason. Uniqueness: While heterotopic ossification of the ankle syndesmosis has been reported in literature, there has yet to be extensive research on the condition. Generally, when these ossifications become symptomatic best practices involve surgical removal. In spite of presenting with symptoms, the patient was able to return to full participation following conservative treatment. Conclusion: When providing patient care, accurate diagnosis is crucial to optimal outcomes. Caring for patients in a collegiate setting presents a unique number of instances of patient care transfer, which may make previous misdiagnosis hard to recognize. Diligent health care practitioners should always ensure that a comprehensive medical history is obtained in order to make an accurate assessment.

scholarly journals Ventriculotomy for the removal of a foreign body in a common myna (Acridotheres tristis): a case report

2014 ◽  
Vol 59 (No. 6) ◽  
pp. 319-323 ◽  
Author(s):  
M. Champour ◽  
N. Ojrati
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Oral Route ◽  
Surgical Removal ◽  
X Rays ◽  
Common Myna ◽  
History Of ◽  
Acridotheres Tristis ◽  
Made In

A seven-month old common myna with a history of ingesting a wire was transferred to the Iranmehr companion animal clinic in Mashhad, Iran. The bird&rsquo;s symptoms included anorexia, retching, intermittent vomiting, a lack of vocalisation, fluffing, and nervousness lasting for two days. X-rays confirmed a radiopaque foreign body in the proventriculus. Initial attempts to remove the wire thorough the oral route were futile; however, surgical removal using ventriculotomy (ventral midline celiotomy) under general anaesthesia proved successful. Slight haemorrhaging occurred when the incision was made in the caudal aspect of the ventriculus, but overall, the procedure was performed with no serious complications. A follow-up after three month revealed no complications. Despite the negative views associated with this technique, our study shows that ventriculotomy can be recommended for the removal of ventricular and proventricular foreign bodies, at least in this species. &nbsp;

scholarly journals Post-traumatic Cervical Spondyloptosis Without Neurological Deficits: A Case Report

2021 ◽  
Vol 7 (3) ◽  
pp. 165-170
Author(s):  
Hamid Rezaee ◽  
◽  
Mohammad Ali Abouie-Mehriz ◽  
Saman Mohazzab-Torabi ◽  
Ehsan Keykhosravi ◽  
...  
Keyword(s):  
Case Report ◽  
Neurological Impairment ◽  
Neurological Deficits ◽  
Fracture Dislocation ◽  
Surgical Removal ◽  
X Rays ◽  
Case Presentation ◽  
Cord Injury ◽  
Post Traumatic ◽  
Magnetic Resonance Imaging Mri

Background and Importance: Traumatic cervical spondyloptosis is a rare and severe situation, i.e., associated with disabling neurological deficits. Case Presentation: We described an unusual clinical presentation of cervical spondyloptosis in a 49-year-old man without neurological impairment and severe neck pain. Moreover, C6-C7 spondyloptosis was assessed two days after the trauma. X-rays, Computed Tomography (CT) scans and Magnetic Resonance Imaging (MRI) demonstrated a C6 bi-pedicular fracture, C6-C7 facet dislocation with complete ptosis of C6 vertebral body over C7 and without spinal cord injury. The patient was managed with an intra-operative 4 Kg traction and underwent a posterior decompression, with reduced fracture/dislocation by bilateral completed facetectomies at C6, and fusion from C4 to T3. Conclusion: This case report emphasized that sometimes cervical spondyloptosis may occur without neurological deficit symptoms. Prompt clinical recognition and surgical removal are essential to prevent serious complications in this respect.

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