scholarly journals Type I Monteggia lesion and associated fracture of the distal radius and ulna metaphysis in a child

CJEM ◽  
2007 ◽  
Vol 9 (05) ◽  
pp. 383-386 ◽  
Author(s):  
Noel Peter ◽  
Sein Myint
Keyword(s):  
Distal Radius ◽  
Clinical Examination ◽  
Rare Case ◽  
Type I ◽  
Mechanism Of Injury ◽  
Childhood Injuries ◽  
Monteggia Lesion

ABSTRACTWe report a rare case of a type I Monteggia lesion with an associated fracture of the distal radius and ulna metaphysis in a child. We discuss the mechanism of injury and the importance of thorough clinical examination in childhood injuries.

scholarly journals The mechanism of injury of a hybrid Bado type I/III Monteggia lesion: Analysis of a live recording from a gymnastics injury

2019 ◽  
Vol 26 (2) ◽  
pp. 118-125
Author(s):  
Bobby Kin-Wah Ng ◽  
Kaye E Wilkins ◽  
Wai-Wang Chau
Keyword(s):  
Conventional Method ◽  
Satisfactory Result ◽  
Slow Motion ◽  
Injury Mechanism ◽  
Monteggia Fracture ◽  
Type I ◽  
Mechanism Of Injury ◽  
Monteggia Lesion ◽  
Whole Process ◽  
Lesion Analysis

The injury mechanism of a case of hybrid Bado type I/III Monteggia fracture had been recorded live by the parent of a gymnast in a competition. This live recording was generously offered by the parent to the treating surgeon to study the injury mechanism. The video captured was segmented by slow motion frames to study the whole process of the injury mechanism. The injury mechanism was analyzed by the authors jointly to verify the interpretation of the loading mechanism and the resultant injury. The patient had been treated with conventional method with satisfactory result.

scholarly journals Median Nerve Palsy following Elastic Stable Intramedullary Nailing of a Monteggia Fracture: An Unusual Case and Review of the Literature

2011 ◽  
Vol 2011 ◽  
pp. 1-5 ◽  
Author(s):  
Surjit Lidder ◽  
Nima Heidari ◽  
Florian Amerstorfer ◽  
Stephan Grechenig ◽  
Annelie M. Weinberg
Keyword(s):  
Median Nerve ◽  
Intramedullary Nailing ◽  
Radial Head ◽  
Nerve Palsy ◽  
Unusual Case ◽  
Elastic Stable Intramedullary Nailing ◽  
Monteggia Fracture ◽  
Type I ◽  
Monteggia Lesion ◽  
Median Nerve Palsy

Monteggia fractures are rare in children, and subtle radial head dislocations, with minor plastic deformation of the ulna, may be missed in up to a third of cases. Complications of Monteggia fractures-dislocations include persistent radial head dislocation, forearm deformity, elbow stiffness, and nerve palsies at the time of presentation. An unusual case of median nerve palsy following elastic stable intramedullary nailing of a type I Monteggia lesion in a 6-year-old girl is presented, and we highlight that, although most nerve palsies associated with a Monteggia fracture-dislocations are treated expectantly in children, early intervention here probably provided the best outcome.

scholarly journals A rare case of a medullary, multifocal lesion in the distal radius

JRSM Open ◽  
2017 ◽  
Vol 8 (7) ◽  
pp. 205427041771039
Author(s):  
Birol Aktas ◽  
Burak Ozturan ◽  
Bulent Kilic ◽  
Murat Demiroglu ◽  
Korhan Ozkan
Keyword(s):  
Distal Radius ◽  
Osteoid Osteoma ◽  
Rare Case

In multifocal findings, the possibility of multifocal osteoid osteomas should be considered and this case helps us to be attentive for the unusual radiographical presentation of osteoid osteoma.

scholarly journals Schwannomatosis: report of a new case

1992 ◽  
Vol 50 (4) ◽  
pp. 539-542 ◽  
Author(s):  
Nélida S. Garretto ◽  
David Monteverde ◽  
Héctor Giócoli ◽  
Blanca I. Ravera ◽  
Hugo A. Molina ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Temporal Lobe ◽  
Male Patient ◽  
Clinical Examination ◽  
Peripheral Nerves ◽  
Present Condition ◽  
Type I ◽  
Type Ii ◽  
Left Temporal Lobe ◽  
Brain Computed Tomography

Schwannomatosis is a rare disorder, still not quite well defined, seldom described in the literature. In this paper we report the case of male. Patient, 52 years old, who in the last 30 years developed five subcutaneous tumors within his limbs peripheral nerves, which histologically proved to be schwannomas. A brain computed tomography showed a partially calcified tumor in the left temporal lobe which most likely was a meningioma. A thorough clinical examination was unable to find signs of type I or type II neurofibromatosis. The present condition, probably a form of phacomatosis, has to be distinguished from neurofibromatosis and is considered as an independent clinical entity whose origin still awaits further detailed investigations.

scholarly journals Stridor due to Bilateral Implant Migration 5 Years after Bilateral Medialization Laryngoplasty

2012 ◽  
Vol 2 (2) ◽  
pp. 82-84
Author(s):  
Sunita Chhapola Shukla
Keyword(s):  
Wound Infection ◽  
Rare Case ◽  
Current Knowledge ◽  
Type I ◽  
Airway Compromise ◽  
Endoscopic Removal ◽  
Transcervical Approach ◽  
Implant Migration ◽  
Initial Surgery ◽  
Medialization Laryngoplasty

ABSTRACT Implants like silastic, titanium, Gore-Tex and autologous cartilage have been used for type I laryngoplasty. Though rare, implant extrusion or migration, wound infection and airway compromise are some of the complications of medialization laryngoplasty surgery irrespective of the implant used. We document a rare case of bilateral implant migration in a patient who had undergone bilateral medialization laryngoplasty 5 years ago. Gore-Tex extrusion resulted in stridor 5 years after the initial surgery. Endoscopic removal of the extruded implant is advised, if feasible, without the need for tracheostomy or transcervical approach. An update on current knowledge and management of implant extrusion or migration is discussed. How to cite this article: Nerurkar NK, Shukla SC. Stridor due to Bilateral Implant Migration 5 Years after Bilateral Medialization Laryngoplasty. Int J Phonosurg and Laryngol 2012;2(2):82-84.

scholarly journals Isolated Sphenoid Sinus Mucocele: A Rare Case and Review of Literature

2015 ◽  
Vol 49 (2) ◽  
pp. 91-93
Author(s):  
Karan Gupta ◽  
Satheesh Kumar Sunku
Keyword(s):  
Nasal Obstruction ◽  
Clinical Examination ◽  
Endoscopic Sinus Surgery ◽  
Sphenoid Sinus ◽  
Rare Case ◽  
Sinus Surgery ◽  
Review Of Literature ◽  
Postnasal Drip

ABSTRACT Isolated sphenoid sinus mucoceles are uncommon and difficult to diagnose clinically owing to the inaccessibility of the sphenoid sinus to clinical examination. A case of infected sphenoid sinus mucocele in which the patient complained of progressive nasal obstruction and postnasal drip without any other classical features of sphenoid sinus mucocele is discussed here. The pathology of mucocele and endoscopic sinus surgery as the treatment has been discussed in this article. How to cite this article Gupta K, Virk RS, Sunku SK. Isolated Sphenoid Sinus Mucocele: A Rare Case and Review of Literature. J Postgrad Med Edu Res 2015;49(2):91-93.

scholarly journals A Rare Case of Pseudoaneurysm of the Brachial Artery in Supracondylar Humerus Fracture

2021 ◽  
Vol 11 (6) ◽  
Author(s):  
Shrihari L Kulkarni ◽  
Manjunath S Daragad ◽  
Sunil Mannual ◽  
Yashwanth Krishna
Keyword(s):  
Brachial Artery ◽  
Rare Case ◽  
Saphenous Vein Graft ◽  
Vascular Complications ◽  
Humerus Fracture ◽  
Type I ◽  
Supracondylar Humerus Fracture ◽  
Fractures In Children ◽  
Pulsatile Mass ◽  
Supracondylar Humerus Fractures

Introduction: Supracondylar humerus fractures are very common fractures in children. About 10–14% are associated with vascular complications. We report a rare case of pseudoaneurysm of the brachial artery which was promptly detected in a well-perfused hand nearly 2 weeks after reduction and fixation. Case Report: A 10-year-old girl with Type I open supracondylar fracture of the left humerus (Modified Gartland Type 2) presented 2 weeks post-fixation with pulsatile mass in the elbow. Imaging revealed a pseudoaneurysm of brachial artery which was managed by excision and reconstruction using great saphenous vein graft. The fracture united uneventfully and the child made a full return to pre-fracture level of activity. Conclusion: The case highlights the occurrence of pseudoaneurysm of brachial artery, a rare complication seen few days or weeks after the injury, which coincides with the post-operative period in children managed by surgical fixation. This emphasizes the need for periodic monitoring of the neurovascular status of the children even after successful reduction and fixation. Keywords: Supracondylar humerus fracture, vascular complication, pseudoaneurysm.

scholarly journals A Rare Case of Congenital Methemoglobinemia with secondary polycythemia- Case Report and Literature Review

2019 ◽  
Vol 3 (01) ◽  
pp. 20-23
Author(s):  
Tasneem Ara ◽  
Qazi Smita Haque ◽  
Salma Afrose
Keyword(s):  
Skin Color ◽  
Rare Case ◽  
Heart Diseases ◽  
Final Diagnosis ◽  
Enzyme Deficiency ◽  
Type I ◽  
Methemoglobin Level ◽  
Hands And Feet ◽  
First Time

Congenital heart diseases are common cause of congenital cyanosis with polycythaemia. Congenital methemoglobinemia is a rare cause of lifelong cyanosis with polycythemia. Congenital methemoglobinemia is caused either by enzyme deficiency or by an abnormal Hb (Hb M). Asymptomatic despite presence of severe cyanosis indicates this rare disorder. We are reporting a rare case of polycythemia with cyanosis due to congenital methemoglobinemia. The patient was referred to our centre and attended Hematology OPD (out-patient department) when his routine CBC revealed erythrocytosis. At that time, we found him severely cyanosed especially apparent on lips, tongue, hands and feet. He was diagnosed as a case of congenital methemoglobinemia with 38% blood methemoglobin level (normal value-0.00-2.00%). On view of life long persistent cyanosis, without any cardiopulmonary and neurological abnormality, consanguinity of parent’s marriage, dark colored blood with high methemoglobin level, a final diagnosis of Type I enzyme deficiency congenital methemoglobinemia was made. He was treated with oral ascorbic acid 250 mg twice daily. At follow up after 6 months his skin color improved and RBC count returned to normal. We are reporting this case of congenital methemoglobinemia for the first time in Bangladesh to emphasize the importance of this rare entity in the differential diagnosis of asymptomatic cyanosis with polycythemia.

scholarly journals Practice Current: When do you order ancillary tests to determine brain death?

2018 ◽  
Vol 8 (3) ◽  
pp. 266-274 ◽  
Author(s):  
Nathaniel M. Robbins ◽  
James L. Bernat
Keyword(s):  
Brain Death ◽  
Clinical Examination ◽  
Online Survey ◽  
Mechanism Of Injury ◽  
Preliminary Results ◽  
Definition Of Death ◽  
Primary Mechanism ◽  
Brainstem Injury ◽  
Definition Of ◽  
Case Based

Brain death has been accepted as a legal definition of death in most countries, but practices for determining brain death vary widely. One source of variation is in the use of ancillary tests to assist in the diagnosis of brain death. Through case-based discussions with 3 experts from 3 continents, this article discusses selected aspects of brain death, with a focus on the use of ancillary tests. In particular, we explore the following questions: Are ancillary tests necessary, or is the clinical examination sufficient? What ancillary tests are preferred, and under which circumstances? Are ancillary tests required when the primary mechanism of injury is brainstem injury? Should the family's wishes play a role in the need for ancillary tests? The same case-based questions were posed to the rest of our readership in an online survey, the preliminary results of which are also presented.

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