Migration of Kirschner Wires after Surgical Stabiliziation of Shoulder Injuries - Four Case Reports

Swiss Surgery ◽  
1999 ◽  
Vol 5 (6) ◽  
pp. 281-287 ◽  
Author(s):  
Schindele ◽  
Hackenbruch ◽  
Sutter ◽  
Schärer ◽  
Leutenegger
Keyword(s):  
Case Reports ◽  
Shoulder Injuries ◽  
Kirschner Wires ◽  
Klinische Symptome

Häufige Frakturen im Bereich der Schulter betreffen je nach Alter die Clavicula oder den proximalen Humerus. Die Indikation zur operativen Stabilisierung ist bei Luxationsfrakturen des lateralen Claviculaendes und bei instabilen und dislozierten Frakturen des proximalen Humerus grosszügig zu stellen. Werden Kirschner-Drähte zur Osteosynthese eingesetzt muss in hohem Masse mit Drahtwanderungen oder Drahtbrüchen gerechnet werden. In mehreren Fällen wird in der Literatur auf diese Komplikation hingewiesen. Anhand von vier Fallbeispielen möchten wir Ursachen und technische Voraussetzungen aufzeigen, die bei dieser operativen Variante zu lebensbedrohlichen Komplikationen durch eine sekundäre Migration führen können. Dies unter Umständen nach Jahren und ohne klinische Symptome. Die Indikation zur Kirschnerdraht-Osteosynthese muss vor allem bei vorliegender Osteoporose zurückhaltend gestellt werden. Regelmässige Kontrollen in der postoperativen Phase werden empfohlen, die Entfernung der Drähte sollte bei konsolidierter Fraktur frühzeitig geplant werden.

Management of Shoulder Injuries Using Dry Needling in Elite Volleyball Players

2010 ◽  
Vol 28 (1) ◽  
pp. 42-45 ◽  
Author(s):  
Nichola J Osborne ◽  
Ian T Gatt
Keyword(s):  
Myofascial Pain ◽  
Trigger Point ◽  
Short Form ◽  
Case Reports ◽  
Mcgill Pain Questionnaire ◽  
Shoulder Injuries ◽  
Dry Needling ◽  
Short Term ◽  
Range Of Movement ◽  
Myofascial Trigger Points

These case reports describe the short-term benefits of dry needling in shoulder injuries in four international female volleyball athletes during a month-long intense competitive phase, using both replicable subjective and objective measures. Dry needling of scapulohumeral muscles was carried out. Range of movement, strength and pain were assessed before and after treatment, with a functional assessment of pain immediately after playing and overhead activity, using the short form McGill Pain Questionnaire. All scores were improved post-treatment and athletes were able to continue overhead activities. Previous studies have suggested that myofascial trigger points may cause significant functional weakness and reduced range of motion, with referred pain. Trigger point dry needling has been successful in treating athletes with myofascial pain and impingement symptoms but with only subjective improvement and not during a competitive phase. These cases support the use of dry needling in elite athletes during a competitive phase with short-term pain relief and improved function in shoulder injuries. It may help maintain rotator cuff balance and strength, reducing further pain and injury.

scholarly journals Shoulder Injuries in Boxing. A systematic Review.

2021 ◽  
Author(s):  
Zeitler Cornelia ◽  
Irene Steiner ◽  
Breuer Robert ◽  
Rainer Fiala ◽  
Rolf Michael Krifter
Keyword(s):  
Systematic Review ◽  
Case Reports ◽  
Specific Information ◽  
Shoulder Injuries ◽  
Shoulder Injury ◽  
Long Term Effects ◽  
Cross Sectional ◽  
Injury Rates ◽  
Amateur Athletes ◽  
Shoulder Pathologies

Abstract Background: High injury rates are to be expected in combat sports. Although case reports and epidemiological studies have documented shoulder injuries in boxers, numbers differ and there is currently no systematic review reporting injury prevalence. Purpose: The aim of this study was to offer an analysis of existing studies documenting shoulder injuries in boxing. Additionally, we wanted to evaluate, if chronic shoulder pathologies seen in former boxers, originate from acute injuries or result from chronic overuse syndromes.Study Design: Systematic ReviewMethods: We performed a systematic database research according to the PRISMA guidelines on PubMed, Scopus and Google Scholar for the keywords “boxing”, “injury” and “shoulder” or their respective synonyms. Any epidemiological cohort- and cross-sectional studies on boxing, that documented shoulder injuries and were published in German or English language up to January 2020, were included. Statistical analysis including individual and overall proportion with 95% Clopper-Pearson confidence intervals was performed to determine shoulder injury rates for amateur and professional cohorts separately.Results: Methodological quality was assessed using the STROBE statement and a modified Downs&Black's checklist. 13 studies were included, 10 of which met the criteria for statistical analyses. The heterogeneity in study design and cohort characteristics did not allow for detailed quantitative analysis. Overall, shoulder injuries occurred almost twice as often in amateur athletes than in professionals (overall proportion [95% CI]: amateur athletes: 9% [6%; 12%], professionals: 4% [2%; 8%]).Conclusion: No study investigating the long-term effects of boxing on shoulder pathologies was identified. Although specific information on injury type is mostly missing, the few studies addressing it report shoulder dislocations, strains, tendonitis, or chronic impingement syndromes. Unlike head trauma, shoulder injuries do not necessarily lead to cessation of fight, therefore at the ringside gross underreporting of shoulder pathologies must be taken into consideration.

scholarly journals Der querschnittgelähmte Patient – Besonderheiten der viszeralchirurgischen Diagnostik und Therapie

Der Chirurg ◽  
2021 ◽  
Author(s):  
Julia Seifert ◽  
Ralf Boethig ◽  
Stefan Wolter ◽  
Jakob R. Izbicki ◽  
Roland Thietje ◽  
...  
Keyword(s):  
Case Reports ◽  
Cochrane Library ◽  
Klinische Symptome ◽  
Akute Appendizitis ◽  
Diagnostik Und Therapie ◽  
Klinische Behandlung

Zusammenfassung Hintergrund Patienten mit einer Querschnittlähmung entwickeln syndromspezifische, viszeralchirurgisch relevante Krankheitsbilder, die im Rahmen des akuten spinalen Schocks auftreten können oder Folge der zumeist progredienten neurogenen Darmfunktionsstörung (NBD) mit Ausbildung eines Colon elongatum und/oder Megakolons sind. Auch die akuten abdominalchirurgischen Notfälle, wie akute Appendizitis, Cholezystitis, Divertikultis oder Ileusbilder, stellen den Kliniker bei untypischer oder teils fehlender Klinik vor diagnostische und therapeutische Herausforderungen. Einen zunehmenden Stellenwert nimmt die Ausweitung adipositaschirurgischer Indikationen auf Patienten mit einer Querschnittlähmung ein Ziel der Arbeit Dieser Artikel soll einen Überblick über die speziellen Anforderungen und Aspekte in der Behandlung dieses speziellen Patientenkollektivs geben und die Evidenz querschnittspezifischer viszeralchirurgischer Behandlungen aufzeigen. Material und Methoden Es wurde eine selektive Literaturrecherche in den Datenbanken Medline und Cochrane Library in deutscher und englischer Sprache (1985–2020) durchgeführt. Ergebnisse und Diskussion Die klinische Behandlung querschnittgelähmter Patienten erfordert einen profunden Kenntnisstand über die pathophysiologischen Veränderungen bei unterschiedlicher Querschnitthöhe (oberes vs. unteres motorisches Neuron) und die Phasen der Erkrankung (spinaler Schock vs. Langzeitverlauf). Fehlende oder atypische klinische Symptome akuter Erkrankungen verzögern eine rasche Diagnosefindung und machen eine frühzeitige Durchführung gezielter Diagnostik unabdingbar. Die Evidenz der chirurgischen Behandlung der akuten und chronischen Folgen der NBD ist gering und basiert auf Fallserien und „case reports“ ebenso wie die für spezielle Indikationen wie adipositaschirurgische Eingriffe.

scholarly journals Arthroscopic Treatment of Translunate Perilunate Injuries, Not Dislocated (PLIND)

2018 ◽  
Vol 08 (02) ◽  
pp. 143-146 ◽  
Author(s):  
Guillaume Herzberg ◽  
Maxime Cievet-Bonfils ◽  
Marion Burnier
Keyword(s):  
Internal Fixation ◽  
Case Reports ◽  
Acute Stage ◽  
Arthroscopic Treatment ◽  
Computed Tomography Scan ◽  
Kirschner Wires ◽  
Pattern Of Injury ◽  
Arthroscopic Reduction ◽  
Tomography Scan

Background Translunate perilunate dislocations were recently described as well as perilunate injuries, not dislocated (PLIND). The authors present a case of transradial styloid, translunate PLIND which sustained a full arthroscopic reduction and internal fixation. Case Description A 33-year-old man sustained a transradial styloid, translunate PLIND due to a fall from a truck with his wrist in hyperextension. The diagnosis was made at the acute stage. Full arthroscopic reduction and internal fixation with Kirschner wires was performed, followed by a 6 weeks' immobilization period. Uneventful healing of both the lunate and radial styloid were observed at 6 weeks and confirmed with a computed tomography scan. At 4 years of follow-up, the Lyon wrist score was 78% (good). Literature Review Very few lunate fractures are described in the literature. Translunate perilunate dislocations were recently described as well as PLIND. To the best of the authors' knowledge, a case of transradial styloid, translunate PLIND which sustained a full arthroscopic reduction and internal fixation has never been reported so far. Clinical Relevance This case reports a unique pattern of transradial styloid, translunate PLIND and outlines the usefulness of a full arthroscopic treatment. An open reduction for this pattern of injury would have been extensive, difficult, and probably unreliable.

Case Reports Link ADHD Stimulants to Skin Eruptions

2011 ◽  
Vol 45 (12) ◽  
pp. 10
Author(s):  
SHERRY BOSCHERT
Keyword(s):  
Case Reports

Acute Shoulder Injuries Require a Range of Approaches

2011 ◽  
Vol 45 (3) ◽  
pp. 37
Author(s):  
LAIRD HARRISON
Keyword(s):  
Shoulder Injuries

Bowel ischaemia after endovascular aneurysm repair

VASA ◽  
2018 ◽  
Vol 47 (4) ◽  
pp. 273-277
Author(s):  
Christopher Lowe ◽  
Oussama El Bakbachi ◽  
Damian Kelleher ◽  
Imran Asghar ◽  
Francesco Torella ◽  
...  
Keyword(s):  
Case Reports ◽  
Endovascular Aneurysm Repair ◽  
Artery Occlusion ◽  
Bibliographic Databases ◽  
Bowel Ischaemia ◽  
Prophylactic Measures ◽  
Increased Risk ◽  
Prisma Statement ◽  
Meta Analyses ◽  
Aneurysm Repair

Abstract. The aim of this review was to investigate presentation, aetiology, management, and outcomes of bowel ischaemia following EVAR. We present a case report and searched electronic bibliographic databases to identify published reports of bowel ischaemia following elective infra-renal EVAR not involving hypogastric artery coverage or iliac branch devices. We conducted our review according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement standards. In total, five cohort studies and three case reports were included. These studies detailed some 6,184 infra-renal elective EVARs, without procedure-related occlusion of the hypogastric arteries, performed between 1996 and 2014. Bowel ischaemia in this setting is uncommon with an incidence ranging from 0.5 to 2.8 % and includes a spectrum of severity from mucosal to transmural ischaemia. Due to varying reporting standards, an overall proportion of patients requiring bowel resection could not be ascertained. In the larger series, mortality ranged from 35 to 80 %. Atheroembolization, hypotension, and inferior mesenteric artery occlusion were reported as potential causative factors. Elderly patients and those undergoing prolonged procedures appear at higher risk. Bowel ischaemia is a rare but potentially devastating complication following elective infra-renal EVAR and can occur in the setting of patent mesenteric vessels and hypogastric arteries. Mortality ranges from 35 to 80 %. Further research is required to identify risk factors and establish prophylactic measures in patients that have an increased risk of developing bowel ischaemia after standard infra-renal EVAR.

Cannabis-associated arteritis

VASA ◽  
2010 ◽  
Vol 39 (1) ◽  
pp. 43-53 ◽  
Author(s):  
Grotenhermen
Keyword(s):  
Systematic Review ◽  
Case Reports ◽  
Case Series ◽  
Cardiovascular Effects ◽  
Causative Factor ◽  
Cannabis Use ◽  
Thromboangiitis Obliterans ◽  
Pathological Features ◽  
Scientific Support ◽  
Clinical And Pathological Features

Background: To investigate the hypothesis that cases of arteritis similar to thromboangiitis obliterans (TAO) and associated with the use of cannabis were caused by cannabis or THC (dronabinol), or that cannabis use is a co-factor of TAO. Patients and methods: A systematic review on case reports and the literature on so-called cannabis arteritis, TAO, and cardiovascular effects of cannabinoids was conducted. Results: Fifteen reports with 57 cases of an arteritis associated with the use of cannabis and two additional case series of TAO, in which some patients also used cannabis, were identified. Clinical and pathological features of cannabis-associated arteritis do not differ from TAO and the major risk factor of TAO, tobacco use, was present in most, if not in all of these cases. The proposed pathophysiological mechanisms for the development of an arteritis by cannabis use are not substantiated. Conclusions: The hypothesis of cannabis being a causative factor or co-factor of TAO or an arteritis similar to TAO is not supported by the available evidence. The use of the term “cannabis arteritis” should be avoided until or unless more convincing scientific support is forthcoming.

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