Complete distal deltoid muscle detachment: a case report

2020 ◽  
Author(s):  
Naji S. Madi ◽  
Rayane Issa ◽  
Youssef Koaik ◽  
Muhyeddine Al-Taki
Keyword(s):  
Traumatic Injury ◽  
Deltoid Muscle ◽  
Shoulder Function ◽  
Young Female ◽  
Surgical Reconstruction ◽  
Conservative Approach ◽  
Successful Management ◽  
First Case ◽  
Basic Functions ◽  
Musculoskeletal Examination

Abstract Background The deltoid is a large triangular muscle at the shoulder. It attaches proximally to the clavicle, acromion and scapula, while distally it attaches to the lateral deltoid tuberosity. Ruptures are rare, and the literature only reports cases of proximal detachment. In this article, we report the first case of distal traumatic deltoid muscle detachment and its successful management. Case A young female sustained a traumatic injury following a Jet Ski accident with loss of consciousness. A complete distal rupture of the deltoid muscle was diagnosed after the basic functions were regained and a thorough musculoskeletal examination could be conducted. A conservative approach helped her to regain an acceptable shoulder function, but there was persistent pain upon activity and cosmetic scarring. The patient underwent surgical reconstruction. Postoperatively, she recovered satisfactorily. Discussion Distal detachment of the deltoid muscle is rare. The choice for surgical treatment may be undertaken based on several factors including functional status and patient-based assessment.

scholarly journals Surgical reconstruction of the anterolateral acromion with a tricortical iliac crest bone graft after extensive acromioplasty

2021 ◽  
Author(s):  
Anna-K. Tross ◽  
Philip-C. Nolte ◽  
Markus Loew ◽  
Marc Schnetzke ◽  
Sven Lichtenberg
Keyword(s):  
Case Report ◽  
Bone Graft ◽  
Iliac Crest ◽  
Deltoid Muscle ◽  
Shoulder Surgery ◽  
Surgical Reconstruction ◽  
Iliac Crest Bone Graft ◽  
Subacromial Decompression ◽  
Arthroscopic Shoulder Surgery

AbstractSubacromial decompression is one of the most frequently performed procedures in the setting of arthroscopic shoulder surgery and typically includes acromioplasty. However, the indication for acromioplasty remains a subject of debate. Possible complications involve deltoid muscle insufficiency due to an excessive removal of the anterior acromion. This case report is intended to draw attention to this particular complication and its management.

scholarly journals Caudal Elbow Luxation in a Dog Managed by Temporary Transarticular External Skeletal Fixation

2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
K. Hamilton ◽  
S. Langley-Hobbs ◽  
C. Warren-Smith ◽  
K. Parsons
Keyword(s):  
Case Report ◽  
Soft Tissue ◽  
Closed Reduction ◽  
Road Traffic ◽  
Successful Management ◽  
Normal Gait ◽  
Elbow Luxation ◽  
First Case ◽  
Transarticular Fixation ◽  
Unusual Injury

This case report details a caudal unilateral traumatic elbow luxation in a 4-year-old male neutered Labrador following a road traffic trauma. This is a highly unusual injury in the dog. The pathogenesis and successful treatment by closed reduction followed by stabilisation with a temporary transarticular external skeletal fixator are discussed. The dog was assessed at 4 weeks and 6 months after surgery. Findings at 6 months after treatment demonstrated a normal gait with no pain or crepitation. A mild amount of soft tissue thickening around the elbow was noted. The range of motion of the elbow was limited to 45 degrees of flexion and 150 degrees of extension. This is the first case of a traumatic caudal luxation of the elbow in a dog described in the English veterinary literature and the first report of successful management of an elbow luxation in a dog by closed reduction and temporary transarticular fixation.

scholarly journals Evaluation of suprascapular nerve neurotization after nerve grafting or transfer in the treatment of brachial plexus traction lesions

2004 ◽  
Vol 16 (5) ◽  
pp. 1-13
Author(s):  
Martijn J. A. Malessy ◽  
Godard C. W. de Ruiter ◽  
Kees S. de Boer ◽  
Ralph T. W. M. Thomeer
Keyword(s):  
Brachial Plexus ◽  
Muscle Power ◽  
Nerve Transfer ◽  
Deltoid Muscle ◽  
Suprascapular Nerve ◽  
Shoulder Function ◽  
Axillary Nerve ◽  
Infraspinatus Muscle ◽  
Function Recovery ◽  
Grade 3

Object The aim of this retrospective study was to evaluate the restoration of shoulder function by means of supra-scapular nerve neurotization in adult patients with proximal C-5 and C-6 lesions due to a severe brachial plexus traction injury (BPTI). The primary goal of brachial plexus reconstructive surgery was to restore the biceps muscle function and, secondarily, to reanimate shoulder function. Methods Suprascapular nerve neurotization was performed by grafting the C-5 nerve in 24 patients and by accessory or hypoglossal nerve transfer in 29 patients. Additional neurotization involving the axillary nerve could be performed in 18 patients. Postoperative needle electromyography studies of the supraspinatus, infraspinatus, and deltoid muscles showed signs of reinnervation in most patients; however, active glenohumeral shoulder function recovery was poor. In nine (17%) of 53 patients supraspinatus muscle strength was Medical Research Council (MRC) Grade 3 or 4 and in four (8%) infraspinatus muscle power was Grade 3 or 4. In 18 patients in whom deltoid muscle reinnervation was attempted, MRC Grade 3 or 4 function was demonstrated in two (11%). In the overall group, eight patients (15%) exhibited glenohumeral abduction with a mean of 44 ± 17° (standard deviation [SD]) (median 45°) and four patients (8%) exhibited glenohumeral exorotation with a mean of 48 ± 24° (SD) (median 53°). In only three patients (6%) were both functions regained. Conclusions The reanimation of shoulder function in patients with proximal C-5 and C-6 BPTIs following supra-scapular nerve neurotization is disappointingly low.

scholarly journals Angiomyolipoma with caval extension and regional nodal involvement: Aggressive behaviour or just rare natural history? Case report and review of literature

2014 ◽  
Vol 8 (3-4) ◽  
pp. 276 ◽  
Author(s):  
Kamaljot Singh Kaler ◽  
Rebekah Rittberg ◽  
Darrel Edmond Drachenberg
Keyword(s):  
Renal Cell Carcinoma ◽  
Case Report ◽  
Natural History ◽  
Renal Cell ◽  
Young Female ◽  
Renal Angiomyolipoma ◽  
Review Of Literature ◽  
Nodal Involvement ◽  
Regional Lymph Nodes ◽  
First Case

Renal angiomyolipoma (AML) is predominantly a non-aggressive benign tumour. Cases of more aggressive AMLs are present in the literature. We present 2 cases of aggressive AML behaviour. The first case is an AML with vascular extension in a young female and the second case is of AML found in regional lymph nodes in a female with a left renal AML and renal cell carcinoma.

Timing of surgical reconstruction for closed traumatic injury to the supraclavicular brachial plexus

2014 ◽  
Vol 40 (6) ◽  
pp. 568-572 ◽  
Author(s):  
T.E.J. Hems
Keyword(s):  
Brachial Plexus ◽  
Clinical Outcomes ◽  
Experimental Work ◽  
Traumatic Injury ◽  
Surgical Reconstruction ◽  
Clinical Issues ◽  
Surgical Exploration ◽  
Review Articles ◽  
Surgical Options ◽  
Exact Timing

While it is widely accepted that cases of traumatic injury to the brachial plexus benefit from early surgical exploration and repair, with results deteriorating with long delays, policies vary regarding the exact timing of intervention. This is one of a pair of review articles considering the clinical issues, investigations, and surgical factors relating to management of injuries to the supraclavicular brachial plexus, as well as evidence from experimental work and clinical outcomes. In this article Mr Hems outlines when waiting may be advantageous, allowing for further investigation to help clarify the extent of the injury and thus the best surgical options.

Charcot foot

1989 ◽  
Vol 79 (5) ◽  
pp. 213-235 ◽  
Author(s):  
AS Banks ◽  
ED McGlamry
Keyword(s):  
Surgical Reconstruction ◽  
Charcot Foot ◽  
Successful Management ◽  
The Past ◽  
Recent Developments ◽  
Therapeutic Measures

Successful management of the Charcot foot is one of the most challenging undertakings faced by physicians. However, many times such patients undergo prolonged and attentive care only to develop further deformity, and in many cases succumb to amputation. Research in the past few years has yielded a new understanding of the Charcot process that should serve as the basis for improved therapeutic measures. The authors discuss these more recent developments and how this knowledge may be applied to better serve the patient. In addition, surgical reconstruction of the diabetic Charcot foot is introduced and discussed.

Esthetic Correction of Rotated Maxillary Central Incisor by Conservative Approach

2016 ◽  
Vol 7 (4) ◽  
pp. 217-220 ◽  
Author(s):  
Girish S Nanjannawar ◽  
Rupal B Gadodia ◽  
Sharad B Kamat ◽  
Rutuja Chopade
Keyword(s):  
Alveolar Bone ◽  
Anatomical Variation ◽  
Longitudinal Axis ◽  
Common Finding ◽  
Conservative Approach ◽  
Central Incisor ◽  
Successful Management ◽  
Functional Rehabilitation ◽  
Maxillary Central Incisor ◽  
Molar Region

ABSTRACT Tooth rotation is a dental anomaly of position, in which there is a displacement of the tooth within the alveolar bone around its longitudinal axis. Although it is a common finding in the premolar—molar region, rotations of the maxillary centrals are extremely rare and such aberrations are multifactorial in their origin. It is important to have a thorough understanding of such anatomical variation, which can cause occlusal and esthetic problems in patients, to alert the dental surgeons, so that they are well prepared to carry out esthetic and functional rehabilitation of the teeth involved. A successful management of 180° rotated maxillary left central incisor by conservative approach is described here. How to cite this article Nanjannawar GS, Gadodia RB, Kamat SB, Chopade R. Esthetic Correction of Rotated Maxillary Central Incisor by Conservative Approach. World J Dent 2016;7(4):217-220.

scholarly journals Intramucosal esophageal dissection after esophagogastroduodenoscopy: two case reports

2021 ◽  
pp. 198
Author(s):  
Keyword(s):  
Ct Scan ◽  
Subcutaneous Emphysema ◽  
Case Reports ◽  
Upper Gastrointestinal Endoscopy ◽  
Conservative Approach ◽  
First Case ◽  
Esophageal Dissection ◽  
Dental Arcade ◽  
Sharp Foreign Body ◽  
Upper Gastrointestinal

Introduction: Intramucosal esophageal dissection (IED) is an uncommon disorder, described as the separation of the mucosa and/or submucosa from deeper muscular layers due to abrupt increase in intraesophageal pressure. Case presentation: The first case il that of a 52 – years old female patient who underwent an esophagogastroduodenoscopy for control. After the procedure an extensive subcutaneous emphysema of the neck and a massive pneumomediastinum occurred. The patient was successfully treated with a conservative approach. The second case is that of a 43-years old male patient affected by Down’s Syndrome, who underwent an esopagogastroduodenoscopy because of persisting dysphagia. The endoscopic showed the presence of a serrated stricture at 20 centimeters from dental arcade. After the procedure he fell dysphagia. A neck-chest TC-SCAN showed superior and posterior pneumomediastinum and subcutaneous emphysema, without signs of mediastinitis. The patient was successfully treated with conservative approach. After a few days, a new chest CT-SCAN showed the presence of an anomalous right subclavian artery arising from the descending part of the aortic arch, causing dysphagia lusoria. Discussion: The causes of IED include iatrogenic instrumentation, hemostatic applications, mucosal injuries from ingestion of sharp foreign body, or spontaneous. A fluoroscopic upper gastrointestinal series or upper gastrointestinal endoscopy has been widely used to diagnose IED. CT and magnetic resonance are useful for differential diagnosis. In the absence of signs of mediastinitis management is conservative. Conclusion: CT SCAN should be the first exam to perform in the suspicion of IED. The first line treatment should be conservative. In case of the onset of complications and in patients who are refractory to conservative management, endoscopic or surgical treatment are indicated.

scholarly journals Inside the lungs of COVID-19 disease

2020 ◽  
Author(s):  
Diego Aguiar ◽  
Johannes Alexander Lobrinus ◽  
Manuel Schibler ◽  
Tony Fracasso ◽  
Christelle Lardi
Keyword(s):  
Interstitial Pneumonia ◽  
Diffuse Alveolar Damage ◽  
Medical Intervention ◽  
Young Female ◽  
Forensic Autopsy ◽  
Lung Pathology ◽  
Natural Evolution ◽  
First Case ◽  
Lung Histology ◽  
Few Data

Abstract In the setting of COVID-19 pandemic, only few data regarding lung pathology induced by SARS-CoV-2 is available, especially without medical intervention interacting with the natural evolution of the disease. We present here the first case of forensic autopsy of a COVID-19 fatality occurring in confinement and in a young female. Diagnosis was made at necropsy and lung histology revealed diffuse alveolar damage, edema and interstitial pneumonia with a geographically heterogeneous pattern, affecting mostly central part of the lungs. This death related to COVID-19 pathology highlights the heterogeneity and severity of central lung lesions when the disease naturally evolves.

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