Lumbrical Muscle Tear: Clinical Presentation, Imaging, Findings and Outcome

The incidence of lumbrical muscle tear is increasing due to the popularity of climbing sport. We reviewed data from 60 consecutive patients with a positive lumbrical stress test, including clinical examination, ultrasound and clinical outcomes in all patients, and magnetic resonance imaging in 12 patients. Fifty-seven patients were climbers. Lumbrical muscle tears were graded according to the severity of clinical and imaging findings as Grade I–III injuries. Eighteen patients had Grade I injuries (microtrauma), 32 had Grade II injuries (muscle fibre disruption) and 10 had Grade III injuries (musculotendinous disruption). The treatment consisted of adapted functional therapy. All patients completely recovered and were able to return to climbing. The healing period in Grade III injuries was significantly longer than in the patients with Grade I or II injuries ( p < 0.001). We recommend evaluation of specific clinical and imaging findings to grade the injuries and to determine suitable therapy. Level of evidence: IV

Download Full-text

Interstitial lung disease in infants: new classification system, imaging technique, clinical presentation and imaging findings

Pediatric Radiology ◽

10.1007/s00247-012-2524-x ◽

2012 ◽

Vol 43 (1) ◽

pp. 3-13 ◽

Cited By ~ 23

Author(s):

Edward Y. Lee

Keyword(s):

Interstitial Lung Disease ◽

Lung Disease ◽

Classification System ◽

Clinical Presentation ◽

Imaging Technique ◽

Imaging Findings ◽

New Classification

Download Full-text

Hyperdynamic portal hypertension (HPH): an overview of etiology, clinical presentation, imaging findings, and interventional treatment options

Journal of Vascular and Interventional Radiology ◽

10.1016/j.jvir.2014.12.412 ◽

2015 ◽

Vol 26 (2) ◽

pp. S153

Author(s):

A. Khosla ◽

S.P. Kalva ◽

A.K. Pillai

Keyword(s):

Portal Hypertension ◽

Clinical Presentation ◽

Treatment Options ◽

Interventional Treatment ◽

Imaging Findings

Download Full-text

Infrapatellar Fat Pad Impingement: A Systematic Review

The Journal of Knee Surgery ◽

10.1055/s-0037-1604447 ◽

2017 ◽

Vol 30 (07) ◽

pp. 639-646 ◽

Cited By ~ 1

Author(s):

Jason Genin ◽

Mhamad Faour ◽

Prem Ramkumar ◽

George Yakubek ◽

Anton Khlopas ◽

...

Keyword(s):

Systematic Review ◽

Knee Pain ◽

Anterior Knee Pain ◽

Clinical Presentation ◽

Infrapatellar Fat Pad ◽

Lateral Side ◽

Imaging Findings ◽

Fat Pad ◽

Knee Pathology ◽

Anterior Knee

AbstractInfrapatellar fat pad impingement represents a source of anterior knee pain that is often overlooked. Due to the scarcity of reports related to this disorder, we conducted a systematic review of the literature related to infrapatellar fat pad impingement in evaluating the following: (1) clinical presentation, (2) imaging, (3) management, and (4) clinical outcomes. A systematic review was conducted investigating all available primary literature related to the clinical presentation, imaging, management, and outcomes of infrapatellar fat pad impingement syndrome. A total of 15 studies (9 case reports, 1 case series, and 5 retrospective studies) comprising 167 patients met eligibility criteria for this review. Patients with infrapatellar fat pad impingement were found to most often present with anterior knee pain that worsened with activity, and was frequently associated with trauma. Anterior knee pain, tenderness to palpation over the patellar tendon, loss in terminal extension, and pain with direct pressure on the medial or lateral side of the patella with the knee extended was often found on examination. Although patients may have classic imaging findings on magnetic resonance imaging (localized edema of the infrapatellar fat pad, deep fluid-filled infrapatellar bursa, nonvisualization of clefts, fibrosis, and calcifications), not all patients had positive imaging findings, thus making infrapatellar fat pad impingement a clinical diagnosis. Treatment begins with nonoperative management, but in recalcitrant cases, patients can be surgically treated with arthroscopic fat pad resection. Most patients who undergo operative treatment report improvement or complete resolution of symptoms in terms of pain and range of motion, and are able to return to work. To the best of our knowledge, this is the first comprehensive review on infrapatellar fat pad impingement to better aid the orthopaedic surgeons in diagnosing, treating, and managing patient expectations for this often overlooked knee pathology.

Download Full-text

Left atrio-oesophageal fistula after atrial fibrillation ablation

BMJ Case Reports ◽

10.1136/bcr-2019-232508 ◽

2020 ◽

Vol 13 (12) ◽

pp. e232508

Author(s):

Vishesh Paul ◽

Rajamurugan Meenakshisundaram ◽

Abdur R Jamal ◽

Talha Bin Farooq

Keyword(s):

Atrial Fibrillation ◽

Clinical Presentation ◽

Surgical Repair ◽

Posterior Wall ◽

Cryoballoon Ablation ◽

Chest Imaging ◽

Imaging Findings ◽

Ablation Procedure ◽

Atypical Chest Pain ◽

Air Embolus

We report a case of a 68-year-old woman who presented with atypical chest pain and fluctuating neurological symptoms 4 weeks after cryoballoon ablation procedure for atrial fibrillation. Brain imaging showed multiple embolic infarcts, while the chest imaging revealed an abnormal connection between the posterior wall of the left atrium and the oesophagus. Based on her clinical presentation and the imaging findings, a diagnosis of left atrio-oesophageal fistula (AOF) was established. AOF carries a high mortality rate unless an urgent surgical repair is performed. Oesophageal instrumentation for an echocardiogram or endoscopy should be avoided as it can result in massive air embolus, causing stroke or death.

Download Full-text

Prostatic Localization of a Migrating Grass Awn Foreign Body in a Dog

Veterinary Sciences ◽

10.3390/vetsci7040192 ◽

2020 ◽

Vol 7 (4) ◽

pp. 192

Author(s):

Maria Chiara Marchesi ◽

Giulia Moretti ◽

Giovanni Angeli ◽

Francesco Birettoni ◽

Francesco Porciello ◽

...

Keyword(s):

Complete Resolution ◽

Clinical Presentation ◽

Clinical Signs ◽

Normal Activity ◽

Imaging Findings ◽

Mixed Breed ◽

Ultrasonographic Guidance ◽

The Right ◽

First Time ◽

Grass Awn

A 13-year-old male mixed-breed dog was examined because of hematuria and pyrexia. Ultrasonographic examination of the genitourinary tract showed the presence of a migrating grass awn in the right prostatic lobe. Laparotomy allowed, under ultrasonographic guidance, to remove entirely the migrating grass awn from the prostatic parenchyma. The recovery was uneventful and four months after the surgery the owner reported that the dog showed the complete resolution of the clinical signs and full return to normal activity. To our knowledge, this case report describes for the first time the clinical presentation, imaging findings, management and outcome for a dog with prostatic localization of a migrating grass awn.

Download Full-text