scholarly journals Clinical and Anatomical Aspects of Anterior Dislocation of the Pisiform Bone

2019 ◽  
Vol 36 (02) ◽  
pp. 134-137 ◽  
Author(s):  
Carlos Romualdo Rueff-Barroso ◽  
Fernanda Vieira Botelho Delpupo ◽  
Valéria Paula Sassoli Fazan ◽  
Sérgio Ricardo Rios Nascimento ◽  
Lerud Frosi Nunes ◽  
...  
Keyword(s):  
Rare Condition ◽  
Anterior Dislocation ◽  
Complete Disappearance ◽  
Flexor Carpi Ulnaris ◽  
Slight Limitation ◽  
Chronic Dislocation ◽  
Anatomy Knowledge ◽  
Plaster Immobilization ◽  
Dorsal Flexion ◽  
Pisiform Bone

Introduction The pisiform bone is the fourth bone of the proximal row of the carpal bones, and it is located in the tendon of the flexor carpi ulnaris muscle, being considered a sesamoid bone. Traumatic dislocation of the pisiform bone is a rare condition, which usually results from a trauma in dorsal flexion of the wrist. Its treatment can be conservative or surgical, ending or not with the removal of the pisiform bone. Objective To report a case of a child who fell from his own height and presented wrist pain, diagnosed with dislocation of the pisiform bone. We emphasize the importance of anatomy knowledge in the evaluation of wrist trauma. Case Report The anamnesis confirmed that the fall occurred with the wrist in hyperextension. The physical examination showed a slight limitation of movement due to pain. Radiographic exams and a computed tomography (CT) scan of the wrist were performed, in which an anterior deviation/luxation of the pisiform bone was evidenced. A conservative treatment with plaster immobilization for analgesia was performed for 1 week. As there were no symptoms and no signs of trauma consistent with the images, such as edema and local ecchymosis, in addition to the early complete disappearance of pain, the responsible team proposed the hypothesis of asymptomatic chronic dislocation of the pisiform bone. Conclusion Imaging exams in orthopedic traumatology are fundamental for an accurate diagnosis. Nevertheless, they must be associated with knowledge of the anatomy to correlate the image findings with the anamnesis, leading to a better understanding of silent, asymptomatic, and preexisting conditions in the clinical practice.

A Case of Acquired Idiopathic Hemophilia Successfully Treated with Immunosuppressive Drugs and Factor VIII Concentrates

1996 ◽  
Vol 2 (3) ◽  
pp. 222-223 ◽  
Author(s):  
Alessandro Bucalossi ◽  
Giuseppe Marotta ◽  
Franco De Regis ◽  
Piero Galieni ◽  
Egidio Dispensa
Keyword(s):  
Factor Viii ◽  
Therapeutic Strategy ◽  
Rare Condition ◽  
Immunosuppressive Drugs ◽  
Complete Disappearance ◽  
Acquired Hemophilia ◽  
Number Of Patients ◽  
Life Threatening ◽  
Factor Viii Concentrates ◽  
Definition Of

The appearance of circulating factor VIII:C (FVIII:C) inhibitors in nonhemophilic patients represents a rare condition characterized by spontaneous and often life-threatening bleeding. We describe a patient with ac quired idiopathic hemophilia in whom immunosuppres sive therapy associated with human FVIII infusion deter mined a prompt and complete disappearance of the inhib itor. Given the very low number of patients with acquired hemophilia and the lack of prospective randomized clin ical trials published, we hope to contribute to a better definition of the therapeutic strategy in these patients.

ULTRASONOGRAPHIC FINDINGS IN CUBITAL TUNNEL SYNDROME CAUSED BY A CUBITUS VARUS DEFORMITY

Hand Surgery ◽  
2011 ◽  
Vol 16 (03) ◽  
pp. 233-238 ◽  
Author(s):  
H. Shimizu ◽  
M. Beppu ◽  
T. Arai ◽  
H. Kihara ◽  
K. Izumiyama
Keyword(s):  
Ulnar Nerve ◽  
Nerve Palsy ◽  
Varus Deformity ◽  
Anterior Dislocation ◽  
Fibrous Band ◽  
Cubitus Varus ◽  
Ulnar Nerve Palsy ◽  
Flexor Carpi Ulnaris ◽  
Operative Findings ◽  
Proximal Border

We have retrospectively reviewed the clinical, preoperative ultrasonographic, and operative findings of eight patients who had tardy ulnar nerve palsy caused by a cubitus varus deformity. The mean varus angle on the affected side was 23°. With preoperative ultrasonography, the anterior dislocation of the ulnar nerve from the medial epicondyle was detected in dynamic scanning of short-axis images, and long-axis images revealed nerve compression and kinking in the proximal border of the flexor carpi ulnaris. Operative findings revealed compression of the ulnar nerve by a fibrous band, which was released in all cases. The cause of the tardy ulnar nerve palsy in this series of patients was constriction by a fibrous band and kinking in the proximal border of the flexor carpi ulnaris due to ulnar nerve dislocation from compression resulting from the forward movement of the medial head of the triceps brachii muscle.

scholarly journals Surgical Management of Chronic Bilateral Condylar Dislocation

2017 ◽  
Vol 2 (1) ◽  
pp. 41-43
Author(s):  
Sunil Sharma ◽  
Punit Chitlangia ◽  
Dinesh C Sharma ◽  
Amit  
Keyword(s):  
Surgical Management ◽  
Treatment Options ◽  
Mandibular Condyle ◽  
Complete Separation ◽  
Anterior Dislocation ◽  
Abnormal Position ◽  
Articular Surfaces ◽  
Chronic Dislocation ◽  
Relationship Of ◽  
Anatomic Relationship

ABSTRACT Dislocation is the complete separation of the articular surfaces of a joint and fixation in an abnormal position. In case of mandibular dislocation, the normal anatomic relationship of the mandibular condyle with the glenoid fossa disrupts and condyle seats in an unfavorable position which is mostly anterior. Dislocation can be of acute and chronic subtypes. Acute dislocation is once in a lifetime event, but chronic dislocations are painful and distressing to the patient. There are various nonsurgical and surgical treatment options available in the literature but the most sought after method is eminectomy. A case of chronic dislocation treated surgically with eminectomy is reported here. How to cite this article Sharma DC, Sharma S, Chitlangia P, Amit. Surgical Management of Chronic Bilateral Condylar Dislocation. J Mahatma Gandhi Univ Med Sci Tech 2017;2(1):41-43.

Avascular Necrosis of the Pisiform

2006 ◽  
Vol 31 (4) ◽  
pp. 453-454 ◽  
Author(s):  
L. A. GARCIA ◽  
J. B. VACA
Keyword(s):  
Avascular Necrosis ◽  
Rare Condition ◽  
Pisiform Bone

Avascular necrosis of the pisiform bone is a very rare condition. This paper reports a case and discusses this pathology and its diagnosis.

scholarly journals Neglected Posterior Knee Dislocation: An Unusual Case Report

Joints ◽  
2017 ◽  
Vol 05 (04) ◽  
pp. 253-255 ◽  
Author(s):  
Francesco Leonardi ◽  
Alessandra Zorzan ◽  
Augusto Palermo ◽  
Luigi Molfetta
Keyword(s):  
Unusual Case ◽  
Rare Condition ◽  
Knee Dislocation ◽  
Neurovascular Compression ◽  
Secondary Damage ◽  
Patient’S Autonomy ◽  
Late Sequela ◽  
Chronic Dislocation ◽  
Posterior Knee ◽  
Unusual Case Report

AbstractChronic dislocation of the knee is a rare condition due to a diagnostic mistake during emergency assessment. Usually, dislocation obliges the surgeon to carry out a broad assessment, with vascular and neurological examination, and a thorough assessment of joint injuries. The immediate and stable closed reduction can resolve neurovascular compression. The most serious late sequela is joint instability with impairment of ambulation and patient's autonomy. Treatment of neglected knee dislocation is surgical, that is, arthrodesis or arthroplasty, the latter representing the treatment of choice. The case described herein appears unique because of the clinical and radiographic features. Interestingly, over the years, the neurovascular bundle has inadvertently adapted to the posterior femur displacement without secondary damage.

scholarly journals Isolated dislocation of the pisiform bone in a 10-year-old boy

2019 ◽  
Vol 147 (3-4) ◽  
pp. 223-225
Author(s):  
Sinisa Ducic ◽  
Nikola Bojovic ◽  
Vladimir Radlovic ◽  
Goran Djuricic ◽  
Bojan Bukva
Keyword(s):  
Closed Reduction ◽  
Pediatric Population ◽  
Rare Condition ◽  
Plaster Cast ◽  
Clinical Findings ◽  
Carpal Bone ◽  
Cast Immobilization ◽  
Rare Injury ◽  
Volar Aspect ◽  
Pisiform Bone

Introduction. Isolated dislocation of the pisiform bone is a very rare condition due to robust ligamentous attachments that stabilize the pisiform to the carpus. This type of injury is usually a result of direct trauma to the ulnar and volar aspect of the wrist. Case outline. We present an isolated dislocation of the pisiform, with no other carpal bone injuries, treated successfully with closed reduction. Diagnosis was based on clinical findings, plain radiographs, and computer tomography examination of the wrist. Elongation and partial rupture of the pisometacarpal ligament was found on magnetic resonance imaging. Conclusion. Fracture and dislocation of the pisiform is an extremely rare injury in children, which could be easily neglected or misdiagnosed. Closed reduction with plaster cast immobilization should always be considered as the first method of treatment in the pediatric population, since the conservative approach provides excellent results.

scholarly journals Tuberculous retropharyngeal abscess presenting as severe dyspnea

2020 ◽  
Vol 6 (10) ◽  
pp. 1891
Author(s):  
Cheikh Ahmedou Lame ◽  
Birame Loum ◽  
Cheikhna Ba Ndiaye ◽  
Sagar Diop ◽  
Moustapha Diop ◽  
...  
Keyword(s):  
Infectious Disease ◽  
Computed Tomography ◽  
Rare Condition ◽  
Retropharyngeal Abscess ◽  
Anterior Dislocation ◽  
Acute Dyspnea ◽  
Spinal Stabilization ◽  
Life Threatening ◽  
Infectious Disease Specialists ◽  
Functional Morbidity

<p>Tuberculous retropharyngeal abscess is an exceptional condition, with high potential of functional morbidity and mortality if not treated appropriately. The authors report a new case of airway obstructive retropharyngeal abscess revealing cervical Pott disease. A 59 years old man presented at Ear, neck and throat (ENT) department with severe acute dyspnea. The history revealed progressive chronic dysphagia associated with asthenia and important weight loss. Physical examination found a state 3 dyspnoeic patient, presenting hyper flexed neck with limited movements. Nasofibroscopy showed a huge retropharyngeal bulge. Computed tomography (CT) scan showed a large retropharyngeal abscess located in front of vertebral spondylodiscitis with anterior dislocation of C4-C5-C6 vertebrae. Trans-oral incision with drainage of the retropharyngeal abscess was performed under general anaesthesia. Bacteriologic assessment of the pus confirmed tuberculosis infection. Anti-tuberculous medication was delivered, associated with spinal stabilization by a rigid cervical collar. Tuberculous retropharyngeal abscess is a very rare condition. Early diagnosis and treatment are necessary to prevent neurological and life-threatening complications. Collaboration between ENTs, anaesthetists, neurosurgeons and infectious disease specialists remains incontournable.</p>

Synergistic divergence: case series and literature review

2017 ◽  
Vol 102 (7) ◽  
pp. 892-901 ◽  
Author(s):  
Ahmed Awadein ◽  
Rasha Hamdallah Zedan
Keyword(s):  
Literature Review ◽  
Demographic Data ◽  
Case Series ◽  
Rare Condition ◽  
Lateral Rectus ◽  
Medial Rectus ◽  
Complete Disappearance ◽  
Primary Position ◽  
Orbital Wall ◽  
The Mean

BackgroundTo present the data of a series of patients with synergistic divergence, to propose a different modality of surgical correction and to perform a literature review of such a rare entity.MethodsA retrospective study was performed on all patients who presented with unilateral or bilateral synergistic divergence to the Ophthalmology Department, Cairo University, during the period from January 2007 to July 2016. The demographic data, the results of sensorimotor examination, the surgical procedures performed and the ophthalmological as well as the systemic findings of all patients were collected and tabulated. PubMed was searched for patients with features of synergistic divergence.ResultsThirteen patients with features of synergistic divergence were identified. The mean age of the patients was 8.9±10.1 years (range 1–40 years). Only one case was orthotropic in the primary position. Lateral rectus orbital wall fixation combined with 8–10 mm medial rectus resection was done in 10 patients. The mean follow-up was 6.6±7.7 months. Exotropia was significantly reduced in all patients. All patients had complete disappearance of synergistic divergence after surgery. A total of 78 patients with features of synergistic divergence were identified from PubMed. Surgery was done for 37 patients. Synergistic divergence disappeared in patients who had lateral rectus extirpation or orbital wall fixation.ConclusionSynergistic divergence is a challenging rare condition. We propose that lateral rectus orbital wall fixation combined with medial rectus resection both improves the alignment in primary position and eliminates the synergistic divergence in such patients.

scholarly journals Isolated Axillary Nerve Injury following a Blunt Trauma

2020 ◽  
Vol 18 (2) ◽  
Author(s):  
Muhammad Fawwaz Ramli ◽  
Muhammad Wafiuddin ◽  
Mahyuddin Mohamed
Keyword(s):  
Blunt Trauma ◽  
Nerve Injury ◽  
Rare Condition ◽  
Deltoid Muscle ◽  
Axillary Nerve ◽  
Sensory Loss ◽  
Anterior Dislocation ◽  
Long Head ◽  
The Right ◽  
Complication Of Surgery

Introduction: Axillary nerve supplies deltoid muscle long head of triceps and teres minor in the arm and supply regimental batch area over the inferior part of shoulder. Anterior dislocation of shoulder, latrogenic injury to the nerve during shouder injection and brachial plexus injury can cause axillary nerve injury. Case report: We report a rare case of isolated axillary nerve injury in a 20 year old lady. She was admitted following a low speed fall from motorcycle and sustain abrasion wound over the right side of the face and shoulder. There was no direct or tractional injury to the shoulder during the incidence.During admission she complaint of progressive right shoulder weakness with MRC power of 2 and sensory loss over regimental patch area. On examination there was no tenderness to the shoulder area or neck and she was unable to abduct her right shoulder with full passive range of motion. Patient was subjected to nerve conduction study four months later and revealed slower sensory conduction and deltoid muscle amplitude decreased compared the left side. At 7 months post trauma she is recovering with deltoid power of 4 after multiple physiotherapy session. Isolated axillary nerve injury following a blunt trauma is a rare condition with multiple reported cases showed poor recovery. One should wait for regeneration of nerves to complete before offering any surgical intervention to the patient. As in our case, patient showed remarkable improvement after seven months with conservative management thus avoiding the complication of surgery.

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