scholarly journals Arthroscopic Resection of Wrist Scaphotrapeziotrapezoidal (STT) Joint Ganglia

2020 ◽  
Vol 09 (05) ◽  
pp. 440-445
Author(s):  
Ho Lam Chai ◽  
Cabello Álvaro Pérez ◽  
Wai Ping Fiona Yu ◽  
Pak Cheong Ho
Keyword(s):  
Literature Review ◽  
Local Anesthesia ◽  
Gold Standard ◽  
Clinical Relevance ◽  
Case Description ◽  
Portal Site ◽  
The Past

Abstract Background Volar wrist ganglion is the second most common wrist mass and accounts for 20% of all cases. Surgery is the gold standard for persistent and symptomatic ganglia. Arthroscopic resection has gained popularity in the past two decades. Application of this technique to ganglia in less accessible locations, such as the scaphotrapeziotrapezoidal (STT) joint, however, remains controversial. Case Description To date, no literature has described using the STT -ulnar (STT-u) and STT -radial (STT-r) joint portals for ganglionic resection. Literature Review In this report, two cases of arthroscopic ganglionic resection utilizing the STT-u and STT-r joint portals at our institution were described. Clinical Relevance Arthroscopic resection of STT joint ganglion under portal site local anesthesia is a technically feasible, safe, and effective approach. There was no recurrence observed for both cases at 50 months of follow-up.

Comments on a case of ureteropelvic junction obstruction with late progression in an adult female

2021 ◽  
Vol 88 (3) ◽  
pp. 247-250
Author(s):  
Carlo Gandi ◽  
Angelo Totaro ◽  
Riccardo Bientinesi ◽  
Emilio Sacco
Keyword(s):  
Renal Function ◽  
Natural History ◽  
Conservative Treatment ◽  
Gold Standard ◽  
Ureteropelvic Junction Obstruction ◽  
Ureteropelvic Junction ◽  
Case Description ◽  
Diuretic Renogram ◽  
History Of

Introduction: Ureteropelvic junction obstruction is a pathology typically diagnosed in childhood. Nevertheless, some clinically silent cases may be unnoticed until adulthood. Case description: We report the case of a 53-year-old female with hydronephrosis due to ureteropelvic junction stenosis diagnosed in the adulthood, who subsequently developed obstruction with progressive worsening of renal function without symptoms. Conclusion: The natural history of ureteropelvic junction obstruction is still obscure. Diuretic renogram is the gold standard for diagnosis and follow-up of ureteropelvic junction obstruction, but is weak in predicting the evolution of the disease, especially in patients with vague symptoms. Conservative treatment of adult patient with equivocal ureteropelvic junction obstruction seems reasonable, but requires a close clinical follow-up and strict patient compliance in order to promptly identify significant obstruction.

scholarly journals The Suction Test: A Novel Technique to Identify and Verify Successful Repair of Peripheral Triangular Fibrocartilage Complex Tears

2017 ◽  
Vol 06 (04) ◽  
pp. 334-335 ◽  
Author(s):  
Ryan Greene ◽  
Sanjeev Kakar
Keyword(s):  
Literature Review ◽  
Clinical Relevance ◽  
Triangular Fibrocartilage Complex ◽  
Case Description ◽  
Arthroscopic Technique ◽  
Novel Technique ◽  
Triangular Fibrocartilage ◽  
The Subject ◽  
Successful Repair

Background The diagnoses of peripheral triangular fibrocartilage complex (TFCC) tears continue to be the subject of numerous investigations. Case Description We describe a novel arthroscopic technique that may be used as an adjunct with other arthroscopic maneuvers to diagnose and confirm repair of peripheral sided TFCC injuries. Literature Review The hook and trampoline tests are intraoperative techniques to diagnose TFCC tears. Clinical Relevance The suction test provides a means to detect peripheral tears and to confirm restoration of its tension post repair.

Bilateral STT Arthrodesis in a Young Patient with Occult Proximal Row Coalition

2021 ◽  
Author(s):  
Rupert M.H. Wharton ◽  
David Ahearne
Keyword(s):  
Literature Review ◽  
Clinical Relevance ◽  
Degenerative Change ◽  
Case Description ◽  
Range Of Movement ◽  
Level Of Evidence ◽  
African Populations ◽  
Carpal Coalition ◽  
Clinical Problems ◽  
Stt Arthrodesis

Abstract Background Carpal coalitions have an incidence of 0.1 to 1% in Caucasians and up to 8 to 9% in African populations. They rarely cause clinical problems requiring investigation or treatment, but are commonly identified on imaging obtained for other indications. Case Description We report a case of a 35-year-old male with progressive degenerative change of incomplete coalitions of the scaphotrapeziotrapezoid joint (STT) in the presence of bilateral complete osseous lunate–triquetral coalitions (Minnaar type 4). He was successfully treated with staged bilateral arthrodesis with excellent symptom resolution and preservation of function. Literature Review In patients with isolated STT coalition six reports of surgery exist, two of which were for arthrodesis. This is the first described case of STT arthrodesis in a patient with coexistent lunate–triquetral coalition. Clinical Relevance The STT arthrodesis remains a safe and effective treatment for STT pain even in cases of occult carpal coalition. Functional range of movement was well preserved. Level of evidence This is a Level V study.

scholarly journals Flexor Pollicis Longus Rupture in a Scaphoid Nonunion: A Case Report

2020 ◽  
Vol 09 (04) ◽  
pp. 357-361
Author(s):  
Bruno E. Crepaldi ◽  
Courtney Andrijich ◽  
Jeff Ecker
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Surgical Management ◽  
Clinical Relevance ◽  
Tendon Rupture ◽  
Rare Complication ◽  
Case Description ◽  
Scaphoid Nonunion ◽  
Flexor Pollicis Longus ◽  
Capsule Repair

Abstract Background Flexor pollicis longus (FPL) tendon rupture is a rare complication of scaphoid nonunion. Case Description A fit active 70-year-old woman ruptured her FPL when it abraded on a painless 50-year-old scaphoid nonunion. She had asymptomatic scaphoid nonunion advanced collapse (SNAC) arthritis. At surgery, the sharp mobile volar scaphoid osteophytes were excised and the volar wrist capsule was repaired. A vascularized fat flap based on a perforator of the radial artery was used to augment the volar wrist capsule repair and to create a smooth gliding surface for the FPL. The ruptured FPL tendon was reconstructed with a palmaris longus graft. Literature Review Complete rupture of the FPL tendon secondary to scaphoid nonunion is a rare complication. It can be easily misdiagnosed because the original injury may be unrecognized or forgotten. A consensus regarding the optimal surgical management has not been reached. Clinical Relevance The objective of surgery in this case was to restore FPL function and prevent a recurrent rupture. The asymptomatic SNAC arthritis was not treated. No further wrist surgery was required. The patient was asymptomatic with a functioning FPL tendon 4 years after surgery.

When a Man Loves a Woman: a Case of Erotomania in the 21st Century

2016 ◽  
Vol 33 (S1) ◽  
pp. S464-S464 ◽  
Author(s):  
C. Rodrigues ◽  
M. Andrade ◽  
V. Palma ◽  
C. Cardoso
Keyword(s):  
Literature Review ◽  
Legal Process ◽  
Violent Behaviour ◽  
Persecutory Delusions ◽  
Clinical Process ◽  
The Past ◽  
Legal Implications ◽  
Forensic Samples ◽  
Competing Interest

IntroductionErotomania, or De Clerambault's Syndrome, was first described in 1921. However, cases of Insane Love were long known before. Presently, this condition is classified as a delusional disorder typically affecting women. However, in forensic samples, most of these reports relate to men with violent behaviour, associated to harassing or stalking of a woman.ObjectiveTo present the case of a man, diagnosed with Erotomania and literature review of similar cases.AimTo bring awareness to the infrequent diagnosis of this condition in males and the legal implications this condition may have.MethodsConsultation of the patient's clinical process and published articles focusing on Erotomania in men.ResultsA 50-year-old man was referred from Court for persistently stalking a woman on the past few years. He revealed erotomanic and persecutory delusions, believing these accusations were all part of a scheme to restrain his alleged relationship.There was a clinical improvement during hospitalization and treatment with antipsychotics. Due to the legal process in court, a forensic examination was also performed.ConclusionsOn the follow-up, the patient remained stabilized. He would not verbalize any delusional content, and calmly deny any inadequate behaviour. However, some of his stalking attitude remains. As many of these patients, we believe his delusion is still present, although his behaviour is more controlled with treatment. Recognizing the characteristics and course of this disorder in our patients, grants a better chance of intervention and attentiveness towards the legal implications that may arise.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals HISTORICAL ASPECTS OF PHALLOPLASTY

2017 ◽  
Vol 4 (3) ◽  
pp. 86-92
Author(s):  
P. S. Kyzlasov ◽  
M. M. Sokol'shchik ◽  
A. A. Kazhera ◽  
M. V. Zabelin
Keyword(s):  
Literature Review ◽  
Plastic Surgery ◽  
Gold Standard ◽  
Chronological Order ◽  
Historical Aspects ◽  
Advantages And Disadvantages ◽  
The Past ◽  
Congenital Deformities ◽  
No Gold Standard ◽  
Forming Methods

Reconstruction of the penis in transgender operations, amputation of the penis, congenital deformities and anomalies of the penis was and remains today an important issue in plastic surgery of the urogenital region. The only method to restore the penis is phalloplasty. In general, over the past decades, generations of clinicians have different ways and flaps for total fallouretheral reconstruction. Thus was formulated the characteristics of an ideal flap for the formation of neophallos, which should be safe, sensitive, without hair, and with long leg. However, despite the fact that the characteristics of a perfect flap, nowadays there is no “gold standard” in the formation of neophallos, as phalloplasty is a fairly complicated surgery, and the choice of method depends on many factors. The choice of methodology is determined by the plastics surgeon and to each patient is individual, depends on the etiology of the disease and the possibility of choosing the form of the donor’s transplant. This article presents a literature review devoted to the historical aspects of phalloplasty. In the article, in chronological order reflected the evolution of the different forming methods neofallos, phallourethrоplasty, describes their advantages and disadvantages.

scholarly journals Pediatric Extraspinal Sacrococcygeal Ependymoma: Report of Two Cases and Literature Review

Diagnostics ◽  
2021 ◽  
Vol 11 (9) ◽  
pp. 1680
Author(s):  
Francesco Fabozzi ◽  
Silvia Ceccanti ◽  
Antonella Cacchione ◽  
Giovanna Stefania Colafati ◽  
Andrea Carai ◽  
...  
Keyword(s):  
Literature Review ◽  
Case Reports ◽  
Case Series ◽  
Surgical Excision ◽  
Central Canal ◽  
Ependymal Cells ◽  
The Past ◽  
First Case ◽  
One Year

Primary central nervous system (CNS) tumors represent the most common solid tumors in childhood. Ependymomas arise from ependymal cells lining the wall of ventricles or central canal of spinal cord and their occurrence outside the CNS is extremely rare, published in the literature as case reports or small case series. We present two cases of extra-CNS myxopapillary ependymomas treated at our institution in the past three years; both cases originate in the sacrococcygeal region and were initially misdiagnosed as epidermoid cyst and germ cell tumor, respectively. The first case, which arose in a 9-year-old girl, was treated with a surgical excision in two stages, due to the non-radical manner of the first operation; no recurrence was observed after two years of follow-up. The other case was a 12-year-old boy who was treated with a complete resection and showed no evidence of recurrence at one-year follow-up. In this paper, we report our experience in treating an extremely rare disease that lacks a standardized approach to diagnosis, treatment and follow-up; in addition, we perform a literature review of the past 35 years.

scholarly journals Spinal intramedullary epidermoid cysts: Three case presentations and literature review

2020 ◽  
Vol 11 ◽  
pp. 17 ◽  
Author(s):  
Abolfazl Rahimizadeh ◽  
Guive Sharifi
Keyword(s):  
Literature Review ◽  
Thoracic Spine ◽  
Congenital Anomalies ◽  
Spastic Paraparesis ◽  
Partial Resection ◽  
Case Description ◽  
Review Of The Literature ◽  
Epidermoid Cysts ◽  
Case Presentations

Background: True intramedullary epidermoid cysts (IECs) not associated with congenital anomalies or previous spinal procedures are extremely rare. In a review of the literature since 1992, only 29 such cases have been reported. Here, we add three new cases in this category. Case Description: Three adults presented with spastic paraparesis attributed to thoracic IECs. Gross total microsurgical removal was achieved in two cases, while one case was a partial resection due to capsular adherence to the cord. In all three cases, patients sustained complete recoveries of neurological function and remained symptom free for an average of 5 years follow-up. Conclusion: IECs are rare lesions; here, the three located in the thoracic spine, contributed to slow, progressive spastic paraparesis with/without incontinence, and resolved following total (2 patients) and partial (1 patient) resection.

Tattoo-associated panuveitis: A 10-year follow-up

2019 ◽  
Vol 29 (1_suppl) ◽  
pp. 18-21 ◽  
Author(s):  
Stephenie Tiew
Keyword(s):  
Literature Review ◽  
Physical Examination ◽  
Single Case ◽  
Case Description ◽  
Systemic Sarcoidosis

Introduction: There has been an increasing number of tattoo-related uveitis without evidence of systemic sarcoidosis. This finding may indicate a possible association of tattoos with uveitis. Case description: This report is a 10-year follow-up of a single case of tattoo-related uveitis with no proven systemic sarcoidosis. Conclusion: Literature review suggests possible pathogenesis and the patient’s management is discussed. This case highlights the importance of a good systemic history and physical examination, especially with regard to tattoos.

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