Soft tissue conditions of the hand and wrist

2013 ◽  
Author(s):  
Patrick Wheeler ◽  
Nicholas Peirce
Keyword(s):  
Soft Tissue ◽  
Clinical Examination ◽  
Wrist Injuries ◽  
Minor Injury ◽  
Routine Clinical Examination

Hand and wrist injuries represent a considerable challenge for sports physicians and musculoskeletal practitioners. The anatomy is complex and the consequences of minor injury, which are sometimes difficult to assess with routine clinical examination, can have significant impact on function (Hodgkinson et al. 1994...

Letter To The Editor

PEDIATRICS ◽  
1970 ◽  
Vol 46 (4) ◽  
pp. 651-651
Author(s):  
Jill M. Forrest ◽  
Margaret A. Menser ◽  
J. D. Harley
Keyword(s):  
Diabetes Mellitus ◽  
Glucose Tolerance ◽  
Clinical Examination ◽  
Congenital Rubella ◽  
Letter To The Editor ◽  
Routine Clinical Examination ◽  
Glucose Tolerance Tests ◽  
Original Report

We were most interested to read of Plotkin and Kaye's two children with congenital rubella and diabetes mellitus. Since our original report of five cases referred to by those writers, we have found three further patients under 30 years of age with this combination of disorders.1 Each of these three patients had no evidence of diabetes mellitus on routine clinical examination and urinalysis in 1967. However, when reviewed this year all three patients had glucose tolerance tests indicative of diabetes.

scholarly journals Lipoma of the Thumb: Spindle Cell Subtype

2016 ◽  
Vol 2016 ◽  
pp. 1-3 ◽  
Author(s):  
Johnny El Rayes ◽  
Roula Bou Sader ◽  
Elie Saliba
Keyword(s):  
Differential Diagnosis ◽  
Soft Tissue ◽  
Clinical Examination ◽  
Spindle Cell ◽  
Excisional Biopsy ◽  
Spindle Cell Lipoma ◽  
Cell Subtype ◽  
Soft Tissue Swelling ◽  
Palmar Aspect

We report hereby the case of a 61-year-old man who presented with a soft-tissue swelling on the palmar aspect of the thumb. A detailed clinical examination followed by ultrasonography and excisional biopsy confirmed a spindle cell lipoma. Lipomas are rare in the hand and exceptional in the fingers, and we report, to our knowledge, the first spindle cell lipoma in the thumb to help in the differential diagnosis of a similar swelling.

Neck lumps

2018 ◽  
Author(s):  
Max Robinson ◽  
Keith Hunter ◽  
Michael Pemberton ◽  
Philip Sloan
Keyword(s):  
Lymph Nodes ◽  
Clinical Examination ◽  
Immune Surveillance ◽  
Systemic Infection ◽  
Neck Region ◽  
Anatomical Location ◽  
Regional Lymph Nodes ◽  
Size Consistency ◽  
Routine Clinical Examination ◽  
Anatomy Of The Neck

Whilst dental healthcare professionals naturally focus on assessment of the teeth and the supporting tissues, they also have an important role in assessing the whole oro-facial complex and the neck. Assessment of the neck is particularly important, not least, because it contains the regional lymph nodes that are involved in immune surveillance of the head and neck region. The neck also contains the major salivary glands: the sub­mandibular gland and the tail of the parotid gland. Mid-line structures include the hyoid bone, larynx, and trachea, along with the thyroid gland and parathyroid glands. The assessment of these anatomical structures should form part of the routine clinical examination. The dis­covery of an abnormality in the neck, which may not have been noticed by the patient, may expedite the diagnosis of significant disease and facilitate a timely intervention. A through understanding of the anatomy of the neck is essential and informs the clinical examination. It is also important to understand the concept of the anatomical levels that map out the lymph node groups of the neck (Chapter 1; Fig. 1.2). Accurate assessment of the neck is usually best achieved by a combination of visual inspection and palpation, with the patient in a slightly reclined position, the clinician standing behind the patient. Any lumps, e.g. enlarged lymph nodes, are described by anatomical site, size, consistency (cystic, soft, rubbery, hard), whether the lump is mobile or fixed to the underlying tissue, and if palpation elic­its pain or discomfort. The combination of these parameters will help to formulate the differential diagnosis; for example, an isolated hard lump that is fixed to underlying structures is likely to represent meta­static cancer, whereas, bilateral soft lumps that are mobile and painful to palpation are likely to represent lymphadenitis as a consequence of systemic infection. Ultrasound examination can be used to ascertain important informa­tion about a neck lump such as the site (precise anatomical location, superficial or deep), size, consistency (solid or cystic), and multi-focality. Doppler settings can help to establish the vascularity of a lesion and its proximity to major vessels.

Color Doppler ultrasonography as a routine clinical examination in male infertility

2006 ◽  
Vol 13 (8) ◽  
pp. 1073-1078 ◽  
Author(s):  
HIDEO SAKAMOTO ◽  
KATSUYUKI SAITO ◽  
TAKESHI SHICHIZYO ◽  
KIMIYASU ISHIKAWA ◽  
ATUSHI IGARASHI ◽  
...  
Keyword(s):  
Male Infertility ◽  
Clinical Examination ◽  
Doppler Ultrasonography ◽  
Color Doppler ◽  
Color Doppler Ultrasonography ◽  
Routine Clinical Examination

scholarly journals Glomus tumour

2016 ◽  
Vol 98 (1) ◽  
pp. e1-e2
Author(s):  
C Sethu ◽  
AU Sethu
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Soft Tissue ◽  
Clinical Examination ◽  
Late Diagnosis ◽  
Glomus Tumour ◽  
Resonance Imaging ◽  
Soft Tissue Tumours ◽  
Delay In Diagnosis ◽  
Rare Tumours

Glomus tumours are rare tumours accounting for only 1–5% of soft tissue tumours of the hand. They are described classically in the subungual region. We present the case of a 32-year-old woman with a late diagnosis of a glomus tumour that had caused her excruciating pain. Clinical examination was positive for Hildreth’s sign and the Love test. Magnetic resonance imaging delineated the tumour, which was excised and confirmed histologically. This case highlights the continued delay in diagnosis of glomus tumours as well as the use of imaging in diagnosis and planning of surgery.

scholarly journals Carpometacarpal Dislocation with Third Metacarpal Fracture

2021 ◽  
Vol 5 (4) ◽  
pp. 488-490
Author(s):  
Colin Jorgensen ◽  
Steve Christos
Keyword(s):  
Soft Tissue ◽  
Plain Radiograph ◽  
Wrist Injuries ◽  
Rare Injury ◽  
Case Presentation ◽  
Metacarpal Fractures ◽  
Soft Tissue Swelling ◽  
Force Impact ◽  
The Right ◽  
Anterior Posterior

Case Presentation: A 17-year-old male presented to the emergency department (ED) due to trauma to the right hand and wrist after punching a locker at school. He had significant soft tissue swelling. Radiographs demonstrated intra-articular metacarpal fractures with associated carpometacarpal dislocations. The dislocation was reduced bedside in the ED and ultimately underwent closed reduction surgical management with orthopedic surgery. Discussion: Metacarpal fractures result from high-force impact injuries and account for 30-40% of all hand injuries. The most common sites of second through fifth metacarpal fractures are at the neck and the shaft, with the majority involving the fifth metacarpal neck (commonly coined “boxer’s fractures”). Carpometacarpal (CMC) dislocations are a rare injury associated with high-force impact trauma to the wrist. These injuries account for as little as 1% of all acute hand and wrist injuries. Carpometacarpal dislocations are often difficult to diagnose on physical examination due to significant soft tissue swelling, and they can easily be missed on anterior-posterior views of the hand. Lateral and oblique plain radiograph views are essential in the diagnosis as they are more likely to show dislocations. Despite appropriate plain radiographic views, subtle CMC dislocations may be difficult to discern dependent on the level of dislocation or subluxation and overlapping of joints. These injuries are rare due to otherwise highly stable ligamentous and muscular attachments within the wrist. Because of these attachments, dislocations are often associated with concomitant metacarpal fractures.

Clinical survey on a epidemic of hepatitis in sugari district (I) routine clinical examination

1969 ◽  
Vol 4 (1) ◽  
pp. 75-76
Author(s):  
H. Takasaki ◽  
H. Takezawa ◽  
M. Kanamaru ◽  
S. Onishi ◽  
E. Hasegawa ◽  
...  
Keyword(s):  
Clinical Examination ◽  
Routine Clinical Examination ◽  
Clinical Survey

scholarly journals Characteristics of soft tissue profile in patients with skeletal class III

2006 ◽  
Vol 53 (3) ◽  
pp. 166-173 ◽  
Author(s):  
Zorana Stamenkovic ◽  
Nenad Nedeljkovic
Keyword(s):  
Soft Tissue ◽  
Clinical Examination ◽  
Vertical Direction ◽  
Control Group ◽  
Class Iii ◽  
Skeletal Class ◽  
Skeletal Malocclusion ◽  
Soft Tissue Profile ◽  
School Of Dentistry ◽  
Experimental Group

Introduction: Patients with skeletal class III have typical characteristics of soft tissue profile. Aim: The aim of this study was to determine characteristics of soft tissue profile in patients with skeletal class III and to find possible significant differences between these patients and patients in the control group (without malocclusion in sagittal direction). Methods: Twenty patients of the Department of Orthodontics, Belgrade School of Dentistry, were included in this study. Average age in this group was 8 years and 5 months. In experimental group there were 13 girls and 7 boys. Changes in soft tissue profile by clinical examination, photographic and cephalometric analysis were determinated during the whole diagnostic procedure. In the clinical examination, type of profile, characteristics of lips, facial harmony in vertical direction and the angle of mandibular plane were analyzed. On lateral cephalometrics, the following parameters were measured and analyzed: sagittal parameters SNA, SNB and ANB and parameters in Schwarz, Ricketts and Holdaway analysis of soft tissue profile. Results: Patients in the experimental group had significantly different changes in soft tissue profile. It was the consequence of existing skeletal malocclusion in sagittal direction. Statistically, differences were significant (p<0.01) Conclusion: Measurements and analysis showed that patients had typical severe concave profile. Most often, the position of soft tissue structures did not compensate skeletal anomalies.

scholarly journals Effect of Surrogate Surface Compliance on the Measured Stiffness of Snowboarding Wrist Protectors

Proceedings ◽  
2020 ◽  
Vol 49 (1) ◽  
pp. 84
Author(s):  
Gemma Leslie ◽  
Weizhuo Wang ◽  
Keith Winwood ◽  
Chris Liauw ◽  
Nick Hamilton ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Bending Stiffness ◽  
Bend Test ◽  
Effective Stiffness ◽  
Wrist Injuries ◽  
Wrist Extension ◽  
Surrogate Surface ◽  
Impact Forces ◽  
Compliant Layer ◽  
Torque Values

Wrist injuries have been reported to account for 35%–45% of snowboarding injuries. Snowboarding wrist protectors are designed to limit impact forces and prevent wrist hyperextension. The absence of a standard for snowboarding wrist protectors makes it hard to identify models offering an adequate level of protection. Wrist surrogates are well suited for testing and benchmarking wrist protectors. This study investigated the effect of introducing a soft tissue simulant onto an otherwise stiff wrist surrogate on the bending stiffness of snowboarding wrist protectors. A compliant surrogate (stiff core and 3 mm thick silicone layer) and a comparable stiff surrogate were fabricated. Two snowboarding wrist protectors were tested on each surrogate, under three strapping conditions, following a bend test to ~80° wrist extension. The introduction of a compliant layer to the wrist surrogate gave higher torque values for a given wrist extension angle, increasing protector effective stiffness, relative to a rigid surrogate.

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