TRAUMATIC DISRUPTION OF A FIBROCARTILAGE LUNATE-TRIQUETRAL COALITION — A CASE REPORT AND REVIEW OF THE LITERATURE

Hand Surgery ◽  
2001 ◽  
Vol 06 (01) ◽  
pp. 103-108 ◽  
Author(s):  
J. van Schoonhoven ◽  
K.-J. Prommersberger ◽  
R. Schmitt

Whilst osseous coalitions of the lunate and the triquetrum are known to be asymptomatic, fibrocartilage lunate-triquetral coalitions can present an uncommon cause for ulnar-sided wrist pain. To diagnose this condition a high degree of suspicion is needed. We present a case with painful post-traumatic disruption of a fibrocartilage lunate-triquetral coalition that was primary misdiagnosed to be a disruption of the interosseous lunotriquetral ligament and was initially treated arthroscopically. Persistent symptoms lead to X-ray examination of the opposite wrist, revealing a complete osseous lunate-triquetral coalition. CT and MRI investigations demonstrated the fibrocartilage coalition of the affected wrist. Subsequently, lunotriquetral fusion using a cannulated Herbert screw was performed and settled the symptoms completely.

Hand Surgery ◽  
2009 ◽  
Vol 14 (01) ◽  
pp. 49-51 ◽  
Author(s):  
Hyun Sik Gong ◽  
Su Ha Jeon ◽  
Goo Hyun Baek

Scaphoid excision and four-corner fusion is one of the treatment choices for patients who have stage II or III SLAC (scapholunate advanced collapse)/SNAC (scaphoid non-union advanced collapse) wrist arthritis. We report a case of ulnar-sided wrist pain which occurred after four-corner fusion for stage II SNAC wrist with a previously-asymptomatic ulnar positive variance, and was successfully treated by ulnar shortening osteotomy. This case highlights a possible coincidental pathology of the ulnocarpal joint in the setting of post-traumatic radiocarpal arthrosis.


2012 ◽  
Vol 70 (9) ◽  
pp. 2092-2096 ◽  
Author(s):  
Chan M. Park ◽  
Enrico Stoffella ◽  
Jason Gile ◽  
Jeffrey Roberts ◽  
Alan S. Herford

Hand Surgery ◽  
2003 ◽  
Vol 08 (02) ◽  
pp. 239-242 ◽  
Author(s):  
J. Arora ◽  
J. McLauchlan ◽  
N. Munro

Osteoid osteoma is a benign tumour of bone that rarely localises in the carpal bones. Its treatment by curettage and bone grafting is considered to be curative and its recurrence is thought to be rare. We report a case of an osteoid osteoma of the lunate, which recurred seven years after the initial operation. Recurrent osteoid osteoma of the lunate bone has not been reported in the literature. We present this case report for its atypical presentation and diagnostic difficulty and also to alert the readers of the possibility of an osteoid osteoma as a cause of the chronic unexplained wrist pain in young adults.


2015 ◽  
Vol 2015 ◽  
pp. 1-6
Author(s):  
Shadi Rezai ◽  
Stephen LoBue ◽  
Daniel Adams ◽  
Yewande Oladipo ◽  
Ramses Posso ◽  
...  

Background.Tuberculosis (TB) is a disease that affects hundreds of millions of people across the world. However, the incidence in developed countries has decreased over the past decades causing physicians to become unfamiliar with its unspecific symptoms. Pregnant individuals are especially difficult because many symptoms of active TB can mimic normal physiological changes of pregnancy. We present a case report of a 26-year-old multiparous woman, G4P3003, at 38-week gestation with a history of positive PPD who emigrated from Ghana 6 years ago. She came to the hospital with an initial complaint of suprapubic pain, pressure, and possible leakage of amniotic fluid for the past week. Patient also complained of a productive cough for the past 3 to 4 months with a decrease in vision occurring with the start of pregnancy. Visual acuity was worse than 20/200 in both eyes. Definitive diagnosis of active TB was delayed due to patient refusal of chest X-ray. Fortunately, delay in diagnosis was minimized since patient delivered within 24 hours of admission. Active TB was confirmed with intraocular dissemination. Patient had optic atrophy OS (left eye) and papillitis, choroiditis, and uveitis OD (right eye) due to TB infiltration. Fetus was asymptomatic and anti-TB therapy was started for both patients.


2015 ◽  
Vol 16 (2) ◽  
pp. 163-165
Author(s):  
Melih Malkoc ◽  
Ozgur Korkmaz ◽  
Adnan Kara ◽  
Ali Seker ◽  
Ismail Oltulu ◽  
...  

AbstractFractures of the carpal bones are rarely seen in children, particularly in the first decade of life. Scaphoid fractures are the most common carpal bone injuries seen during this period of life. A 5-year-old boy was referred to our clinic with right hand and wrist pain and massive swelling. The patient showed limited wrist extension and flexion with pain and swelling, but there was no neurovascular damage. Conventional X-ray and CT scans were performed. The CT results in particular showed clear non-displaced capitatum and hamatum fractures, and a short arm cast was applied. At the 18-month follow-up visit, the patient’s fractures were healed with no displacement, and full ROM was achieved with a pain-free motion.


Medicina ◽  
2019 ◽  
Vol 55 (12) ◽  
pp. 771
Author(s):  
Milosavljevic ◽  
Veselinovic ◽  
Tadic ◽  
Galun ◽  
Ceranic ◽  
...  

We present a case report that demonstrates diagnostic and intraoperative challenges in the laparoscopic management of initially unrecognized splenic hydatid disease. A male patient, aged 44, was admitted to our department with a big unilocular splenic cyst, radiologically (ultrasonography, computed tomography) characterized as a simple cyst. Serological tests for anti-Echonococcus antibody were negative, and chests X-ray findings were unremarkable, so laparoscopic cyst fenestration with omentoplasty was planned. The intraoperative finding did not correspond to a simple splenic cyst. Hydatid daughter cysts were recognized after the careful opening of the cyst wall. The operation was completed without shifting to open procedures. Laparoscopic partial pericystectomy with omentoplasty is a safe and effective surgical procedure for the management of splenic hydatid disease.


PEDIATRICS ◽  
1962 ◽  
Vol 30 (3) ◽  
pp. 372-377
Author(s):  
T. Opsahl ◽  
E. J. Berman

A case of bronchiogenic mediastinal cyst in an infant is presented, which was treated successfully surgically even though the cyst itself was not roentgenologically demonstrable preoperatively. The literature is reviewed. When the lesion has been demonstrable on x-ray, successful surgical intervention has been the rule. When the lesion has not been demonstrable on x-ray, procrastination and death have often occurred. Clinically this pathology will be manifested by periodic and usually progressive attacks of dyspnea, wheezing, stridor, and cyanosis—all aggravated by crying and feeding and ameliorated by oxygen therapy. Roentgenologic and endoscopic studies are mandatory, but even if negative, when these clinical findings are present, exploratory thoracotomy should be carried out.


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