Medial gastrocnemius vein aneurysm development after compressive trauma in the knee

2016 ◽  
Vol 32 (5) ◽  
pp. 355-359
Author(s):  
Francesco De Santis ◽  
Silvia Candia ◽  
Renzo Scialpi ◽  
Alfredo Piccinin ◽  
Antonio Bruni ◽  
...  
Keyword(s):  
Medial Gastrocnemius ◽  
Venous Aneurysm ◽  
Venous Anatomy ◽  
Unique Case ◽  
Knee Trauma ◽  
Post Traumatic ◽  
Aneurysm Development ◽  
One Year ◽  
Knee Magnetic Resonance Imaging

Objectives Venous aneurysms are uncommon. They can involve both superficial and deep venous systems. We hereby present a unique case of gastrocnemius venous aneurysm developed after compressive knee trauma. Report A large venous aneurysm in the left popliteal fossa was detected by chance in a 44-year-old woman one month after a compressive trauma to the posterior surface of the knee. Magnetic resonance-imaging of the same knee had documented normal venous anatomy one year earlier. The venous aneurysm involved the medial gastrocnemius vein near its confluence in the popliteal vein and was surgically resected. Histopathology evidenced a true venous aneurysm. The patient was discharged under oral anticoagulation for three months. At one year follow-up, neither complications nor new venous aneurysm development was detected. Conclusions An accurate evaluation of the venous system is always mandatory after limb traumas which may lead to post-traumatic venous pseudo-aneurysms, as well as more rarely, true venous aneurysms in the lower extremities.

scholarly journals Post-Traumatic Headache After Mild Traumatic Brain Injury In A One-Year Follow Up Study – Risk Factors And Return To Work

2021 ◽  
Author(s):  
Yvonn Kraemer ◽  
Kaisa Mäki ◽  
Ivan Marinkovic ◽  
Taina Nybo ◽  
Harri Isokuortti ◽  
...  
Keyword(s):  
Risk Factors ◽  
Traumatic Brain Injury ◽  
Emergency Department ◽  
Brain Injury ◽  
Return To Work ◽  
Mild Traumatic Brain Injury ◽  
Outpatient Clinic ◽  
Post Traumatic ◽  
One Year

Abstract Background: Post-traumatic headache (PTH) is a common symptom following mild traumatic brain injury (mTBI). Patients at risk to develop acute PTH (aPTH) and further persistent PTH (pPTH) need to be recognized. Methods: This is a one-year follow-up of 127 patients with mTBI, aged 18 to 68, referred to outpatient clinic in the Helsinki University Hospital. Symptoms were assessed at the emergency department (ED), with structured interview at outpatient clinic visit and with Rivermead post-concussion symptom questionnaire at one, three, and 12 months after injury. Psychiatric disorders were assessed with Structured Clinical Interview for DSM-IV Axis I disorders at 3-4 months and return to work (RTW) from patient records. Results: At one month, 77/127 patients (61%) had aPTH. According to multiple logistic regression analysis, risk factors for aPTH were headache at the emergency department (ED) (OR 5.43), other pain (OR 3.19), insomnia (OR 3.23), and vertigo (OR 5.98). At three months, 17 patients (22% of aPTH patients) had developed pPTH, and at one year, 4 patients (24% of pPTH patients) still presented with pPTH. Risk factors for pPTH at three months were older age (OR 1.06) and current insomnia (OR 12.3). The frequency of psychiatric disorders did not differ between the groups. pPTH patients performed worse on their RTW. Conclusions: Risk factors for aPTH were insomnia, headache at ED, other pain, and vertigo and for pPTH, insomnia and older age. RTW rate was lower among pPTH patients.

scholarly journals Post-Traumatic Subdural Hygroma: A One Year Follow up Case Report and Literature Review

2016 ◽  
Vol 8 (12) ◽  
pp. 239
Author(s):  
Esteban Ortiz-Prado ◽  
Tamara Acosta Castillo ◽  
Mauricio Olmedo Lopez ◽  
Mario A. Rubio ◽  
Luis E. Bermeo
Keyword(s):  
Head Injuries ◽  
High Impact ◽  
Spontaneous Resolution ◽  
Subdural Hygroma ◽  
Bold Mri ◽  
Slow Progression ◽  
History Of ◽  
Post Traumatic ◽  
One Year

<p>Post-traumatic subdural hygroma it is an intracranial lesion, commonly misdiagnosed due to its unclear symptomatology and slow progression. Defined as the presence of cerebral spinal fluid in between the arachnoid and the duramater layers; causing a variety of symptomatology that usually depend on the amount of fluid within this space (subdural). Post traumatic subdural hygroma it’s observed in 5-20% of all blunt head injuries, although its diagnosis it’s usually rare among emergency departments. Prognosis is usually good due to the absence of severe complications and its spontaneous resolution in mostly of the cases. We present a 26-year-old male patient, with history of high impact blunt trauma, presenting ocular refractive changes and headache. After CT scan evaluation and BOLD-MRI confirmation, a bilateral fronto-parietal subdural hygroma was confirmed.</p>

An Open Study Comparing Manual Therapy with the Use of Cold Packs in the Treatment of Post-Traumatic Headache

Cephalalgia ◽  
1990 ◽  
Vol 10 (5) ◽  
pp. 241-250 ◽  
Author(s):  
OK Jensen ◽  
FF Nielsen ◽  
L Vosmar
Keyword(s):  
Manual Therapy ◽  
Controlled Trial ◽  
Specific Effect ◽  
Cervical Syndrome ◽  
Post Traumatic ◽  
The Mean ◽  
One Year ◽  
Ear Symptoms ◽  
Visual Disturbances

One year after head trauma, 23 patients with post-traumatic headache entered a prospective clinical controlled trial to find out if specific manual therapy on the neck could reduce the headache. The study was completed by 19 patients (83%). Ten patients were treated twice with manual therapy and nine patients were treated twice with cold packs on the neck. The pain index was calculated blindly. Two weeks after the last treatment the mean pain index was significantly reduced to 43% in the group treated with manual therapy compared with the pretreatment level. At follow-up five weeks later, the pain index was still lower in this group compared with the group treated with cold packs, but this difference was not statistically significant. The pain index for all 19 patients was significantly correlated to the use of analgesics as well as to the frequency of associated symptoms (number of days per week with dizziness, visual disturbances and ear symptoms). It is concluded that the type of manual therapy used in this study seems to have a specific effect in reducing post-traumatic headache. The result supports the hypothesis of a cervical mechanism causing post-traumatic headache and suggests that post-traumatic dizziness, visual disturbances and ear symptoms could be part of a cervical syndrome.

Primary Medial Gastrocnemius Vein Aneurysm With Thrombosis

2021 ◽  
pp. 875647932110126
Author(s):  
Yang Yang ◽  
Tony Y. Li
Keyword(s):  
Trauma Surgery ◽  
Duplex Sonography ◽  
Left Knee ◽  
Medial Gastrocnemius ◽  
Venous Aneurysm ◽  
Medial Knee ◽  
Medial Head ◽  
History Of ◽  
Knee Trauma

A venous aneurysm (VA) in a calf muscle is extremely rare. In this case study, a primary medial gastrocnemius vein aneurysm (MGVA) with thrombosis is reported. A female patient presented with left medial knee pain for 2 weeks. Radiograph demonstrated severe osteoarthritis of the medial compartment of the left knee. Sonography of the knee incidentally detected a focal saccular dilation in one of the gastrocnemius veins, within the medial head of the gastrocnemius (MHG). The diameter of the dilation was almost three times its connected normal vein. Two-thirds of the saccular dilation was occupied by hyperechoic content. Duplex sonography confirmed that the dilation was a saccular MGVA with thrombosis. The patient had no history of knee trauma, surgery, or inflammation. A small Baker’s cyst, medial to the MHG, was also excluded from the cause of the MGVA. These suggest that this MGVA was of a primary cause. The complications of a MGVA are briefly discussed as part of this case study.

scholarly journals Ultrasound Examination and Navigation for Repeat/Delayed Reconstruction of the Ankle Extensor Tendons

Diagnostics ◽  
2021 ◽  
Vol 11 (8) ◽  
pp. 1408
Author(s):  
Kamal Mezian ◽  
Karolína Sobotová ◽  
David Zámečník ◽  
Levent Özçakar
Keyword(s):  
Surgical Management ◽  
Surgical Repair ◽  
Ultrasound Examination ◽  
Penetrating Injury ◽  
Unique Case ◽  
Extensor Tendons ◽  
The Third ◽  
One Year ◽  
Delayed Reconstruction

Herein, we describe a 46-year-old woman with persistent pain and weakness in her left ankle/foot one year after surgical repair of all three ankle extensor tendons following a penetrating injury. This report presents a unique case whereby US imaging played a paramount role in the diagnosis and surgical management of a previous nonanatomic repair of the ankle extensor tendons after a penetrating injury one year prior. The above-quoted findings were subsequently corrected with end-to-end sutures. On the third postoperative month follow-up, the patient was free of any complaints or complications.

Unique case of a post-traumatic nasoseptal arteriovenous malformation

2021 ◽  
Vol 14 (1) ◽  
pp. e239482
Author(s):  
Kelvin Yong Jie Lim ◽  
Alvin Yong Quan Soon ◽  
Jian Li Tan
Keyword(s):  
Case Report ◽  
Arteriovenous Malformation ◽  
Arteriovenous Malformations ◽  
Unique Case ◽  
Post Traumatic

Extracranial manifestation of arteriovenous malformations (AVMs) is uncommon. Nasoseptal AVMs are an even rarer entity. In this case report, we present an interesting and first-of-its-kind case of the development of a left nasoseptal AVM in a 60-year-old man after a fall. This was likely post-traumatic, unlike the usual congenital AVMs described in the literature. The patient was managed conservatively with regular follow-up for the AVM as he was asymptomatic.

Total Hip Arthroplasty in a Patient Affected by Post-Traumatic Acetabular Non-Union: Case Report and Review of the Literature

2008 ◽  
Vol 18 (4) ◽  
pp. 324-328 ◽  
Author(s):  
E. Tassinari ◽  
A. Sudanese ◽  
F. Traina ◽  
M. De Fine ◽  
A. Toni
Keyword(s):  
Femoral Head ◽  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Preoperative Planning ◽  
Acetabular Cup ◽  
Non Union ◽  
Total Hip ◽  
Post Traumatic ◽  
One Year

Total hip arthroplasty in the presence of acetabular non-union can be demanding. The irregular anatomy, the defect, and the presence of fibrous and necrotic tissue can hamper insertion of the acetabular component. We present a case of total hip arthroplasty in a patient with post-traumatic necrosis of the femoral head and non-union of the acetabulum and follow-up one year after the operation. Following accurate preoperative planning, removal of the pseudarthrosis material, and the use of the femoral head as an autograft, it was possible to insert the acetabular cup satisfactorily in a single-stage procedure.

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