Modified Lambrinudi Arthrodesis for the Acute Treatment of Neurogenic Clubfoot: A Case Report

2016 ◽  
Vol 10 (4) ◽  
pp. 372-376 ◽  
Author(s):  
Eric So ◽  
Lee M. Hlad
Keyword(s):  
Case Report ◽  
Acute Treatment ◽  
Therapeutic Level ◽  
Triple Arthrodesis ◽  
Levels Of Evidence ◽  
Functional Limb

Neurogenic contracture often results in spastic, nonreducible equinovarus deformity. Rigid contracture leads to pain, instability, and bracing difficulties. This case report details the utilization of the modified Lambrinudi triple arthrodesis intended to create a plantigrade, functional limb that is amenable to an extremity brace in a case of an acquired neurologic clubfoot. Levels of Evidence: Therapeutic, Level IV: Case Report

Freiberg’s Infarction Treated With Metatarsal Shortening Osteotomy, Marrow Stimulation, and Micronized Allograft Cartilage Matrix: A Case Report

2016 ◽  
Vol 10 (3) ◽  
pp. 258-262 ◽  
Author(s):  
Sarang Desai
Keyword(s):  
Case Report ◽  
Expert Opinion ◽  
Metatarsophalangeal Joint ◽  
Cartilage Matrix ◽  
Therapeutic Level ◽  
Levels Of Evidence ◽  
Marrow Stimulation ◽  
Shortening Osteotomy

Freiberg’s infarction is a well-known condition that most commonly effects the second metatarsophalangeal joint. The etiology of Freiberg’s infarction is not entirely clear and there is no consensus on treatment. The case report presents a patient successfully treated with a metatarsal shortening osteotomy, marrow stimulation, and micronized allograft cartilage matrix. This is to my knowledge the first reported case using the described technique for Freiberg’s infarction. Levels of Evidence: Therapeutic, Level V: Expert opinion

scholarly journals Safety and timing of resuming dabigatran after major gastrointestinal bleeding reversed by idarucizumab

2018 ◽  
Vol 6 ◽  
pp. 2050313X1775333 ◽  
Author(s):  
Gian Galeazzo Riario Sforza ◽  
Francesco Gentile ◽  
Fabio Stock ◽  
Francesco Caggiano ◽  
Enrica Chiocca ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Case Report ◽  
Major Bleeding ◽  
Acute Treatment ◽  
Vitamin K Antagonists ◽  
Oral Anticoagulants ◽  
Direct Oral Anticoagulants ◽  
Oral Vitamin ◽  
Bleeding Events ◽  
Massive Rectal Bleeding

The recent introduction of direct oral anticoagulants, including rivaroxaban, dabigatran, apixaban, and edoxaban, for the acute treatment and secondary prevention of venous thromboembolism and in atrial fibrillation has been shown to provide greater clinical benefit than oral vitamin K antagonists. However, direct oral anticoagulants are associated with adverse events, the most common being major bleeding; such events require the reversal of the anticoagulant effects by specific agents. In this case report, we describe an 87-year-old female with atrial fibrillation treated with dabigatran who had massive rectal bleeding. Idarucizumab 5 g (2 × 2.5 g/50 mL) was successfully used to reverse dabigatran effect; subsequent to this, treatment with dabigatran was resumed, and there were no further bleeding events. This suggests that dabigatran can be safely restarted after major bleeding, but this outcome needs to be confirmed in studies involving larger groups of patients.

Comparison of Calcaneal Exposure Through the Extensile Lateral and Sinus Tarsi Approaches

2017 ◽  
Vol 11 (2) ◽  
pp. 142-147 ◽  
Author(s):  
Katherine M. Bedigrew ◽  
James A. Blair ◽  
Daniel R. Possley ◽  
Kevin L. Kirk ◽  
Joseph R. Hsu
Keyword(s):  
Surface Area ◽  
Lateral Wall ◽  
Exposed Surface ◽  
Therapeutic Level ◽  
Digital Photographs ◽  
Levels Of Evidence ◽  
Sinus Tarsi ◽  
Significant Difference ◽  
Exposed Surface Area

The purpose of this study was to compare the exposure of the posterior facet with the extensile lateral (EL) approach compared with the sinus tarsi (ST) approach. We hypothesized that the ST approach will provide a similar exposure of the posterior calcaneal facet. A total of 8 sequential ST then EL approaches were performed on cadavers. Calcaneal landmarks were identified by visualization or palpation. Calibrated digital photographs of the posterior facet and lateral calcaneal body were obtained from standardized positions and used to calculate the exposed surface area. No significant difference was found in the average square area of the posterior facet exposed with the 2 approaches. Significantly more of the lateral calcaneal body was seen with the EL approach. Excluding the posterior facet superomedial quadrant, all the landmarks were visualized in 100% of approaches. The superomedial corner was visualized in significantly more of the cadavers with the EL approach and was palpable in 12.5% of the remaining cadavers in both approaches. Whereas the ST approach exposes less of the lateral wall of the calcaneus, it exposes similar amounts of the posterior facet when compared with the EL approach. Levels of Evidence: Therapeutic, Level V

Limb Salvage in a Diabetic with Necrotizing Fasciitis: Case Report and Literature Review

Foot & Ankle ◽  
1986 ◽  
Vol 6 (4) ◽  
pp. 199-207
Author(s):  
Steven B. Carlow ◽  
Richard L. Jacobs ◽  
Danica K. Vedder
Keyword(s):  
Case Report ◽  
Soft Tissue ◽  
Early Diagnosis ◽  
Literature Review ◽  
Necrotizing Fasciitis ◽  
Limb Salvage ◽  
Clinical Signs ◽  
Tissue Biopsy ◽  
Functional Limb

Necrotizing fasciitis must be considered in a diabetic with cutaneous ulceration. A case report of limb salvage in a 48-year-old diabetic female with progressive necrotizing fasciitis is presented. Methods of early diagnosis including clinical signs, radiographs, and soft tissue biopsy of the involved extremity are reviewed. The microbiology of the disease is also discussed. A modification of the Orr technique using infrequent dressing changes in the management of necrotizing fasciitis is presented. In our case this resulted in preservation of life and a functional limb.

scholarly journals Atypical Stress-Avulsion Fracture of the Lisfranc Joint Complex

2014 ◽  
Vol 7 (2) ◽  
pp. 155-158 ◽  
Author(s):  
Barry J. O’Neill ◽  
Laura A. Sweeney ◽  
Paul J. Moroney ◽  
Kevin J. Mulhall
Keyword(s):  
Case Report ◽  
Antiphospholipid Syndrome ◽  
Avulsion Fracture ◽  
Stress Fractures ◽  
Therapeutic Level ◽  
Lisfranc Joint ◽  
Level Of Evidence ◽  
Ballet Dancers ◽  
Metatarsal Fractures ◽  
Unusual Injury

Antiphospholipid syndrome and systemic erythematosus have been associated with metatarsal stress fractures. Stress fractures of the Lisfranc joint complex are uncommon injuries but have been reported to occur most frequently in ballet dancers. We present a case of an avulsion fracture of the Lisfranc joint complex that occurred spontaneously. We have reviewed the association between systemic conditions and metatarsal fractures and proposed a series of hypothetical pathological events that may have contributed to this unusual injury. Level of Evidence: Therapeutic, Level IV: Case report

scholarly journals Successful Intravenous Thrombolysis in Ischemic Stroke Caused by Tuberculous Meningitis: A Case Report

2021 ◽  
Vol 12 ◽  
Author(s):  
Xinke Peng ◽  
Xiaomei Wu ◽  
Lingling Lv ◽  
Qile Xiao ◽  
Yajing Zhan ◽  
...  
Keyword(s):  
Ischemic Stroke ◽  
Case Report ◽  
Cerebral Infarction ◽  
Acute Stroke ◽  
Tuberculous Meningitis ◽  
Acute Treatment ◽  
Clinical Manifestations ◽  
Intravenous Thrombolysis ◽  
Treatment Method ◽  
Common Complication

Tuberculous meningitis (TBM) has a variety of clinical manifestations and complications, and ischemic stroke is a common complication of TBM. However, there is no established prevention or treatment for stroke associated with TBM, and the safety and efficiency of thrombolysis in acute stroke caused by TBM remain unknown. Herein, we present a case of successful intravenous thrombolysis in ischemic stroke caused by TBM. A 50-year-old male patient with cerebral infarction had substantially improved neurological function after intravenous thrombolysis, and he was subsequently found to have TBM. Our findings suggest that intravenous thrombolysis might be an effective acute treatment method for infectious stroke.

scholarly journals Acute treatment of a patient with high-risk pulmonary embolism and signs of right-sided heart failure: a case report

2021 ◽  
Vol 16 (11-12) ◽  
pp. 360-360
Author(s):  
Mateja Kovačević ◽  
Nina Krpan ◽  
Katarina Vađić ◽  
Renata Čosić ◽  
Mihaela Ipša ◽  
...  
Keyword(s):  
Heart Failure ◽  
Pulmonary Embolism ◽  
Case Report ◽  
High Risk ◽  
Acute Treatment

scholarly journals Ventricular fibrillation in a tetraplegic patient who had a therapeutic level of a tricyclic antidepressant Case report

Spinal Cord ◽  
1985 ◽  
Vol 23 (6) ◽  
pp. 354-357 ◽  
Author(s):  
Randy Levin ◽  
Douglas M Burtt ◽  
William A Levin ◽  
Michael B Ginsberg
Keyword(s):  
Case Report ◽  
Ventricular Fibrillation ◽  
Tricyclic Antidepressant ◽  
Therapeutic Level
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