scholarly journals Surgical management of an enchondroma of the proximal phalanx of the foot: An illustrative case report

2020 ◽  
Vol 8 ◽  
pp. 2050313X2094589
Author(s):  
Steven R Edwards ◽  
Andrew C Kingsford
Keyword(s):  
Case Report ◽  
Bone Graft ◽  
Surgical Management ◽  
Proximal Phalanx ◽  
Illustrative Case ◽  
Optimal Management ◽  
Tibial Bone ◽  
Benign Tumours ◽  
Surrounding Bone

Enchondromas are benign tumours that may become symptomatic due to expansive pressure on the surrounding bone. In this case, a 27-year-old male developed a symptomatic enchondroma within the proximal phalanx of his left fourth toe. Resection and insertion of a bone graft were considered optimal management. Histopathology testing confirmed the diagnosis of an isolated enchondroma. The patient was monitored closely for 3 months postoperatively and reported full satisfaction at his 12-month review. Enchondroma resection and insertion of a tibial bone graft may provide an effective long-term solution for a symptomatic enchondroma of the toe.

scholarly journals Bone Trephining for Osteoid Osteoma Excision: A Case Report

2007 ◽  
Vol 15 (2) ◽  
pp. 230-233 ◽  
Author(s):  
D Osarumwense ◽  
C Esene ◽  
A Feldman
Keyword(s):  
Case Report ◽  
Surgical Technique ◽  
Bone Graft ◽  
Osteoid Osteoma ◽  
Histological Analysis ◽  
Long Term Outcomes ◽  
Complete Excision ◽  
Bony Structure ◽  
Surrounding Bone

Osteoid osteomas may be treated medically or surgically; both have similar long-term outcomes. Nonetheless, only surgery allows complete excision of the lesion for histological analysis. Excessive removal of surrounding bone may destabilise and weaken the bony structure and predispose it to fractures. We describe a surgical technique using a bone graft trephine to enable precise lesion removal with minimal bone excision.

scholarly journals Percutaneous gastrostomy as an urgent method of management of critically ill neonate with esophageal and duodenal atresia

2004 ◽  
Vol 132 (suppl. 1) ◽  
pp. 115-118
Author(s):  
Mila Kolar ◽  
Zoran Krstic ◽  
Marija Lukac ◽  
Volodja Stankovic ◽  
Marko Kostic
Keyword(s):  
Case Report ◽  
Enteral Nutrition ◽  
Surgical Management ◽  
Tracheoesophageal Fistula ◽  
Palliative Treatment ◽  
Duodenal Atresia ◽  
Malignant Diseases ◽  
Respiratory Dysfunction ◽  
Percutaneous Gastrostomy

The objective of this article was to present possibilities of percutaneous gastrostomy for management of a newborn with esophageal and duodenal atresia. Percutaneous gastrostomy is the most commonly employed technique for providing long-term enteral nutrition. In adults, it is also method of choice for decompression of digestive tract in palliative treatment of malignant and non malignant diseases. This is a case report of two-day old newborn with esophageal atresia with distal tracheoesophageal fistula and duodenal atresia. Percutaneous decompressive gastrostomy was used as a temporary bridge to definite surgery for management of respiratory dysfunction of this newborn, caused by dilated stomach. Surgical management (esophageal and duodenal reconstructions) as well as intra- and postoperative period were without any complications. Three months after surgical management, the infant is well and without any difficulties.

scholarly journals Numerous Severe Long-Term Sequelae of Skull Base Proton Beam Radiation for Infantile Clival Chordoma: An Illustrative Case Report

2018 ◽  
Vol 79 (S 01) ◽  
pp. S1-S188
Author(s):  
John Hanks ◽  
Kevin Kovatch ◽  
Syed Ali ◽  
Emily Stucken ◽  
Matthew Spector ◽  
...  
Keyword(s):  
Case Report ◽  
Skull Base ◽  
Proton Beam ◽  
Illustrative Case ◽  
Beam Radiation ◽  
Clival Chordoma ◽  
Proton Beam Radiation

scholarly journals Surgical management of congenital thoracic kyphosis and multilevel bilateral thoracic pedicle aplasia: case report

2019 ◽  
Vol 23 (1) ◽  
pp. 16-21
Author(s):  
Darryl Lau ◽  
Cecilia L. Dalle Ore ◽  
Kenneth W. Martin ◽  
James F. Policy ◽  
Peter P. Sun
Keyword(s):  
Case Report ◽  
Surgical Management ◽  
Thoracic Kyphosis ◽  
Neurological Deficits ◽  
Spinal Deformities ◽  
Optimal Management ◽  
Review Of The Literature ◽  
Vertebral Level ◽  
Multiple Levels ◽  
Severe Spinal Deformities

Pedicle aplasia is an uncommon congenital anomaly most frequently involving the absence of a single pedicle at a single vertebral level. Bilateral pedicle aplasia at multiple levels is exceedingly rare and has only been described once previously in the literature. While single-level pedicle aplasia is often asymptomatic and discovered incidentally, pedicle aplasia of multiple levels may produce severe spinal deformities and neurological deficits. Due to the rarity of this condition, optimal management remains uncertain. In this case report, the authors describe the surgical management of a healthy 9-year-old boy who presented with frequent falls, difficulty running, and severe thoracic kyphotic deformity and was found to have bilateral pedicle aplasia from T3 to T9. A review of the literature regarding pedicle aplasia is also presented.

scholarly journals Enchondromatosis Affecting the Foot: A Case Report

2021 ◽  
Author(s):  
Steven R Edwards ◽  
Mark F Gilheany
Keyword(s):  
Bone Graft ◽  
Kirschner Wire ◽  
Proximal Phalanx ◽  
X Rays ◽  
Middle Phalanx ◽  
Resonance Imaging ◽  
Patient Reported ◽  
Variable Distribution ◽  
Magnetic Resonance Imaging Mri ◽  
Surrounding Bone

Enchondromatosis is characterised by asymmetrical cartilage lesions of variable distribution that cause pain, deformity, changes to limb length, and potential malignancy. The cause is unknown. The pain associated with enchondromatosis is due to the increasing pressure of the lesions on the surrounding bone. A 16-year-old male with suspected enchondromatosis affecting his left foot was referred to our surgical practice. Physical examination revealed swelling and disfigurement with moderate pain upon palpation of the second and third toes. X-rays and Magnetic Resonance Imaging (MRI) displayed lesions within the proximal and middle phalanx of the second and proximal phalanx of the third toe. Management involved curettage with insertion of tibial bone graft with percutaneous Kirschner wire stabilisation. Success was defined as the resolution of symptoms, successful take of the graft and normal alignment of the tires. At eight-weeks postoperatively the patient reported no pain and his toes were in normal alignment and not deformed. Enchondromatosis is an uncommon disorder that may respond well to surgical curettage with bone graft.

scholarly journals Zonisamide for the Management of Essential Tremor: An Illustrative Case Report on Long-Term Effectiveness

2017 ◽  
Vol 64 (1) ◽  
pp. 11-14
Author(s):  
Jack Chen
Keyword(s):  
Case Report ◽  
Essential Tremor ◽  
The Elderly ◽  
Maximum Tolerated Dose ◽  
Illustrative Case ◽  
Modest Improvement ◽  
Beneficial Effects ◽  
Clinically Significant

Essential tremor, a common adult pathologic tremor disorder, is characterized by action tremors. Mainstays of treatment include gabapentin, primidone, and propranolol. However, many patients obtain insufficient benefit or do not tolerate these medications (especially the elderly). Short-term studies demonstrate that zonisamide may be effective for essential tremor; however, long-term data are lacking. This is a case report of an 83-year-old, right-handed man with essential tremor of the upper extremities and head who previously failed several pharmacological treatments (defined as obtaining inadequate benefit from maximum tolerated dose) with gabapentin, nadalol, propranolol, and primidone and was initiated on zonisamide monotherapy. Long-term zonisamide therapy (200 mg daily) was well tolerated in this elderly patient and associated with clinically significant improvement of upper extremity tremor and clinically modest improvement in head tremor. The beneficial effects and tolerability were sustained over nearly 28 months of follow-up treatment.

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