Dysplasia epiphysealis hemimelica of the radial head: a rare case report

Abstract Background Dysplasia epiphysealis hemimelica (DEH) is a rare benign overgrowth generally affecting the epiphyses and short bones of the lower limbs. DEH in the elbow joint is extremely rare, and to date, only three cases of DEH have been reported in the radial head. Case presentation In this study, we report a case of DEH located in the radial head of the right elbow of a 10-year-old boy, which was presented with elbow pain and limited range of motion. In clinical examination, an asymmetrical enlargement was observed over the elbow. The lesion was resected surgically, and the patient’s symptoms resolved afterward. The histologic analysis of the lesion confirmed the diagnosis of DEH. Conclusion This report highlights the role of DEH in the differential diagnosis of elbow pathologies, particularly its differentiation from osteochondroma.

Download Full-text

Oesophageal carcinoma with solitary patellar metastasis: a rare case report

Journal of International Medical Research ◽

10.1177/03000605211009812 ◽

2021 ◽

Vol 49 (4) ◽

pp. 030006052110098

Author(s):

Yi Zhao ◽

Qianqian Zhang ◽

Helin Feng ◽

Xiyan Zhu

Keyword(s):

Bone Scintigraphy ◽

Oesophageal Carcinoma ◽

Limited Range ◽

Additional Treatment ◽

X Rays ◽

Methylene Diphosphonate ◽

Limited Range Of Motion ◽

Rare Case Report ◽

Paclitaxel Liposome ◽

The Right

The incidence of tumours found in the patella, including primary and metastatic tumours, is low. Solitary metastasis of oesophageal carcinoma (OC) in the patella is even rarer. A 50-year-old man presented to our clinic because of pain and limited range of motion in the right knee for 4 hours and after a fall. On the basis of the patient’s medical history, he was diagnosed with OC 2 months previously and underwent two cycles of paclitaxel liposome combined with tiggio chemotherapy (oral tiggio, 40 mg, two times/day, with a treatment cycle of 3 weeks). A 99mTc-methylene diphosphonate bone scintigraphy scan showed increased radioactivity in the right patella. A right knee biopsy showed the presence of patellar metastasis from OC. Unfortunately, the patient denied additional treatment and was discharged for personal reasons. At the 1-month follow-up, which was conducted by a telephone survey, we learned that the patient had died of acute pulmonary embolism. X-rays and computed tomography are useful for diagnosing patellar metastases, but 99mTc-methylene diphosphonate bone scintigraphy can help physicians diagnose patellar metastasis of OC more rapidly. Biopsy with pathology is the gold standard for diagnosing patellar metastases. Additionally, timely surgical treatment prolongs the survival time of these patients.

Download Full-text

Impact of Movement with Mobilization and Triceps Eccentric Strengthening in Tennis Elbow: Case Report

Journal of Pharmaceutical Research International ◽

10.9734/jpri/2021/v33i23b31412 ◽

2021 ◽

pp. 10-14

Author(s):

Nabeela Fatema ◽

Bodhisattva Dass ◽

Rinkle Hotwani

Keyword(s):

Elbow Joint ◽

Tennis Elbow ◽

Limited Range ◽

Treatment Session ◽

Manual Muscle Testing ◽

Outer Side ◽

Lateral Epicondyle ◽

Muscle Testing ◽

Limited Range Of Motion ◽

The Right

Background: Tennis elbow can be caused by repetitive wrist and arm motions. Pain is the primary symptom. It usually occurs on the outside of the elbow and sometimes in the forearm and wrist. Treatment includes rest, pain relievers and physiotherapy. Case Presentation: A 28years old male patient presented with a complaint of pain in outer side of the right side elbow. In subjective examination, He gave history of pain while playing tennis mainly in smashing the ball or passing shot, riding bike for more than 2kilometers, difficulty in holding objects sometimes as well. When this pain was unbearable to him he came to Physiotherapy department. Treatment: A Treatment session initially started with Cryotherapy (Ice Pack) application for 5min. On lateral epicondyle of right elbow. Then Ultrasound 0.8 watt/Cm² for 7minutes given, these helped in pain reduction. After 2days patient is asked to follow the commands to perform Triceps strengthening along with wrist strengthening with the help of Half Kg Dumb bell. There was an effect on the reduction of the symptoms of the patient which were pain, reduce strength and limited range of motion of wrist in right hand. After 1week of treatment, we added Mobilization with movement (Mulligan) technique at elbow joint. The same procedure was continued for 2weeks after which patient's symptoms were minimized as to the day of assessment. Outcome measures used for the evaluation of the symptoms were NPRS Scale for Pain, Manual Muscle Testing (MMT) for Strength. Conclusion: Triceps strengthening along with Mulligan technique for elbow joint was found to be effective in patients with severe pain and reduced strength.

Download Full-text

The Political Role of The United Nations: Some British Views

International Organization ◽

10.1017/s002081830001064x ◽

1961 ◽

Vol 15 (4) ◽

pp. 581-602 ◽

Cited By ~ 2

Author(s):

Geoffrey L. Goodwin

Keyword(s):

United Nations ◽

Limited Range ◽

Right Wing ◽

Political Activities ◽

Political Role ◽

Accepted Part ◽

The United Nations ◽

The Right ◽

Peace And War

Charting the course of attitudes in Britain toward the United Nations is mainly a matter of defining small gradations within a fairly limited range, a range varying from sympathetic concern—and ritualistic commendation—at one end of the spectrum to barely dis uised indifference at the other. Among a small section of radical public opinion the Organization can still (August 1961) arouse fervent support, while the right-wing Beaverbrook press and its sympathizers lose few opportunities of pointing out its deficiencies. Nevertheless, during most of its fifteen years' existence, so far as public interest in Britain in its political activities is concerned, the limited impact the United Nations has had on most of the major issues of peace and war has discouraged “popular opinion” from waxing very enthusiastic-or bitter-about it; indeed, although a generally accepted part of international life, it has for long periods languished relatively unnoticed in a diplomatic backwater. Only at such moments of crisis as Korea, Suez, or the Congo, when the Organization has been forced into the mainstream of international politics has this rather tepid reaction been punctuated by heightened tension—and acrimony.

Download Full-text

Surgical Treatment for Malunion of the Lateral Humeral Epicondyle with Posterior Subluxation of the Radial Head: A Case Report and Literature Review

Case Reports in Orthopedics ◽

10.1155/2018/1901235 ◽

2018 ◽

Vol 2018 ◽

pp. 1-4

Author(s):

Koichi Yano ◽

Yasunori Kaneshiro ◽

Hideki Sakanaka

Keyword(s):

Lateral Collateral Ligament ◽

High Energy ◽

Limited Range ◽

Forearm Rotation ◽

Collateral Ligament ◽

Lateral Epicondyle ◽

Limited Range Of Motion ◽

Contracture Release ◽

Normal Congruence ◽

The Right

A 24-year-old right-handed man suffered right olecranon and lateral epicondylar fracture from high energy trauma. Fixation of olecranon was performed by a previous doctor. Three months after operation, he presented with limited range of motion (ROM) of the right elbow caused by malunion of the lateral epicondylar fracture and subluxation of the radiohumeral joint. Preoperative ROM of the right elbow was flexion 110° and extension −75°. Forearm rotation was pronation 85° and supination 65°. Fragment excision of the lateral epicondyle, which was 27 mm in length, and lateral collateral ligament repair using anchors were performed. Fourteen months postoperatively, contracture release of the elbow was performed. Twenty-four months postoperatively, radiograph of the elbow showed normal congruence without osteoarthritic changes and the ROM of the right elbow was flexion 120° and extension −35°. Forearm rotation was pronation 90° and supination 70°. In the surgical setting, in case of the size of the lateral epicondylar fragment is relatively large, the fragment should be fixed or lateral collateral ligament should be repaired when the instability of the elbow is found.

Download Full-text

Benign Pleural Multicystic Mesothelioma: A Rare Case Report

10.21203/rs.3.rs-165790/v1 ◽

2021 ◽

Author(s):

Alireza Rezvani ◽

SeyedehMaryam Pishva ◽

Amirhossein Erfani ◽

Ahmad Monabati ◽

Bizhan Ziaian ◽

...

Keyword(s):

Case Report ◽

Chronic Cough ◽

Rare Case ◽

Pleural Mesothelioma ◽

Case Presentation ◽

Rare Case Report ◽

History Of ◽

The Right ◽

Lateral Thoracotomy ◽

Pleural Involvement

Abstract Background: Fewer than 200 benign multicystic peritoneal mesothelioma cases were reported worldwide till 2017, while its pleural involvement has rarely been reported. Case presentation: We report a 70-year-old man who presented with three months history of chronic cough. Surgical resection was performed, and the pathology confirmed benign multicystic pleural mesothelioma. The patient underwent right lateral thoracotomy, wedges resection of the right upper lobe, and parietal pleurectomy and was discharged with an uneventful postop course.Conclusion: Based on published literature to date, this is the second reported case of pleural involvement of this disease.

Download Full-text

A case of tuberculosis of the rare azygos lobe of the right lung

Egyptian Journal of Bronchology ◽

10.1186/s43168-021-00100-y ◽

2021 ◽

Vol 15 (1) ◽

Author(s):

Sandeep Singh Awal ◽

Som Subhro Biswas ◽

Hitesh Goyal ◽

Sampreet Kaur Awal

Keyword(s):

Incidental Finding ◽

Chest Imaging ◽

Cardinal Vein ◽

Anatomical Variant ◽

Case Presentation ◽

Azygos Lobe ◽

Rare Case Report ◽

History Of ◽

The Right ◽

Posterior Cardinal Vein

Abstract Background The azygos lobe is a rare anatomical variant seen in the upper lobe of right lung. It occurs during embryological development due to the failure of posterior cardinal vein to migrate supero-medially. It is often an incidental finding on imaging and is asymptomatic in majority of cases. Tuberculosis involving the azygos lobe is extremely rare. Only a few cases of tuberculosis involving the azygos lobe have been reported in literature. Case presentation We present a rare case report of tuberculosis infection involving the azygos lobe in a 57-year-old male with history of chronic cough, fever, hemoptysis, and weight loss. Conclusions The azygos lobe is usually asymptomatic, but it may be misdiagnosed as bulla, lung cyst, or abscess. In rare cases it may be associated with certain pathology such as tuberculosis, other infections, and lung cancer. Hence, it is pertinent for a radiologist to be aware of this variant when reporting chest imaging cases.

Download Full-text

Primary Orbital Myxoid Liposarcoma: A Case Report and Review of Literature

Asian Journal of Medical Sciences ◽

10.3126/ajms.v4i4.8311 ◽

2013 ◽

Vol 4 (4) ◽

pp. 28-32

Author(s):

Chen Niu ◽

Netra Rana ◽

Zhi Gang Min ◽

Ming Zhang

Keyword(s):

Medical Science ◽

Myxoid Liposarcoma ◽

Soft Tissue Tumors ◽

Lower Limbs ◽

Mri Findings ◽

One Year ◽

The Right ◽

Ct And Mri

Liposarcomas are common malignant soft-tissue tumors, which come from primitive mesenchymal cells and differentiate into adipose tissue. These tumors are more commonly found in lower limbs and retroperitoneal region but also reported in pharynx, lung, liver, digestive tract, diaphragm, as well as in the spermatic cord. We reported a case of primary orbital myxoid liposarcoma in a 20-year-old female patient presented with a painless proptosis of the right eye. The mass was pathologically diagnosed as a myxoid liposarcoma. The tumor recurred in 9 months after surgical intervention. The second surgery was performed and followed by postoperative local radiotherapy. No recurrence has been reported after one year of follow-up. We highlighted the role of CT and MRI findings in the tumor diagnosis and the importance of local radiotherapy after surgery. Asian Journal of Medical Science, Volume-4 (2013), Pages 28-32 DOI: http://dx.doi.org/10.3126/ajms.v4i4.8311

Download Full-text

Solitary osteochondroma of scapula: A case report

Journal of Chitwan Medical College ◽

10.3126/jcmc.v6i3.16704 ◽

2017 ◽

Vol 6 (3) ◽

pp. 69-71

Author(s):

B D Sharma ◽

J Sitaula ◽

A Prajapati ◽

A P Regmi

Keyword(s):

Case Report ◽

Surgical Excision ◽

Ventral Surface ◽

Limited Range ◽

Histopathological Study ◽

Long Bones ◽

Limited Range Of Motion ◽

Solitary Osteochondroma ◽

Benign Tumours ◽

The Right

Osteochondromas are the most common benign tumours of bone. They are most commonly seen in the metaphyseal regions of long bones (femur, tibia, humerus). The scapula is rarely involved, and very few cases of solitary osteochondroma of scapula have been reported in literature. We present the case of a 17 year old male who presented with pain and limited range of motion of his right shoulder. CT scan revealed an osteochondroma on the dorsomedial surface of the right scapula extending into the ventral surface. Surgical excision was done and histopathological study showed osteochondroma of the scapula.

Download Full-text

Felső ugróízülettel kommunikáló csontcysta sebészi kezelése súlyos A-haemophiliás betegen

Orvosi Hetilap ◽

10.1556/650.2019.31346 ◽

2019 ◽

Vol 160 (17) ◽

pp. 679-682

Author(s):

Krisztián Kovács ◽

Lajos Bartha ◽

Imre Antal

Keyword(s):

Pathological Fracture ◽

Bone Cyst ◽

Multidisciplinary Treatment ◽

Joint Space ◽

Limited Range ◽

Clotting Factor ◽

Limited Range Of Motion ◽

Factor Substitution ◽

High Level

Abstract: The authors report the case of a 19-year-old male patient with inhibitor-positive factor VIII deficiency. The patient had painful, limited range of motion and swelling in the left toe, due to haemarthrosis 1-2 times a month. The MR images depicted a bone cyst penetrating into the tibiotalar joint space at the distal end of the left tibia. Due to the size and localisation of the cyst, there was a high chance of a pathological fracture with a potential intraarticular component. The clinical scenario was complicated by the high level of antifactor VIII antibodies. To prevent pathological fracture and stop the recurrence of haemarthrosis, the authors decided to debride the cavity and fill it with bone chips. During the operation and the postoperative period the patient recieved recombinant clotting factor substitution and standard thromboprophylaxis. Despite the high risk of bleeding complication, the patient had neither bleeding nor thomboembolic complication. Further bleeding into the joint space has not been reported by the patient since the surgery. The authors aim to draw attention to this rare, but significant disease, the role of the haemophilia centers and the importance of the coordinated multidisciplinary treatment. Orv Hetil. 2019; 160(17): 679–682.

Download Full-text

Synovial sarcoma of the floor of the mouth: a rare case report

BMC Oral Health ◽

10.1186/s12903-019-0961-8 ◽

2020 ◽

Vol 20 (1) ◽

Cited By ~ 3

Author(s):

Yannan Wang ◽

Feiya Zhu ◽

Kai Wang

Keyword(s):

Synovial Sarcoma ◽

Submandibular Region ◽

Case Presentation ◽

Floor Of The Mouth ◽

Rare Case Report ◽

Total Body ◽

The Right ◽

Delay Of Diagnosis ◽

Chinese Male

Abstract Background Head and neck Synovial sarcoma (SS) accounts for 3–10% of all total body SS. It is rare to find it in the oral cavity, especially on the floor of the mouth. Case presentation We present a 44-year-old Chinese male, who had been misdiagnosed as fibroadenoma, with a swelling on the right submandibular region for more than 3 months. The radiology examinations and the pathology results indicate the diagnosis of SS of the floor of the mouth. The patient only had a surgical operation, without radiotherapy and chemotherapy. At the first follow-up, the patient exhibited no clinical or radiographic complications, and the patient was asymptomatic on subsequent visits. Conclusions Misdiagnosis results the delay of diagnosis and treatment of SS. Immunohistological analysis might be the most important tool to confirm the diagnosis of SS.

Download Full-text