scholarly journals Outcome of neglected talus neck fracture and it’s management: A Case Report

2021 ◽  
Vol 11 (4) ◽  
Author(s):  
Nagaraj Manju Moger ◽  
J. Pragadeeshwaran ◽  
Aman Verma ◽  
Ankith K.V ◽  
K. S. Aditya ◽  
...  
Keyword(s):  
Case Report ◽  
Delayed Union ◽  
The Body ◽  
Talus Fracture ◽  
Non Union ◽  
Vascular Compromise ◽  
Neck Fracture ◽  
History Of ◽  
Cancellous Screws ◽  
High Level

Introduction: Talus fracture is an uncommon fracture that can be encountered on day- to- day basis. However, it is the 2nd most common tarsal bone to get fractured after calcaneum and accounts for approximately 1% of all fractures around foot and ankle. The anastomotic ring around the talar neck is highly likely to get damaged at the time of the fracture, which, in turn, hampers the blood supply to the body of talus. As a result, the bone healing is delayed and the integrity of the healed fracture is poor which leads to poor functional outcome. Almost 39% cases are missed during the initial evaluation, and talus fracture accounts for almost 50% of all the missed injuries (6–8). A high level of clinical suspicion is required to avoid missing such injuries. Case Report: A 26-year-old male presented to the outpatient department with chief complaint of pain over the left foot while walking for past 6 months. There was a history of significant trauma to the foot 6 months back (fall from 12 feet) for which he sought medical advice and was managed with analgesics and rest for a couple of weeks. He presented to us 6 months later with chronic, dull aching, and continuous pain which aggravates while walking and standing. The diagnosis of the non-union fracture neck of talus was made after radiology and was managed by open reduction and internal fixation with cannulated cancellous screws along with contralateral iliac crest cancellous bone grafting. Conclusion: Delay in diagnosing such injuries accelerates the vascular compromise, delays timely intervention, and ultimately leads to increased morbidity. Keywords: Talar neck fracture, non-union talus fracture, delayed union talus.

scholarly journals Management of 6 Months old Neglected Talus Neck Fracture: A Case Report with Review of Literature

2020 ◽  
Vol 9 (2) ◽  
pp. 11-13
Author(s):  
Nagaraj Manju Moger ◽  
Pragadeeshwaran J ◽  
Mosharaf Hossain Sarkar ◽  
Pradeep Kumar Meena
Keyword(s):  
Iliac Crest ◽  
Foot And Ankle ◽  
Review Of Literature ◽  
Local Hospital ◽  
Cancellous Bone Grafting ◽  
Non Union ◽  
Neck Fracture ◽  
History Of ◽  
Proper Diagnosis ◽  
Cancellous Screws

Talus fractures are very rarely seen and account for approximately 1 percent of fractures around the foot and ankle Talar neck fractures are likely to damage the anastomotic ring, resulting in disruption of blood supply to the talar body which leads to significant problems in fracture healing and integrity. Approximately 39 percent of midfoot and ankle fractures could be missed during initial evaluation due to a lack of adequate radiological and clinical examination. Among these missed injuries approximately 50 percent are talus fractures. A 23-year-old male patient came with complaints of pain over the left foot while walking for 6 months. He had a history of falls from 10 feet height 6 months back. He was conservatively managed in a local hospital without any proper diagnosis. He presented to us 6 months later with chronic, dull aching, continuous pain which aggravates while walking and standing. The diagnosis of the non-union fracture neck of talus was made after radiology and was managed by open reduction and internal fixation with cannulated cancellous screws along with ipsilateral iliac crest cancellous bone grafting. Lack of timely diagnosis escalates the vascular insult, delays timely intervention, and increases morbidity.

scholarly journals History of regenerative medicine in the field of orthopedics

2020 ◽  
Vol 1 ◽  
pp. 154-158
Author(s):  
Abhishek Vaish ◽  
William Murrell ◽  
Raju Vaishya
Keyword(s):  
Regenerative Medicine ◽  
Delayed Union ◽  
The Body ◽  
Cartilage Defects ◽  
Cell Therapies ◽  
Non Union ◽  
Tissue Healing ◽  
History Of ◽  
Necrosis Of Femoral Head ◽  
Natural Tissue

The demand and surge of regenerative medical treatments for various musculoskeletal disorders and injuries have increased exponentially in the recent past. We have reviewed the evolution of these treatments, from the past to the present times. This era has seen a paradigm shift from the replacement to regenerative methods of treatment for many orthopedic disorders. The regenerative medicine helps in restoring the natural tissue in the body at the diseased area. From the ancient methods of provoking tissue healing by noxious stimuli, now, many sophisticated and scientifically proven techniques of regeneration of tissues have come up and are being used globally. Cell therapies have been used as a treatment for a variety of musculoskeletal pathologies including osteoarthritis, cartilage defects, tendinopathies, delayed union and non-unions, non-union of fractures, and treatment of avascular necrosis of femoral head and other bones. Cellular therapies, with or without tissue engineering, seem to the future of regenerative medicine and these may make the replacement of a diseased joint or bone redundant in the near future.

A Case Report on Glanzmann’s Thrombasthenia: A Rare Platelet Function Disorder

2018 ◽  
Vol 2 (02) ◽  
pp. 59-60
Author(s):  
Farida Yasmin ◽  
Md. Anwarul Karim ◽  
Chowdhury Yakub Jamal ◽  
Mamtaz Begum ◽  
Ferdousi Begum
Keyword(s):  
Case Report ◽  
Platelet Function ◽  
The Body ◽  
Presenting Symptoms ◽  
Glanzmann’S Thrombasthenia ◽  
Glanzmann's Thrombasthenia ◽  
Platelet Function Disorders ◽  
Recurrent Epistaxis ◽  
Severe Epistaxis ◽  
History Of

Epistaxis in children is one of the important presenting symptoms for attending emergency department in paediatric patients. Recurrent epistaxis is common in children. Although epistaxis in children usually occurred due to different benign conditions, it may be one of the important presenting symptoms of some inherited bleeding disorder. Whereas most bleeding disorders can be diagnosed through different standard hematologic assessments, diagnosing rare platelet function disorders may be challenging. In this article we describe one case report of platelet function disorders on Glanzmann’s thrombasthenia (GT). Our patient was a 10-year old girl who presented to us with history of recurrent severe epistaxis. She had a bruise on her abdomen and many scattered petechiae in different parts of the body. Her previous investigations revealed no demonstrable haemostatic anomalies. After performing platelet aggregation test, she was diagnosed as GT.

scholarly journals Fear of body symptoms and sensations in patients with panic disorders and patients with somatic diseases

2009 ◽  
Vol 137 (11-12) ◽  
pp. 659-663 ◽  
Author(s):  
Milan Latas ◽  
Danilo Obradovic ◽  
Marina Pantic
Keyword(s):  
Myocardial Infarction ◽  
General Population ◽  
Panic Disorder ◽  
Somatic Symptoms ◽  
The Body ◽  
Panic Attacks ◽  
Somatic Illness ◽  
History Of ◽  
Body Sensations ◽  
High Level

Introduction. A cognitive model of aetiology of panic disorder assumes that people who experience frequent panic attacks have tendencies to catastrophically interpret normal and benign somatic sensations - as signs of serious illness. This arise the question: is this cognition specific for patients with panic disorder and in what intensity it is present in patients with serious somatic illness and in healthy subjects. Objective. The aim of the study was to ascertain the differences in the frequency and intensity of 'catastrophic' cognitions related to body sensations, and to ascertain the differences in the frequency and intensity of anxiety caused by different body sensations all related to three groups of subjects: a sample of patients with panic disorder, a sample of patients with history of myocardial infarction and a sample of healthy control subjects from general population. Methods. Three samples are observed in the study: A) 53 patients with the diagnosis of panic disorder; B) 25 patients with history of myocardial infarction; and C) 47 healthy controls from general population. The catastrophic cognitions were assessed by the Agoraphobic Cognitions Questionnaire (ACQ) and the Body Sensations Questionnaire (BSQ). These questionnaires assess the catastrophic thoughts associated with panic and agoraphobia (ACQ) and the fear of body sensations (BSQ). All study subjects answered questionnaires items, and the scores of the answers were compared among the groups. Results. The results of the study suggest that: 1) There is no statistical difference in the tendency to catastrophically interpret body sensations and therefore to induce anxiety in the samples of healthy general population and patients with history of myocardial infarction; 2) The patients with panic disorder have a statistically significantly more intensive tendency to catastrophically interpret benign somatic symptoms and therefore to induce a high level of anxiety in comparison to the sample of patients with the history of serious somatic illness (myocardial infarction) and the sample of healthy general population. Conclusion. The tendency to catastrophically interpret benign somatic symptoms and therefore to induce a high level of anxiety in patients with panic disorder, confirms the cognitive aetiology model of panic disorder and suggests that it should be the focus of prophylactic and therapeutic management of patients with panic disorder.

Adjunctive citalopram is effective on hallucinations and depersonalization symptoms: a case report

2004 ◽  
Vol 19 (3) ◽  
pp. 185-185 ◽  
Author(s):  
Vittorio Di Michele ◽  
Francesca Bolino
Keyword(s):  
Case Report ◽  
Weight Gain ◽  
Potential Interaction ◽  
The Body ◽  
Adjunctive Treatment ◽  
Low Doses ◽  
Safety And Efficacy ◽  
The Social ◽  
History Of ◽  
Comprehensive Rehabilitation

The treatment of depressive symptoms in patients affected by schizophrenia is often a concern for clinicians [2] due to potential interaction, in terms of safety and efficacy. Citalopram seems to be a safe SSRI as adjunctive treatment to Olanzapine because of the lack of interactions. We report a serendipitous finding showing that the adjunction of Citalopram to Olanzapine, led to disappearence of residual hallucinations and depersonalization symptoms in a few weeks.Mr A is a 27-year-old male, living in the community, with a 4-year history of schizophrenia,. He was treated with low doses of Olanzapine (10 mg/daily) since 2000 because of an intolerance to dose increments (weight gain and mydriasis).The persistence of sporadic hallucinations (commenting voices) and depersonalization symptoms (when he walked alone he felt his self leaving the body) was well tolerated by the patient. The social functioning was satisfactory: he had a protected job and was involved in a comprehensive rehabilitation programme.

NON-UNION OF ISOLATED RADIAL NECK FRACTURE USING A BONE GRAFT AND TEMPORARY K-WIRE FIXATION: A CASE REPORT

Hand Surgery ◽  
2013 ◽  
Vol 18 (03) ◽  
pp. 389-392 ◽  
Author(s):  
Soo-Min Cha ◽  
Hyun-Dae Shin ◽  
Kyung-Cheon Kim ◽  
Jae-Hwang Song
Keyword(s):  
Case Report ◽  
Bone Graft ◽  
Elbow Joint ◽  
External Rotation ◽  
Non Union ◽  
Radial Neck Fracture ◽  
Radial Neck ◽  
Iliac Bone Graft ◽  
Wire Fixation ◽  
Neck Fracture

Introduction: Non-union of radial neck fractures is not common in adults, and surgical treatment is rarely required. This case report documents non-union of the radial neck with persistent pain around the elbow joint and tenderness over the neck of the radius, limited range of motion for 12 months. The authors performed an iliac bone graft and temporary K-wire fixation for non-union of the radial neck after an isolated radial neck fracture. Case presentation: A 54-year-old woman slipped with her hand outstretched 12 months prior to presentation. She was diagnosed with a radial neck fracture, but her injury was eventually diagnosed as a non-union fracture, and she was transferred to our hospital. The patient had tenderness of the radial head and neck and an increasing tendency of pain in the forearm during external rotation with resistance. Flexion was a maximum of 80°, extension was limited to 20°, and internal rotation and external rotation were decreased to 60°. On plain radiographs, a clear radiolucent shadow was present between the bone fragment and radius. After the autogenous iliac bone graft, a temporary K-wire was fixed, and at eight weeks postoperatively, the bone was united. The patient is in the month 24 of postoperative follow-up and is able to perform daily activities without tenderness. Conclusion: If elbow joint pain, tenderness, and limitation of range of motion are present in non-union of radial neck fracture, surgical treatment is necessary. If there is no injury to the ligament around the elbow or instability, the authors consider bone graft and temporary K-wire fixation as an excellent treatment option for bony union and early exercise of the joint.

Diagnosis of Hepatosplenic Sarcoidosis by Contrast-Enhanced Ultrasound Guided Needle Biopsy

Ultrasound ◽  
2008 ◽  
Vol 16 (4) ◽  
pp. 196-198 ◽  
Author(s):  
Roberto Chiavaroli ◽  
Pierfrancesco Grima ◽  
Paola Calabrese ◽  
Piero Grima
Keyword(s):  
Case Report ◽  
Liver Biopsy ◽  
Needle Biopsy ◽  
Systemic Disease ◽  
Final Diagnosis ◽  
The Body ◽  
Contrast Enhanced Ultrasound ◽  
Ultrasound Guided ◽  
Contrast Enhanced ◽  
History Of

Sarcoidosis is a systemic disease characterised by non-caseating multiple granulomas involving virtually any organ in the body. The aetiology and natural history of sarcoidosis remains obscure. Hepatosplenic sarcoidosis is rare with image-based diagnosis difficult if no other organ is already involved. This case report describes a patient with asymptomatic liver and spleen involvement in which a final diagnosis was achieved with contrast enhanced ultrasound (CEUS) guided liver biopsy.

scholarly journals Non -Union of Lateral Hoffa Fracture - A Case Report

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Amit Supe ◽  
Shubham Atal ◽  
Neetin P Mahajan ◽  
Prasanna Kumar. G S ◽  
Amey Sadar ◽  
...  
Keyword(s):  
Case Report ◽  
Internal Fixation ◽  
Open Reduction ◽  
Femoral Condyle ◽  
Left Knee ◽  
X Rays ◽  
Non Union ◽  
Hoffa Fracture ◽  
History Of ◽  
Missed Diagnosis

Introduction: Hoffa is a coronal fracture of the femoral condyle. It is an uncommon injury easily missed on X-rays, which later presents as a non-union. Computed tomography (CT) scan knee helps in diagnosing undisplaced fractures and planning the management. Case Report: A 24-year-old male patient presented to us with complaints of pain, decreased range of knee movements, difficulty in walking and clicking sound at the left knee for 9 years. The patient had a history of trauma 9 years back. X-ray of the left knee showed the non-union of left lateral Hoffa fracture, which was managed with open reduction and internal fixation with CC screws using the lateral para patellar approach. At present 1.5 years follow-up, the patient is comfortable with no pain and having a complete knee range of motion. Conclusion: Although Hoffa fracture is rare, clinical suspicion, along with radiological investigations, is essential to diagnose Hoffa fracture. A missed diagnosis can lead to malunion or non-union, which predisposes to knee arthritis. Timely and proper management of Hoffa non-union with open reduction, stable internal fixation and early knee mobilization help in getting a better outcome. Keywords: Lateral Hoffa fracture, non-union, internal fixation, functional outcome.

scholarly journals Gossypiboma and Total Hip Arthroplasty – A Rare Accidental Finding Following a Periprosthetic Infection

2021 ◽  
Vol 11 (6) ◽  
Author(s):  
Gabriel Pina ◽  
David Pereira ◽  
Nuno Borralho ◽  
Manuel Sousa
Keyword(s):  
Case Report ◽  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Past History ◽  
Surgical Complication ◽  
Soft Tissue Tumors ◽  
The Body ◽  
Total Hip ◽  
Reactive Protein ◽  
History Of

Introduction: Gossypiboma or textiloma is the technical term used to describe a surgical complication related to accidental retention of surgical material within the body, most often surgical swabs. Since it is rare in orthopedic surgery, its diagnostis is less common and often initially mistaken with soft-tissue tumors. The aim of this study is to point out the importance of this differential diagnosis in the event of clinical swelling or accidental intraoperative finding associated with previous surgery. Case Report: Female patient presenting with 3 weeks hip pain and inflammatory signs, with a past history of a total hip arthroplasty 15 years before. Analytically presented C-reactive protein CRP of 13.67 mg/dl. Ultrasound and computed tomography CT scan revealed a solid lesion in the anterior thigh root and a liquid lesion in the lateral region of the hip. Discussion: Gossypibomas can be classified into two types: The aseptic fibrous type, which produces adhesions and a fibrotic capsule, and the exudative type, which is characterized by abscess formation. This case report refers to an aseptic fibrous type, given an asymptomatic evolution over 15 years and histopathological findings. However, this diagnosis occurred following a periprosthetic hip infection. Keywords: Gossypiboma, muslinoma, textiloma, total hip arthroplasty. Gossypiboma, Textiloma, Muslinoma, Total hip arthroplasty

Aneuploidy of sex chromosomes in a tortoiseshell cat – case report

2017 ◽  
Vol XXII (126) ◽  
pp. 40-44
Author(s):  
Maria Teresa Pereira Costa ◽  
Richard Roberto Lobo ◽  
Valquiria Santiloni ◽  
Lígia Souza Lima Silveira da Mota
Keyword(s):  
Case Report ◽  
Coat Color ◽  
Klinefelter Syndrome ◽  
Companion Animals ◽  
Color Pattern ◽  
White Hair ◽  
The Body ◽  
Black Hair ◽  
Livestock Species ◽  
History Of

Cytogenetic analysis is an important step in the diagnosis of animals with a history of infertility or sterility. While chromosomal studies have been indicated for livestock species for years, the demand for such analyzes in companion animals has recently increased. The coat color in cats known as tortoiseshell presents predominance of black hair mixed with white and orange hair all over the body and, in the color pattern known as calico, these three colors are presented as independent spots with predominance of white hair. However, all of these patterns are limited to females due to sex-linked inheritance. Male tortoiseshell or calico cats occur rarely, due to the occurrence of chromosomal aberrations. This article reports the chromosomal analysis of a male cat with tortoiseshell pelage that presented an extra X chromosome (diploid chromosome set of 2n = 39,XXY), a condition which is similar to Klinefelter syndrome in humans.

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