scholarly journals Minor rheumatology: Nonsystemic rheumatic disease of juxta-articular soft tissues of the pelvis and lower extremity: Diagnosis and treatment. Part 3

2015 ◽  
Vol 9 (4) ◽  
pp. 68-76 ◽  
Author(s):  
A. E. Karateev ◽  
D. E. Karateev
Keyword(s):  
Rheumatic Disease ◽  
Lower Extremity ◽  
Soft Tissues ◽  
Diagnosis And Treatment

Lower-Extremity Sclerotomes

2009 ◽  
Vol 99 (3) ◽  
pp. 232-235 ◽  
Author(s):  
Andrew J. Meyr ◽  
Raymond DiPrimio
Keyword(s):  
Lower Extremity ◽  
Peripheral Nerve ◽  
Spinal Nerve ◽  
Sensory Innervation ◽  
Diagnosis And Treatment ◽  
Deep Fascia ◽  
Nerve Blockade ◽  
Anatomical Knowledge ◽  
Peripheral Nerve Blockade

A sclerotome is an anatomical concept that defines an area of bone supplied by a single spinal nerve. Similar to the familiar dermatomes, sclerotomes provide an element of depth to the sensory innervation of the lower extremity based on the deep fascia as an embryologic boundary. Anatomical knowledge of sclerotomes can be used clinically in the diagnosis and treatment of pain and in the perioperative setting. Specifically, a modified version of the classic Mayo block is presented to highlight an active anatomical approach to peripheral nerve blockade. (J Am Podiatr Med Assoc 99(3): 232–235, 2009)

Free versus Pedicled Perforator Flaps for Lower Extremity Reconstruction: A Multicenter Comparison of Institutional Practices and Outcomes

2018 ◽  
Vol 34 (08) ◽  
pp. 572-580 ◽  
Author(s):  
Keith Koh ◽  
Terence Goh ◽  
Christopher Song ◽  
Hyun Suh ◽  
Peter Rovito ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Lower Extremity ◽  
Soft Tissues ◽  
Perforator Flap ◽  
Free Flaps ◽  
Careful Consideration ◽  
Pedicled Flap ◽  
Perforator Flaps ◽  
Body Regions ◽  
Significant Difference

Background Of all body regions, lower extremity wounds have been and remain the greatest challenge. Perforator free flaps have been accepted as a reasonable option to solve this dilemma but require the complexity of microsurgery. As a consequence, the possibility that pedicled perforator flaps could supplant even perforator free flaps has recently gained intense enthusiasm. Methods A retrospective investigation was undertaken to compare the validity for the use of perforator flaps of all types at three dissimilar institutions, that is, a university, a regional center, and a community hospital. All flaps performed in the 5-year period, 2011 to 2015, were included to allow at least 1-year follow-up before data analysis. A total of 433 free perforator flaps and 52 pedicled perforator flaps had been performed specifically for the lower extremity. Results Patient demographics, wound etiology, and comorbidities were similar for all institutions. Free flaps were more commonly needed after trauma and for chronic ulcers. Pedicled flaps were more likely an option after tumor excision. Large defects or those involving the foot were better served by free flaps. Overall success for free perforator flaps was 90.1% and for pedicled perforator flaps was 92.3%, with no significant difference noted (p = 0.606) between institutions. Peripheral vascular disease was the only significant comorbidity risk factor for both free and pedicled flap failure. Conclusion Perforator flaps in general have become a reasonable solution for soft tissue defects of the lower extremity. Following careful consideration of the etiology, dimensions, location, patient comorbidities, and presence of adequate perforators, a pedicled or free perforator flap could potentially be successful. Pedicled perforator flaps, if adequate healthy soft tissues remain adjacent to the defect, forecast a continuance of the evolution in seeking simplicity yet reliability by the best flap possible for soft tissue closure of the lower limb wound.

scholarly journals Diagnosis and Treatment of Lower Extremity Deep Vein Thrombosis: Korean Practice Guidelines

2016 ◽  
Vol 32 (3) ◽  
pp. 77-104 ◽  
Author(s):  
Seung-Kee Min ◽  
Young Hwan Kim ◽  
Jin Hyun Joh ◽  
Jin Mo Kang ◽  
Ui Jun Park ◽  
...  
Keyword(s):  
Deep Vein Thrombosis ◽  
Lower Extremity ◽  
Practice Guidelines ◽  
Diagnosis And Treatment ◽  
Vein Thrombosis ◽  
Deep Vein

scholarly journals OBSTETRICAL HEMATOMAS (clinical lecture, part I)

2016 ◽  
pp. 4-9
Author(s):  
O. A. Teslova
Keyword(s):  
Health Status ◽  
Soft Tissues ◽  
Clinical Manifestations ◽  
Diagnosis And Treatment ◽  
Birth Canal ◽  
The Third ◽  
Maternity Hospitals ◽  
Clinical Lecture ◽  
Clinical Cases

The clinical lecture deals with topical emergency problem in obstetrical practice, i.e. hematomas of soft tissues of the birth canal. The first part of the lecture presents modern data on the epidemiology and etiopathogenesis, classification approaches, clinical manifestations, modern facilities for diagnosis and treatment of obstetrical hematomas of different localization. The second part of the lecture will describe and analyze clinical cases of hematomas of the birth canal that occurred at maternity hospitals of Gomel region, as well as rare cases of obstetric hematomas according to foreign publications. The third part of the lecture will present data on health status of children whose mothers developed obstetrical hematomas during their delivery.

scholarly journals Patient Attendance for Emergency Care in a Brazilian Dental School

2012 ◽  
Vol 3 (1) ◽  
pp. 11-17 ◽  
Author(s):  
Carlos Rocha Gomes Torres ◽  
Ana Paula Martins Gomes ◽  
Ivan Balducci ◽  
Naiara Tiradentes ◽  
Ilana Souza Serafim dos Santos ◽  
...  
Keyword(s):  
Emergency Care ◽  
Case History ◽  
Soft Tissues ◽  
Female Gender ◽  
Dental School ◽  
Diagnosis And Treatment ◽  
Radiographic Examination ◽  
Significance Level ◽  
Dental Records ◽  
Patient Attendance

ABSTRACT Objective The objective of this study was to analyze the profile of patients attending the Emergency Dental Clinic at São José dos Campos Dental School, UNESP-São Paulo State University, between 2006 and 2010, evaluating the gender, ethnicity, age, diagnosis and treatment performed for resolution of the cases. Materials and methods A total of 600 dental records were analyzed by descriptive statistics, Fisher and Chi-square tests at a significance level of 5%. The dental records included information on the patients’ name, gender, age, ethnicity, phone number, date of attendance, diagnosis and treatment performed. The case history addressed the chief complaint, medical and dental history of the patient. The clinical evaluation comprised tests, such as visual examination of the intraoral hard and soft tissues, tooth percussion, palpation, probing, pulp sensitivity test and radiographic examination. The diagnosis and treatment for each case were established based on the case history and clinical tests. Results There was predominance of female gender (59.17%) and patients aged 20 to 39 years (49.67%). Most procedures were performed to solve endodontic emergencies (37.5%), followed by placement of dressings (10.6%), tooth extraction (8.9%), periodontal problems (4.6%) and cementation of provisional crowns or definitive dentures (4.5%). Conclusion Dental caries and its consequences were the main factors involved in the emergency attendances. There is a constant need of health promotion, considering that the patients searched for restorative treatments without the necessary emphasis on prevention. Additional studies are needed to determine strategies for decreasing the use of emergency services for nonemergency dental problems. Clinical relevance The diagnosis and treatment of dental emergencies are challenging. If inadequately performed, they may cause difficulties or even failures in pain relief, worsening or delaying the continuation of treatment planning and accomplishment. How to cite this article Tiradentes N, dos Santos ISS, de Vasconcelos RA, Balducci I, Kubo CH, Torres CRG, Almeida JD, Gomes APM. Patient Attendance for Emergency Care in a Brazilian Dental School. World J Dent 2012;3(1):11-17. Note This study was revised and approved by Local Ethics Committee (070/2006-PH/CEP).

scholarly journals Pathogenetic features of chronic osteomyelitis treatment

2021 ◽  
Vol 27 (5) ◽  
pp. 628-635
Author(s):  
D.V. Rimashevskiy ◽  
◽  
I.F. Akhtyamov ◽  
P.N. Fedulichev ◽  
Wessam Zaalan ◽  
...  
Keyword(s):  
Soft Tissues ◽  
Diagnosis And Treatment ◽  
Steady Increase ◽  
Joint Function ◽  
The Past ◽  
Joint Pathology ◽  
The Social ◽  
Severe Pathology ◽  
The One

Abstract Over the past decades, there has been a steady increase in the incidence of osteomyelitis. It is associated with an increased use of implants in traumatology and orthopedics. The social aspects of osteomyelitis are, on the one hand, significant financial costs for the healthcare system, and on the other hand, high recurrence and re-infection in the treatment of joint pathology associated with long-term loss of work ability and a high risk of patient’s disability. Purpose To conduct a search and analysis of publications in Russian and English, devoted to the problem of osteomyelitis and periprosthetic infection, on the basis of which to summarize the main current notions about the etiology, pathogenesis, diagnosis and treatment of osteomyelitis. Materials and methods The search was carried out in the Pubmed and CyberLeninka databases of literature sources over the past 10 years. The data were analyzed and compared with the materials from earlier publications. Only publications from peer-reviewed journals were considered for analysis. Results and discussion Success in the treatment of peri-implant infection with prosthesis re-implantation and satisfactory joint function has been achieved in only just more than a half of patients. Recent studies have significantly changed the understanding of the etiology and pathogenesis of osteomyelitis. It has been proven that in osteomyelitis and implant-associated infection, four reservoirs of infection are formed in the patient's body: abscesses in soft tissues and bone marrow canal, biofilms on the surface of implants and necrotic tissues, intracellular colonization with bacteria of the macroorganism and lacunar-canalicular system. Understanding the mechanisms of osteomyelitis development and its course forces the specialists to take a fresh look at the causes of failures in the fight against such a severe pathology and change approaches to its prevention, diagnosis and treatment.

Epidemiological investigation of vascular etiological examinations in the diagnosis and treatment of lower‐extremity ulcers in China

2020 ◽  
Vol 28 (4) ◽  
pp. 532-538
Author(s):  
Jiaoyun Dong ◽  
Ming Tian ◽  
Fei Song ◽  
Jiajun Tang ◽  
Yingkai Liu ◽  
...  
Keyword(s):  
Lower Extremity ◽  
Diagnosis And Treatment ◽  
Epidemiological Investigation

A Comprehensive Review on Classification of Oral Ulcerative Lesions

2020 ◽  
Vol 1 (1) ◽  
Author(s):  
Hina Handa
Keyword(s):  
Oral Cavity ◽  
Soft Tissues ◽  
Clinical Manifestations ◽  
Diagnosis And Treatment ◽  
Diagnostic Skills ◽  
Oral Mucosal Lesions ◽  
Treatment Plans ◽  
Common Group ◽  
Ulcerative Lesions

Oral mucosal lesions are a broad group of lesions which are located in the soft tissues of the oral cavity identified by its specific etiology, clinical manifestations, differential diagnosis and treatment. White lesions of the oral cavity constitute a rather common group of lesions that are encountered during routine clinical dental practice. The process of clinical diagnosis and treatment planning is of great concern to the patient as it determines the prognosis. There should be in-depth knowledge to the consultant about the varied clinical features, etiology of the disease and various treatment plans. Clinical diagnostic skills and ideal judgment forms the key to successful management of white lesions of the oral cavity This review will discuss many of the most common intraoral white lesions including their clinical presentation, how to make an accurate diagnosis

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