Nonspecific osteomyelitis of the spine (NOS) in a patient with primary gout due to Lesch–Nyhan syndrome (LNS): case description and literature review

Background The posterior petroclinoid dural fold (commonly referred to as a ligament) forms the roof of the trigeminal porus and the roof of the petroclival venous confluence. It lies in close proximity to the oculomotor nerve that crosses it. Due to the low availability of research material, only a few cadaveric studies have been conducted on the microsurgical anatomy of the petroclinoid ligament in cases of its ossification. Thus our report complements earlier studies and provides detailed data on the spatial relationships between the ossified posterior petroclinoid ligament and the trigeminal, oculomotor, and abducens nerves, with special attention to the topographical relationships within the petroclival venous confluence and Dorello's canal. Case Description Bilateral massive ossification of the posterior petroclinoid ligament was observed during the dissection of a 76-year-old female cadaver. The presence of an osseous bridge over the trigeminal notch was also detected on the left side. No narrowing of the space occupied by the petroclival venous confluence was observed. However, the dural sheath of the oculomotor nerve was fixed much more than usual. Conclusions Because the ossification of the posterior petroclinoid ligament may be considered a factor influencing diagnostic and surgical procedures, neurosurgeons and neuroradiologists should be aware of this variation. Ossification of the posterior petroclinoid ligament may also potentially result in greater susceptibility of the oculomotor nerve to injury.

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Stress Fracture and Nonunion of Coronoid Process in a Gymnast

Case Reports in Orthopedics ◽

10.1155/2016/9172483 ◽

2016 ◽

Vol 2016 ◽

pp. 1-3 ◽

Cited By ~ 2

Author(s):

T. Hetling ◽

P. Bourban ◽

B. Gojanovic

Keyword(s):

Body Weight ◽

Literature Review ◽

Mechanical Loading ◽

Stress Fracture ◽

Return To Sport ◽

Rehabilitation Program ◽

Coronoid Process ◽

Overuse Injuries ◽

Case Description ◽

Return To Competition

Background. Gymnasts have high mechanical loading forces of up to 14 times body weight. Overuse lesions are typical in wrists and stress fractures in the olecranon, while isolated fractures of the coronoid process are uncommon. We present a case of retraumatized nonunion stress fracture of the ulnar coronoid process.Case Description. A 19-year-old gymnast presented with elbow pain after training. Imaging confirmed an old fracture of the coronoid process. We describe a 6-month multiphase return to competition rehabilitation program, which allowed him to compete pain-freely.Literature Review. Acute and overuse injuries in gymnasts are known but no nonunion of the coronoid process has been described before. Only one case of stress fracture of coronoid process in a gymnast was reported.Purpose and Clinical Relevance. We could successfully and conservatively return to sport a reactivated nonunion of a stress fracture of the coronoid process.

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The Suction Test: A Novel Technique to Identify and Verify Successful Repair of Peripheral Triangular Fibrocartilage Complex Tears

Journal of Wrist Surgery ◽

10.1055/s-0037-1599125 ◽

2017 ◽

Vol 06 (04) ◽

pp. 334-335 ◽

Cited By ~ 2

Author(s):

Ryan Greene ◽

Sanjeev Kakar

Keyword(s):

Literature Review ◽

Clinical Relevance ◽

Triangular Fibrocartilage Complex ◽

Case Description ◽

Arthroscopic Technique ◽

Novel Technique ◽

Triangular Fibrocartilage ◽

The Subject ◽

Successful Repair

Background The diagnoses of peripheral triangular fibrocartilage complex (TFCC) tears continue to be the subject of numerous investigations. Case Description We describe a novel arthroscopic technique that may be used as an adjunct with other arthroscopic maneuvers to diagnose and confirm repair of peripheral sided TFCC injuries. Literature Review The hook and trampoline tests are intraoperative techniques to diagnose TFCC tears. Clinical Relevance The suction test provides a means to detect peripheral tears and to confirm restoration of its tension post repair.

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Risk Factors of Ischemic Stroke in Children with Head and Neck Tumors: A Clinical Case Description with a Literature Review

American Journal of Pediatrics ◽

10.11648/j.ajp.20210703.24 ◽

2021 ◽

Vol 7 (3) ◽

pp. 163

Author(s):

Anastasia D. Rodina ◽

Vladimir Sh. Vanesyan ◽

Tatiana V. Gorbunova ◽

Natalia V. Ivanova ◽

Vladimir G. Polyakov

Keyword(s):

Risk Factors ◽

Ischemic Stroke ◽

Literature Review ◽

Head And Neck ◽

Clinical Case ◽

Head And Neck Tumors ◽

Case Description ◽

Neck Tumors

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Dysplasia and anomalies of atlas result in pediatric torticollis: A case report and literature review

Surgical Neurology International ◽

10.25259/sni_773_2020 ◽

2020 ◽

Vol 11 ◽

pp. 471

Author(s):

Tushar Narayan Rathod ◽

Ashwin Hemant Sathe ◽

Nandan Amrit Marathe ◽

Abhinav Jogani ◽

Abhinandan Reddy Mallepally ◽

...

Keyword(s):

Case Report ◽

Literature Review ◽

Rare Case ◽

Craniovertebral Junction ◽

Case Description ◽

Differential Growth ◽

Rotatory Subluxation ◽

The Right

Background: Often, the cause of bony torticollis is difficult to determine, especially in cases of multiple craniovertebral junction anomalies. Case Description: We report a rare case of a dysplastic C1 vertebra (assimilation to the right occiput and C2, a nonseparated left odontoid, and discontinuity in both anterior and posterior arches of the atlas) in a 6-year-old child with progressive torticollis. Notably, the mechanism of torticollis was not a rotatory subluxation of C1-C2, but differential growth between C1-C2. The child underwent a successful C1-C2 Goel and Harms fusion with reduction/correction of the torticollis. Conclusion: Torticollis caused by differential growth between the C1 and C2 vertebrae resulting in a nonrotatory subluxation/torticollis in a 6-year-old child, was successfully managed with a C1-C2 Goel and Harm’s fusion.

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Bilateral STT Arthrodesis in a Young Patient with Occult Proximal Row Coalition

Journal of Wrist Surgery ◽

10.1055/s-0041-1740137 ◽

2021 ◽

Author(s):

Rupert M.H. Wharton ◽

David Ahearne

Keyword(s):

Literature Review ◽

Clinical Relevance ◽

Degenerative Change ◽

Case Description ◽

Range Of Movement ◽

Level Of Evidence ◽

African Populations ◽

Carpal Coalition ◽

Clinical Problems ◽

Stt Arthrodesis

Abstract Background Carpal coalitions have an incidence of 0.1 to 1% in Caucasians and up to 8 to 9% in African populations. They rarely cause clinical problems requiring investigation or treatment, but are commonly identified on imaging obtained for other indications. Case Description We report a case of a 35-year-old male with progressive degenerative change of incomplete coalitions of the scaphotrapeziotrapezoid joint (STT) in the presence of bilateral complete osseous lunate–triquetral coalitions (Minnaar type 4). He was successfully treated with staged bilateral arthrodesis with excellent symptom resolution and preservation of function. Literature Review In patients with isolated STT coalition six reports of surgery exist, two of which were for arthrodesis. This is the first described case of STT arthrodesis in a patient with coexistent lunate–triquetral coalition. Clinical Relevance The STT arthrodesis remains a safe and effective treatment for STT pain even in cases of occult carpal coalition. Functional range of movement was well preserved. Level of evidence This is a Level V study.

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Flexor Pollicis Longus Rupture in a Scaphoid Nonunion: A Case Report

Journal of Wrist Surgery ◽

10.1055/s-0040-1701513 ◽

2020 ◽

Vol 09 (04) ◽

pp. 357-361

Author(s):

Bruno E. Crepaldi ◽

Courtney Andrijich ◽

Jeff Ecker

Keyword(s):

Case Report ◽

Literature Review ◽

Surgical Management ◽

Clinical Relevance ◽

Tendon Rupture ◽

Rare Complication ◽

Case Description ◽

Scaphoid Nonunion ◽

Flexor Pollicis Longus ◽

Capsule Repair

Abstract Background Flexor pollicis longus (FPL) tendon rupture is a rare complication of scaphoid nonunion. Case Description A fit active 70-year-old woman ruptured her FPL when it abraded on a painless 50-year-old scaphoid nonunion. She had asymptomatic scaphoid nonunion advanced collapse (SNAC) arthritis. At surgery, the sharp mobile volar scaphoid osteophytes were excised and the volar wrist capsule was repaired. A vascularized fat flap based on a perforator of the radial artery was used to augment the volar wrist capsule repair and to create a smooth gliding surface for the FPL. The ruptured FPL tendon was reconstructed with a palmaris longus graft. Literature Review Complete rupture of the FPL tendon secondary to scaphoid nonunion is a rare complication. It can be easily misdiagnosed because the original injury may be unrecognized or forgotten. A consensus regarding the optimal surgical management has not been reached. Clinical Relevance The objective of surgery in this case was to restore FPL function and prevent a recurrent rupture. The asymptomatic SNAC arthritis was not treated. No further wrist surgery was required. The patient was asymptomatic with a functioning FPL tendon 4 years after surgery.

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