Antebrachial microvascular flap for reconstruction of the pelvic limb: case report

Complex defects in the soft tissues of the foot and ankle caused by high-energy trauma, infection, cancer or diabetes require rapid and effective treatment which decreases the risk of infection, bone healing time, hospital stay and number total of surgical approaches. Authors report a clinical case of a 23-year-old female patient who suffers high-energy trauma due to a motorcycle accident which causes exposure of the distal third of the tibia, loss of the tibial joint face, and loss of tissue throughout the region of the malleolus medial of the right pelvic extremity. Tissue transfer to the pelvic limb is performed using left contralateral radial antebrachial free flap as donor area. This case report aims to emphasize the key aspects of the high energy trauma approach by using microvascular flaps, as well as the satisfactory evolution of the patient that directly affects the prognosis for life and function.

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Misdiagnosis of Post-traumatic Osteomyelitis: A Case Report

Journal of Research in Orthopedic Science ◽

10.32598/jrosj.8.2.751.1 ◽

2021 ◽

Vol 8 (2) ◽

pp. 107-110

Author(s):

Salman Ghaffari ◽

◽

Mehran Razavipour ◽

Iman Sadeghian ◽

Shahin Talebi ◽

...

Keyword(s):

Quality Of Life ◽

Bone Marrow ◽

Case Report ◽

Soft Tissues ◽

Chronic Osteomyelitis ◽

High Energy ◽

Imaging Studies ◽

High Energy Trauma ◽

Post Traumatic

Chronic osteomyelitis is a severe and persistent condition that engages bone and bone marrow. The infection can be limited to the bone, or it can propagate to the bone marrow, the periosteum, and the surrounding soft tissues. It represents a major financial every health system and impacts the quality of life of the affected patients. Diagnosing chronic osteomyelitis remains difficult. Accordingly, laboratory and imaging studies are necessary in this respect. A 49-year-old man after high energy trauma underwent debridmant and fixation. After 3 years’ patient admitted in infection ward with fever presentation. The clinical examination didn't reveal any sign of localization of fever. Chronic osteomyelitis is not always associated with fever in this situation Other diagnoses should be considered after role out other disease osteomyelitis

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Intra-articular Transcalcaneal Fracture-Dislocation Associated With Ipsilateral Transtalar Fracture: A Report of a Rare Combination

Foot & Ankle Specialist ◽

10.1177/1938640020913177 ◽

2020 ◽

Vol 13 (4) ◽

pp. 335-340

Author(s):

Danilo Ryuko Cândido Nishikawa ◽

Bruno Rodrigues de Miranda ◽

Fernando Aires Duarte ◽

Guilherme Honda Saito ◽

Rogério Carneiro Bitar ◽

...

Keyword(s):

Case Report ◽

High Energy ◽

Fracture Dislocation ◽

Calcaneal Fractures ◽

Short Term ◽

High Energy Trauma ◽

Rare Combination ◽

Severe Bone Loss ◽

Neck Fracture

The association of ipsilateral talar and calcaneal fractures is an uncommon combination and is typically the result of a high-energy trauma. It is often associated with comminution, marked fracture displacement, and soft-tissue compromise. Obtaining satisfactory clinical and radiographic results is very challenging. Residual deformities, multiple procedures, and limitations are usually the norm. Therefore, studies have suggested that primary arthrodesis may represent the best option of surgical treatment. In this study, we report a case of a 30-year-old male patient with a rare combination of a highly comminuted transcalcaneal fracture-dislocation associated with a talar neck fracture successfully treated with open reduction and internal fixation (ORIF) with an 18-month follow-up. This case demonstrates that even when there are associated fractures of the talus and calcaneus with severe bone loss, ORIF may provide satisfactory outcomes in the short-term postoperative period. Levels of Evidence: Level V: Case report

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Acute atraumatic bilateral acetabular insufficiency fractures

Journal of Orthopaedic Surgery ◽

10.1177/2309499019858574 ◽

2019 ◽

Vol 27 (2) ◽

pp. 230949901985857

Author(s):

Daniel Benz ◽

Patrick Lim ◽

Zsolt J Balogh

Keyword(s):

Case Report ◽

Significant Risk ◽

Early Mobilization ◽

High Energy ◽

Acetabular Fractures ◽

Insufficiency Fractures ◽

High Energy Trauma ◽

Less Invasive

Bilateral acetabular fractures have been documented in the setting of high-energy trauma, but few reports regarding atraumatic bilateral acetabular fractures exist. The following is a case report of bilateral insufficiency acetabular fractures which occurred acutely in the absence of trauma in a 49-year-old female. The case highlights the importance of perioperative awareness of those patients at significant risk of insufficiency fractures and offers a relatively elegant, less invasive solution for early mobilization in the context of acetabula insufficiency fractures.

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Major Trauma and Severe Burn: A Synergistic Mortality. Case Report and Literature Review

Revista Chilena de Ortopedia y Traumatología ◽

10.1055/s-0040-1709984 ◽

2020 ◽

Vol 61 (01) ◽

pp. 023-027

Author(s):

Oriol Pujol ◽

Jordi Selga ◽

Jordi Serracanta ◽

Juan Antonio Porcel ◽

José Vicente Andrés-Peiró

Keyword(s):

Synergistic Effect ◽

Multidisciplinary Approach ◽

Open Fracture ◽

Major Trauma ◽

Soft Tissues ◽

Total Body Surface Area ◽

High Energy ◽

Complex Case ◽

Severe Burns ◽

The Right

Abstract Case Presentation A 42-year-old man was transferred to our institution after a high-energy accident (an explosion). He presented second-degree burns on 20% of the total body surface area (TBSA), affecting the lower hemiabdomen and the lower right limb. He also presented a supraintercondylar open fracture of the right femur (Gustilo I). The burns were treated with debridement and coverage with mesh graft, while the fracture required an early transitory transarticular external fixation with delayed definitive osteosynthesis. Our patient presented good local and systemic evolution. We can offer a eleven-month follow-up. Discussion The literature supports that the combination of trauma and burn injuries is a relatively rare pattern, which may explain the lack of knowledge and studies on this subject. This double injury has demonstrated a synergistic effect on mortality. The management of soft tissues in the coexistence of an open fracture and a burn in the same limb is a challenge. The method and timing of the treatment of the fracture directly impacts the treatment of the burn (and vice versa), and most authors tend to treat the fracture first. All of the studies reviewed emphasized the importance of the multidisciplinary approach. Conclusions We have presented a complex case combining major trauma and severe burns. Although there is a lack of studies in the literature on this subject, the papers state that this is an unusual pattern with a synergistic effect on mortality. In our experience, the management of soft tissues and the multidisciplinary approach play a central role, as it is also stated in the literature. The management of these patients is still controversial, and more studies are needed.

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Complete Ossification of the Stylohyoid Chain as Cause of Eagle's Syndrome: A Very Rare Case Report

The Journal of Contemporary Dental Practice ◽

10.5005/jp-journals-10024-1569 ◽

2014 ◽

Vol 15 (4) ◽

pp. 500-505 ◽

Cited By ~ 1

Author(s):

Antônio Sérgio Guimarães ◽

Daniel Humberto Pozza ◽

Idercy Cabral de Castro ◽

Iván Claudio Suazo Galdames ◽

Sandro Palla

Keyword(s):

Case Report ◽

Rare Case ◽

Soft Tissues ◽

Surgical Excision ◽

Styloid Process ◽

Eagle’S Syndrome ◽

Elongated Styloid Process ◽

Rare Case Report ◽

The Right ◽

Stylohyoid Chain

ABSTRACT Aim To report on a patient with Eagle's syndrome with a complete and very large ossification of the stylohyoid complex on the right side that to our best knowledge has never been published previously. Background Eagle's syndrome is characterized by a set of symptoms that are caused by the irritation of the neurovascular and soft-tissues caused by an elongated styloid process or ossification of stylohyoid ligament. Case description Because of the high discomfort and pain degree as well as limitations of mandibular and head mobility and also the thickness of the ossified stylohyoid chain, the patient was treated surgically by removing the hypertrophic segment. Conclusion These symptoms subsided completely after the surgical excision of the anomaly. The elongated styloid process on the left side was symptom free. Clinical significance Eagle's syndrome symptoms are not specific and can mimic those of other disorders, the syndrome must be included in the differential diagnosis of patients with pain in the orofacial, pharyngeal and cervical area. How to cite this article Guimarães AS, Pozza DH, de Castro IC, Galdames ICS, Palla S. Complete Ossification of the Stylohyoid Chain as Cause of Eagle's Syndrome: A Very Rare Case Report. J Contemp Dent Pract 2014;15(4):500-505.

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Traumatic Spondyloptosis Causing Complete Transaction of Spinal Cord

Nepal Orthopaedic Association Journal ◽

10.3126/noaj.v3i2.9527 ◽

2014 ◽

Vol 3 (2) ◽

pp. 38-40

Author(s):

Abhay Yadav ◽

Sashmit Sharma

Keyword(s):

Spinal Cord ◽

Soft Tissues ◽

High Energy ◽

Special Consideration ◽

Middle Aged ◽

Rare Presentation ◽

High Energy Trauma ◽

Cord Injury ◽

Very High Energy ◽

Very High

Traumatic spondyloptosis is a rare presentation and is usually due to very high energy trauma. It is accompanied with cord injury, mostly complete transaction of the cord. In managing such cases special consideration should be given to soft tissues, surrounding structures and organs in the traumatized area. We present a case of traumatic spondyloptosis of D12/L1 in a middle aged gentleman with complete cord transaction. DOI: http://dx.doi.org/10.3126/noaj.v3i2.9527 NOAJ July-December 2013, Vol 3, Issue 2, 38-40

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Case report: Liposarcoma of the breast in a man

Mastology ◽

10.29289/259453942020v30s1089 ◽

2020 ◽

Vol 30 (Suppl 1) ◽

Author(s):

Marina Fontes Medeiros ◽

Soraya de Paula Paim ◽

Rachel Saraiva Teatini Selim de Sales ◽

Thássia Mariz de Melo ◽

Janaina Cotta Rodrigues Ferreira

Keyword(s):

Case Report ◽

Soft Tissues ◽

Metastatic Potential ◽

Malignant Neoplasms ◽

Safety Margins ◽

Muscle Fascia ◽

Progressive Growth ◽

Belo Horizonte ◽

Well Differentiated ◽

The Right

Introduction: Sarcomas are a heterogeneous group of malignant neoplasms and represent less than 1% of neoplasms among adults; 80% of these cases originate in soft tissues. The liposarcoma corresponds to 20% of the subtypes of sarcoma in adults. Objectives: To present a rare case of liposarcoma of the breast. Methods: We studied the case of A.N.R, a 54-year old male patient, from Belo Horizonte, Minas Gerais, presenting a progressive growth nodule in the right breast. Mammography and breast ultrasound suggested lipoma. Core-needle biopsy of the nodule in the right breast was performed, and the anatomopathological was compatible with lipoma. Case report: Due to the progressive growth, the patient was submitted to nodule resection, with safety margins. Anatomopathological and immunohistochemical of the surgical piece were compatible with well-differentiated liposarcoma. The patient was followed-up by the oncologist and had a staging computed thoracic and abdominal tomography without changes, thus not indicative of adjuvant treatment. Discussion: Liposarcoma presents as a painless mass, of progressive growth, being more common in extremities and the retroperitoneum. When the well-differentiated morphological subgroup is located in the extremities and the torso, its excision is curative, and its metastatic potential is null in comparison to other locations; however, it is not recommended to underestimate the risk of local recurrence. Conclusion: even though the prevalence of benign lesions in soft tissues is higher than malignant lesions, it is important to consider a differential diagnosis of malignancy when the behavior and presentation of the tumor are atypical (deep location to the muscle fascia, larger than 5 centimeters, progressive growth), therefore leading to better surgical and therapeutic planning and to a more accurate treatment for the patient.

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An Unusual Development of a Madura Foot: A Case Report

Asian Journal of Research in Infectious Diseases ◽

10.9734/ajrid/2018/v1i113936 ◽

2018 ◽

pp. 1-7

Author(s):

S. Benzarti ◽

M. A. Triki ◽

H. Kaziz ◽

T. Mouelhi ◽

M. L. Ben Ayeche ◽

...

Keyword(s):

Case Report ◽

Chronic Infection ◽

Soft Tissues ◽

Histological Study ◽

Penicillin G ◽

Surgical Biopsy ◽

Knee Amputation ◽

Male Farmer ◽

Madura Foot ◽

The Right

Mycetomas are chronic inflammatory pseudo-tumoral lesions caused by fungal or bacterial agents developing in subcutaneous soft tissues and bone. Mycetoma is frequently located in the foot, realizing the Madura foot. We report the case of a 42-year-old male farmer, who presented two years following an injury to the plant of the right foot. He already had two excisions elsewhere with recurrence and aggravation of the swelling. He had a large painless subcutaneous swelling of his right foot with plantar sinuses discharging pale white and yellow grains. A surgical biopsy with histological study confirmed the diagnosis of mycetoma. He received an antibiotic therapy consisting in penicillin G followed by amoxicillin then an association of penicillin G and co-trimoxazole during almost three years without any improvement. A below-knee amputation was performed complicated with necrosis and infection of the stump, which was resumed twice followed by an above-knee amputation. Through this case of unusual development of a Madura foot we discuss the diagnostic and especially therapeutic difficulties of this chronic infection.

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Parotid gland cholesteatoma in a 23-year-old male: Case report

SAGE Open Medical Case Reports ◽

10.1177/2050313x17749083 ◽

2017 ◽

Vol 5 ◽

pp. 2050313X1774908

Author(s):

Krzysztof Piersiala ◽

Hanna Klimza ◽

Joanna Jackowska ◽

Małgorzata Wierzbicka

Keyword(s):

Case Report ◽

Parotid Gland ◽

Soft Tissues ◽

Facial Nerve Palsy ◽

Parotid Tumor ◽

Resonance Imaging ◽

Stylomastoid Foramen ◽

First Case ◽

Parotid Surgery ◽

The Right

Cholesteatoma is a pathological tissue that may extend into all parts of temporal bone and rarely, as this study highlights, beyond its structures. Nevertheless, the spread outside the mastoid tip into the soft tissues of the neck or parotid space is very rare. The case of 23-year-old male with right parotid mass is presented. The patient had history (2006, 2009, and 2012) of three tympanoplastics for recurrent right ear cholesteatoma. The parotid tumor was revealed incidentally in magnetic resonance imaging in January 2016, but the imaging was inconclusive. After 6 months, the patient developed right-sided facial nerve palsy. The second look of the right ear was performed with simultaneous parotid surgery. The ear was healed and free of cholesteatoma, but the parotid mass resembled the cholesteatoma confirmed later on by histological examination. The tumor extended from stylomastoid foramen. This case was unusual as the disease had extended beyond the ear with the bony parts of the mastoid being preserved. To our knowledge, this is the first case report to describe a parotid gland cholesteatoma not being an extension of a cholesteatoma present in the tympanic cavity and entering the parotid gland via stylomastoid foramen.

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