scholarly journals Malunion fracture of supracondylar femur sinistra with post traumatic arthritis and stiffness at genu sinistra: a case report

2021 ◽  
Vol 9 (1) ◽  
pp. 200
Author(s):  
Jimmy Kuncoro ◽  
Muhammad Bayu Zohari Hutagalung ◽  
Dwikora Novembri Utomo
Keyword(s):  
Case Report ◽  
Range Of Motion ◽  
Soft Tissues ◽  
Radiological Examination ◽  
Ligament Injury ◽  
Joint Surface ◽  
Fracture Fragment ◽  
Joint Injury ◽  
Short Period ◽  
Post Traumatic

Post-traumatic osteoarthritis could emerge immediately after an injury or one year after a bone fracture, ligament injury, and meniscal tears. In this case report, we present a 30 years old male who previously suffered from joint injury and thus lost the ability to flexion. This patient has already under went internal bone implantation surgery involving the implantation but was removed due to pain, and there was protruding implant on the left knee. On physical examination, there was varus deformity with flexion ranged between 0-5°. On radiological examination, malunion and narrowing of the joint surface were, as shown, clinically inhibit the flexion of the knee. We diagnose the patient with malunion supracondylar femur sinistra and post traumatic osteoarthritis genu sinistra. Liberation procedure (soft tissues release) and osteotomy of the distal femur were performed on this patient. On post-op radiological examination, the implant successfully widens the joint surface and holds the fracture fragment after it was reduced. The joint was immediately mobilize using the machine. It was shown that in a relatively short period, the range of motion could reach 90°. Three months post-op, evaluation was done, and it was clearly shown that the range of motion had not decreased.

scholarly journals Misdiagnosis of Post-traumatic Osteomyelitis: A Case Report

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

Post-traumatic hypopituitarism - a case report

2018 ◽  
Author(s):  
Elena Lazar ◽  
Alexandra Marin ◽  
Ruxandra Dobrescu ◽  
Corin Badiu
Keyword(s):  
Case Report ◽  
Post Traumatic

scholarly journals True Symphalangism of All Bilateral Proximal Interphalangeal Joints with Multi-carpal Coalition and Hypoplasia of the Ulnar Styloid Process

2021 ◽  
Author(s):  
Hao Yu ◽  
Chongjie Li
Keyword(s):  
Case Report ◽  
Range Of Motion ◽  
Styloid Process ◽  
Genetic Condition ◽  
Ulnar Styloid ◽  
Wrist Motion ◽  
First Case ◽  
Distal Interphalangeal ◽  
Carpal Coalition ◽  
Ulnar Styloid Process

AbstractSymphalangism is a rare genetic condition characterized by ankylosis of the proximal interphalangeal (PIP) or/and distal interphalangeal (DIP) joints. The patient presented with fused bilateral PIP joints and poor flexion, and an unsatisfactory range of motion (ROM) in the metacarpophalangeal (MP) and DIP joints. Concomitantly, multi-carpal coalition, proximal carpal malalignment, and ulnar styloid process abnormality were also observed in radiographs obtained at diagnosis. Rehabilitation training of the MP and DIP joints and a wrist supporter were recommended to achieve MP and DIP functional motion and restrict dramatic wrist motion. This is the first case report of symphalangism with multi-carpal coalition and abnormality of the ulnar styloid process to the best of our knowledge.

scholarly journals Case report: Manual therapies promote resolution of persistent post-concussion symptoms in a 24-year-old athlete

2021 ◽  
Vol 9 ◽  
pp. 2050313X2095222
Author(s):  
Susan Vaughan Kratz
Keyword(s):  
Case Report ◽  
Symptom Severity ◽  
Impact Test ◽  
Manual Therapies ◽  
Symptom Checklist ◽  
Post Concussion Syndrome ◽  
Persistent Symptoms ◽  
Short Period ◽  
History Of ◽  
Headache Impact

This case report illustrates the treatment outcomes of a collegiate athlete presenting with an 18-month history of post-concussion syndrome who received a series of mixed manual therapies in isolation of other therapy. Persistent symptoms were self-reported as debilitating, contributing to self-removal from participation in school, work, and leisure activities. Patient and parent interviews captured the history of multiple concussions and other sports-related injuries. Neurological screening and activities of daily living were baseline measured. Post-Concussion Symptom Checklist and Headache Impact Test-6™ were utilized to track symptom severity. Treatments applied included craniosacral therapy, manual lymphatic drainage, and glymphatic techniques. Eleven treatment sessions were administered over 3 months. Results indicated restoration of oxygen saturation, normalized pupil reactivity, and satisfactory sleep. Post-concussion syndrome symptom severity was reduced by 87% as reflected by accumulative Post-Concussion Symptom Checklist scores. Relief from chronic headaches was achieved, reflected by Headache Impact Test-6 scores. Restoration of mood and quality of life were reported. A 6-month follow-up revealed symptoms remained abated with full re-engagement of daily activities. The author hypothesized that post-concussion syndrome symptoms were related to compression of craniosacral system structures and lymphatic fluid stagnation that contributed to head pressure pain, severe sleep deprivation, and multiple neurological and psychological symptoms. Positive outcomes over a relatively short period of time without adverse effects suggest these therapies may offer viable options for the treatment of post-concussion syndrome.

Anxiety, Depression, and Post-traumatic Stress a month after 2019 Cyclone Fani in Odisha, India

2021 ◽  
pp. 1-8
Author(s):  
Nilamadhab Kar ◽  
Narendra Nath Samantaray ◽  
Shreyan Kar ◽  
Brajaballav Kar
Keyword(s):  
Traumatic Stress ◽  
Severe Depression ◽  
Considerable Proportion ◽  
Post Traumatic Stress ◽  
Disaster Victims ◽  
Stress Symptoms ◽  
Short Period ◽  
Post Traumatic ◽  
Anxiety Depression ◽  
Severe Anxiety

Abstract Background: Early Identification of disaster victims with mental health problems may be useful, but information within a short period after a disaster is scarce in developing countries. This study examined anxiety, depression, and post-traumatic stress symptoms at 1 month following 2019 Cyclone Fani in Odisha, India. Method: Post-traumatic stress symptoms (PTSS) were assessed by the Primary care PTSD screen for DSM 5 (PC-PTSD-5), anxiety symptoms by the Generalised Anxiety Disorder (GAD-7), and depression by the Patient Health Questionnaire (PHQ-9). The survey included participants’ disaster experience e.g., evacuation, fear of death, injury, death in family, damage to house, difficulty for food, displacement, and effect on livelihood. Results: Proportion of sample (n = 80) with probable PTSD was 42.9%, with severe anxiety was 36.7%, moderately severe depression was 16.5%, and severe depression was 3.8%. Suicidal cognitions were reported to increase by 14%. Comorbidity was common; with significant (P < 0.01) correlation between PTSS and anxiety (r = 0.69), depression (r = 0.596), and between anxiety and depression (r = 0.63). Damage of house and displacement were associated significantly with PTSD; evacuation and displacement with moderate and severe depression; and displacement with severe anxiety. No specific demographic factors were significantly linked to the psychiatric morbidities. Conclusion: A considerable proportion of victims had psychiatric morbidities at 1 month. Associated risk factors included housing damages, evacuation, and displacement, suggesting the need to improve the disaster-management process.

ULNAR-SIDED WRIST PAIN AFTER FOUR-CORNER FUSION IN A PREVIOUSLY-ASYMPTOMATIC ULNAR POSITIVE WRIST: A CASE REPORT

Hand Surgery ◽  
2009 ◽  
Vol 14 (01) ◽  
pp. 49-51 ◽  
Author(s):  
Hyun Sik Gong ◽  
Su Ha Jeon ◽  
Goo Hyun Baek
Keyword(s):  
Case Report ◽  
Wrist Pain ◽  
Stage Ii ◽  
Treatment Choices ◽  
Non Union ◽  
Ulnar Shortening Osteotomy ◽  
Shortening Osteotomy ◽  
Post Traumatic ◽  
Snac Wrist

Scaphoid excision and four-corner fusion is one of the treatment choices for patients who have stage II or III SLAC (scapholunate advanced collapse)/SNAC (scaphoid non-union advanced collapse) wrist arthritis. We report a case of ulnar-sided wrist pain which occurred after four-corner fusion for stage II SNAC wrist with a previously-asymptomatic ulnar positive variance, and was successfully treated by ulnar shortening osteotomy. This case highlights a possible coincidental pathology of the ulnocarpal joint in the setting of post-traumatic radiocarpal arthrosis.

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