Chondromyxoid Fibroma of The Distal Clavicle: Report of An Additional Case at Very Unusual Anatomic Location

Abstract In the AMAGuides to the Evaluation of Permanent Impairment (AMA Guides), Sixth Edition, distal clavicle resection (resection arthroplasty of the acromioclavicular joint [ACJ]) results in ratable impairment, but only a single diagnosis within a region may be rated. Therefore, if another impairing condition is present in the shoulder region (eg, impingement syndrome or rotator cuff disease) only that resulting in the greatest causally related impairment is rated. In the setting of an occupational or other compensable injury or illness, causation of the impairment often is a key issue because, typically, only impairment that is causally related to the injury can be rated. For example, assume that a lifting injury at work caused a tear in a rotator cuff tendon that was already attenuated by repetitive impingement on inferiorly projecting spurs from longstanding degenerative arthritis of the ACJ. If surgery was performed for a traumatic rotator cuff tear and the distal clavicle also was resected due to preexisting ACJ arthritis, the latter surgery is not considered to be related to the injury. In other words, because the ACJ arthritis was neither caused nor worsened by the injury, this condition is not rated. The distal clavicular resection may have been warranted to diminish pain due to ACJ arthritis and/or eliminate the distal clavicle as a source of impingement.

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Pyloric Adenoacanthoma : Report of an Additional Case

Gastroenterology ◽

10.1016/s0016-5085(50)80145-2 ◽

1950 ◽

Vol 15 (3) ◽

pp. 518-522 ◽

Cited By ~ 3

Author(s):

Fernando Milanés ◽

Pedro Léon Blanco ◽

Anibal Causa

Keyword(s):

Additional Case

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Faculty Opinions recommendation of GRM1 is upregulated through gene fusion and promoter swapping in chondromyxoid fibroma.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.718321402.793494726 ◽

2014 ◽

Author(s):

J Silvio Gutkind ◽

José P Vaqué

Keyword(s):

Gene Fusion ◽

Chondromyxoid Fibroma ◽

Promoter Swapping

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The Esophageal Detector Device: Accuracy and Reliability in Difficult Airway Settings

Prehospital and Disaster Medicine ◽

10.1017/s1049023x00042369 ◽

1996 ◽

Vol 11 (1) ◽

pp. 60-62 ◽

Cited By ~ 5

Author(s):

Christopher E. Kapsner ◽

David C. Seaberg ◽

Charles Stengel ◽

Kaveh Ilkhanipour ◽

James Menegazzi

Keyword(s):

Emergency Medicine ◽

Pulmonary Edema ◽

Difficult Airway ◽

Laboratory Investigation ◽

Respiratory Arrest ◽

Tube Placement ◽

Mainstem Bronchus ◽

Anatomic Location ◽

The Right ◽

Attending Physician

AbstractIntroduction:The esophageal detector device (EDD) recently has been found to assess endotracheal (ET) tube placement accurately. This study describes the reliability of the EDD in determining the position of the ET tube in clinical airway situations that are difficult.Methods:This was a prospective, randomized, single-blinded, controlled laboratory investigation. Two airway managers (an emergency-medicine attending physician and a resident) determined ET-tube placement using the EDD in five swine in respiratory arrest. The ET tube was placed in the following clinical airway situations: 1) esophagus; 2) esophagus with 1 liter of air instilled; 3) trachea; 4) trachea with 5 ml/kg water instilled; and 5) right mainstem bronchus. Anatomic location of the tube was verified by thoracotomy of the left side of the chest.Results:There was 100% correlation between the resident and attending physician's use of the EDD. The EDD was 100% accurate in determining tube placement in the esophagus, in the esophagus with 1 liter of air instilled, in the trachea, and in the right mainstem bronchus. The airway managers were only 80% accurate in detecting tracheal intubations when fluid was present.Conclusions:The EDD is an accurate and reliable device for detecting ET-tube placement in most clinical situations. Tube placement in fluid-filled trachea, lungs, or both, which occurs in pulmonary edema and drowning, may not be detected using this device.

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Response to Van Tongel and De Wilde regarding: “A biomechanical comparison of a novel technique for distal clavicle fracture repair versus locked plating”

Journal of Shoulder and Elbow Surgery ◽

10.1016/j.jse.2019.09.046 ◽

2020 ◽

Vol 29 (3) ◽

pp. e97

Author(s):

David A. Porter ◽

Gautam P. Yagnik

Keyword(s):

Clavicle Fracture ◽

Fracture Repair ◽

Distal Clavicle ◽

Distal Clavicle Fracture ◽

Locked Plating ◽

Novel Technique ◽

Biomechanical Comparison

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Residual coracoclavicular separation after plate fixation for distal clavicle fractures: comparison between fracture patterns

JSES International ◽

10.1016/j.jseint.2021.04.017 ◽

2021 ◽

Author(s):

Ryogo Furuhata ◽

Noboru Matsumura ◽

Kazuhiko Udagawa ◽

Satoshi Oki ◽

Hideo Morioka

Keyword(s):

Plate Fixation ◽

Distal Clavicle ◽

Fracture Patterns ◽

Clavicle Fractures ◽

Distal Clavicle Fractures

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The Difference in Facial Movement Between the Medial and the Lateral Midface: A 3D Skin Surface Vector Analysis

Aesthetic Surgery Journal ◽

10.1093/asj/sjab152 ◽

2021 ◽

Author(s):

David L Freytag ◽

Michael G Alfertshofer ◽

Konstantin Frank ◽

Dmitry V Melnikov ◽

Nicholas Moellhoff ◽

...

Keyword(s):

3D Imaging ◽

Functional Anatomy ◽

Skin Surface ◽

Facial Movements ◽

Anatomic Location ◽

Objective Evidence ◽

The Face ◽

Functional Boundary ◽

The Mean ◽

The Difference

Abstract Background Our understanding of the functional anatomy of the face is constantly improving. To date, it is unclear whether the anatomic location of the line of ligaments has any functional importance during normal facial movements such as smiling. Objectives It is the objective of the present study to identify differences in facial movements between the medial and lateral midface by means of skin vector displacement analyses derived from 3D imaging and to further ascertain whether the line of ligaments has both a structural and functional significance in these movements. Methods The study sample consisted of 21 healthy volunteers (9 females & 12 males) of Caucasian ethnic background with a mean age of 30.6 (8.3) years and a mean BMI of 22.57 (2.5) kg/m 2. 3D images of the volunteers’ faces in repose and during smiling (Duchenne type) were taken. 3D imaging-based skin vector displacement analyses were conducted. Results The mean horizontal skin displacement was 0.08 (2.0) mm in the medial midface (lateral movement) and was -0.08 (1.96) mm in the lateral midface (medial movement) (p = 0.711). The mean vertical skin displacement (cranial movement of skin toward the forehead/temple) was 6.68 (2.4) mm in the medial midface whereas it was 5.20 (2.07) mm in the lateral midface (p = 0.003). Conclusions The results of this study provide objective evidence for an antagonistic skin movement between the medial and the lateral midface. The functional boundary identified by 3D imaging corresponds to the anatomic location of the line of ligaments.

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