Avascular necrosis of humeral trochlea: A case report of the rare condition

2021 ◽  
Vol 17 ◽  
Author(s):  
Temel Fatih Yilmaz ◽  
Ahmet Emin Okutan ◽  
Muhammet Salih Ayas ◽  
Mehmet Emin Dada ◽  
Ahmet Uğur Turhan
Keyword(s):  
Case Report ◽  
Avascular Necrosis ◽  
Rare Condition ◽  
Response To Treatment ◽  
Proton Density ◽  
Sports Activity ◽  
Radiologic Findings ◽  
Clinical Scenarios ◽  
Common Etiology ◽  
History Of

İntroduction: Avascular necrosis of humeral trochlea is a very rare condition and was described by Hegemann in 1957. We reported two cases of avascular necrosis of humeral trochlea and also performed a literature review of the reported cases. We expect that this case report will assist clinicians to make timely diagnosis when encountering similar clinical scenarios. Materials and Methods: We presented 11-year-old and 14 year-old two cases with avascular necrosis of humeral trochlea. The common etiology was idiopathic because there were no recent trauma history and sports activity. Also there was no history of drug use. We discussed the clinical and radiologic findings of these cases. Results: These cases were diagnosed as Hegemann’s disease with clinical and radiologic outcomes. We found the etiology of both two cases is idiopathic. Both two cases were boys and teenagers. The number of previously reported cases in the literature is limited to 63. In our study there was a lateral crest in one of our two cases and a posteromedial involvement in another. The radiograph of two trochlea of these two cases showed irregularity and granular appearance. In our case, heterogeneous signal changes and irregularities are accompanied by hypointense changes on T1-weighted images. Also hyperintense changes on proton density sequences were detected. Conclusion: Radiological evaluation plays an important role in the diagnosis and evaluation of response to treatment in avascular necrosis of the humeral trochlea. Avascular necrosis should be one of the differential of lesions involving the trochlea. Recognition of avascular necrosis in the trochlea may prevent unnecessary biopsy.

scholarly journals Bilateral Congenital Humeroradial Synostostis Presenting with Bilateral Proximal Radius Fractures: A Case Report

2021 ◽  
pp. 29-32
Author(s):  
Elsiddig E. Mahmoud
Keyword(s):  
Case Report ◽  
Elbow Joint ◽  
Parental Education ◽  
Functional Disability ◽  
Congenital Abnormalities ◽  
Rare Condition ◽  
Radius Fractures ◽  
Proximal Radius ◽  
History Of ◽  
Uncommon Condition

Congenital bilateral humeroradial synostosis (HRS) is a rare condition. It is generally divided into 2 categories. In the first group, which is mainly sporadic, additional upper limb hypoplasia typically coexists. In the second group, which is classically familial, HRS is commonly an isolated upper extremity anomaly. HRS can lead to variable degrees of functional disability. The clinical case reported here illustrates a possibly avoidable presentation of this uncommon condition. In this case report, we present a 6-week-old male who presented with bilateral radius fractures. Radiography revealed congenital HRS at both elbows. No other associated congenital abnormalities were detected, and there was no family history of similar conditions in any first-degree relatives. In cases of congenital HRS, movement at the elbow joint is not possible. Parents who are unaware of this information might try to straighten their infant’s elbows, which in turn may result in fractures of the proximal radius. Hence, early diagnosis and proper parental education could prevent fractures as a sequela of HRS.

Rupture of sinus of Valsalva aneurysm: case report and review of contemporary literature

Perfusion ◽  
2020 ◽  
pp. 026765912096691
Author(s):  
Jean-Luc Duval ◽  
Richard AE Ramsingh ◽  
Natasha C Rahaman ◽  
Risshi D Rampersad ◽  
Gianni D Angelini ◽  
...  
Keyword(s):  
Case Report ◽  
Cardiac Failure ◽  
Congenital Heart ◽  
Contemporary Literature ◽  
Rare Condition ◽  
Aneurysm Rupture ◽  
Sinus Of Valsalva ◽  
Sinus Of Valsalva Aneurysm ◽  
History Of ◽  
High Index Of Suspicion

Sinus of Valsalva aneurysm rupture is a rare condition with a great potential for morbidity and mortality if not promptly diagnosed and managed. We present an unusual non-infected sinus of Valsalva aneurysm rupture in a 47-year-old female. This case report, a likely presentation of a late congenital heart defect, highlights the need for a high index of suspicion in a patient with atypical history of congestive cardiac failure.

scholarly journals Proximal Row Carpectomy for Coexisting Kienböck’s Disease and Giant Intraosseous Ganglion of the Scaphoid: A Case Report and Review of the Literature

2014 ◽  
Vol 2014 ◽  
pp. 1-6
Author(s):  
Miguel Morón ◽  
Florian Oellig ◽  
Tomás Sánchez
Keyword(s):  
Case Report ◽  
Avascular Necrosis ◽  
Martial Arts ◽  
Scaphoid Bone ◽  
Review Of The Literature ◽  
Proximal Row Carpectomy ◽  
Kienböck’S Disease ◽  
Intraosseous Ganglion ◽  
History Of ◽  
Kienbock’S Disease

The etiologies of Keinböck’s disease and intraosseous ganglion remain unknown. Both entities are rare and the coexistence of these two pathologies in the same patient and hand is even less frequent. We report the case of a 40-year-old man with a longstanding history of martial arts practice (karate) who developed an avascular necrosis of the lunate concomitant with a giant intraosseous ganglion of the scaphoid bone successfully managed by proximal row carpectomy. We review the literature of these two diseases.

scholarly journals Thyrotoxic periodic paralysis in new-onset hyperthyroidism – a case report and review of the literature

2014 ◽  
Vol 12 (4) ◽  
pp. 531
Author(s):  
Joaquim Custódio da Silva Junior ◽  
Helton Estrela Ramos
Keyword(s):  
Case Report ◽  
Previous History ◽  
Rare Condition ◽  
Periodic Paralysis ◽  
Emergency Physicians ◽  
Review Of The Literature ◽  
Font Size ◽  
Thyrotoxic Periodic Paralysis ◽  
History Of ◽  
New Onset

<p class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;"><em><span style="font-size: 10.0pt; font-family: ";Times New Roman";,";serif";; mso-ansi-language: EN-US;" lang="EN-US">Thyrotoxic periodic paralysis (TPP) is a rare condition related to hyperthyroidism, with specific clinical and physiopathological features. In this article, we discuss a case report of a patient that develops TPP with no previous history of thyroid illness, highlighting semiological characteristics that can help Emergency physicians to suspect of this condition. Subsequently, we review the recent articles about TPP, with focus in the molecular basis of ion channelopathies and predisposing factors, and discuss the therapeutic approach at acute phase of TPP and prevention of crisis recurrence.</span></em></p>

scholarly journals Tolosa-Hunt: Case Report

2021 ◽  
Author(s):  
Lília Tereza Diniz Nunes ◽  
Flávia S. Silva ◽  
Karyme G. Aota ◽  
Maria Beatriz Miranda S. B. de Assis ◽  
João Fellipe B. Bento ◽  
...  
Keyword(s):  
Case Report ◽  
Cavernous Sinus ◽  
Clinical Care ◽  
Cranial Nerves ◽  
Rare Condition ◽  
Unknown Etiology ◽  
Specific Diagnosis ◽  
Hunt Syndrome ◽  
Diagnosis By Exclusion ◽  
History Of

Context: Tolosa-Hunt Syndrome (STH) is a rare condition with unknown etiology, it affects both genders equally. It is manifested by inflammation of the cavernous sinus and involvement of some cranial nerves pairs. Case report: MSR, 39 years, male, diver in the mining zone, history of recurrent otitis with acute pain and gradual hearing loss that progressed. He was admitted to the General Hospital of Palmas with symptoms of retrorbital headache. After physical exams it was found an ophthalmoplegia with right amaurosis and ipsilateral pain. The neurological examination showed a right eye with loss of photomotor reflex and presence of consensual reflex and eyelid ptosis. After 38 days in hospital, a probable septic thrombosis of the cavernous sinus was found, antibiotic and corticosteroids therapy was initiated. The patient also reports significant improvement in headache and partially in vision, he is currently hospitalized with clinical care and antibiotic therapy, awaiting results of the image examination report. Conclusions: Painful ophthalmoplegia in most cases is not diagnosed as STH. The differential diagnosis for this pathology is most often through brain magnetic ressonance and the ICHD-3 beta diagnostic criteria, STH should be suspected, but it is still necessary to close the diagnosis by exclusion, due to the lack of a specific diagnosis.

scholarly journals Radiation-Induced Stromal Sarcoma of Breast: A Case Report and Literature Review

2021 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Amir Shahram Yousefi Kashi ◽  
Farzad Taghizadeh-Hesary
Keyword(s):  
Case Report ◽  
Rare Condition ◽  
Standard Chemotherapy ◽  
Case Presentation ◽  
Stromal Sarcoma ◽  
Local Progression ◽  
New Knowledge ◽  
History Of ◽  
Radiation Induced ◽  
Axillary Mass

Introduction: Post-irradiation mammary stromal sarcoma (MSS) is a rare condition, and it is worth learning new knowledge from each case. Case Presentation: We present the case report of a 59-year-old female with a medical history of breast cancer, who presented with an axillary mass on the same side. The patient was further evaluated and finally diagnosed with MSS with chondroid differentiation. Thereafter, she underwent neoadjuvant chemotherapy to facilitate the surgical resection of the tumor. However, she experienced local progression and lung metastasis during chemotherapy. Conclusions: MSS with chondroid differentiation was resistant to the standard chemotherapy regimens of sarcoma. Radiotherapy is a potential choice in the case of chemoresistant MSS. Further trials may reveal this notion.

scholarly journals Dyke-Davidoff-Masson Syndrome: A case Report in a patient presenting with drug-resistant epilepsy and pseudoseizures

2021 ◽  
Author(s):  
Pedro Schmidt dos Reis Matos Figueiredo ◽  
Thiago Oliveira Chaves
Keyword(s):  
Case Report ◽  
Cognitive Dysfunction ◽  
Brain Magnetic Resonance Imaging ◽  
Rare Condition ◽  
Signs And Symptoms ◽  
Drug Resistant ◽  
Cerebral Hemiatrophy ◽  
History Of ◽  
Magnetic Resonance Imaging Mri ◽  
Drug Resistant Epilepsy

Context: Dyke-Davidoff-Masson (DDM) syndrome is a rare neurological condition, first described in 1933. Characteristics include cerebral hemiatrophy, contralateral hemiparesis, seizures, and cognitive dysfunction, combined into different degrees and patterns. Brain magnetic resonance imaging (MRI) is used to perform diagnosis throughout its specific findings. Case Report: A eighteen-year-old female presented to our service with a history of cognitive dysfunction and seizures since early childhood, which persistence even with adequate use of antiepileptic drugs. During Investigation were found signs and symptoms compatible with DDM syndrome, and evidence of pseudoseizures captured in a video electroencephalography monitoring. Conclusion: DDM syndrome is a rare condition that must be part of differential diagnosis in patients with seizures and cerebral hemiatrophy. Management is based on adequate control of seizures and other comorbidities.

scholarly journals First Report of Psoriatic-Like Dermatitis and Arthritis in a 4-Year-Old Female Spayed Pug Mix

2015 ◽  
Vol 2015 ◽  
pp. 1-4 ◽  
Author(s):  
Stephanie A. Regan ◽  
Rosanna Marsella ◽  
Ibrahim Ozmen
Keyword(s):  
Case Report ◽  
Positive Response ◽  
Treatment Options ◽  
Domestic Animals ◽  
Preliminary Evidence ◽  
Clobetasol Propionate ◽  
Response To Treatment ◽  
History Of ◽  
Control Pain ◽  
Tentative Diagnosis

Psoriasis manifests as chronic dermatitis and arthritis (PsA) in people. Psoriasis with concurrent PsA is characterized by erythematous, silvery, scaly plaques, especially on the extremities, and concurrent arthritis with enthesitis, tenosynovitis, and dactylitis. To date, no such disease has spontaneously occurred in domestic animals. This case report aims to describe the clinical, radiographic, and histologic appearance of a psoriasis-like dermatitis and psoriatic-like arthritis in a dog. A 4-year-old female spayed pug mix presented for the evaluation of chronic history of hyperkeratotic footpads and deforming arthritis. After ruling out other differential diagnoses and based on the similarity of clinical, radiographic, and histologic findings to human psoriasis and PsA, a tentative diagnosis of psoriasis-like disease was made. Treatment was begun to control pain (tramadol, gabapentin, and carprofen) and psoriatic dermatitis (clobetasol propionate 0.05%, calcipotriene 0.005%, and urea 40% ointment twice daily). Dramatic positive response to treatment was achieved confirming the tentative diagnosis. This case may provide preliminary evidence for the existence of a psoriasis-like condition in dogs and may elucidate treatment options in otherwise refractory cases of chronic dermatitis and polyarthropathy in dogs.

Coexistence of Ectopic Posterior Pituitary and Sellar/Suprasellar Arachnoid Cyst: A Case Report

2020 ◽  
Vol 16 (8) ◽  
pp. 1055-1057
Author(s):  
Suzan Saylisoy ◽  
Goknur Yorulmaz
Keyword(s):  
Case Report ◽  
Rare Condition ◽  
Optic Chiasm ◽  
Magnetic Resonance Images ◽  
Bright Spot ◽  
Posterior Pituitary ◽  
First Case ◽  
History Of ◽  
Diaphragma Sellae ◽  
Ectopic Posterior Pituitary

Background: The ectopic posterior pituitary (EPP) is a rare condition characterized by the ectopic location of the posterior pituitary lobe associated with varying degrees of stalk anomalies. The arachnoid cysts (AC) are benign lesions of the arachnoid, which account for 1% of all intracranial space-occupying lesions. Sellar/suprasellar ACs account for approximately 1% of all ACs. This is the first case of coexistence EPP with sellar/suprasellar AC. Case Report: A 67-year-old woman presented with 6 months history of fatigue. Her medical history was positive for irregular menstruation. Her endocrine examinations indicated low free thyroxine level with low TSH level, low oestradiol with low gonadotrophin level, slightly elevated prolactin level. Her Insulin-like growth factor-1 was below the normal levels. Dynamic contrast hypophysis MRI revealed a sellar cystic lesion with a dimension of 18 × 14 × 14 mm, extending from the suprasellar cistern, traversing the diaphragma sellae and reaching the level of the floor of the 3rd ventricle, consistent with sellar/suprasellar AC. There was no wall enhancement. The optic chiasm was compressed. The precontrast T1-weighted magnetic resonance images did not demonstrate the characteristic bright spot of posterior pituitary within the sella, which was higher in position, in the region of the median eminence. The pituitary stalk was not present. Conclusion: Although speculative, we have a hypothesis to explain how the EPP and sellar/- suprasellar AC coexist in this patient. Due to the absence of stalk, CSF may enter the sella tursica from the central aperture of the diaphragma sellae through which normally the stalk passes.

IDIOPATHIC AVASCULAR NECROSIS OF THE CAPITATE — A CASE REPORT AND A REVIEW OF THE LITERATURE

Hand Surgery ◽  
2002 ◽  
Vol 07 (01) ◽  
pp. 159-161 ◽  
Author(s):  
J. A. Niesten ◽  
J. A. N. Verhaar
Keyword(s):  
Case Report ◽  
Avascular Necrosis ◽  
Rare Condition ◽  
Review Of The Literature

Avascular necrosis (AVN) of the capitate is a rare condition. A case report is presented with a review of the literature.

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