scholarly journals Uncommon Bone Injuries in Soccer Players

2021 ◽  
Vol 80 (1) ◽  
pp. 125-138
Author(s):  
Krzysztof Ficek ◽  
Paweł Gwiazdoń ◽  
Radosław Skowronek ◽  
Natalia Kędra ◽  
Kamila Kluczniok ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Soft Tissues ◽  
Therapeutic Process ◽  
Correct Diagnosis ◽  
Bone Cyst ◽  
Diagnostic Procedures ◽  
Stress Fractures ◽  
Soccer Players ◽  
Sports Activity ◽  
Avulsion Fractures

Abstract Soccer is the most common team sport in the world. A significant number of players are associated with a large number of injuries. Injuries occur in a variety of contexts regardless of the age or performance level of players. The vast majority of injuries involve soft tissues. Bone injuries are less common, but usually result in long-term exclusion from the game. Three different types of fractures related to soccer are classified as acute types, stress fractures and avulsion. This manuscript outlines the diagnostic procedures and treatments for stress fractures, avulsion fractures and bone cyst. The common feature of the described injuries includes frequent difficulties associated with the correct diagnosis and treatment direction. In therapeutic treatment, the doctor and the patient often have to choose between conservative treatment and surgical treatment, which in many cases is not simple. We suggest that in the event of injuries to soccer players, surgical treatment should be used, shortening the time to return to full sports activity. A very important element of the therapeutic process is proper rehabilitation, which should be individually tailored to the patient in order to optimize the treatment process. Some of the rehabilitation protocols should be permanently incorporated into the warm-up protocols for training. Such a procedure has a preventive effect.

scholarly journals Comparison of usefulness of different diagnostic procedures in slipped capital femoral epiphysis in cats

2017 ◽  
Vol 73 (10) ◽  
pp. 637-641
Author(s):  
Beata Degórska ◽  
Rafał Sapierzyński ◽  
Piotr Jurka ◽  
Magdalena Kalwas - Śliwińska ◽  
Lidia Kowalczyk ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Surgical Treatment ◽  
Femoral Head ◽  
Correct Diagnosis ◽  
Slipped Capital Femoral Epiphysis ◽  
Diagnostic Procedures ◽  
Case Histories ◽  
X Ray ◽  
Histopathological Findings ◽  
Early Surgical Treatment

The aim of the study was to compare the usefulness of different diagnostic procedures – radiology, computed tomography and histopathology – in slipped femoral epiphysis in cats (SCFE). Case histories of 7 cats and radiographic, computed tomography and histopathological findings for these animals were reviewed and compared with previously published cases of slipped capital femoral epiphysis. Three cats underwent computed tomography examination. Contrary to the literature data, the British Shorthair breed was overrepresented in the examined group (57.1%). In five cats, slipped capital femoral epiphysis developed unilaterally, but in one of these cats SCFE had also been diagnosed in the contralateral hip joint 6 months after initial treatment. Patients with SCFE were surgically treated by femoral head and neck amputation. The study suggests that the results of X-ray and computed tomography examinations are comparable. An early diagnosis, with very subtle changes of SCFE detected successfully by computed tomography, could lead to conservative or early surgical treatment. Histopathological findings are helpful in SCFE and confirm the correct diagnosis. Furthermore, the results do not support the theory that slipped capital femoral epiphysis develops mainly in overweight and neutered cats.

scholarly journals Pelvis apofysial avulsion fractures: three amateur football player case reports and a review of the literature

TRAUMA ◽  
2021 ◽  
Vol 22 (2) ◽  
pp. 57-61
Author(s):  
Mehmet Ali Sabır ◽  
Savaş Yıldırım ◽  
Mert Özcan
Keyword(s):  
Surgical Treatment ◽  
Case Reports ◽  
Treatment Options ◽  
Case Series ◽  
Football Player ◽  
Soccer Players ◽  
Patient Treatment ◽  
Review Of The Literature ◽  
Avulsion Fractures ◽  
Inappropriate Treatment

Apophysial avulsion fractures of the pelvis are injuries due to sudden and strong muscle contractions that affect athletes during adolescence. It has become more common today due to the increase in sportive activities. Inappropriate treatment methods cause painful joint movements and therefore the return of patients to sportive activity is delayed. Case series of three amateur soccer players were presented in this report. Unsuccessfull conservative treatment two of the patients were treated surgically after that caused impingement symptoms. İmmediate surgical treatment was performed in one patient. Treatment options and complications were explained under the light of current literature concepts.

scholarly journals Dentofacial characteristics of patients with hemifacial microsomia. A literature review.

2017 ◽  
Vol 22 (2) ◽  
pp. 46-50
Author(s):  
Sandra María Camacho ◽  
Angélica María Pabón ◽  
Jesús Alberto Hernández
Keyword(s):  
Differential Diagnosis ◽  
Soft Tissue ◽  
Soft Tissues ◽  
Treatment Plan ◽  
Therapeutic Process ◽  
Correct Diagnosis ◽  
Hemifacial Microsomia ◽  
The Face ◽  
Severity Of The Disease ◽  
Different Tissues

The Hemifacial Microsomía is a congenital disorder that commonly occurs in the hard and soft tissues of half of the face with specific characteristics that define its diagnosis, making clear its difference from other similar diseases. The aim of this review is to recognize the clinical features of Hemifacial Microsomía to perform a correct diagnosis. A search was conducted in the databases (Scielo, Medline, Science Direct) with keywords: Hemifacial Microsomía, Soft tissue, Bone tissue). Sixty four papers assesed the differential diagnosis of HFM. The clinician must recognize the association with syndromes to treat the HFM, thus the therapeutic process can change, and establish the severity of the disease in different tissues for future retrieval and treatment plan.  

Surgical treatment of extensive perianal hidradenitis

2020 ◽  
Vol 99 (9) ◽  
Keyword(s):  
Surgical Treatment ◽  
Hidradenitis Suppurativa ◽  
Soft Tissues ◽  
Case Reports ◽  
Radical Excision ◽  
Skin Flaps ◽  
Perianal Area ◽  
Apocrine Glands ◽  
Patient Preparation ◽  
Two Stages

Introduction: Perianal hidradenitis suppurativa is a chronic recurrent inflammatory, suppurative, and fistulising disease of apocrine glands, adjacent anal canal and soft tissues. Perianal area is the second most common affected area after axilla. There are three grades of the disease. Hidradenitis suppurativa represents a chronic, recurrent, deep-seated folliculitis resulting in abscesses, followed by the formation of sinus tracts and subsequent scarring. Perianal hidradenitis suppurativa is the last and the most serious grade of the disease and a specific access is needed for patient preparation and surgical treatment alone. The currently preferred method of treatment for patients with extensive perianal hidradentitis is excision and closure with combination of skin flaps, primary suture and skin graft in one or two stages. Case reports: There are three case reports of perianal hidradenitis suppurativa in this article. The local and overall initial treatment of patients followed by a radical excision and closure with a rotation skin flaps and skin grafts is described. The final results were satisfactory, with no recurrence or serious complication.

Comparative analysis of diagnostic procedures for tumor detection rates in paired data

2018 ◽  
Vol 28 (5) ◽  
pp. 1477-1488
Author(s):  
Yaeji Lim ◽  
Ji Soo Choi ◽  
Kiyoun Kim ◽  
Mira Park ◽  
Seonwoo Kim
Keyword(s):  
Positive Predictive Value ◽  
Predictive Value ◽  
Correct Diagnosis ◽  
Disease Status ◽  
Diagnostic Procedures ◽  
Tumor Detection ◽  
Tumor Location ◽  
Test Statistic ◽  
Paired Data ◽  
Detection Rates

Diagnostic procedures are mostly used to detect a particular disease, and each procedure indicates the presence or absence of the disease in an individual. Sensitivity and positive predictive value, which are measures of the effectiveness of a diagnostic procedure, are simply calculated as the proportion of the individuals diagnosed with the disease by the test among the patients with the disease, and of the diseased persons among the individuals in whom the disease was detected by the test, respectively. For a diagnosis with such a binary result, sensitivity and the positive predictive value of diagnostic procedures can be compared using the chi-square statistic. However, in the treatment of cancer patients, it is important not only to diagnose the disease status of an individual patient but also to detect the correct location of the cancer. The tumor location may be incorrectly identified in some subjects diagnosed with cancer. It is therefore of interest whether a procedure that diagnoses cancer also correctly indicates the tumor location. In this paper, we re-define the sensitivity and the positive predictive value of tumor detection as the ratio of the number of cases with a correct diagnosis of the tumor location by the test to the number of cases of cancer, and as the ratio of patients with a correct diagnosis of the tumor location to the number of individuals diagnosed with cancer by the test, respectively. We refer to these parameters as ‘semi-sensitivity’ and ‘semi-positive predictive value’. To compare these ratios between diagnostic procedures, test statistics are developed from binary diagnostic results. Simulation studies conducted to evaluate the nominal level and power are presented, and two sets of example data are also analyzed using the new test statistic.

Surgical treatment and follow-up of solitary bone cyst of the mandible:a report of seven cases

2001 ◽  
Vol 39 (3) ◽  
pp. 221-223 ◽  
Author(s):  
M. Peñarrocha-Diago ◽  
J.M. Sanchis-Bielsa ◽  
J. Bonet-Marco ◽  
J.M. Minguez-Sanz
Keyword(s):  
Surgical Treatment ◽  
Bone Cyst ◽  
Solitary Bone Cyst

Bilateral Optic Canal Meningiomas

Neurosurgery ◽  
1978 ◽  
Vol 3 (1) ◽  
pp. 9-15 ◽  
Author(s):  
Jonathan D. Trobe ◽  
Joel S. Glaser ◽  
Judith D. Post ◽  
Larry K. Page
Keyword(s):  
Surgical Treatment ◽  
Visual Loss ◽  
Correct Diagnosis ◽  
Clinical Suspicion ◽  
Optic Canal ◽  
The Future ◽  
Planum Sphenoidale ◽  
Radiological Studies

Abstract In the case presented, bilateral optic canal meningiomas produced binocular visual loss. Correct diagnosis was delayed because of inadequate and misinterpreted radiological studies. Careful radiological and surgical examination of the planum sphenoidale later suggested this as the source of both canalicular masses. The pertinent aspects of this case are reviewed in relation to information from similar cases reported previously. In the future, increased clinical suspicion and more accurate neuroradiological studies should improve the detection and afford earlier surgical treatment of meningiomas of the optic canal.

scholarly journals Results of tension band wiring in intra-articular collateral ligament avulsion fractures of the phalanx

2018 ◽  
Vol 6 (2) ◽  
pp. 74-77
Author(s):  
Rajeev Raj Manandhar ◽  
Shishir Lakhey ◽  
Umash Karki
Keyword(s):  
Functional Outcome ◽  
Soft Tissues ◽  
Proximal Phalanx ◽  
Ring Finger ◽  
Ulnar Collateral Ligament ◽  
Tension Band ◽  
Tension Band Wiring ◽  
Collateral Ligament ◽  
Avulsion Fractures ◽  
Radial Collateral Ligament

Background: Avulsion fractures of the base of proximal phalanx associated with ulnar or radial collateral ligament instability are relatively rare. The small size of the fragment and strong deforming pull of the attached soft tissues make the process of reduction and maintenance difficult.Objective: The purpose of this study was to assess the functional outcome of tension band wiring in intra-articular avulsion fractures of the base of the proximal phalanx.Methodology: A prospective study was performed on ten patients with intra-articular collateral ligament avulsion fractures of the proximal phalanx (Jupiter’s classification Type III). A tension band construct was performed using a dorsal approach. The functional outcome was assessed at six months with the quick Disability of Arm, Shoulder and Hand score.Results: The mean age of the patients was 25.8 years (Mean ± SD: 25.80). Six avulsion fractures were of the ulnar collateral ligament of the proximal phalanx of the index finger, one involved the radial collateral ligament of the ring finger and three, the radial collateral ligament of the little finger suggesting an abduction injury. All fractures had united at three months. Eight patients were graded as excellent and two as good. All patients were satisfied with the surgery and the functional outcome of the injured digit. There were no perioperative complications.Conclusion: The functional outcome of tension band wiring in intra-articular collateral ligament avulsion fractures of the base of the proximal phalanx was good to excellent.

scholarly journals Diagnostic dilemmas of multislice CT angiography in the evaluation of the degree of common carotid artery stenosis

2010 ◽  
Vol 138 (7-8) ◽  
pp. 494-497
Author(s):  
Dragoslav Nenezic ◽  
Slobodan Tanaskovic ◽  
Predrag Gajin ◽  
Nenad Ilijevski ◽  
Goran Vucurevic
Keyword(s):  
Carotid Artery ◽  
Ct Angiography ◽  
Common Carotid Artery ◽  
Carotid Artery Stenosis ◽  
Soft Tissues ◽  
Multislice Ct ◽  
Diagnostic Procedures ◽  
Left Common Carotid Artery ◽  
Artery Stenosis ◽  
High Grade

Introduction. Multislice CT angiography (CTA) is a noninvasive and quick technique to image carotid artery stenosis, as well as intracerebral vasculature. Modern multidetector CTA produces images with a high resolution of, not only the contrast-filled lumen, but also of the vessel wall and the surrounding soft tissues. Multiple studies have verified the ability of CTA to provide an accurate representation of the degree of carotid stenosis in comparison to digital subtraction angiography, both for moderate and high-grade stenosis. Because of its fast and accurate vessel imaging, CT angiography is increasingly used in the assessment of carotid artery stenosis. Case Outline. A 37-year-old female patient was admitted at the Vascular Surgery Clinic of the Institute for Cardiovascular Diseases 'Dedinje', Belgrade, for angiography and endovascular procedure of a high-grade stenosis of the left common carotid artery based on Multislice CT findings brought by the patient. She complained of problems which we considered to be the result of cerebral circulation ischemia. After detailed diagnostic procedures, we concluded that no pathological lesions could be verified either on the left common carotid artery or other supraaortic branches. Therefore, the patient was discharged for further neurological examinations. Conclusion. Although Multislice CTA has many advantages over classical angiography, its validity should be taken with reserve, especially in younger patients.

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