scholarly journals Recurrent Patellar Fracture in a Healthy Collegiate Basketball Player: An Exploration Clinical Case Report

2020 ◽  
Vol 6 (2) ◽  
Author(s):  
Mikaela Boham ◽  
Jerry Hilker
Keyword(s):  
Case Report ◽  
Athletic Trainers ◽  
Delayed Union ◽  
Division I ◽  
Basketball Player ◽  
Common Mechanism ◽  
Prior History ◽  
Healthy Population ◽  
Collegiate Basketball ◽  
Patellar Fractures

Purpose: Patellar fractures only account for approximately 1% of all skeletal injuries. Patellar fractures usually result from direct trauma (i.e. falling on the knee, dashboard injury, etc.), or, less frequently, occur as a combination of direct and indirect mechanism (i.e. receiving a direct blow while contracting the quadriceps). While indirect trauma is the least common mechanism, it usually occurs due to an extensor mechanism failure during eccentric loading such as landing. Method: Case report, Level 3: Exploration Clinical Contribution to the Available Sources of Evidence (CASE) Report. Results: A 21-year-old Division I collegiate basketball athlete sustained two separate transverse patellar fractures via non-contact mechanisms in the same knee over a 21-month period. The patient had no prior history of knee injury nor predisposing risk factors for fractures; delayed union or nonunion. Conclusion: The uniqueness of this case is twofold: 1) The rareness of this injury among a healthy athletic population; and 2) The unusual non-contact mechanism of the injury. Patellar injuries are extremely rare in athletics. In NCAA Division I men’s basketball, patellar injury accounts for only 2.4% of all injuries during games and 3.7% during practice. Recommendations: Although rare, it is important for athletic trainers to recognize traumatic high-impact injuries can occur during non-contact activity in a healthy population. In addition, athletic trainers should be mindful to suspect fracture without associated defect when a patient sustains a subsequent injury with an analogous mechanism even following successful rehabilitation.

Inguinal Disruption in an Elite Collegiate Basketball Player: A Case Report

2017 ◽  
Vol 22 (2) ◽  
pp. 1-6
Author(s):  
Zachary K. Winkelmann ◽  
Kenneth E. Games
Keyword(s):  
Case Report ◽  
Conservative Management ◽  
Surgical Intervention ◽  
Rectus Sheath ◽  
Basketball Player ◽  
Testicular Pain ◽  
Insidious Onset ◽  
Collegiate Basketball ◽  
Adductor Longus ◽  
Inguinal Disruption

An 18-year-old, male collegiate basketball athlete complained of right testicular pain following basketball activities. The patient’s imaging denoted edema within the pubis at the insertion of the adductor longus tendon and rectus sheath aponeurosis consistent with inguinal disruption. The patient underwent conservative rehabilitation and attempted to return to participation with increased pain. Subsequently, the patient underwent surgery. Following surgical intervention, the patient underwent 6 weeks of rehabilitation with basketball-specific considerations. On conclusion, the patient was pain free and returned to activity. This case is unique due to the insidious onset, sport in which the patient participated, and failed conservative management.

scholarly journals Autoimmune Dysfunction and Subsequent Renal Insufficiency in a Collegiate Female Athlete: A Case Report

2010 ◽  
Vol 45 (6) ◽  
pp. 645-649
Author(s):  
James E. Leone ◽  
Amie Kern ◽  
Joshua D. Williamson ◽  
Robert M. Colandreo
Keyword(s):  
Case Report ◽  
Iga Nephropathy ◽  
Kidney Biopsy ◽  
Signs And Symptoms ◽  
Autoimmune Disorders ◽  
Initial Assessment ◽  
Basketball Player ◽  
Wegener Granulomatosis ◽  
Sinus Infection ◽  
Collegiate Basketball

Abstract Objective: To present the case of a female collegiate basketball player who was diagnosed with Wegener granulomatosis of the eyes and immunoglobulin A (IgA) nephropathy. Background: A 19-year-old female collegiate basketball player presented to a rheumatologist, urologist, and nephrologist with severe eye pain and was diagnosed with Wegener granulomatosis and IgA nephropathy. At age 20, during routine follow-up testing, urine protein levels were found to be 3 times normal values (0–8 mg/dL), prompting the need for a kidney biopsy, which showed IgA nephropathy, another autoimmune disorder. Differential Diagnosis: Sinus infection, scleritis, lymphomatoid granulomatosis, Churg-Strauss syndrome, lupus erythematosus, general granulomatosis. Treatment: Initial assessment revealed signs and symptoms, particularly in the patient's eyes, consistent with a sinus infection and scleritis. Her corneas were examined by a specialist, who prescribed various medications, including prednisone, for the relief of symptoms. When the dosage of prednisone was reduced, symptoms returned. Further tests revealed the presence of anti-neutrophil cytoplasmic antibody, a protein associated with Wegener granulomatosis, which helped confirm the diagnosis. The following year, a routine urinalysis showed abnormal levels of protein in her urine. A kidney biopsy revealed that IgA nephropathy also was present. At the time of this case report, the athlete continues to be monitored by an ophthalmologist who specializes in Wegener granulomatosis, a rheumatologist, and a nephrologist. Uniqueness: This athlete presented with 2 rare autoimmune disorders at an early stage of life. The medications used to treat the disorders left the athlete fatigued on a daily basis. Additionally, she was placed on 3 immunosuppressant drugs, which increased her risk for further health complications, yet she was able to successfully compete in athletics at the collegiate level. No family history of renal disease or other autoimmune disorders was discovered, further adding to the complexity and uniqueness of this case. Conclusions: Autoimmune disorders, such as Wegener granulomatosis, can present with a variety of common signs and symptoms. As athletic trainers, we encounter a host of unusual signs and symptoms; however, in cases such as this, further investigation into the cause of the chief complaints can go a long way toward restoring or managing an athlete's health. Excellent communication among the sports medicine team helped this athlete manage her potentially life-threatening condition while allowing her to remain active in her sport.

Bilateral Popliteal Artery Entrapment Syndrome in a Young Female NCAA Division-I Collegiate Basketball Player

2020 ◽  
Vol 10 (3) ◽  
pp. e19.00652-e19.00652
Author(s):  
Rikki M. Koehler ◽  
Nicole C. Cimbak ◽  
Robert L. Parisien ◽  
Robert J. Nicoletta ◽  
Jeffrey A. Kalish
Keyword(s):  
Ncaa Division I ◽  
Popliteal Artery ◽  
Young Female ◽  
Division I ◽  
Basketball Player ◽  
Entrapment Syndrome ◽  
Popliteal Artery Entrapment Syndrome ◽  
Popliteal Artery Entrapment ◽  
Collegiate Basketball

Linezolid Induced Skin Reactions in a Multi Drug Resistant Infective Endocarditis Patient: A Rare Case

2020 ◽  
Vol 15 (3) ◽  
pp. 222-226 ◽  
Author(s):  
Asha K. Rajan ◽  
Ananth Kashyap ◽  
Manik Chhabra ◽  
Muhammed Rashid
Keyword(s):  
Case Report ◽  
Infective Endocarditis ◽  
Rare Case ◽  
Case Reports ◽  
Multidrug Resistant ◽  
The Body ◽  
Prior History ◽  
Skin Reactions ◽  
Rare Case Report ◽  
Multiple Drugs

Rationale: Linezolid (LNZ) induced Cutaneous Adverse Drug Reactions (CADRs) have rare atypical presentation. Till date, there are very few published case reports on LNZ induced CADRs among the multidrug-resistant patients suffering from Infective Endocarditis (MDR IE). Here, we present a rare case report of LNZ induced CARs in a MDR IE patient. Case report: A 24-year-old female patient was admitted to the hospital with chief complaints of fever (101°C) associated with rigors, chills, and shortness of breath (grade IV) for the past 4 days. She was diagnosed with MDR IE, having a prior history of rheumatic heart disease. She was prescribed LNZ 600mg IV BD for MDR IE, against Staphylococcus coagulase-negative. The patient experienced flares of cutaneous reactions with multiple hyper-pigmented maculopapular lesions all over the body after one week of LNZ therapy. Upon causality assessment, she was found to be suffering from LNZ induced CADRs. LNZ dose was tapered gradually and discontinued. The patient was prescribed corticosteroids along with other supportive care. Her reactions completely subsided and infection got controlled following 1 month of therapy. Conclusion: Healthcare professionals should be vigilant for rare CADRs, while monitoring the patients on LNZ therapy especially in MDR patients as they are exposed to multiple drugs. Moreover, strengthened spontaneous reporting is required for better quantification.

scholarly journals Laparoscopic approach to early gastric cancer in a patient with a prior history of open right hepatectomy: a case report

2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Ko Ikegame ◽  
Makoto Hikage ◽  
Satoshi Kamiya ◽  
Yutaka Tanizawa ◽  
Etsuro Bando ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Case Report ◽  
Early Gastric Cancer ◽  
Laparoscopic Approach ◽  
Prior History ◽  
Right Hepatectomy ◽  
History Of

scholarly journals Sarcoidosis Presenting as Dorsal Wrist Mass: A Case Report

2021 ◽  
Author(s):  
Gabriel Kim ◽  
Willie Banks ◽  
Bahman Sadr ◽  
Edina Paal ◽  
Jabari Martin
Keyword(s):  
Case Report ◽  
Prior History ◽  
Left Wrist ◽  
History Of

ABSTRACT Patients with sarcoidosis have an indolent course in which the disease is not detected unless seemingly benign symptoms appear. Such was the case in a 42-year-old man who was referred to the orthopedic service for evaluation of a slowly enlarging mass over the left wrist without prior history of trauma. In this article, we will review the symptoms and histopathology of sarcoidosis with a particular focus on orthopedic manifestations of the disease. We believe that clinicians should be aware of these associations so that patients can be diagnosed and treated accordingly.

scholarly journals Systemic recurrence of endometrial cancer more than 10 years after hysterectomy: a report of two cases and a brief review of the literature

2020 ◽  
Vol 32 (1) ◽  
Author(s):  
Leonardo Muratori ◽  
Paola Sperone ◽  
Gabriella Gorzegno ◽  
Anna La Salvia ◽  
Giorgio Vittorio Scagliotti
Keyword(s):  
Endometrial Cancer ◽  
Case Report ◽  
Endometrial Carcinoma ◽  
Developed Countries ◽  
Disease Stage ◽  
Prior History ◽  
Disease Relapse ◽  
Review Of The Literature ◽  
Radical Treatment ◽  
Risk Of Disease

Abstract Background Endometrial carcinoma is one of the most common female cancers in developed countries. Disease stage is associated with the risk of disease relapse after radical treatment. Typically, the risk of disease relapse peaks at 3 years from local radical treatment and then diminishes over time, so that late relapses (i.e., from year 5 afterward) are extremely infrequent. Here, we report two cases of women with endometrial cancer who developed a disease relapse more than 15 years after radical treatment. A review of the literature revealed other seven reports of women with relapse from endometrial cancer occurring more than 10 years after radical treatment. Case presentation Case report 1 is a 56-year-old woman with an endometrioid cancer who underwent a hysterectomy with bilateral salpingo-oophorectomy in 1998. She relapsed in the lung in 2014, 16 years from radical surgery. Case report 2, a 75-year-old woman, with an endometrioid cancer, was treated by hysterectomy with bilateral salpingo-oophorectomy and adjuvant radiotherapy. The disease relapse in the lung was detected in 2019, 22 years from radical treatment. Conclusion Although guidelines do not support oncological follow-up beyond 5 years from surgery, oncologists should consider late recurrence of endometrial carcinoma in the differential diagnosis of women presenting with metastases of uncertain origin and prior history of this disease.

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