Non-microsurgical replantation (composite graft with palmar pocketing) – a case report of successful reintegration of distal finger amputation

Microvascular replantation in not always feasible for distal finger amputations. Our work presents a case of 23-year-old woman who suffered an amputation of index finger at the level of nail base. She was disqualified from microvascular replantation, however, the cooperation with Replantation Service resulted in an uncommon method of treatment, which resulted in excellent functional and aesthetic outcome. Composite grafting for fingertip amputations is a unique procedure which enables preserving original tissue with its function. We consider composite grafting to be a valuable adjunct to the wide range of methods for treating distal finger amputiations.

Download Full-text

R1352Q CACNA1A Variant in a Patient with Sporadic Hemiplegic Migraine, Ataxia, Seizures and Cerebral Oedema: A Case Report

Case Reports in Neurology ◽

10.1159/000512275 ◽

2021 ◽

pp. 123-130

Author(s):

Anker Stubberud ◽

Emer O’Connor ◽

Erling Tronvik ◽

Henry Houlden ◽

Manjit Matharu

Keyword(s):

Mental Retardation ◽

Case Report ◽

Genetic Testing ◽

Head Trauma ◽

Cerebral Oedema ◽

De Novo ◽

Minor Head Trauma ◽

Hemiplegic Migraine ◽

Wide Range ◽

History Of

Mutations in the CACNA1A gene show a wide range of neurological phenotypes including hemiplegic migraine, ataxia, mental retardation and epilepsy. In some cases, hemiplegic migraine attacks can be triggered by minor head trauma and culminate in encephalopathy and cerebral oedema. A 37-year-old male without a family history of complex migraine experienced hemiplegic migraine attacks from childhood. The attacks were usually triggered by minor head trauma, and on several occasions complicated with encephalopathy and cerebral oedema. Genetic testing of the proband and unaffected parents revealed a de novo heterozygous nucleotide missense mutation in exon 25 of the CACNA1A gene (c.4055G>A, p.R1352Q). The R1352Q CACNA1A variant shares the phenotype with other described CACNA1A mutations and highlights the interesting association of trauma as a precipitant for hemiplegic migraine. Subjects with early-onset sporadic hemiplegic migraine triggered by minor head injury or associated with seizures, ataxia or episodes of encephalopathy should be screened for mutations. These patients should also be advised to avoid activities that may result in head trauma, and anticonvulsants should be considered as prophylactic migraine therapy.

Download Full-text

Cryostat Injury with Distal Finger Amputation Repaired Using a Composite Graft

Dermatologic Surgery ◽

10.1111/j.1524-4725.2012.02342.x ◽

2012 ◽

Vol 38 (5) ◽

pp. 803-806

Author(s):

Marissa G. Bucci ◽

Glenn D. Goldman

Keyword(s):

Composite Graft ◽

Finger Amputation

Download Full-text

Extraskeletal Chondroma of the Index Finger: A Case Report

Case Reports in Oncology ◽

10.1159/000477237 ◽

2017 ◽

Vol 10 (2) ◽

pp. 479-484 ◽

Cited By ~ 4

Author(s):

Masato Saito ◽

Kazumasa Nishimoto ◽

Robert Nakayama ◽

Kazutaka Kikuta ◽

Masaya Nakamura ◽

...

Keyword(s):

Case Report ◽

Soft Tissues ◽

Hyaline Cartilage ◽

Index Finger ◽

Tendon Sheath ◽

Low Grade ◽

Treatment Experience ◽

Cartilaginous Tumor ◽

Bone Cortex ◽

Histopathologic Findings

Extraskeletal chondroma is defined as a rare, benign, cartilaginous tumor arising from soft tissues such as tendons, tendon sheath synovia, and joint capsules with no continuity to the periosteum or bone cortex. In histopathologic findings, the tumor exhibits many lobular structures and some parts similar to hyaline cartilage. Therefore, it is sometimes difficult to differentiate this tumor from low-grade chondrosarcoma because of their similar histopathologic findings. In order to prevent recurrence, it is necessary to remove the tumor as a whole, including the capsule, so as not to leave any remnants of the tumor. In this article, we report our treatment experience with a case of extraskeletal chondroma in the index finger of a 63-year-old patient.

Download Full-text

ROTATORY SUBLUXATION OF THE METACARPOPHALANGEAL INDEX FINGER JOINT: A CASE REPORT

Hand Surgery ◽

10.1142/s0218810413720064 ◽

2013 ◽

Vol 18 (01) ◽

pp. 103-105 ◽

Cited By ~ 1

Author(s):

Ken Teo ◽

Anthony Berger

Keyword(s):

Case Report ◽

Index Finger ◽

Extensor Tendon ◽

Metacarpophalangeal Joint ◽

Clinical Suspicion ◽

Collateral Ligament ◽

Open Injury ◽

Complete Tear ◽

Rotatory Subluxation ◽

High Level

We report a case of rotatory subluxation of the metacarpophalangeal joint (MCPJ) of the finger. A 40-year-old man sustained an open injury to his index finger following an explosive injury. Radiographs showed rotatory subluxation of the index finger MCPJ. The index finger extensor digitorium was found interposed in the MCPJ, with a complete tear of the radial collateral ligament. Treatment was by open reduction and repair of the collateral ligament and the extensor tendon. A high level of clinical suspicion is needed to diagnose this entity.

Download Full-text

Esophageal Variceal Bleeding as the First Manifestation of COVID-19 Infection: A Case Report

International Journal of Innovative Research in Medical Science ◽

10.23958/ijirms/vol07-i01/1326 ◽

2022 ◽

Vol 7 (01) ◽

pp. 41-45

Author(s):

Christos Sotiropoulos, MD, MSc ◽

Eftichia Sakka, MD ◽

Georgios Theocharis, MD, PhD ◽

Konstantinos Thomopoulos, MD, PhD

Keyword(s):

Liver Cirrhosis ◽

Case Report ◽

Variceal Bleeding ◽

Clinical Manifestations ◽

Polymerase Chain Reaction Test ◽

Variceal Hemorrhage ◽

Esophageal Variceal ◽

Esophageal Variceal Bleeding ◽

Wide Range ◽

Upper Gastrointestinal

Liver cirrhosis is a defined liver disease with a wide range of clinical manifestations. Variceal bleeding is the main source of gastrointestinal hemorrhage among cirrhotic patients induced by several factors, such as alcohol consumption or infections. This is a report of a cirrhotic patient presenting with esophageal variceal bleeding in the context of COVID-19 infection. We report the case of a 53-year-old patient with liver cirrhosis and multifocal hepatocellular carcinoma presenting with upper gastrointestinal bleeding as the first manifestation of COVID-19 infection. Upon admission, the patient had no symptoms suggestive of a respiratory tract infection or any contact with positive SARS-CoV-2 individual and upper gastrointestinal endoscopy revealed variceal hemorrhage. After a few hours the patient manifested with fever, cough and dyspnea and a SARS-CoV-2 polymerase chain reaction test obtained was positive. The patient was initially treated with endoscopic band ligation and transferred in the COVID-19 infection clinic, where after a few days of hospitalization he passed away. The devastating pandemic of coronavirus disease 2019 had altered the pathophysiology and clinical presentation of several chronic diseases. This case report suggests that coronavirus disease as a potential triggering factor of variceal bleeding.

Download Full-text

Case Report: Frontalis sign for early bedside consideration of impending uncal herniation

F1000Research ◽

10.12688/f1000research.7871.2 ◽

2016 ◽

Vol 5 ◽

pp. 125

Author(s):

Sunil Munakomi ◽

Bijoy Mohan Kumar

Keyword(s):

Case Report ◽

Early Diagnosis ◽

Early Recognition ◽

Mass Effect ◽

Tertiary Centre ◽

Valuable Adjunct ◽

Neurosurgical Patients ◽

Pupillary Size ◽

Timely Referral ◽

Simple Bedside

It is prudent to have early diagnosis and timely management of uncal herniation for better management of neurosurgical patients. There are several clinical and radiological armamentariums that aid in early recognition of the condition. Through this case report, we try to highlight a simple bedside clinical sign that can be a valuable adjunct in early recognition of the impending uncal herniation especially in scenarios wherein it is difficult to assess the pupillary size and reactivity correctly. The improvement in the sign also confirms the resolution of the mass effect in the postoperative period. This is especially helpful for doctors working in the periphery or in resource restrained areas, for a timely referral of the patient to tertiary centre.

Download Full-text

Normocytic Normochromic Anemia Revealed an Early Onset Hashimoto’s Hypothyroidism in an Infant: A Case Report

Dubai Medical Journal ◽

10.1159/000519439 ◽

2021 ◽

pp. 1-5

Author(s):

Manal Mustafa Khadora ◽

Maysa Saleh ◽

Rawah Idres ◽

Sura Ahmed Al-Doory ◽

Mahmoud Ahmed Radaideh

Keyword(s):

Differential Diagnosis ◽

Case Report ◽

Autoimmune Thyroiditis ◽

Subclinical Hypothyroidism ◽

Early Onset ◽

Clinical Presentation ◽

Primary Hypothyroidism ◽

Normocytic Normochromic Anemia ◽

Wide Range ◽

Normochromic Anemia

Autoimmune thyroiditis is very rare etiology of primary hypothyroidism in infancy. Hypothyroidism has a wide range of clinical presentation, from subclinical hypothyroidism to overt type. It is unclear what pathological mechanisms connect thyroid function and erythropoiesis or how thyroid disease can contribute to anemia. We report a 12-month-old infant who presented with anemia associated with early onset of overt autoimmune thyroiditis. The peculiarity of our case enables us to draw attention of physician to consider acquired hypothyroidism in the differential diagnosis of unexplained anemia even if the neonatal screening is normal and congenital hypothyroidism is a remote possibility.

Download Full-text

Transmigrated Mandibular Canine Guided into its Normal Position

JOURNAL FOR CLINICAL AND DIAGNOSTIC RESEARCH ◽

10.7860/jcdr/2020/44407.13969 ◽

2020 ◽

Author(s):

Itamar Antonio Taffarel ◽

Ivan Pedro Taffarel ◽

Gil Guilherme Gasparello ◽

Matheus Melo Pithon ◽

Orlando Motohiro Tanaka

Keyword(s):

Case Report ◽

Orthodontic Treatment ◽

Aesthetic Outcome ◽

Normal Position ◽

Correct Position ◽

Mandibular Canine ◽

Treatment Complexity ◽

Stable Result ◽

Mandibular Incisors

Transmigrated mandibular canines increase treatment complexity in terms of both anchorage and biomechanical planning, posing challenges for both Orthodontists and Oral Surgeons. This case report presents the orthodontic treatment in a 12-year-old girl patient, with transmigrated and impacted mandibular right canine positioned horizontally below the apices of the mandibular incisors. The mandibular deciduous right canine was extracted followed by the traction of the transmigrated permanent canine. Eruption was properly guided, and the correct position of the tooth was orthodontically guided into its normal position in the arch. The patient’s occlusion was significantly improved with good aesthetic outcome, functional occlusion, and a stable result after 1.5 years of follow-up.

Download Full-text