scholarly journals Patient-Specific Guided Osteotomy to Correct a Symptomatic Malunion of the Left Forearm

Children ◽  
2021 ◽  
Vol 8 (8) ◽  
pp. 707
Author(s):  
Femke F. Schröder ◽  
Feike Graaff ◽  
Anne J. H. Vochteloo
Keyword(s):  
Case Report ◽  
Conservative Treatment ◽  
Functional Outcomes ◽  
Forearm Fracture ◽  
Full Range ◽  
Corrective Osteotomy ◽  
Patient Specific ◽  
Left Forearm ◽  
Current Case ◽  
Preoperative Ct

We present a case report of a 12-year old female with a midshaft forearm fracture. Initial conservative treatment with a cast failed, resulting in a malunion. The malunion resulted in functional impairment for which surgery was indicated. A corrective osteotomy was planned using 3D analyses of the preoperative CT-scan. Subsequently, patient-specific guides were printed and used during the procedure to precisely correct the malunion. Three months after surgery, the radiographs showed full consolidation and the patient was pain-free with full range of motion and comparable strength in both forearms. The current case report shows that a corrective osteotomy with patient-specific guides based on preoperative 3D analyses can help surgeons to plan and precisely correct complex malunions resulting in improved functional outcomes.

scholarly journals Successful Conservative Management of Neonatal MRSA Associated Tricuspid Valve Infective Endocarditis

2013 ◽  
Vol 33 (1) ◽  
pp. 70-73
Author(s):  
MK Sodhi ◽  
GS Chhabra ◽  
SS Sarin
Keyword(s):  
Case Report ◽  
Infective Endocarditis ◽  
Conservative Treatment ◽  
Early Diagnosis ◽  
Effective Treatment ◽  
Tricuspid Valve ◽  
Conservative Management ◽  
Current Case ◽  
The Status ◽  
Male Neonate

Prognosis in neonatal endocarditis depends on early diagnosis and the status of the patient at the time of diagnosis, and effective treatment with appropriate antibiotics. The current case report describes a case of successful conservative treatment of endocarditis in a 26 day old male neonate, previously inadequately treated for septicaemia in another hospital. DOI: http://dx.doi.org/10.3126/jnps.v33i1.7045 J Nepal Paediatr Soc. 2013;33(1):70-73

scholarly journals Primary central nervous system Hodgkin's lymphoma: a case report

2021 ◽  
Vol 49 (4) ◽  
pp. 030006052199953
Author(s):  
Haiying Fu ◽  
Songsheng Shi ◽  
Lusan Chen ◽  
Benhua Xu ◽  
Wanling Huang ◽  
...  
Keyword(s):  
Central Nervous System ◽  
Nervous System ◽  
Case Report ◽  
Hodgkin’S Lymphoma ◽  
Full Range ◽  
External Ventricular Drainage ◽  
Hodgkin's Lymphoma ◽  
Current Case ◽  
Left Lower Extremity ◽  
The Right

Primary central nervous system Hodgkin's lymphoma (CNS-HL) is extremely rare. This current case report describes a 60-year-old male patient that presented with numbness of the left lower extremity and worsening headache. After a full range of investigations and a partial resection of the right cerebellum, external ventricular drainage reservoir placement and cranioplasty, he was diagnosed with primary CNS-HL. The patient was treated with 3 g/m2 methotrexate (intravenous [i.v.], once a day, day 1) and 1 g/m2 cytarabine (i.v., every 12 h, days 2 + 3), followed by anti-programmed cell death protein 1 antibodies (200 mg sintilimab, i.v., once a day, day 1, every 3 weeks). After six courses of treatment with intrathecal injections of 50 mg cytarabine (once a day, day 1) and 5 mg dexamethasone (once a day, day 1), there was no residual lesion on cranial magnetic resonance imaging. No significant drug-related adverse events were observed. The patient has been followed up every 3 months and no relapse has occurred.

Blood-flow Restriction Training for a Person With Primary Progressive Multiple Sclerosis: A Case Report

2020 ◽  
Author(s):  
Evan T Cohen ◽  
Nicole Cleffi ◽  
Marianne Ingersoll ◽  
Herb I Karpatkin
Keyword(s):  
Multiple Sclerosis ◽  
Blood Flow ◽  
Case Report ◽  
Physical Therapist ◽  
Blood Flow Restriction ◽  
Patient Specific ◽  
Primary Progressive Multiple Sclerosis ◽  
Primary Progressive ◽  
Flow Restriction ◽  
Strength Tests

Abstract Objective Blood flow restriction (BFR) training, in which an inflatable cuff partially occludes blood flow around the proximal portion of a limb, coupled with low-intensity resistance training (LIRT) has resulted in gains comparable to traditional progressive resistive exercise in healthy populations. The use of BFR with LIRT may enable people with multiple sclerosis (MS) to improve strength without an increase in fatigue. The purpose of this case report is to describe the use of a BFR/LIRT program for a person with MS. Methods (Case Description) The patient was a 54-year-old woman with a 13-year history of primary progressive MS with an Extended Disability Severity Score of 3.0 out of 10. She received a BFR/LIRT program for both lower extremities (LE) biweekly for 12 weeks. Outcomes measured at baseline and at 6 and 12 weeks included the 12-item Multiple Sclerosis Walking Scale (MSWS-12), Fatigue Severity Scale (FSS), Patient-Specific Functional Scale (PSFS) (goals: running for exercise and pleasure for 45 minutes, 100% confidence in negotiating a flight of stairs, confidently and safely drive without restriction), and 14 LE strength tests. Results The intervention was well tolerated without adverse events. After 6 weeks, the MSWS-12 score improved; however, it did not exceed minimum detectable change (MDC). FSS was unchanged. All PSFS goals improved beyond MDC, and improvements in strength exceeded MDC in 2 out of 14 tests. After 12 weeks, MSWS-12 improvements persisted and the FSS score improved, but neither exceeded MDC. The PSFS improvements persisted. There were improvements exceeding MDC for 8 out of 14 strength tests. The remaining 6 strength tests improved but did not exceed MDC. Conclusion The patient had measurable improvements following the use of a BFR/LIRT program. BFR/LIRT may be an option for strength training in people with MS; however, research is needed to determine its safety and effectiveness across the population of people with MS. Impact Traditional physical therapist interventions for people with MS have been shown to be beneficial; however, their usefulness has been limited by fatigue. A growing body of literature has demonstrated the effects of a BFR/LIRT program on strength and other measures of physical function in healthy populations and those with chronic disease. This case report adds missing information to the existing literature and suggests directions for research on the effectiveness of BFR/LIRT in people with primary progressive MS.

The Role of Conservative Treatment in Blunt Ureteral Trauma: Case Report

1981 ◽  
Vol 146 (7) ◽  
pp. 516-520
Author(s):  
Sung-Won Kim ◽  
Edwin C. Tan ◽  
Elliot L. Cohen
Keyword(s):  
Case Report ◽  
Conservative Treatment ◽  
Ureteral Trauma ◽  
Trauma Case

scholarly journals Scrotal hematoma as a sign of adrenal hemorrhage in newborns

2011 ◽  
Vol 129 (2) ◽  
pp. 113-115 ◽  
Author(s):  
Renata Gonçalves ◽  
Allan Abuabara ◽  
Rubia Fatima Fuzza Abuabara ◽  
Claudia Aparecida Feron
Keyword(s):  
Case Report ◽  
Inguinal Hernia ◽  
Conservative Treatment ◽  
Complete Resolution ◽  
Testicular Tumor ◽  
Adrenal Hemorrhage ◽  
Meconium Peritonitis ◽  
Scrotal Hematoma ◽  
Bluish Discoloration

CONTEXT: Bluish discoloration and swelling of the scrotum in newborns can arise from a number of diseases, including torsion of the testes, orchitis, scrotal or testicular edema, hydrocele, inguinal hernia, meconium peritonitis, hematocele, testicular tumor and traumatic hematoma. Forty-two cases of scrotal abnormalities as signs of neonatal adrenal hemorrhage were found in the literature. CASE REPORT: We present a case of scrotal hematoma due to adrenal hemorrhage in a newborn. Conservative treatment with clinical follow-up was adopted, with complete resolution within 10 days. The possible differential diagnoses are reviewed and discussed.

scholarly journals Laparoscopic Adnexectomy for Ovarian Torsion during Late Pregnancy: Case Report of a Non-Conservative Treatment and Literature Analysis

2017 ◽  
Vol 4 ◽  
Author(s):  
Jean Bouquet de Joliniere ◽  
J. B. Dubuisson ◽  
F. Khomsi ◽  
A. Fadhlaoui ◽  
G. Grant ◽  
...  
Keyword(s):  
Case Report ◽  
Conservative Treatment ◽  
Late Pregnancy ◽  
Ovarian Torsion ◽  
Literature Analysis
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