STRESS FRACTURE AT DOCKING SITE AFTER BONE TRANSPORT MANAGED WITH INTRAMEDULLARY INTERLOCKING NAIL AND ILIAC AUTOGRAFT - A RARE CASE REPORT

2021 ◽  
pp. 12-14
Author(s):  
Neetin P Mahajan ◽  
Tushar C Patil ◽  
Kevin A Jain ◽  
Ravi Dadhaniya

INTRODUCTION : Distraction osteogenesis was introduced by Ilizarov and further developed by Cataneo et al. The concept of formation of new bone and soft tissues from distraction osteogenesis and freshening the sclerosed bone ends by corticotomy for stronger bony union and consolidation is applied here. Here we present a CASE REPORT : rare case of young adult operated by tibial bone transport using monolateral external xator, who presented to us after refracture near the docking site. We managed this patient with intramedullary reamed nailing and iliac crest autografting, showing good bony union and functional outcome at 3 months postoperatively. CONCLUSION : Thus from previous literature and our case ndings, we conclude that re-fractures and other complications of bone transport can be effectively managed by intramedullary reamed nailing leading to good bony union and fracture consolidation. The intramedullary nail provides rigid stability to both new bone regenerate due to callotasis and union at docking sit, signicantlydecreased rates of future refractures. This signicantly decreases patients morbidity and delivering satisfactory functional outcome.

2014 ◽  
Vol 15 (4) ◽  
pp. 500-505 ◽  
Author(s):  
Antônio Sérgio Guimarães ◽  
Daniel Humberto Pozza ◽  
Idercy Cabral de Castro ◽  
Iván Claudio Suazo Galdames ◽  
Sandro Palla

ABSTRACT Aim To report on a patient with Eagle's syndrome with a complete and very large ossification of the stylohyoid complex on the right side that to our best knowledge has never been published previously. Background Eagle's syndrome is characterized by a set of symptoms that are caused by the irritation of the neurovascular and soft-tissues caused by an elongated styloid process or ossification of stylohyoid ligament. Case description Because of the high discomfort and pain degree as well as limitations of mandibular and head mobility and also the thickness of the ossified stylohyoid chain, the patient was treated surgically by removing the hypertrophic segment. Conclusion These symptoms subsided completely after the surgical excision of the anomaly. The elongated styloid process on the left side was symptom free. Clinical significance Eagle's syndrome symptoms are not specific and can mimic those of other disorders, the syndrome must be included in the differential diagnosis of patients with pain in the orofacial, pharyngeal and cervical area. How to cite this article Guimarães AS, Pozza DH, de Castro IC, Galdames ICS, Palla S. Complete Ossification of the Stylohyoid Chain as Cause of Eagle's Syndrome: A Very Rare Case Report. J Contemp Dent Pract 2014;15(4):500-505.


Author(s):  
Pratheeksh P. ◽  
Manjunath S. Japatti ◽  
Ranganatha B. Thimmegowda ◽  
Rakshith Kumar K.

<p class="abstract">Isolated volar dislocations of the fifth carpometacarpal joints are an uncommon injury. They are classified as ulnopalmar or radiopalmar dislocations. It can be easily missed on standard radiographs. A high degree of suspicion and accurate reduction is pivotal in restoring the functional outcome of the hand. In our case report, a forty year old man presented with ulnopalmar dislocation of the fifth carpometacarpal joint and was treated with open reduction and K wiring. We review the literature and discuss the available methods of management.</p>


2017 ◽  
Vol 4 (10) ◽  
pp. 3532
Author(s):  
Atish Kumar ◽  
Dharani Priya ◽  
Jayesh S. ◽  
Kamal Kataria

Lipoma, though one of the most common benign mesenchymal neoplasms, its presentation in hand is very rare. It can be located in various planes. Intramuscular lipomas are uncommon and usually occur in the proximal muscles of the extremities. Intramuscular lipoma of hand is extremely rare and only very few cases have been reported in the literature. Lipomas of hand may present with neurovascular deficit due to compression. We present here an unusual case of intramuscular lipoma of thenar region with no neurovascular deficit which was surgically excised under local anaesthesia with good cosmetic and functional outcome. 


2021 ◽  
Vol 9 (07) ◽  
pp. 863-866
Author(s):  
Sushmita Batra ◽  
Pramod Krishna B. ◽  
Rajdeep Singh ◽  
Amy E. Thomas ◽  
Surabhi Singhai

The Hemangiopericytoma is a rare vascular tumour originating from the pericytes, which are found on the external surface of the capillaries and are thought to act as a sphincter that controls blood flow. It has a high propensity for recurrence and metastasis.The tumor usually develops as a slowly enlarging painless mass.It typically occurs in the soft tissues of the extremities and trunk, and is rarely seen in the oral cavity.15–16% are seen in the head and neck region.The most common sites of involvement are scalp, face, neck, nasal cavities and paranasal sinuses. Involvement of the palate is extremely rare and so here weare presenting a case of hemangiopericytoma of palate, its diagnosis, management and a brief review of literature.


2013 ◽  
Vol 5 (4) ◽  
pp. 30-32
Author(s):  
Ashok K Gupta ◽  
Karan Gupta ◽  
Kim Vaiphei ◽  
Darwin Kaushal

ABSTRACT Extraskeletal osteochondroma in parapharyngeal space is very rare. It is important to note that such a diagnosis be considered when a discrete, ossified mass is localized in soft tissues, even at atypical sites. Its diagnosis is based on radiological and histopathological examination. We should be clinically aware of this benign entity as no malignant transformation or metastasis has been reported. Excision with adequate cuff of tissue is treatment of choice. We did not encounter any case report of osteochondroma in the parapharyngeal space in literature, with our best possible effort.


Author(s):  
S. Babu Peter ◽  
V. Raghu Nandhan ◽  
R. Sandhiya

AbstractDisseminated extramedullary plasmacytoma (EMP) is an unusual entity that has nonspecific imaging features at MRI. Nevertheless, knowledge of its imaging features and unusual locations might help radiologists to suspect it in the appropriate clinical scenario. Some noncontiguous EMPs might mimic lymphoma and MRI would be useful as a problem-solving tool in EMP and would help in treatment planning. We report an unusual cardiac mass in cardiac MRI, a detailed work-up of which led to the diagnosis of multifocal EMP involving the heart, ribs, pancreas, retroperitoneum, and soft tissues of the thigh, rarely reported in the literature.


2012 ◽  
Vol 4 (2) ◽  
pp. 24-27
Author(s):  
Manasali Bheema Setty ◽  
Nadiger K Ramesh

Abstract Segmental resection of the mandible and commandos procedures involve extensive loss of hard and soft tissues, resulting in deviation of the mandible to the defective side and impairment in swallowing, speech, mastication and saliva control due to loss of sensory and motor innervations. Prosthodontic rehabilitation mainly aims the mandibular deviation and “improve the masticatory efficiency. This clinical report describes the use of maxillary occlusal ramps which provide support for the mandibular fragment in the acquired position and help to stabilize the dentures thus improving the masticatory efficiency in edentulous mandibulectomy patients.


2013 ◽  
Vol 5 (3) ◽  
pp. 142-144
Author(s):  
Ashok K Gupta ◽  
Karan Gupta ◽  
Kim Vaiphei ◽  
Darwin Kaushal

ABSTRACT Extraskeletal osteochondroma in parapharyngeal space is very rare. It is important to note that such a diagnosis be considered when a discrete, ossified mass is localized in soft tissues, even at atypical sites. Its diagnosis is based on radiological and histopathological examination. We should be clinically aware of this benign entity as no malignant transformation or metastasis has been reported. Excision with adequate cuff of tissue is treatment of choice. We did not encounter any case report of osteochondroma in the parapharyngeal space in literature, with our best possible effort. How to cite this article Gupta AK, Kaushal D, Gupta K, Vaiphei K. Osteochondroma of the Parapharyngeal Space: A Rare Case Report. Int J Otorhinolaryngol Clin 2013;5(3):142-144.


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