scholarly journals A Case of Palisaded Encapsulated Neuroma on the Left Forearm．

2020 ◽  
Vol 37 (5) ◽  
pp. 650-654
Author(s):  
Yukari Kobayashi ◽  
Noriko Umegaki ◽  
Sumiko Ishizaki ◽  
Masaru Tanaka
Keyword(s):  
Left Forearm

Pediatric Replantation after Traumatic Amputation at the Distal Forearm: Rehabilitation Protocol and Outcomes

2020 ◽  
Author(s):  
Nicholas C. Oleck ◽  
Radhika Malhotra ◽  
Haripriya S. Ayyala ◽  
Ramazi O. Datiashvili
Keyword(s):  
Operating Room ◽  
Multidisciplinary Team ◽  
Distal Forearm ◽  
Left Forearm ◽  
Traumatic Amputation ◽  
Postoperative Rehabilitation ◽  
Rehabilitation Protocol ◽  
Microsurgical Technique ◽  
Optimal Function ◽  
And Function

AbstractMajor limb replantation is a formidable task, especially in the pediatric setting. While meticulous microsurgical technique is required in the operating room, the authors aim to highlight the importance of postoperative rehabilitation therapy for optimal function. We highlight the case of a 12-year-old boy who suffered complete traumatic amputation through the distal left forearm. The limb was successfully replanted with successful restoration of sensation and function with the aid of intensive postoperative occupational therapy. A multidisciplinary team is of paramount importance to maximize function of a replanted upper extremity.

scholarly journals Multidisciplinary conservative management in classical Volkmann's contracture: A case report

1996 ◽  
Vol 20 (3) ◽  
pp. 199-202 ◽  
Author(s):  
M. F. Reinders ◽  
J. H. B. Geertzen ◽  
W. H. Eisma
Keyword(s):  
Case Report ◽  
Conservative Management ◽  
Multidisciplinary Team ◽  
Left Forearm ◽  
Clinical Note ◽  
Volkmann’S Contracture ◽  
Volkmann's Contracture

This clinical note describes the case of a nine-year-old girl with classical Volkmann's contracture of the left forearm. The report demonstrates the results and follow-up of conservative orthotic management used as a mode of treatment by a multidisciplinary team. When using an orthosis it is essential to check regularly to attain the desired result.

scholarly journals Empyema Necessitans in the Setting of Methicillin-Susceptible Staphylococcus aureus Causing Pneumonia and Bacteremia

2018 ◽  
Vol 2018 ◽  
pp. 1-5
Author(s):  
Sindhura Bandaru ◽  
Sukesh Manthri ◽  
Vidya Sundareshan ◽  
Vidhya Prakash
Keyword(s):  
Staphylococcus Aureus ◽  
Chest Wall ◽  
Subcutaneous Tissue ◽  
Parietal Pleura ◽  
Intravenous Drug Use ◽  
Rare Occurrence ◽  
Left Forearm ◽  
Gram Stain ◽  
Incision And Drainage ◽  
Prompt Diagnosis

Empyema necessitans (EN) is a rare phenomenon that refers to an insidious extension of the empyema through parietal pleura and subsequent dissection into subcutaneous tissue of the chest wall. A 29-year-old man presented to the hospital with fever and chills a few days after an inadvertent needle stick while injecting heroin. His left forearm was warm with an area of fluctuance. He underwent incision and drainage of the left forearm abscess with fluid submitted for Gram stain and culture. His condition rapidly deteriorated due to sepsis, and he required transfer to the intensive care unit. A new 4 × 3 cm area over the left pectoralis muscle had become increasingly indurated, fluctuant, and erythematous. CT of the chest demonstrated extensive cavitary lung lesions and a large loculated left-sided pleural effusion with extension through the chest wall. TEE revealed a 3 cm complex lesion on the superior septal leaflet of the tricuspid valve. The patient underwent incision and drainage of the pectoralis major EN with placement of a drain. Blood and sputum cultures grew methicillin-susceptible Staphylococcus aureus (MSSA) at which time antibiotic therapy was tailored to oxacillin. Our case highlights a rare occurrence of EN due to MSSA in a patient with intravenous drug use (IDU) and underscores the importance of prompt diagnosis and treatment.

Case of eustachian valve endocarditis and the importance of synergistic antibiotic therapy

2021 ◽  
Vol 14 (6) ◽  
pp. e242553
Author(s):  
Dilpat Kumar ◽  
James Boyer ◽  
Warsha Fnu ◽  
Harry Boamah
Keyword(s):  
End Stage Renal Disease ◽  
Altered Mental Status ◽  
Blood Levels ◽  
Chronic Haemodialysis ◽  
Dialysis Catheter ◽  
Left Forearm ◽  
Eustachian Valve ◽  
History Of ◽  
Stage Renal Disease ◽  
End Stage

A 46-year-old woman with a history of end-stage renal disease on chronic haemodialysis presented with 1 week of fever, chills, altered mental status and hand pain. She was febrile and ill-appearing on presentation with a pulse rate of 102 beats per minute. She had a tunnelled dialysis catheter in her right neck. Hand examination demonstrated a swollen, erythematous and tender wrist. Cardiovascular examination demonstrated no murmurs. CT of the hand showed abscesses involving the left forearm. Blood and abscess cultures grew methicillin-resistant Staphylococcus aureus (MRSA). Transesophageal echocardiography (TEE) showed a 1.0×1.0 cm mobile vegetation involving the eustachian valve (EV), confirming EV endocarditis. She remained bacteraemic for 18 days despite being on vancomycin with appropriate blood levels. Vancomycin was switched to daptomycin and ceftaroline, which cleared her cultures. Repeat TEE showed improved vegetation size. Our case highlights the rarity and management of EV endocarditis and the importance of synergy for treatment of persistent MRSA bacteraemia.

The Shoulders and Arms of Sunghir 1 to 3

2014 ◽  
Author(s):  
Erik Trinkaus ◽  
Alexandra P. Buzhilova ◽  
Maria B. Mednikova ◽  
Maria V. Dobrovolskaya
Keyword(s):  
Upper Limb ◽  
Coracoid Process ◽  
Left Forearm ◽  
Left Hand ◽  
Forearm Bones ◽  
Limb Asymmetry ◽  
Human Upper Limb ◽  
Left Humerus ◽  
Limb Proportions

The three partial skeletons from Sunghir retain substantial portions of their shoulder and arm remains, from the proximal clavicle to the distal radius and ulna. The scapulae, as with most of those from the Pleistocene, retain principally the spine, the glenoid area, the coracoid process, and the axillary border. The left forearm of Sunghir 2 is absent (as is his left hand), and the left humerus consists of a diaphyseal section without the metaphyses and a partial proximal epiphysis. It is nonetheless possible to assess both overall upper limb proportions (chapter 11) and a number of aspects that relate to upper limb asymmetry, clavicle and scapular morphology, glenohumeral proportions, diaphyseal robustness, cubital articulations, and reflections of pronation-supination hypertrophy for all three of them. Although humans are considered to be bilaterally symmetrical in their limbs, there are small degrees of asymmetry in most limb bones. These asymmetries are frequently exaggerated in the human upper limb, given our handedness and the subsequent preference for use of the dominant arm in more mechanically demanding activities (Raymond and Pontier 2004). In general, the level of asymmetry in the dimensions of epiphyses, and especially of articulations, is modest. However, substantial asymmetry in measures of upper limb diaphyses (particularly of the humerus) have been documented in samples of recent humans (e.g., Ruff and Jones 1981; Fresia et al. 1990; Trinkaus et al. 1994; Roy et al. 1994; Churchill 1994; Steele and Mays 1995; Sakaue 1997; Mays 2002; Auerbach and Ruff 2006; Cowgill 2008; Auerbach and Raxter 2008), as well as in a number of Late Pleistocene humans (e.g., Trinkaus et al. 1994; Churchill and Formicola 1997; Cowgill 2008; Shang and Trinkaus 2010; Cowgill et al. 2012b; Mednikova 2012; Volpato et al. 2012). Moreover, as is indicated by labial anterior dental striations and one individual’s forearm bones, such handedness extends back through the genus Homo (Weaver et al. 2001; Frayer et al. 2012).

A Case of Cavenous Hemangioma on the Left Forearm

1975 ◽  
Vol 10 (4) ◽  
pp. 434
Author(s):  
Jai Ik Shim ◽  
Young Soo Byun ◽  
Hong Kun Lee
Keyword(s):  
Left Forearm

scholarly journals ANESTESIA INALATÓRIA COM O USO DE MÁSCARA LARÍNGEA EM UM CHIMPANZÉ (Pan troglodytes)

2000 ◽  
Vol 5 (1) ◽  
Author(s):  
R. G. D´O. C. VILANI ◽  
P. D´O. C. VILANI ◽  
J. R. PACHALY ◽  
P. R. MANGINI ◽  
G. V. MACHADO ◽  
...  
Keyword(s):  
Pan Troglodytes ◽  
Minimum Alveolar Concentration ◽  
Open Circuit ◽  
Laryngeal Mask ◽  
Left Forearm ◽  
Anesthetic Induction ◽  
Adequate Ventilation ◽  
Bupivacaine Hydrochloride ◽  
Anesthetic Drugs ◽  
Effective Ventilation

Um exemplar de chimpanzé (Pan troglodytes) do sexo masculino, com idade de 5 dias e peso de 1,72 kg, foi submetido à anestesia inalatória através de uma máscara laríngea, para realização de amputação do antebraço esquerdo mutilado em função de agressão intraespecífica. A máscara laríngea auxilia na manutenção da permeabilidade das vias aéreas do paciente anestesiado, permitindo um controle seguro e eficaz da ventilação em situações distintas. O paciente sofreu indução anestésica com halotano e oxigênio, através da máscara facial classicamente empregada em pacientes humanos, sem medicação pré-anestésica. Após três minutos de administração do anestésico em concentrações crescentes até 1,5%, observou-se excelente miorrelaxamento, inclusive da musculatura da região temporo-mandibular. Foi inserida então uma máscara laríngea nº 1,5 não insuflada, que foi conectada a um circuito semi-aberto de anestesia inalatória, através do sistema de Baraka. A anestesia foi mantida com oxigênio e halotano em concentrações variáveis entre 0,3 e 0,5%. Para possibilitar redução da concentração alveolar mínima do anestésico inalatório e permitir analgesia pós-operatória, foi realizado por via supra-clavicular um bloqueio do plexo braquial, empregando-se cloridrato de bupivacaína a 0,25%, sem vasoconstritor, na dose total de 2,1 mg. Os dados vitais do paciente foram periodicamente monitorizados pela mensuração das freqüências respiratória e cardíaca através de oximetria de pulso. A anestesia prolongou-se por 120 minutos, observando-se excelente analgesia e miorrelaxamento plenamente adequado. A SpO2 se manteve constante em 100% durante todo o procedimento, e a freqüência cardíaca variou entre 94 e 100 bpm. O despertar ocorreu dois minutos após cessada a administração do anestésico inalatório, e os reflexos mostraram-se plenamente presentes em cinco minutos. A inserção da máscara laríngea ocorreu na primeira tentativa, e seu uso apresentou-se como uma excelente alternativa para adequada ventilação do paciente. Inhalatory anesthesia with laryngeal mask in a chimpanzee (Pan troglodytes) Abstract A five-day old male chimpanzee (Pan troglodytes) weighing 1,72 Kg was submitted to inhalatory anesthesia using a laryngeal mask, under the indication of amputation of the left forearm mutilated because of an intraespecific aggression. The laryngeal mask helps to maintain the air tract patency in anesthetic patients, allowing a safe and effective ventilation control in distinct situations. The patient was submitted to anesthetic induction with halothane and oxygen through the facial mask commonly used in human patients, without pre-anesthetic drugs. After three minutes of anesthetic administration in crescent concentrations until 1.5%, an excellent myorelaxation was observed, including in the temporo-mandibular muscles. A not inflated # 1.5 laryngeal mask was inserted and connected to a semi-open circuit of inhalatory anesthesia, by using the Baraka´s system. It was maintained with oxygen and halothane in variable concentrations between 0.3% and 0.5%. In order to allow a reduction in the inhalatory anesthestic´s minimum alveolar concentration and permit post-surgical analgesia there was performed a block of the brachial plexus by supra-clavicular route, using 0.25% bupivacaine hydrochloride without vasoconstritor, in a total dose of 2.1 mg. Patient’s vital sings were periodically monitored by measuring respiratory and heart rates by pulse-oximetry. The anesthesia extended by 120 minutes, providing excellent analgesia and adequate myorelaxation. The SpO2 was maintained constant in 100% during the whole procedure, and the heart rate oscillated between 94 and 100 bpm. The waken-up occurred two minutes after ceasing the administration of the inhalatory anesthetic, and all the reflexes were present within five minutes. The laryngeal mask was correctly inserted in the first trial, and its use was an excellent alternative for the patient’s adequate ventilation.

Acquired Port-Wine Stain in a Pediatric Patient

2006 ◽  
Vol 10 (3) ◽  
pp. 151-153 ◽  
Author(s):  
F. Sule Afsar ◽  
Ragıp Ortac
Keyword(s):  
Literature Review ◽  
Laser Therapy ◽  
Pediatric Patient ◽  
Pediatric Patients ◽  
Sun Exposure ◽  
Vascular Lesions ◽  
Port Wine Stain ◽  
Port Wine ◽  
Left Forearm ◽  
Port Wine Stains

Background: Acquired port-wine stains (PWSs) are vascular lesions that are identical to congenital PWSs morphologically and histopathologically. Objective: Because acquired PWSs are rarely seen in adult and pediatric patients, we present a 9-year-old boy with an acquired PWS on his left forearm. Conclusion: None of the proposed etiologies, such as trauma, chronic sun exposure, or hormonal medication, was applicable to our patient, and a literature review showed us that acquired PWSs give a faster and better response to pulsed dye laser therapy than congenital lesions do.

The Scar on the Underside of My Mother's Left Forearm

2007 ◽  
Vol 35 (4) ◽  
pp. 72-72
Author(s):  
Jason Scott Fritz
Keyword(s):  
Left Forearm
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