scholarly journals Reproducible transient asystolic arrest during intramedullary reaming of the femoral canal: A case report

2017 ◽  
Vol 8 ◽  
pp. S58-S61
Author(s):  
Benjamin M. Wooster ◽  
Brian T. Nickel ◽  
Julie A. Neumann ◽  
David R. Lindsay ◽  
Samuel S. Wellman
Keyword(s):  
Case Report ◽  
Femoral Canal ◽  
Intramedullary Reaming

scholarly journals Right Recurrent Femoral Hernia with Left Inguinal Hernia - A Case Report

2021 ◽  
Vol 04 (11) ◽  
Author(s):  
Dr. D. B. Choksi ◽  
Keyword(s):  
Case Report ◽  
Inguinal Hernia ◽  
Femoral Hernia ◽  
Groin Hernia ◽  
Bone Structure ◽  
Femoral Canal ◽  
Female Pelvis ◽  
Naturally Occurring ◽  
Males And Females ◽  
Pass Through

Femoral hernias are a relatively uncommon type, accounting for only 3% of all hernias. While femoral hernias can occur in both males and females, they occur approximately 10 times as frequently in women than in men because of the wider bone structure of the female pelvis³. Femoral hernias develop in the upper part of the thigh near the groin just below the inguinal ligament, where abdominal contents pass through a naturally occurring weakness called the femoral canal. Femoral hernia have the highest rate of incarceration amongst groin hernia, 5%–20%⁵

scholarly journals Primary Total Hip Replacement in a Case of Unilateral Hypo Plastic Proximal Femur – A Case Report

2021 ◽  
Vol 11 (4) ◽  
Author(s):  
Neetin P Mahajan ◽  
Lalkar Laxman Gadod ◽  
Ajay S Chandanwale ◽  
Prasanna Kumar G S ◽  
Mrugank Narvekar ◽  
...  
Keyword(s):  
Case Report ◽  
Femoral Head ◽  
Septic Arthritis ◽  
Total Hip Replacement ◽  
Proximal Femur ◽  
Hip Replacement ◽  
Weight Bearing ◽  
Harris Hip Score ◽  
Femoral Canal ◽  
Total Hip

Introduction: Primary total hip replacement in hypo plastic proximal femur is difficult due to the presence of a small canal, soft- tissue contracture, fragility of bone, and poor femoral cement mantle when used. Intraoperatively, there could be occurrence of fracture of the femur, inadequate fit, and fill with cement less femoral component. It is found unilaterally in cases of osteonecrosis of femoral head, post- traumatic, and in sequelae of childhood septic arthritis. Case Report: A 45-year- old male patient presented to the OPD with complaints of pain in the left hip and difficulty in walking since for 4 years. The patient had a history of fever and swelling over the left hip in childhood with no treatment taken for the same. X-ray of pelvis with both hips showed deformed femoral head, short neck, narrow femoral canal (Grade 1 Dorr), and arthritic changes in acetabulum. We managed with total hip replacement using Wagner cone stem. Postoperatively, the patient is having good range of motion and having no difficulty in walking and weight- bearing. Functional outcome is good as per Harris hip score. Conclusion: Total hip replacement in hypo plastic femur with arthritis is always a challenging problem. It requires surgical expertise and proper implant selection and pre-operative planning, which prevents intraoperative and post-operative complications. Wagner cone stem is a very good option in managing this type of patients. Keywords: Unilateral hypo plastic proximal femur, childhood septic arthritis, narrow femoral canal (Grade 1 Dorr), total hip replacement, Wagner cone stem.

scholarly journals Femoral Canal Obliteration Secondary to Prolonged Alendronate Use: A Case Report

2012 ◽  
Vol 20 (1) ◽  
pp. 115-117 ◽  
Author(s):  
Chin Tat Lim ◽  
Tony Setiobudi ◽  
Shamal Das De
Keyword(s):  
Case Report ◽  
Femoral Canal

scholarly journals Surgical Sponge Retained in Femoral Canal for 22 Years: A Case Report

2021 ◽  
Author(s):  
Mohammad sajjad Mirhoseini ◽  
Salman Azarsina ◽  
Mohsen Tavakoli ◽  
Omid Kohandel Gargari
Keyword(s):  
Case Report ◽  
Intramedullary Nail ◽  
Orthopedic Surgery ◽  
Dynamic Compression ◽  
Femoral Canal ◽  
Surgical Sponge ◽  
Dynamic Compression Plate ◽  
Second Surgery ◽  
Compression Plate ◽  
Significant Symptom

Background: Retained surgical items (RSIs) are not very common in the orthopedic surgery. Here, we are reporting a case of a sponge pad left in the femoral canal for 22 years. We could not find any other reported case of retained surgical sponge in the femoral canal and that is what makes this case report unique. Case Report: The patient was a 42 year-old man who underwent surgery for the fixation of a fractured femur 22 years ago. On August 2020, this patient was seen complaining about pain at the surgical site. The assessments revealed a sponge pad retained in the femoral canal, which was removed by surgery. The union of fractured bone did not take place in the first surgery, so after 6 months a second surgery was performed and the dynamic compression plate (DCP) placed was successfully replaced with an intramedullary nail. Conclusion: The surgeon could not detect the pad 22 years ago and the patient had no significant symptom all this time. The most important take-away lesson of this paper is that retention of surgical pads could also occur with correct gauze counting, so detection and prevention protocols for RSIs must be taken seriously.

scholarly journals A mesenteric cyst presenting as a femoral hernia: a case report

2015 ◽  
Vol 5 (3) ◽  
pp. 107-109
Author(s):  
Sezgin Mutlu ◽  
Süleyman Kargın ◽  
Barış Sevinç ◽  
Ersin Turan ◽  
Osman Doğru
Keyword(s):  
Case Report ◽  
Female Patient ◽  
Femoral Hernia ◽  
Clinical Suspicion ◽  
Mesenteric Cyst ◽  
Femoral Canal ◽  
Mesenteric Cysts ◽  
History Of ◽  
History Of Pain ◽  
Left Inguinal Region

Mesenteric cysts are a rare phenomenon and can be encountered in different regions of the mesentery or in the retroperitoneal region. They are usually asymptomatic but may lead to a variety of symptoms depending on their site. We report a case of a mesenteric cyst presenting as a femoral hernia, which is, to our knowledge, the second case found in the literature. Forty-eight years old female patient presented with a history of pain and swelling in her left inguinal region for six months. Although femoral hernias are rare conditions, mesenteric cysts can protrude inside the femoral canal. In a case of clinical suspicion of such a condition, appropriate imaging should be performed.

scholarly journals A Complication During Femoral Broaching in Total Hip Arthroplasty: A Case Report

2013 ◽  
Vol 7 (1) ◽  
pp. 272-274 ◽  
Author(s):  
Wenzel Waldstein ◽  
Friedrich Boettner
Keyword(s):  
Case Report ◽  
Total Hip Arthroplasty ◽  
Femoral Component ◽  
Hip Arthroplasty ◽  
Load Transfer ◽  
Femoral Canal ◽  
Stem Size ◽  
Total Hip ◽  
Press Fit ◽  
Uncemented Total Hip Arthroplasty

Press-fit component fixation is one of the primary goals in uncemented total hip arthroplasty. When aiming at proximal load transfer, the stem size has to be selected with regard to the shape of the proximal femoral canal. This can be challenging in patients with ‘champagne flute’ femurs with a relatively narrow diaphysis, especially when a long stem femoral component is used. The present case report describes a complication during femoral broaching for a primary uncemented femoral component. Because of the narrow diaphysis, the distal portion of the broach got caught in the narrow canal and it became impossible to remove the broach with conventional techniques. Via a second distal incision, the femur was split from the distal tip of the broach to approximately 5 cm distal of the femoral neck cut along the posterior aspects of the femur. This loosened the broach enough to allow for an uncomplicated removal. The longitudinal split was secured with cables before a similar size primary implant was press fitted into the femoral canal.

Misophonia: An Evidence-Based Case Report

2020 ◽  
Vol 29 (4) ◽  
pp. 685-690
Author(s):  
C. S. Vanaja ◽  
Miriam Soni Abigail
Keyword(s):  
Quality Of Life ◽  
Case Report ◽  
Case History ◽  
Pure Tone ◽  
Physiological Responses ◽  
Evidence Based ◽  
Management Option ◽  
Pure Tone Audiogram

Purpose Misophonia is a sound tolerance disorder condition in certain sounds that trigger intense emotional or physiological responses. While some persons may experience misophonia, a few patients suffer from misophonia. However, there is a dearth of literature on audiological assessment and management of persons with misophonia. The purpose of this report is to discuss the assessment of misophonia and highlight the management option that helped a patient with misophonia. Method A case study of a 26-year-old woman with the complaint of decreased tolerance to specific sounds affecting quality of life is reported. Audiological assessment differentiated misophonia from hyperacusis. Management included retraining counseling as well as desensitization and habituation therapy based on the principles described by P. J. Jastreboff and Jastreboff (2014). A misophonia questionnaire was administered at regular intervals to monitor the effectiveness of therapy. Results A detailed case history and audiological evaluations including pure-tone audiogram and Johnson Hyperacusis Index revealed the presence of misophonia. The patient benefitted from intervention, and the scores of the misophonia questionnaire indicated a decrease in the severity of the problem. Conclusions It is important to differentially diagnose misophonia and hyperacusis in persons with sound tolerance disorders. Retraining counseling as well as desensitization and habituation therapy can help patients who suffer from misophonia.

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