scholarly journals Surgical Management of a Completely Avulsed Adductor Longus Muscle in a Professional Equestrian Rider

2014 ◽  
Vol 2014 ◽  
pp. 1-3 ◽  
Author(s):  
Conal Quah ◽  
Andrew Cottam ◽  
James Hutchinson
Keyword(s):  
Surgical Management ◽  
Operative Treatment ◽  
Surgical Repair ◽  
Suture Anchors ◽  
Avulsion Injury ◽  
Conservative And Operative Treatment ◽  
First Case ◽  
Longus Muscle ◽  
Adductor Longus

Avulsion injuries of the adductor longus muscle tendon are rare and a challenge to manage especially in athletes. There has been little published literature on the outcome of conservative and operative treatment for these injuries. We report the first case of an acute adductor longus avulsion injury which was surgically repaired in a professional equestrian rider. Return to full preinjury function was achieved at 3 months with surgical repair using 3 suture anchors.

Medial Hip Arthroscopy Portals: A Novel Approach for Hip Pathologies. is it Feasible?

2017 ◽  
Vol 27 (3) ◽  
pp. e3-e5
Author(s):  
Giancarlo C. Polesello ◽  
Marcelo C. Queiroz ◽  
Marina J.P.S.S. de Figueiredo ◽  
Susana R. Braga ◽  
Walter Ricioli ◽  
...  
Keyword(s):  
Femoral Neck ◽  
Functional Limitation ◽  
Lytic Lesion ◽  
The Third ◽  
First Case ◽  
Femoral Head Osteonecrosis ◽  
Novel Approach ◽  
Longus Muscle ◽  
Skin Retraction ◽  
Adductor Longus

Purpose To report 3 patients operated on using medial hip arthroscopic portals, describe the surgical technique and clinical outcomes. Methods Three medial portals were made, the first one at the posterior edge of the adductor longus muscle (posterior medial portal), the second one at the anterior (anterior medial portal) and the third at the posterior border of the adductor longus, 5 cm distal to the inguinal crease (distal posterior medial portal). The first case was an 8-year-old boy with a lytic lesion at the posteromedial region of the femoral neck suggestive of sub-acute osteomyelitis. The second patient was a 21-year-old male with a posteromedial femoral neck nidus. The third patient was a 42-year-old male with a posteromedial femoral neck cystic lesion. Conclusions The described portals allowed successful access to posteromedial femoral neck. There were no neurovascular lesions, infection, femoral head osteonecrosis, skin retraction or functional limitation related to the portals.

Tracheoinnominate fistula: surgical management of an iatrogenic disaster

2006 ◽  
Vol 120 (8) ◽  
pp. 676-680 ◽  
Author(s):  
R W Ridley ◽  
J B Zwischenberger
Keyword(s):  
Operating Room ◽  
Surgical Management ◽  
Surgical Repair ◽  
Surgical Intervention ◽  
Pectoralis Major Muscle ◽  
Muscle Flap ◽  
Rare Condition ◽  
Innominate Artery ◽  
Significant Potential ◽  
High Index Of Suspicion

Tracheoinnominate fistula (TIF) is a rare condition with significant potential for mortality if surgical intervention is not immediate. We present two cases of successfully managed TIF. Both cases involve ligation and resection of the innominate artery at the TIF followed by a pectoralis major muscle flap. In both cases, success was largely due to a high index of suspicion and immediate control of the bleeding with transport to the operating room for surgical repair. The history, aetiology, and pathogenesis of TIF are reviewed, yielding an algorithm for recommended management of TIF.

scholarly journals Lateral Ankle Instability Surgical Treatment

2017 ◽  
Vol 2 (3) ◽  
pp. 2473011417S0003
Author(s):  
Bahman Sahranavard ◽  
Cesar de Cesar Netto ◽  
Ashish Shah ◽  
Parke Hudson ◽  
Ibukunoluwa Araoye ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Revision Surgery ◽  
Surgical Repair ◽  
Ankle Instability ◽  
Primary Repair ◽  
P Value ◽  
Complication Rates ◽  
Suture Anchors ◽  
Lateral Ankle ◽  
Lateral Ankle Instability

Category: Ankle, Sports Introduction/Purpose: Lateral ankle instability is a common cause of disability in the active population. Although the majority of patients can be treated conservatively, surgical repair of the ligaments, with or without reinforcement, represents an excellent option for refractory cases. Failed primary surgical repair, recurrence of the ankle instability and need for revision surgery can rarely happen and is probably affected by multiple variables. That includes patient’s characteristics such as BMI and comorbidities and surgical aspects such as the use of suture anchors and soft-tissue reinforcement. The purpose of this study was to compare patient’s characteristics and complication rates of primary repair and revision procedures. Methods: We retrospectively reviewed 231 patients (160 Female, 71 Male) who underwent surgical treatment for lateral ankle instability between 2010-2016. Thirty-two were revision cases (14.2%), including 24 females and 8 males, and 199 were primary direct repairs (85.8%). The mean age at the time of the surgery was 39 (19-65)years, and average follow-up was 9 (2-55) months. The procedures were performed by four different surgeons. All cases were reviewed based on age, gender, BMI, procedure type and number of incisions, comorbidities, and complications. Data found was compared between the two groups (primary repair and revision surgery) by T-test. A p-value <0.05 was considered significant. Results: The Brostrom-Gould procedure was used in 69.5% of the primary repairs and 63.6% of the revision cases. The use of suture anchors was also similar in both groups (51%). Repair of the calcaneofibular ligament was performed in 68% of primary repairs and 81.8% of the revisions. We didn’t find significant differences regarding comorbidities between two groups: smoking (23.4% x 27.2%, p-value 0.371); diabetes (6.8% x 6%, p-value 0.951) and body mass index above 30 (28.5% x 24.2%, p-value 0.347). We found significant difference in the complication rate of the procedures, with a higher incidence in the revision group (48.4%) when compared to the primary repair group (24%). That included: sural neuritis (15.1% x 3.4%), superficial peroneal neuritis (12.1% x 4.5%), skin problems (9% x 7.4%). Conclusion: Our study of 231 patients that underwent surgical treatment for lateral ankle instability found significant higher incidence of complications in patients who had revision procedures when compared to primary repair. No differences regarding smoking status, diabetes and BMI were found.

«Empty» Turkish saddle syndrome

1997 ◽  
Vol 78 (2) ◽  
pp. 111-114
Author(s):  
R. Sh. Zhirnova ◽  
L. M. Tukhvatullina
Keyword(s):  
Differential Diagnosis ◽  
Operative Treatment ◽  
Prolactin Level ◽  
Conservative And Operative Treatment ◽  
The Given

The differential diagnosis of "empty" Turkish saddle syndrome and other pathologic changes of hypophysis is described and as well as the problems of conservative and operative treatment of the syndrome are presented. The patients own observation with "empty" Turkish saddle syndrome confirming the necessity of prolactin level investigation in the dynamics in the presence of the treatment to exclude the given pathology is performed.

Prognosis After Conservative and Operative Treatment in Perthes?? Disease

1993 ◽  
Vol &NA; (297) ◽  
pp. 82???86 ◽  
Author(s):  
MIKKO POUSSA ◽  
TIMO YRJ??NEN ◽  
VEIJO HOIKKA ◽  
KALEVI ??USTERMAN
Keyword(s):  
Operative Treatment ◽  
Perthes Disease ◽  
Conservative And Operative Treatment

Trends in Surgical Management and Costs for Operative Treatment of Proximal Humerus Fractures in the Elderly

Orthopedics ◽  
2017 ◽  
Vol 40 (4) ◽  
pp. e641-e647 ◽  
Author(s):  
Eddie K. Hasty ◽  
Edward W. Jernigan ◽  
Adrianne Soo ◽  
Dax T. Varkey ◽  
Ganesh V. Kamath
Keyword(s):  
Surgical Management ◽  
Operative Treatment ◽  
Proximal Humerus ◽  
The Elderly ◽  
Proximal Humerus Fractures ◽  
Humerus Fractures
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