scholarly journals A Rare Case of an Irreducible Patella Dislocation

2016 ◽  
Vol 2016 ◽  
pp. 1-3
Author(s):  
Dimitri E. Delagrammaticas ◽  
Scott D. Cordes
Keyword(s):  
Open Reduction ◽  
Rare Case ◽  
Patella Dislocation ◽  
Chondral Defect ◽  
Lateral Patella ◽  
Initial Imaging ◽  
One Year ◽  
Nondisplaced Fracture ◽  
High Index Of Suspicion

Reports of irreducible patellar dislocations are exceedingly sparse throughout the literature. Obvious radiographic or physical exam findings including fracture or inversion of the patella are often present to explain the block to reduction. Not described previously in the literature is the instance of an irreducible patella dislocation in the setting of innocuous appearing injury imaging. We present a case of a healthy thirty-two-year-old female who sustained an irreducible lateral patella dislocation while participating in a dance aerobics class. Closed means of reduction were unsuccessful, necessitating open reduction. Intraoperative findings suggest incarceration of a nondisplaced fracture and a chondral defect as the block to reduction. Following open reduction, the patient has had no further episodes of pain or instability related to the patella at one-year follow-up. Irreducible patellar dislocations are exceedingly rare injuries, where associated osseous or chondral lesions may necessitate open reduction despite innocuous appearing initial imaging. A high index of suspicion to proceed with open reduction may limit repeated attempts at closed reduction and further injury.

scholarly journals Gingival Lipoma: A Rare Case Report

2017 ◽  
Vol 1 (1) ◽  
pp. 37-39
Author(s):  
Sweta Shrestha ◽  
Shaili Pradhan ◽  
Ranjita Shrestha Gorkhali
Keyword(s):  
Rare Case ◽  
Surgical Excision ◽  
Soft Tissue Tumors ◽  
Rare Case Report ◽  
Postsurgical Complication ◽  
Benign Tumours ◽  
One Year ◽  
Slow Growing ◽  
Oral Soft Tissue

Lipomas are benign tumours of mesenchymal origin (mature adipocytes) that are comparatively uncommon in the oral cavity corresponding to less than 4.4% of all benign oral soft tissue tumors. Clinically, they present as slow growing, soft, asymptomatic masses. Histopathologically, they appear as thinly encapsulated lesion composed of mature adipocytes with inconspicuous vascularity. The pathogenetic mechanisms of oral lipomas are still unclear. They are usually treated by surgical excision and bear excellent prognosis. Here we report a case of intraoral lipoma in 54 year old male patient in the left lower lingual alveolar mucosal region that was treated by surgical excision using electrocautery without any postsurgical complication. One-year follow-up showed no evidence of recurrence.

A COMPREHENSIVE PELVIC AND FEMORAL OSTEOTOMY REVISION TO TREAT A FAILED PELVIC AND FEMORAL OSTEOTOMY: A CASE REPORT

2021 ◽  
pp. 2150022
Author(s):  
Panos K. Megremis ◽  
Orestis P. Megremis
Keyword(s):  
Surgical Procedure ◽  
Open Reduction ◽  
Pelvic Osteotomy ◽  
Femoral Osteotomy ◽  
Salter Osteotomy ◽  
Shortening Osteotomy ◽  
Innominate Osteotomy ◽  
Walking Age ◽  
One Year

Hip’s open reduction combined with Salter innominate osteotomy and femoral osteotomy is the treatment of choice when treating Developmental Dislocation of the Hip (DDH) at walking age. We report a case of a five-year-old girl who underwent a failed surgical procedure of hip’s open reduction, Salter innominate osteotomy, and the femoral osteotomy. One year later, one-stage surgical procedure of hip’s open reduction, Dega pelvic osteotomy, and femoral de-rotation varus shortening osteotomy was performed. During the five-year follow-up, the clinical outcome was evaluated as excellent. The Dega pelvic osteotomy is an effective pelvic osteotomy for DDH, in a case of a failed Salter osteotomy.

Carpal Tunnel Syndrome Associated with Bifid Median Nerve and Palmaris Profundus - Case Report and Literature Review

2019 ◽  
Vol 24 (02) ◽  
pp. 238-242
Author(s):  
Francesco Kostoris ◽  
Stefania Bassini ◽  
Emiliano Longo ◽  
Luigi Murena
Keyword(s):  
Median Nerve ◽  
Carpal Tunnel ◽  
Rare Case ◽  
Direct Compression ◽  
Transverse Carpal Ligament ◽  
Accidental Injury ◽  
Tunnel Syndrome ◽  
One Year

The anatomic variations of the median nerve and of the muscles of the wrist have been widely reported in literature. It is essential for the surgeon to be familiar with these variations in order to avoid accidental injury to the nerve during surgery. We report a rare case of bifid median nerve accompanied by an anomalous tendon of palmaris profundus discovered during the surgical release of carpal tunnel. The transverse carpal ligament was dissected and the anomalous tendon was left in situ because any direct compression over the median nerve was noticed intraoperatively. The patient was evaluated one year postoperatively clinically and radiologically (with MRI). At the follow up the resolution of symptoms was complete and the sleep disturbance was solved. The patient achieved a postoperative QuickDASH score of 9.1 and a Michigan Hand Questionnaire outcome score of 90 points.

scholarly journals Functional outcome after open reduction and internal fixation for traumatic diastasis of the pubic symphysis a one year follow-up study

2016 ◽  
Vol 2 (4) ◽  
pp. 256
Author(s):  
B. L. S. Kumar Babu ◽  
Biju Ravindran
Keyword(s):  
Internal Fixation ◽  
Functional Outcome ◽  
Open Reduction ◽  
High Energy ◽  
Walking Distance ◽  
Early Weight Bearing ◽  
Dual Plating ◽  
Pubic Diastasis ◽  
One Year

<p class="abstract"><strong>Background:</strong> Pubic diastasis often results in anteroposterior compression (APC) injuries based on Young and Burgess classification. It is caused due to high-energy trauma and of much clinical importance is given when coexists with urogenital and neurological complications with hemodynamic instability. Open reduction and internal fixation with plating facilitates early mobilisation with better results and is the preferable mode of stabilisation. We evaluated the clinical and functional outcome of such patients in a one-year follow-up period.</p><p class="abstract"><strong>Methods:</strong> In our study, we included 20 patients with APC II injuries who underwent an open reduction by single or dual plating technique by the Pfannenstiel approach, were followed for one year.<strong></strong></p><p class="abstract"><strong>Results:</strong> Among 20 patients, 14 patients (70%) were operated with single superior plating, six patients (30%) were performed with dual plating, i.e., both superior and anterior plating. Among 20 patients, two patients (10%) were operated for primary arthrodesis with double plating. Only one among 20 (5%) had implant failure due to early weight bearing and were re-operated with primary arthrodesis with plating. Results were analysed based on a scoring system which includes five criteria such as anterior pelvic pain, dyspareunia and sexual dysfunction, ability to sit, gait abnormalities and walking distance. Among 20 patients ten patients (50%) had excellent results, six patients (30%) had good results, two patients (10%) had fair results, two patients (10%) had poor results.</p><p><strong>Conclusions:</strong> Open reduction and internal fixation of traumatic pubic diastasis in type II APC injuries with single or dual plating had given better results and early functional recovery.</p>

scholarly journals Outcome of Closed Reduction of Developmental Dysplasia of Hip Before First Year of Age, A Retrospective Cohort Study, Saudi Arabia

2020 ◽  
Author(s):  
Fahad AlShayhan ◽  
Abdulmonem Alsiddiky ◽  
Raghad Barri
Keyword(s):  
Closed Reduction ◽  
Open Reduction ◽  
Medical Center ◽  
Developmental Dysplasia ◽  
First Year ◽  
Developmental Dysplasia Of Hip ◽  
Class 1 ◽  
One Year ◽  
Skin Traction

Abstract Background: Developmental dysplasia of hip (DDH) management is challenging hence there is no fixed rules or radiographic criteria to assess and manage DDH. There are many treating modalities including closed reduction, open reduction, skin traction, hip Spica and many others. This study is to assess the outcome of closed reduction in patients below 12 months of ages.Method: A retrospective study among patients with DDH who underwent closed reduction before the first year of age in a major referral medical center. The study included 100 patients and 168 hips. Average of follow up period was 5.97 years (±3.01). Couple of variables were measured in AP x ray of pelvis to assess the outcome of closed reduction. Results: Most of the hips were grade 1 and 2 according to the IHDI (International hip dysplasia institution) classification. Significant improvement in the acetabular index post closed reduction. In addition to the normalizing of CE angel's values. Also, majority of hips were severin's class 1 and 2 which were associated with good outcome.Conclusion: Safe closed reduction in patients with DDH below one year of age had a great outcome, less AVN, less growth complications and decrease the need of future open reduction.

scholarly journals Case Report: Solitary mastocytoma treated successfully with topical tacrolimus

F1000Research ◽  
2014 ◽  
Vol 3 ◽  
pp. 181 ◽  
Author(s):  
M. S. Sukesh ◽  
Ameet Dandale ◽  
Rachita Dhurat ◽  
Ankur Sarkate ◽  
Smita Ghate
Keyword(s):  
Case Report ◽  
Rare Case ◽  
Topical Tacrolimus ◽  
Triggering Factors ◽  
Cutaneous Mastocytosis ◽  
One Year ◽  
The One ◽  
Solitary Mastocytoma

Solitary mastocytoma, a rare dermatological entity accounts for 10-15% of cutaneous mastocytosis. We report a rare case of solitary mastocytoma presenting at birth, treated successfully with topical tacrolimus. Along with reassurance and strict avoidance of triggering factors, no recurrence was reported within the one year follow-up period.

scholarly journals Combined Dorsal and Ulnarward Carpometacarpal Dislocation Associated with Open Fracture of the Base of First Metacarpal and Severe Degloving Injury

2017 ◽  
Vol 2017 ◽  
pp. 1-4
Author(s):  
Ali J. Electricwala ◽  
Jaffer T. Electricwala
Keyword(s):  
Internal Fixation ◽  
Functional Outcome ◽  
Closed Reduction ◽  
Rare Case ◽  
Open Fracture ◽  
Kirschner Wires ◽  
Degloving Injury ◽  
The Right ◽  
High Index Of Suspicion

We report a rare case of dislocation of second to fourth carpometacarpal (CMC) joints of the right hand with combined dorsal and ulnarward displacement of the second to fourth digits and fracture of the shaft of the first metacarpal associated with degloving injury. These injuries were diagnosed early and treated successfully with closed reduction and internal fixation using Kirschner wires. The functional outcome was good at follow-up at 5 years. A high index of suspicion is required to successfully diagnose and treat this condition.

Palmar Dislocation of the Trans-Scaphoid-Lunate Unit

1995 ◽  
Vol 20 (4) ◽  
pp. 557-560 ◽  
Author(s):  
L. EKEROT
Keyword(s):  
Internal Fixation ◽  
Bone Grafting ◽  
Open Reduction ◽  
Rare Case ◽  
Wrist Function

A rare case of total palmar trans-scaphoid-lunate dislocation is reported. Open reduction, bone grafting and internal fixation were followed by uneventful healing. At follow-up 70 months after injury there is no osteonecrosis and the wrist function is almost normal.

scholarly journals Venous Myxoma of the Distal Femoral Vein: A Rare Case of Leg Pain and Swelling

2021 ◽  
pp. 1-3
Author(s):  
Hervé Probst ◽  
Hervé Probst ◽  
Sébastien Vedani ◽  
Louis Guillou ◽  
Cédric Bron ◽  
...  
Keyword(s):  
Rare Case ◽  
Present Report ◽  
Femoral Vein ◽  
Surgical Excision ◽  
Leg Pain ◽  
Vein Wall ◽  
Complete Surgical Excision ◽  
Precise Diagnosis ◽  
One Year

Background: Myxoma is a rare tumor most frequently discovered in cardiac locations. The present report describes a rare case of extracardiac origin in the femoral vein, initially presenting as leg pain and swelling. Case Presentation: A 40-year-old woman was admitted to our regional hospital with unilateral left leg swelling and pain. She underwent a Duplex scan and CT scan, which revealed a 21 x 25 mm diameter mass in contact with the distal femoral vein, initially diagnosed as a thrombosed sacciform aneurysm. The patient underwent surgical excision of a bulging mass in the vein wall, which was directly closed by running suture. The anatomopathological report concluded with a myxoma. One-year follow-up showed a patent vein without evidence of recurrence of the tumor. Conclusion: Although very rare, peripheral venous myxoma may manifest with common symptoms as leg pain and swelling. Current vascular imaging and complete surgical excision should be performed without delay to allow a precise diagnosis and prevent further complications.

scholarly journals Ectopia of the pancreas in the loop of the small intestine in an 8-y-o child

2020 ◽  
Vol 10 (3) ◽  
pp. 309-313
Author(s):  
Aslamhon M. Sharipov ◽  
Kholnazar A. Giesov ◽  
Holmurod Z. Zaripov ◽  
Imatihudo D. Sayfulloev ◽  
Imatihudo D. Sayfulloev ◽  
...  
Keyword(s):  
Small Intestine ◽  
Intestinal Obstruction ◽  
Rare Case ◽  
Clinical Observation ◽  
Normal Growth ◽  
Pancreatic Tissue ◽  
Contrast Study ◽  
Normal Pancreatic Tissue ◽  
One Year

Ectopia of the pancreas in children is a rare congenital malformation in which normal pancreatic tissue develops in other organs, without communication with the main gland in the wall of the stomach, intestines, liver, gallbladder, Meckel's diverticulum, and the spleen. In this article, the authors cite a rare case of ectopia of the pancreas in the loop of the small intestine, which led to the development of intestinal obstruction. Girl B., eight years old, was admitted to the hospital on an emergency basis with paroxysmal abdominal pain. There was no nausea or vomiting. A contrast study of the gastrointestinal tract with barium sulfate was performed, which revealed a violation of the evacuation of the contrast medium. A laparoscopy was performed with the clinic for low intestinal obstruction. Revision of the intestine revealed a tumor-like formation measuring 6 4 cm at 60 cm from the ileocecal angle. A minilaporotomy was performed, a 10 cm section of the ileum was resected, bearing a tumor-like formation with an end-to-end anastomosis. The postoperative period is favorable. The girl was discharged from the hospital on the eighth postoperative day. On histological examination, pancreatic tissue was found in the wall of the small intestine, with duct ectasia. At the follow-up examination after one year. the patient had no complaints with normal growth and development. This clinical observation demonstrates the nonspecificity of the clinical picture and the difficulty of diagnosing pancreatic ectopia, and the advantages of minimally invasive interventions that allow diagnosing a rare pathology and its timely adequate correction.

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