scholarly journals A case of chronic tophaceous with a continuous polyarthritis and joint deformity caused by uncontrolled hyperuricemia

2008 ◽  
Vol 31 (3) ◽  
pp. 190-194
Author(s):  
Shinya KAWASHIRI ◽  
Atsushi KAWAKAMI ◽  
Naoki IWAMOTO ◽  
Keita FUJIKAWA ◽  
Toshiyuki ARAMAKI ◽  
...  
Keyword(s):  
Joint Deformity

Open Reduction for Dorsal Dislocation of Second to Fifth Carpometacarpal Joints: A Case Report

2020 ◽  
Author(s):  
Hiroo Kimura ◽  
Akira Toga ◽  
Taku Suzuki ◽  
Takuji Iwamoto
Keyword(s):  
Closed Reduction ◽  
Open Reduction ◽  
Delayed Diagnosis ◽  
Preoperative Assessment ◽  
Radiographic Examination ◽  
Clinical Images ◽  
Left Hand ◽  
Carpometacarpal Joints ◽  
Joint Deformity ◽  
Poor Outcomes

Abstract Background Fracture-dislocations of all four ulnar (second to fifth) carpometacarpal (CMC) joints are rare hand injuries and frequently overlooked or missed. These injuries can be treated conservatively when closed reduction is successfully achieved, though they are sometimes irreducible and unstable. Case Description We report the case of a 17-year-old boy involved in a vehicular accident. Clinical images showed dorsal dislocation of all four ulnar CMC joints of the left hand associated with a fracture of the base of the fourth metacarpal. Although closed reduction was attempted immediately, the affected joints remained unstable and easily redislocated. Therefore, we performed open reduction and percutaneous fixation of all ulnar CMCs. He showed excellent recovery after 1 year postoperatively, reported no pain, and demonstrated complete grip strength and range of motion of the affected wrist and fingers. Literature Review Accurate clinical diagnosis of this lesion is difficult because of polytrauma, severe swelling masking the dislocated CMC joint deformity, and overlapping of adjacent metacarpals and carpal bones on radiographic examination. As for the treatment strategy, it has yet to obtain a consensus. Some reports value open reduction to guarantee anatomical reduction, and it is definitely needed in the patients with interposed tissues to be removed or with subacute and chronic injuries. Clinical Relevance Delayed diagnosis or treatment could lead to poor outcomes. Therefore, surgeons must be aware that precise preoperative assessment is critical, and anatomical open reduction of interposed bony fragments, like our case, may be required even in an acute phase.

scholarly journals Anatomic three-dimensional model-assisted surgical planning for treatment of pediatric hip dislocation due to osteomyelitis

2019 ◽  
Vol 48 (2) ◽  
pp. 030006051985428 ◽  
Author(s):  
Yi-Ping Wei ◽  
Yu-Cheng Lai ◽  
Wei-Ning Chang
Keyword(s):  
Three Dimensional ◽  
Hip Dislocation ◽  
Three Dimensional Model ◽  
Limb Deformity ◽  
Joint Deformity ◽  
3D Printed ◽  
Small Bones ◽  
Hip Spica Cast ◽  
Pediatric Orthopedic ◽  
The Right

Management of pediatric septic coxarthritis and osteomyelitis of the femur is challenging, and the sequelae of multiplanar hip joint deformity with instability are difficult to reconstruct. The inadequacy of a suitable device for fixing small bones during pediatric osteotomy is a hindrance to the correction of subluxated hip joints and deformed femurs in children. Two-dimensional axial images and three-dimensional (3D) virtual models representing the patient’s individual anatomy are usually reserved for more complex cases of limb deformity. 3D printing technology can be used for preoperative planning of complex pediatric orthopedic surgery. However, there is a paucity of literature reports regarding the application of 3D-printed bone models for pediatric post-osteomyelitis deformity. We herein present a case of a 4-year-old boy who underwent treatment for post-osteomyelitis deformity. We performed corrective surgery with Pemberton osteotomy of the right hip, multilevel varus derotation osteotomy of the right femur, and immobilization with a hip spica cast. A 3D-printed bone model of this patient was used to simulate the surgery, determine the proper osteotomy sites, and choose the appropriate implant for the osteotomized bone. A satisfactory clinical outcome was achieved.

scholarly journals Multi-System Factors Associated with Metatarsophalangeal Joint Deformity in Individuals with Type 2 Diabetes

2020 ◽  
Vol 9 (4) ◽  
pp. 1012
Author(s):  
Jennifer A. Zellers ◽  
Michael J. Mueller ◽  
Paul K. Commean ◽  
Ling Chen ◽  
Hyo-Jung Jeong ◽  
...  
Keyword(s):  
Bone Mineral Density ◽  
Bone Mineral ◽  
Ankle Brachial Index ◽  
Metatarsophalangeal Joint ◽  
Mineral Density ◽  
Factors Associated ◽  
Joint Deformity ◽  
Skin Breakdown ◽  
Sit To Stand

The underlying factors contributing to metatarsophalangeal joint deformity, a known precursor to skin breakdown in individuals with diabetes mellitus (DM), is likely to involve multiple body systems. The purpose of this cross-sectional study was to identify multi-system factors associated with metatarsophalangeal joint deformity in individuals with type 2 DM and peripheral neuropathy (n = 60). Metatarsophalangeal joint deformity was quantified with a computed tomography (CT) scan. System biomarkers included the musculoskeletal system (foot intrinsic muscle deterioration, tarsal/metatarsal bone mineral density, ankle dorsiflexion, metatarsophalangeal extension movement during a sit to stand task); the vascular system (ankle-brachial index); and the endocrine/immune systems (high sensitivity C-reactive protein, skin intrinsic fluorescence, and hemoglobin A1C). Muscle deterioration (r = 0.27), bone density (r = −0.35), metatarsophalangeal extension movement (r = 0.50), maximum dorsiflexion (r = −0.31), and ankle-brachial index (r = 0.33) were related to metatarsophalangeal joint deformity (p < 0.05). Bone mineral density and metatarsophalangeal extension movement were retained in a regression model relating to deformity (R2 = 0.34). All musculoskeletal system biomarkers and the ankle-brachial index demonstrated weak to moderate relationships to metatarsophalangeal joint deformity. Bone mineral density of the tarsal/metatarsal bones and extending the toes during a sit to stand task were the two strongest factors associated with metatarsophalangeal joint deformity. Evaluation and management of foot bone mineral density and toe extension movement pattern could reduce metatarsophalangeal joint deformity and the risk of skin breakdown and subsequent amputation.

Subcutaneous Nodules and Joint Deformity in Leprosy

2003 ◽  
Vol 9 (3) ◽  
pp. 181-186 ◽  
Author(s):  
Diana A. Yens ◽  
Dimitrios J. Asters ◽  
Ariel Teitel
Keyword(s):  
Subcutaneous Nodules ◽  
Joint Deformity

Management of Legg–calve–perthes Disease with Acupuncture: A Case Report

2013 ◽  
Vol 31 (1) ◽  
pp. 105-107 ◽  
Author(s):  
Turan Set ◽  
Ismail Maras ◽  
Abdul Sattar Khan ◽  
Hakan Ozdemir
Keyword(s):  
Hip Joint ◽  
Poor Prognosis ◽  
Acupuncture Treatment ◽  
Bone Cells ◽  
Perthes Disease ◽  
Laser Acupuncture ◽  
Imaging Studies ◽  
Radiographic Appearance ◽  
Joint Deformity ◽  
Needle Acupuncture

Legg–Calve–Perthes disease (LCPD) is a rare temporary hip joint deformity mostly effecting young children from 4–10 years of age. It involves mainly the head of the femur, which softens and breaks down due to interruption of blood supply (avascular necrosis). We report a case of LCPD that was treated late and had a poor prognosis, but improved significantly during a prolonged course of acupuncture. A 12-year-old boy reported to an orthopaedic clinic in 2006 with limping and was diagnosed with LCPD. Surgeons applied orthosis without improvement and decided to perform surgery in 2008. However, the parents declined the surgical option and took the boy to an acupuncture clinic the same year. Needle acupuncture for 20 min and laser acupuncture locally on the hip joint area for 5 min were applied. After 30 sessions of acupuncture, the boy started to improve clinically. Imaging studies showed that new bone cells started to develop in the femoral head. After 130 sessions in 2010 the radiographic appearance showed almost 90% improvement, and after 196 sessions, in August 2012, he was fully recovered. Needle acupuncture treatment combined with laser acupuncture may be an option for the management of LCPD.

Reconstructive Operations in Malunited Fractures of Distal Radius Epimetaphysis

2011 ◽  
Vol 18 (1) ◽  
pp. 43-47
Author(s):  
Viktor Sergeevich Mel'nikov ◽  
V F Korshunov ◽  
V S Mel'nikov ◽  
V F Korshunov
Keyword(s):  
Distal Radius ◽  
Surgical Intervention ◽  
Wrist Joint ◽  
Hand Function ◽  
Long Term Results ◽  
Joint Deformity ◽  
Distraction Device ◽  
Reconstructive Operations ◽  
Bone Fragments

Experience in surgical treatment of 112 patients with malunited fractures of distal radius epimetaphysis is presented. Indication to surgical intervention was fragments consolidation with displacement that was accompanied by marked wrist joint deformity and hand function disturbance. In all patients osteotomy and bone plasty were performed followed by application of distraction device. In the postoperative period dosed distraction of bone fragments up to their complete reposition and rehabilitation treatment was performed. Long term results were assessed for all 87 patients: good result was achieved in 67 (77%), satisfactory - in 17 (19.5%) and poor - in 3 (3.5%) patients.

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