scholarly journals Metatarsal Bone Transposition as an Innovative and Alternative Salvage Procedure for Complex Foot Injuries: A Case Report

2018 ◽  
Vol 1 (2) ◽  
pp. 67-71
Author(s):  
Emanuele Cigna ◽  
Enrico Cavalieri ◽  
Vittorio Quercia ◽  
Marco Marcasciano ◽  
Luca Codolini ◽  
...  
Keyword(s):  
Case Report ◽  
Metatarsal Bone ◽  
Salvage Procedure ◽  
Foot Injuries

Solitary Intraosseous Schwannoma of the Metatarsal Bone: A Case Report

2007 ◽  
Vol 28 (7) ◽  
pp. 845-848 ◽  
Author(s):  
R.M. Meek ◽  
H. Sharma ◽  
M.J. Jane ◽  
N. Raby ◽  
E. Macduff ◽  
...  
Keyword(s):  
Case Report ◽  
Metatarsal Bone ◽  
Intraosseous Schwannoma

scholarly journals A 6-Month-Old Neglected Obturator Inferior Variety of Anterior Hip Dislocation in A Young Male Managed with an Intermediary Salvage Measure Without the Need for Osteotomy or Excision Arthroplasty with A Resultant Ambulatory Natural Hip – A Case Report

2021 ◽  
Vol 11 (7) ◽  
Author(s):  
Spandan R Koshire ◽  
Rajesh R Koshire ◽  
Sangam Jain
Keyword(s):  
Case Report ◽  
Open Reduction ◽  
Hip Dislocation ◽  
Young Male ◽  
Anterolateral Approach ◽  
Salvage Procedure ◽  
Replacement Procedure ◽  
Anterior Hip Dislocation ◽  
Excision Arthroplasty

Introduction: Among all the traumatic hip dislocations, anterior hip dislocation is a rarity in which the obturator inferior variety is one of the rarest to be documented [1]. Here we present to you the case of our patient, a 35-year-old male with a six month neglected obturator variety of anterior hip dislocation treated by salvage procedure of open reduction without the need for intertrochanteric osteotomy and resultant preserved natural hip for ambulation as an intermediary procedure. Case Report: Mr. SH a 35-year-old male had a fall from 15 feet in his village and was treated by a local quack, Meanwhile the patient continued to experience pain and difficulty walking and after an ordeal of nearly 6 months during the lockdown period in coronavirus disease pandemic, showed up in our emergency room and was diagnosed with an obturator type anterior hip dislocation for which we carried out open reduction aided with Murphys skid through an anterolateral approach and stabilization using two Steinman pins and further immobilization by Thomas splint for a period of 15 days, which was done after confirmation of intact head vascularity under general anesthesia after which gradual mobilization was initiated. 3 months post operative, now patient is ambulatory with stick support with no deformity, no pain and with early radiological features of avascular necrosis (AVN) for which Total Hip Replacement (THR) is planned at a later date. Conclusion: Utilisation of salvage procedures and moreover those with minimal operative complications will result in better, natural long-term intermediary measure outcome with a resultant delay in joint replacement procedure which is in the better interest of the patient. Keywords: Anterior hip dislocation, open reduction, obturator inferior type, neglected dislocation, Anterolateral approach.

Rare case of perforated appendicitis presenting as persistent perineal discharge following laparoscopic abdominoperinal excision of rectum (APER)

2021 ◽  
Vol 14 (1) ◽  
pp. e236312
Author(s):  
Tanmoy Mukherjee ◽  
Shantata Jayant Kudchadkar ◽  
Jayesh Sagar ◽  
Shashank Gurjar
Keyword(s):  
Case Report ◽  
Rare Case ◽  
Perforated Appendicitis ◽  
Perineal Wound ◽  
Abdominoperineal Excision ◽  
Major Surgery ◽  
Salvage Procedure ◽  
Uncommon Presentation ◽  
Rare Case Report ◽  
History Of

Abdominoperineal excision of rectum (APER) is one of the widely used surgical procedures to treat low rectal cancer, benign conditions like Crohn’s proctitis with anal involvement and as a salvage procedure for anal cancer. Perineal wound infection is a well-recognised complication following such major surgery. Occurrence of appendicitis in a few weeks’ time following such a major surgery is uncommon. However, here we present a rare case report of perforated appendicitis presenting as persistent perineal discharge in an elderly man, following laparoscopic APER for a low rectal tumour. To our knowledge, this is the first time such a rare clinical presentation of appendicitis is reported in the history of medical literature. Through this case report, we aim to highlight the importance of considering such an uncommon presentation in patients with perineal discharge, following APER.

scholarly journals Chronic Recurrent Multifocal Osteomyelitis of the First Metatarsal Bone: A Case Report

2009 ◽  
Vol 17 (1) ◽  
pp. 119-122 ◽  
Author(s):  
CK Chiu ◽  
VA Singh
Keyword(s):  
Case Report ◽  
Symptomatic Relief ◽  
Chronic Recurrent Multifocal Osteomyelitis ◽  
Metatarsal Bone ◽  
First Metatarsal ◽  
History Of ◽  
Multifocal Osteomyelitis ◽  
Inflammatory Drugs ◽  
Anti Inflammatory

We report a case of chronic recurrent multifocal osteomyelitis in a 9-year-old girl. She presented with a 9-month history of gradually worsening pain and swelling in her left foot. Non-steroidal anti-inflammatory drugs were prescribed but the symptoms persisted. She underwent curettage through a small oval corticotomy window on the first metatarsal bone. The pain and swelling improved promptly and she was able to walk without pain 2 weeks later. Curettage enabled rapid symptomatic relief and induced remission, with little risk of complications.

scholarly journals From aneurysmal bone cyst to telangiectatic osteosarcoma with metastasis in inguinal lymph nodes: Case report

2015 ◽  
Vol 68 (3-4) ◽  
pp. 127-132 ◽  
Author(s):  
Vesna Janevska ◽  
Liljana Spasevska ◽  
Milan Samardziski ◽  
Violeta Nikodinovska ◽  
Julija Zhivadinovik ◽  
...  
Keyword(s):  
Case Report ◽  
Lymph Nodes ◽  
Aneurysmal Bone Cyst ◽  
Imaging Techniques ◽  
Bone Cyst ◽  
Bone Lesion ◽  
Rare Event ◽  
Metatarsal Bone ◽  
Team Work ◽  
Tumor Mass

Introduction. Aneurysmal bone cyst is a benign bone lesion composed of blood filled cystic cavities lined by fibrous septa. Its malignant transformation of is a rare event. Case report. We report a case of a lesion in the second metatarsal bone in a 29-year-old male, presented as a slight swelling of the right foot. After the curettage had been done, the diagnosis of aneurysmal bone cyst was made but the recurrence occurred 4 years later. The biopsy of the recurrent tumor showed compact neoplastic tissue consistent with diagnosis of giant cell tumor with malignancy. The malignant component was recognized as a high grade sarcoma with osteoid production. A tumor mass with the whole II metatarsal bone was extirpated and a resected part of fibula was transplanted. A year later, another recurrence occurred, an amputation was performed and a teleangiectatic osteosarcoma with ingvinal lymph nodes metastases was diagnosed. No other tumor mass was confirmed, either clinically or by imaging techniques at the time of his third operation. He died 4 months later with multiple pulmonary metastases. Conclusion. We emphasize the importance of team work in order to achieve the accurate diagnosis, highlighting careful radiological examinations, good sampling and awareness of unusual cases in bone tumor pathology.

Vascularized periosteal graft from the first metatarsal bone: A new technique to prevent collapse of osteonecrosis of the talus in children. A case report

Microsurgery ◽  
2012 ◽  
Vol 33 (1) ◽  
pp. 56-59 ◽  
Author(s):  
Francisco Soldado ◽  
Sergi Barrera-Ochoa ◽  
Cesar Garcia Fontecha ◽  
Sleiman Haddad ◽  
David Barastegui ◽  
...  
Keyword(s):  
Case Report ◽  
Metatarsal Bone ◽  
New Technique ◽  
First Metatarsal ◽  
A New Technique

scholarly journals Anterior Capsulolabral Reconstruction with Semitendinosus Autograft after Latarjet Failure: A Case Report

2021 ◽  
Vol 11 (7) ◽  
Author(s):  
Angelo De Carli ◽  
Antonio P Vadalà ◽  
Gianluca Fedeli ◽  
Marco Scrivano ◽  
Edoardo Gaj ◽  
...  
Keyword(s):  
Case Report ◽  
Shoulder Instability ◽  
Recurrent Dislocation ◽  
Anterior Dislocation ◽  
Left Shoulder ◽  
Salvage Procedure ◽  
Tissue Quality ◽  
Coracoid Transfer ◽  
Glenohumeral Ligaments ◽  
Capsulolabral Reconstruction

Introduction: The treatment of chronic shoulder instability, associated with poor tissue quality, remains challenging in the setting of anterior capsular deficiency. There are a few viable alternatives in the end-stage shoulder instability when multiple surgical attempts to correct the pathology have failed. The purpose of the present paper is to demonstrate the efficacy of anterior capsular reconstruction with semitendinosus autograft for the management of capsulolabral deficiency without associated bone loss. Case Report: A 39-year-old female admitted in our institution with a history of recurrent atraumatic anterior dislocation of the left shoulder after three unsuccessful surgical attempts: Arthroscopic and open capsulorrhaphy and a Latarjet coracoid transfer. CT scan images showed adequate placement (flush) of the coracoid transfer without any sign of reabsorption. Reconstruction of anterior capsulolabral structure was performed using a Semitendinosus autograft. The middle and inferior glenohumeral ligaments, the more crucial ligaments for anterior-inferior shoulder stability, were effectively recreated. The patient did not suffer any recurrent dislocation or subjective symptoms of instability at the time of the final follow-up, 2 years after surgery, and the ASES score increased from 36 preoperatively to 86. Conclusion: This technique, described for the first time as a salvage procedure after Latarjet failure, could represent a safe and viable treatment option in the context of multiple ineffective surgeries. Keywords: Autograft, capsulolabral reconstruction, latarjet, recurrent shoulder instability.

scholarly journals First Metatarsal Phalangeal Joint Arthrodesis without the Use of Hardware after Failed Arthroplasty: A Case Report

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Peter Adamson ◽  
Cory Janney ◽  
Jie Chen ◽  
Vinod Panchbhavi
Keyword(s):  
Case Report ◽  
Bone Loss ◽  
Screw Fixation ◽  
Hallux Rigidus ◽  
Allograft Bone ◽  
Salvage Procedure ◽  
High Failure Rate ◽  
Unique Case ◽  
First Metatarsal ◽  
First Ray

Introduction: First metatarsal phalangeal joint (MTPJ) arthroplasty has a high failure rate due to aseptic loosening, which leads to bone loss. The salvage procedure is conversion to an arthrodesis, but bone loss can make obtaining screw fixation difficult. Herein, we report a unique case of revision first-metatarsal arthrodesis without the use of hardware after a failed arthroplasty. Case Report: A 60-year-old women presented to us with first MTPJ pain in the setting of failed arthroplasty. We performed an arthrodesis; however, intraoperatively, hardware fixation could not be obtained due to bone loss. We utilized allograft bone struts to maintain first ray length and to hold the correct hallux position during arthrodesis maturation. Conclusion: Bone loss is a frequently encountered problem in revision surgery to a first MTPJ arthrodesis. An arthrodesis can be obtained without the use of hardware in scenarios where bone loss precludes screw fixation. Keywords: Hallux rigidus, revision, bone loss, arthrodesis

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