Bilateral Tibial Hallux Sesamoid Agenesis and Fibular Hallux Sesamoid Hypoplasia in a Patient with Bilateral Hallux Valgus

2011 ◽  
Vol 101 (5) ◽  
pp. 452-455
Author(s):  
Andrea Marinozzi ◽  
Umile Giuseppe Longo ◽  
Luigi Cazzato ◽  
Nicolò Martinelli ◽  
Nicola Maffulli ◽  
...  

We report the clinical features, radiographic findings, management, and results of a patient with bilateral hallux valgus and associated bilateral tibial hallux sesamoid agenesis and fibular hallux sesamoid hypoplasia. Our patient was managed operatively with good clinical results. Combined tibial sesamoid agenesis and fibular sesamoid hypoplasia do not seem to negatively influence the management of hallux valgus. (J Am Podiatr Med Assoc 101(5): 452–455, 2011)

2012 ◽  
Vol 102 (2) ◽  
pp. 157-160
Author(s):  
Nicola Papapietro ◽  
Umile Giuseppe Longo ◽  
Alessio Palumbo ◽  
Antonella Bianchi ◽  
Nicola Maffuli ◽  
...  

We report the clinical features, radiographic findings, management and results of a patient with a post-traumatic synovial sarcoma of the anterior tibialis tendon. Our patient was managed operatively and with radiotherapy with good clinical results. No evidence of recurrence or metastatic disease was seen at 3-year follow-up. (J Am Podiatr Med Assoc 102(2): 157–160, 2012)


2021 ◽  
Author(s):  
Stephen W. English ◽  
Nicholas L. Zalewski

AbstractVascular disorders of the spinal cord are uncommon yet under-recognized causes of myelopathy. Etiologies can be predominantly categorized into clinical and radiographic presentations of arterial ischemia, venous congestion/ischemia, hematomyelia, and extraparenchymal hemorrhage. While vascular myelopathies often produce significant morbidity, recent advances in the understanding and recognition of these disorders should continue to expedite diagnosis and proper management, and ideally improve patient outcomes. This article comprehensively reviews relevant spinal cord vascular anatomy, clinical features, radiographic findings, treatment, and prognosis of vascular disorders of the spinal cord.


2018 ◽  
Vol 2018 ◽  
pp. 1-9 ◽  
Author(s):  
Baver Acar ◽  
Ozkan Kose ◽  
Adil Turan ◽  
Melih Unal ◽  
Yusuf Alper Kati ◽  
...  

Objective. The purpose of this retrospective study was to compare the clinical and radiological results of magnesium versus titanium screw fixation for modified distal chevron osteotomy in hallux valgus (HV). Materials and Methods. A total of 31 patients who underwent modified distal chevron osteotomy for HV deformity between 2014 and 2017 were reviewed retrospectively. Headless magnesium (Mg) compression screw fixation was applied in 16 patients (17 feet) and headless titanium (Ti) compression screw in 15 patients (17 feet). Patients were followed up for at least 12 months with a mean of 19.0 ± 6.8 months in the Mg screw group and 16.2 ± 6.19 in the Ti screw group, respectively (p: 0.234). Clinical results were evaluated using the American Orthopedic Foot and Ankle Society Hallux metatarsophalangeal-interphalangeal (AOFAS-MTP-IP) scale and a visual analogue scale (VAS). The hallux valgus angle (HVA) and intermetatarsal angle (IMA) were measured before and after surgery. Time to osteotomy union and any complications were recorded and compared between the groups. Results. An improvement in the AOFAS-MTP-IP scale and VAS points were recorded in both groups with no statistically significant difference between the groups (p: 0.764 and 0.535, resp.). At the final follow-up examination, HVA and IMA were similar (p: 0.226 and 0.712, resp.). There was no significant loss of correction between the early and final radiographs in respect of HVA and IMA in both groups (p: 0.321 and p: 0.067). Full union of the osteotomy was obtained in all patients. Prolonged (1.5 months) swelling and mild hyperemia around the surgical incision were observed in 1 patient in the Mg group but there was a good response to physical and medical therapy, and the complaints were completely resolved. There were no other significant complications in either group. Conclusion. The results of this study showed that bioabsorbable Mg compression screw fixation has similar therapeutic efficacy to Ti screw fixation in respect of functional and radiological outcomes. Bioabsorbable Mg screw is an alternative fixation material that can be safely used for modified distal chevron osteotomy in HV surgery.


2012 ◽  
Vol 02 (04) ◽  
pp. 71-73
Author(s):  
Urvashi Ashwin Shetty ◽  
Padmaraj Hegde ◽  
Pushparaja Shetty ◽  
Vidya M. ◽  
Sreelatha S. V. ◽  
...  

AbstractFusion is a developmental anomaly defined as the union of two normally separated tooth buds. Depending on the stage of development, fusion may be either complete or incomplete. The significance of this particular case was that this fusion occurred in a posterior permanent mandibular tooth with a supernumerary tooth which was impacted, while such a manifestation is more reported in maxillary anterior teeth; either in the primary (0.5%) or permanent (0.1%) dentition. The genetic basis for this anomaly is probably autosomal dominant with reduced penetrance. The clinical features, radiographic findings and the various etio-pathogenic possibilities of this unique tooth anomaly are discussed. In addition, the essential findings for differential diagnosis include number of teeth, radiography and clinical features are discussed.


2020 ◽  
Vol 34 (3) ◽  
pp. 1291-1299
Author(s):  
Elizabeth A. Lee ◽  
Lynelle R. Johnson ◽  
Eric G. Johnson ◽  
William Vernau

2020 ◽  
Vol 5 (4) ◽  
pp. 2473011420S0046
Author(s):  
Shay A. Tenenbaum ◽  
Ran Thein ◽  
Erel Ben Ari ◽  
Niv Dreiangel ◽  
Jason T. Bariteau ◽  
...  

Category: Bunion; Other Introduction/Purpose: Hallux valgus is one of the most common deformities of the adult foot, and can adversely affect quality of life, with common complaints including pain, footwear restrictions and cosmesis. Minimal Invasive Surgery (MIS) has re-emerged lately, gaining growing popularity as a surgical approach for surgical treatment of HV deformity. Advantages such as short operating time, quicker recovery, and fewer complications have attributed to MIS. However published data are still inconclusive. Methods: The study included 40 feet (33 pts) with hallux valgus treated with MIS technique, between Apr 20016 to March 2018. Patients were included only if pre- and postoperative weightbearing X-rays at final followup (min 6m) were available. The average age was 51.3 years (range, 21 to 77), with average follow-up of 12 months (range, 6 to 24). Patients’ radiographic records were studied to evaluate postoperative change in hallux valgus angle (HVA), intermetatarsal angle (IMA) and DMAA. Clinical outcome was recorded with Patient reported outcome questioners PROMS10 and MOXFQ. Results: Following surgery deformity was corrected with preoperative mean HVA of 29.8° and IMA of 14.4° compared to postoperative mean of 7.1° and 4.7°, respectively. Patient reported outcome measures recorded the efficacy of MIS for HV in terms of pain reduction and function improvement. In six feet surgery for hardware removal was performed. In one case non- union was treated with revision surgery. Conclusion: This study shows that MIS for HV is safe, effective and offers satisfactory surgical and clinical results.


PLoS ONE ◽  
2019 ◽  
Vol 14 (8) ◽  
pp. e0219463 ◽  
Author(s):  
Yeon Jin Cho ◽  
Mi Seon Han ◽  
Woo Sun Kim ◽  
Eun Hwa Choi ◽  
Young Hun Choi ◽  
...  

2002 ◽  
Vol 111 (10) ◽  
pp. 916-918 ◽  
Author(s):  
Suetaka Nishiike ◽  
Morihiro Irifune ◽  
Toru Sawada ◽  
Katsumi Doi ◽  
Takeshi Kubo

Laryngeal tuberculosis is usually a complication of pulmonary tuberculosis. Recent studies have described a change in the clinical features of laryngeal tuberculosis. We present 15 cases of laryngeal tuberculosis treated at the Osaka Prefectural Habikino Hospital between 1993 and 2000. The results showed a mean age of 51 years, a male predominance by 2.75 to 1, and a 20% incidence (n = 3) of negative chest radiographic findings. The prominent presenting symptom was hoarseness (73.3%), and systemic symptoms were relatively rare. Seven patients showed ulcerative lesions, 5 showed granulomatous lesions, and the remaining 3 showed nonspecific inflammatory lesions in the larynx. Laryngeal lesions did not show any predilection for specific laryngeal sites in our series. In contrast to earlier studies, our study shows variations in clinical features of laryngeal tuberculosis. Physicians should consider tuberculosis in the differential diagnosis of laryngeal disease.


2006 ◽  
Vol 31 (3) ◽  
pp. 256-260 ◽  
Author(s):  
T. BIENEK ◽  
D. KUSZ ◽  
L. CIELINSKI

Sixty patients with unilateral distal radius fractures were managed conservatively. Clinical assessment included objective and subjective evaluations of the outcome of treatment. Radiographic evaluation included fracture classification using the AO/ASIF system and measurement of volar tilt, radial inclination and radial height shortening at the end of treatment. Clinical signs of carpal tunnel syndrome were confirmed electrodiagnostically in 12 patients (20%) during the recovery period. Each patient had electrodiagnostic studies of both upper limbs performed to confirm the diagnosis. The mean time between injury and the onset of symptoms was 10 months (range 6.5 weeks–27 months). A statistically significant correlation between the final clinical results of treatment and post-traumatic median nerve compression neuropathy was found, but the occurrence of the neuropathy correlated with neither fracture type nor with the final radiographic findings. No clinical signs of ulnar or radial nerve compression occurred in this study.


2005 ◽  
Vol 13 (3) ◽  
pp. 245-252 ◽  
Author(s):  
K Yamamoto ◽  
A Imakiire ◽  
Y Katori ◽  
T Masaoka ◽  
R Koizumi

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