Cases reported "Athletic Injuries"

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1/30. An aneurysm involving the axillary artery and its branch vessels in a major league baseball pitcher. A case report and review of the literature.

    baseball pitchers appear to be prone to aneurysms of the axillary artery and its branches. The cause is probably related to repetitive compression of or tension on the vessels at the level of the pectoralis minor muscle and the humeral head, which is exacerbated by the pitching motion. The incidence of aneurysms of the axillary artery and its branches among pitchers and other athletes is not known, nor is it clear whether pitchers who are at high risk of vascular injury can be identified before irreversible damage to the vessels has occurred. Perhaps patients who have documented compression or occlusion of the vessel with the arm in the abducted, externally rotated position are at higher risk. Screening pitchers to identify those with axillary artery compression, aneurysm, or thrombosis has also not been shown to be effective. Certainly, many pitchers will have some level of compression of the axillary artery with their arm in the pitching position but will never develop any clinical abnormality requiring treatment. Screening would therefore probably lead to a high false-positive rate. It is clear, however, that pitchers who complain of ischemia-type symptoms such as early fatigue or who have evidence of emboli require a complete evaluation to rule out any abnormality of the axillary artery or one of its branches. Orthopaedic surgeons who see pitchers and other athletes involved in repetitive overhead motions need to be aware of this disorder so that they order the appropriate tests and obtain a vascular consultation--and make a prompt diagnosis. Treatment will vary depending on the type of lesion and on which vessel or vessels are involved, and should be decided on by the team of surgeons treating the patient.
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ranking = 1
keywords = aneurysm
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2/30. Anterior tibial artery pseudoaneurysm after ankle arthroscopy.

    arthroscopy of the ankle has dramatically expanded its role in diagnostic and therapeutic value afforded to the patient; however, it is not without complications. Although the majority of the complications described are neurological in origin, vascular injuries can occur. A case of a patient with normal coagulation parameters who underwent a purely diagnostic ankle arthroscopy and later developed a pseudoaneurysm of her distal anterior tibial artery is described. The pseudoaneurysm was resected without complications and early postoperative recovery has been uneventful.
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ranking = 2.7428815073594
keywords = pseudoaneurysm, aneurysm
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3/30. Tibial artery false aneurysm: uncommon result of blunt injury occurring during athletics.

    Two young men presented with symptoms following lower extremity injuries sustained in the normal course of participation in sports. One played baseball while the other competed in Tae Kwon Do. One case presented with digital ischemia, the other developed a pulsating hematoma. Each came to angiography, and each proved to have a false aneurysm of a tibial artery. The tibial artery was ligated in each case, without further complications. The patient with digital ischemia was thought to have sustained microemboli, and also underwent lumbar sympathectomy.
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ranking = 0.71428571428571
keywords = aneurysm
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4/30. Embolisation of a traumatic aneurysm of the posterior circumflex humeral artery in a volleyball player.

    Repetitive minor vascular injuries caused by physical activity in athletes may lead to ischaemia of the upper extremities. In volleyball players in particular, traumatic aneurysm of the posterior circumflex humeral artery has been reported to be a cause of ischaemia of the arm and hand. Such an aneurysm is described here; it was treated successfully with endovascular embolisation.
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ranking = 0.85714285714286
keywords = aneurysm
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5/30. Traumatic pseudoaneurysm of the superficial temporal artery: two cases.

    Pseudoaneurysms of the superficial temporal artery are a rare and potentially critical cause of facial masses. Most pseudoaneurysms form as a result of blunt trauma and present as painless, pulsatile tumors that may be associated with neuropathic findings and enlarged size. Without careful evaluation in the primary care setting, pseudoaneurysms can be easily misdiagnosed and improperly managed. They can, however, be accurately diagnosed through physical examination alone and subsequently treated with surgical ligation. The authors present two cases of traumatic pseudoaneurysms of the superficial temporal artery caused by blunt injury and discuss pertinent diagnosis and treatment options, as well as provide a brief review of the anatomy and histopathology of pseudoaneurysms.
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ranking = 3.8000324860031
keywords = pseudoaneurysm, aneurysm
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6/30. Traumatic venous aneurysm of the popliteal vein with outcome: a case report and review of the literature.

    A case of sudden death due to recurrent pulmonary thromboembolism is described. The fatality took place three and a half weeks following blunt trauma to the left popliteal region. The patient died unexpectedly. autopsy revealed the source of the emboli as a sacciform venous aneurysm of the popliteal vein, an entity seldom described, but important to consider in cases of soft tissue popliteal masses or unexplained pulmonary embolism, especially in otherwise healthy individuals.
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ranking = 0.71428571428571
keywords = aneurysm
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7/30. aneurysm formation of a dorsal superficial antebrachial artery due to sports injury: a case report.

    A 17-year-old man noted a painful mass on his wrist while fencing (Kendo). An aneurysm of a dorsal superficial antebrachial artery, which is an anomalous branch of the radial artery in the distal forearm, was diagnosed. He was successfully treated by excision with primary anastomosis; pathologic examination revealed a pseudoaneurysm. The anomalous location of this artery placed it at risk for civilian injury as it ran in the subcutaneous tissue of the dorsal forearm.
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ranking = 0.60000406075038
keywords = pseudoaneurysm, aneurysm
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8/30. Aneurysms of the palmar arch and a proper digital artery: case report and literature review.

    The first reported case of multiple aneurysms of both the palmar arch and a proper digital artery is described. A palmar arch aneurysm was excised, and two end-to-end anastomoses were necessary to restore the blood flow. Microsurgical repair was the only possible treatment in this case. The authors believe that the vascular anatomy should always be restored as naturally as possible. No treatment was necessary for the more distal aneurysms.
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ranking = 0.42857142857143
keywords = aneurysm
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9/30. Intrahepatic arterioportal fistula following conservative treatment of a traumatic liver rupture: case report.

    A 16-year-old girl with severe liver injury complicated by the development of an intrahepatic arterial aneurysm and arteriovenous fistula is presented. Nonsurgical treatment combining close observation and repeat hepatic arterial embolization was successful.
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ranking = 0.14285714285714
keywords = aneurysm
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10/30. Traumatic superficial temporal artery pseudoaneurysms in a minor league baseball player: a case report and review of the literature.

    Traumatic STA aneurysm is a rare complication of facial trauma occuring typically in young men. We present the case of a minor league baseball player who developed 2 pseudoaneurysms after being struck by a baseball and review all cases associated with sports activities. Reports associated with sports activities are increasing and may represent an increasing incidence. The team physician should suspect this condition when a player presents with a new temporal mass after facial trauma. diagnosis is typically made on history and physical examination, but can be confirmed by duplex ultrasound. Definitive treatment is surgical resection of the aneurysm after proximal and distal ligation of the vessel.
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ranking = 2.5714488751805
keywords = pseudoaneurysm, aneurysm
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