1/49. Clinics in diagnostic imaging (40). iliotibial band syndrome.A 51-year-old male cyclist presented with a mass over the lateral portion of his knee. MR scans showed a cystic collection deep to the iliotibial band (ITB). diagnosis of the ITB syndrome and its differentiation from other cause of painful lateral knee masses, such as meniscal cyst, lateral collateral ligament injury and Segond fracture, are discussed.- - - - - - - - - - ranking = 1keywords = fracture (Clic here for more details about this article) |
2/49. Prompt interfascicular neurolysis for the successful treatment of hourglass-like fascicular nerve compression.We present a case of paralysing hourglass-like fascicular compression of the interosseus posterior nerve. Prompt interfascicular neurolysis resulted in quick, complete recovery.- - - - - - - - - - ranking = 0.082690011648668keywords = compression (Clic here for more details about this article) |
3/49. Stress fracture of the hook of the hamate.Fractures of the hook of the hamate have rarely been reported. They have usually resulted from blunt trauma or a sharp strike against the hamate hook while swinging a golf club, baseball bat, or tennis racquet. patients present with acute onset of pain localised over the ulnar aspect of the wrist and reduction in grip strength. In the case reported here, the patient complained of gradual onset of pain on the ulnar aspect of the wrist after altering his grip for serving in tennis. Once the diagnosis was made, the fracture was treated conservatively and the patient made a complete recovery.- - - - - - - - - - ranking = 5keywords = fracture (Clic here for more details about this article) |
4/49. Longitudinal tibial fatigue fracture: an uncommon stress fracture with characteristic features.PURPOSE: The author reports three cases of longitudinal tibial fatigue fractures, reviews the literature, and discusses characteristic features that suggest the diagnosis may be made by bone scintigraphy. methods: Radiographs and two- or three-phase bone scintigraphs with Tc-99m MDP were obtained in three runners who had exercise-related leg pain and whose clinical symptoms suggested either stress fractures or shin splints. The literature was reviewed and previously reported scintigraphic findings were compared with those seen in these three cases. RESULTS: In contrast to the focal, elliptical, cortex-based abnormal activity usually seen in the upper or middle tibia in patients with tibial stress fractures, all three patients had a long area of abnormal diffusely increased tibial activity that extended from the tibiotalar region proximally. This finding was seen on the 3-hour delayed static images of all three patients and was suggested on the blood-pool (tissue phase) images. The literature also contained reports of these same scan characteristics. Radiographs subsequently disclosed a longitudinal tibial stress fracture in one patient, computed tomography was positive in the second patient, and findings of clinical follow-up and radiographs were consistent with this diagnosis in the third patient. CONCLUSION: In the appropriate clinical setting and with normal or nondiagnostic radiographs, the presence of a long area of diffusely increased activity in the distal tibia extending proximally from the tibiotalar junction is indicative of a longitudinal fatigue fracture.- - - - - - - - - - ranking = 13keywords = fracture (Clic here for more details about this article) |
5/49. Colour duplex sonographic and multislice spiral CT angiographic diagnosis of ulnar artery aneurysm in hypothenar hammer syndrome.We report a case of hypothenar hammer syndrome secondary to a thrombosed aneurysm of the ulnar artery in a 36-year-old patient presenting with pain due to compression of the ulnar nerve in the Guyon's canal. The initial diagnosis was made by colour Duplex sonography but complete assessment of the thrombosed aneurysm was performed by multislice spiral CT angiography (msCTa). This case illustrates the potential of msCT as an alternative to conventional arteriography.- - - - - - - - - - ranking = 0.016538002329734keywords = compression (Clic here for more details about this article) |
6/49. Thromboembolic complication after arthroscopic shoulder surgery.Thromboembolic complications after arthroscopic shoulder surgery are very unusual and need thorough investigation of the possible origin. In this case of venous pulmonary thromboembolism after arthroscopy of the shoulder, neither a hint of coagulopathy nor an anatomic abnormality could be found that explains this complication. Therefore, irritation of the subclavian vein caused by compression by the motor-driven shaver is probably one cause for our thromboembolic complication. Careful attention to positioning, fluid management, and use of traction, as well as an appreciation of shoulder anatomy to select portal placement will help decrease the common complications associated with shoulder arthroscopy. A further option to prevent thrombembolic complications in shoulder arthroscopy patients might be prophylaxis with a low-weight heparin in patients with risk factors. In conclusion, awareness of uncommon complications such as deep venous thrombosis and pulmonary embolism will help the orthpaedic surgeon promptly diagnose and treat these problems.- - - - - - - - - - ranking = 0.016538002329734keywords = compression (Clic here for more details about this article) |
7/49. Overuse injuries of the olecranon in adolescents.Overuse injuries are common in elite adolescent athletes due to intensive training demands. Overuse injuries of the olecranon have been divided into true stress fractures and osteochondroses. This article presents a third overuse injury, painful intraosseous edema, in elite adolescent athletes.- - - - - - - - - - ranking = 1keywords = fracture (Clic here for more details about this article) |
8/49. Stress fracture of the second metacarpal bone.Stress fractures are usually encountered in athletes; however, only eight such cases involving the metacarpal bones have been reported in the English literature. We report on the rare case of a 15-year-old female tennis player with a stress fracture of the second metacarpal bone.- - - - - - - - - - ranking = 6keywords = fracture (Clic here for more details about this article) |
9/49. Femoral neck stress fracture in a sanitary worker.Stress fractures of the femoral neck are uncommon, it is important to have a high index of suspicion in young active people who perform repetitive vigorous activity or have recently had an increase in frequency of such activity. We report a case of femoral neck stress fracture in a sanitary worker which was treated successfully with a dynamic hip screw.- - - - - - - - - - ranking = 6keywords = fracture (Clic here for more details about this article) |
10/49. Segmental conduction abnormalities and myelin thickenings in Val102/fs null mutation of MPZ gene.The authors report in patients with Val102/fs null mutation a possibly age dependent variability of clinical and electrophysiologic phenotype, segmental conduction abnormalities mainly in ulnar nerves at the elbow, and excessive myelin foldings and thickenings. The authors hypothesize that myelin thickenings at the paranodal region, in concurrence with compression at usual entrapment sites or minor repetitive trauma, may induce segmental conduction abnormalities.- - - - - - - - - - ranking = 0.016538002329734keywords = compression (Clic here for more details about this article) |
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