1/41. Intra-articular detachment of the Endobutton more than 18 months after anterior cruciate ligament reconstruction.We report a case of detachment of an Endobutton (Acufex Microsurgical, Mansfield MA) used for femoral fixation of a reconstructed anterior cruciate ligament. The Endobutton, which was confirmed to be in place on the suprapatellar space of the femur by radiograph 18 months postoperatively, was found in the popliteal space by radiograph 25 months after surgery. This is a rare complication, but our case suggests that the Endobutton should not be fixed too distal close to the femoral groove.- - - - - - - - - - ranking = 1keywords = ligament (Clic here for more details about this article) |
2/41. Carabid beetle invasion of the ear in oman.Two cases of human ear invasion by a predaceous beetle, Crasydactylus punctatus Guerin (Coleoptera; Carabidae), are reported from the Sultanate of oman. The first case was that of a 35-year old woman who suffered a severe otologic injury caused by the biting and chewing of the external auditory canal and the tympanic membrane. The beetle then entered the middle ear and caused sensorineural hearing loss. The second case involved a 22-year-old male from whose ear a specimen of the same species was successfully removed after it was immobilized with 10% lidocaine spray. These cases are presented with discussion.- - - - - - - - - - ranking = 0.022025792334302keywords = membrane (Clic here for more details about this article) |
3/41. Asymptomatic gastric perforation by a toothpick. A case report.BACKGROUND: Many cases of gastric perforation with peritonitis, pylephlebitis, hepatic abscesses, or lethal bleeding, caused by ingested long and sharp objects, are reported in the literature. methods: During a right hepatectomy for a giant hemangioma, a wooden toothpick was found between the two layers of the hepatogastric ligament. It was not possible to find the passage of the foreign body through the gastric wall. The patient did not report any correlated symptoms. RESULTS: There was no sign of inflammation around the toothpick, which was enveloped in thin scar tissue. The removal of the foreign body was performed without complications. CONCLUSIONS: The peculiarity of our case is the total absence of symptoms during and after the perforation. Despite the benign evolution of our case, toothpicks must be considered as potentially dangerous, like other pointed objects, and, therefore, removed immediately. copyright copyright 1999 S. Karger AG, Basel- - - - - - - - - - ranking = 0.2keywords = ligament (Clic here for more details about this article) |
4/41. Acute otalgia: a case report of mature termite in the middle ear.Acute otalgia during childhood is one of the most common complaints in general ENT practice. It may occur as a result of acute otitis externa, otitis media or a foreign body. Animate foreign body in the ear canal or in the middle ear usually results in otalgia and hearing loss. We present a rare case of a living mature termite in the middle ear of a 9-year-old girl complaining of intermittent attacks of otalgia associated with a loud cracking sound in the left ear. In this case, a small perforation of the tympanic membrane without a history of previous trauma, infection, or evidence of a foreign body in the external ear raises a suspicion. A careful, time-consumed microscopic examination could show the living creature in the middle ear. Immediate immobilization and removal of the living foreign body are imperative. In conclusion, tympanic membrane perforation and intermittent severe otalgia without history of otitis may lead to a suspicion of any insects in the middle ear.- - - - - - - - - - ranking = 0.044051584668603keywords = membrane (Clic here for more details about this article) |
5/41. Tracheal rupture: a rare complication related to foreign body aspiration.A one-year-old patient admitted following foreign body aspiration and referred following cardiopulmonary resuscitation in a local hospital was diagnosed to have tracheobronchial rupture. We first assumed puncture of the mucous membrane of the left main bronchus by the tip of the tube. Later, we thought that the rupture might have been caused by rigid bronchoscopy. Etiology and treatment are discussed and recent literature reviewed.- - - - - - - - - - ranking = 0.022025792334302keywords = membrane (Clic here for more details about this article) |
6/41. Mould constituents in the middle ear, a hearing-aid complication.During the placement of a mould for a hearing-aid by a hearing-aid dispenser, moulding material entered the middle ear through pre-existent perforations in the tympanic membrane in both ears. Besides hearing loss, there were no other symptoms. Surgical removal of the moulding material by tympanotomy was necessary, and was complicated by encirclement of the ossicles by the material. All the material could be removed and the hearing was saved. Recommendations for an improved procedure of mould-making are made including more detailed information of the otoscopic findings at the prescriptions for hearing-aid moulds.- - - - - - - - - - ranking = 0.022025792334302keywords = membrane (Clic here for more details about this article) |
7/41. Arthroscopic treatment for traumatic hip dislocation with avulsion fracture of the ligamentum teres.Traumatic hip dislocation in children is a rare condition. Immediate closed reduction is a treatment of choice, but when incongruent reduction results, it can be due to interposition and requires open arthrotomy. We present a previously unreported technique of arthroscopic treatment that was used successfully for traumatic hip dislocation in a 10-year-old girl with impingement of the avulsed ligamentum teres. arthroscopy was effective in confirming the exact nature of the interposition material and excising the fragment with minimal invasion.- - - - - - - - - - ranking = 1keywords = ligament (Clic here for more details about this article) |
8/41. A metal ring that had been lodged in a child's nasopharynx for 4 years.A considerable number of articles on foreign-body ingestion and inhalation have been reported in the literature. Of these, nasopharyngeal foreign bodies are rare. Unless they cause total obstruction, symptoms typically appear late. foreign bodies, especially metal ones, can lodge in soft tissue, and their removal can be rather complicated. In this article, we describe the case of a 4-year-old girl who had had a gold ring lodged in her nasopharynx. The history led us to determine that the ring had been there since the child was 3 months old. A flexible fiberoptic nasopharyngeal examination revealed that the ring was embedded in the nasal surface of the soft palate and was enclosed by a thin layer of mucosal membrane. With the patient under general anesthesia, we were able to remove the foreign body with a 0 degree endoscope.- - - - - - - - - - ranking = 0.022025792334302keywords = membrane (Clic here for more details about this article) |
9/41. A novel approach to the removal of superglue from the ear.The ability of superglue (a cyanoacrylate adhesive) to bond strongly and quickly to skin presents considerable problems when it is inserted into the ear. A case of a patient who inadvertently self-administered Bostik superglue into her left external auditory meatus is reported. The superglue was removed successfully, in the form of a cast, with warm three per cent hydrogen peroxide without damaging the meatus or the typanic membrane. The use of hydrogen peroxide to remove superglue from the ear has not been described previously.- - - - - - - - - - ranking = 0.022025792334302keywords = membrane (Clic here for more details about this article) |
10/41. Secondary intra-articular dislocation of a broken bioabsorbable interference screw after anterior cruciate ligament reconstruction.We report a case of intra-articular migration of the proximal part of a broken polylactic acid screw from the tibial site of anterior cruciate ligament-reconstruction with quadrupled semi-tendinosus tendon. Five months after initially successful ACL surgery the patient felt a sudden locking of the knee without another injury. MRI showed intra-articular migration of one-half of the polylactic acid screw, and standard radiographs a widening of the proximal tibial tunnel. At revision arthroscopy the broken part was easily removed. The patient had full recovery. This case demonstrates the problem of "bioscrew" breakage in ACL surgery.- - - - - - - - - - ranking = 1keywords = ligament (Clic here for more details about this article) |
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