1/11. frostbite at the gym: a case report of an ice pack burn.The case is reported of a 59 year old woman who suffered a 1% total body surface area superficial partial thickness burn to her calf following the application of an ice pack. The cause, resulting injury, and subsequent management are discussed. It is possible that such injuries are common, but no similar reports were found in a literature search. awareness of the risk of this type of injury is important for all those entrusted with advising patients on the treatment of minor soft tissue injuries.- - - - - - - - - - ranking = 1keywords = soft (Clic here for more details about this article) |
2/11. Usefulness of ultrasonography for early recurrent myositis ossificans.myositis ossificans is a benign heterotopic ossifying condition of soft tissues. The lesion may cause persistent functional impairment of adjacent joints. Surgical intervention is often needed to regain normal function, even though a high recurrence rate is reported. In the present case, we found that recurrent myositis ossificans could not be demonstrated by radiography during the early stage. However, ultrasonography proved to be an excellent tool for detecting early recurrence of myositis ossificans and for distinguishing the condition from extraosseous sarcomas.- - - - - - - - - - ranking = 1keywords = soft (Clic here for more details about this article) |
3/11. Posterior approach for arthroscopic treatment of posterolateral impingement syndrome of the ankle in a top-level field hockey player.A case history of a 25-year-old field hockey player, a member of the German National Field hockey Team, is presented. The patient could not remember any specific ankle injury, but since the World Indoor Championship in February 2003, he experienced significant but diffuse pain around the posterior ankle, especially while loading the forefoot in hockey training and competition. For 2 months, the patient was unable to run. Conservative treatment failed, and surgery was performed. Posterior ankle arthroscopy revealed a frayed posterior intermalleolar ligament and meniscoid-like scar tissue at the posterolateral ankle, indicating a posterolateral soft tissue ankle impingement syndrome. A concomitant inflammation of the posterolateral ankle and subtalar synovium was present. After arthroscopic resection and early functional aftertreatment, the patient returned to full high-level sports ability within 2 months.- - - - - - - - - - ranking = 1keywords = soft (Clic here for more details about this article) |
4/11. Turf toe: ligamentous injury of the first metatarsophalangeal joint.Injuries to the metatarsophalangeal (MTP) joint of the great toe have increased in incidence over the past thirty years following the introduction of artificial playing surfaces and the accompanying use of lighter footwear. Although most common in American football players, similar injuries can also occur in other sporting activities including soccer and dance, or following trauma to the great toe. The mechanism of injury is typically hyperextension of the MTP joint, but injuries have also been reported secondary to valgus or varus stress, or rarely as a result of hyperflexion injury. The abnormal forces applied to the first MTP joint at the time of injury, result in varying degrees of sprain or disruption of the supporting soft tissue structures, leading to the injury commonly referred to as turf toe. The extent of soft tissue disruption is influential in treatment planning and can be used to determine the prognosis for recovery. This report will review the anatomy of the first MTP join, followed by a discussion of the mechanism of injury and the typical clinical presentation of an individual with turf toe. Finally, the role of imaging including radiography and magnetic resonance imaging, and standard treatment options for turf toe will be discussed.- - - - - - - - - - ranking = 2keywords = soft (Clic here for more details about this article) |
5/11. A theoretical model for treatment of soft tissue injuries: treatment of an ankle sprain in a college tennis player.OBJECTIVE: To present theories of manual treatment approaches to soft tissue injuries using an example case report. CLINICAL FEATURES: A college tennis player with an ankle sprain for 6 weeks, not responding to standard treatment, was unable to play tennis or compete in tournaments. INTERVENTION AND OUTCOME: Soft tissue treatment was applied to the ankle for 2 visits. The patient experienced complete resolution of the problem and returned to play without relapse during a 9-month follow-up period. Theories of myofascial distortion treatment are discussed. CONCLUSION: This treatment approach may have potential for soft tissue problems that are not amenable to current therapy approaches.- - - - - - - - - - ranking = 6keywords = soft (Clic here for more details about this article) |
6/11. cellulitis in Grade III ankle sprain requiring treatment for antibiotic-resistant bacteria.This case report describes a novel occurrence of a Grade III ankle sprain complicated by cellulitis. The patient ultimately required aspiration of an extra-articular fluid collection and treatment with parenteral antibiotics due to worsening of the infection despite treatment with second-generation cephalosporins. This individual's infection was consistent with MRSA-cellulitis. cellulitis, in the context of a preceding ankle sprain, has not been reported in the literature; the resultant edema from the injury may have served as the nidus for infection. MRSA comprises a significant proportion of soft-tissue infections in the ambulatory setting, and physicians should incorporate this trend into therapeutic strategies for their infected patients.- - - - - - - - - - ranking = 1keywords = soft (Clic here for more details about this article) |
7/11. Endoscopic evacuation of a hematoma resulting from strain injury of the medial head of the gastrocnemius muscle.Strain of the medial head of the gastrocnemius muscle (GM) is a common injury that can be confirmed by ultrasound (US) or magnetic resonance imaging. We report a case of strain injury of the medial head of the GM, with a hematoma between the soleus muscle and the GM. US revealed an enlarged hypoechoic area between the soleus and the GM. By US-guided puncture, only a small amount of old blood was evacuated. Hence we undertook a surgical approach. It was performed under general endotracheal anesthesia, in the prone position. The most superficial area of hematoma was shown by US. A sharp 4-mm trocar was inserted in the posteromedial side of the calf and the hematoma was partially evacuated by suction. The cavity was washed out with saline solution. The arthroscope was then inserted. A second portal was made laterally and a shaver was inserted under optic control. The inflow pressure was not allowed to exceed 45 mm Hg. The shaver was used to remove blood coagula and fibrin septa that divided the cavity. The fibrous cavity membrane was debrided. By the end of the procedure, the circumference of the leg was reduced by 3 cm and the skin was softer on palpation. The patient was discharged the next day. One week after surgery, US examination revealed only a thin hypoechoic area in place of the previous collection. Two weeks after surgery, he was able to walk painlessly, and at 6 weeks he had regained normal walking activity.- - - - - - - - - - ranking = 1keywords = soft (Clic here for more details about this article) |
8/11. Medial gastrocnemius hematoma mimicking deep vein thrombosis: report of a case.tennis leg, strain of the medial head of the gastrocnemius muscle, may follow a trivial trauma in athletic and nonathletic activities. Complete or partial tears of the musculotendinous unit may result in a hematoma. Clinical manifestations of gastrocnemius hematoma in a 64-year-old man with local swelling, pain and tenderness that was aggravated by passive dorsiflexion of the ankle joint, mimicked deep vein thrombosis. Failure to appreciate the precedent trivial trauma and the localized swelling and ecchymosis led to delayed diagnosis and inappropriate heparinization. The definite diagnosis was established by CT scan which revealed a local soft tissue mass within the gastrocnemius consistent with a hematoma. A compartment syndrome developed the day after heparinization and was adequately treated by discontinuation of heparin, aspiration and rest. Differentiation between tennis leg and deep vein thrombosis is of paramount importance, since the etiology, treatment and prognosis of these two clinical entities are quite different. Venography is recommended as specifically diagnostic for deep vein thrombosis while CT scan for gastrocnemius hematoma.- - - - - - - - - - ranking = 1keywords = soft (Clic here for more details about this article) |
9/11. Massive prevertebral hematoma after cervical spine injury--a case report.An exceptionally large prevertebral soft tissue mass was seen on radiography taken after a hyperextensive cervical sprain. Fracture types producing prevertebral haematomas are discussed. The role of an anticoagulant as a contributing factor is also emphasised.- - - - - - - - - - ranking = 1keywords = soft (Clic here for more details about this article) |
10/11. Posteromedial ankle impingement.We present a case of soft tissue impingement in the posteromedial ankle, which has not been previously reported. When a patient presents with chronic posteromedial ankle pain and swelling, clinicians should be suspicious of soft tissue impingement in the posteromedial ankle. Pertinent history and physical examinations are most helpful in the diagnosis of this lesion. Arthroscopic debridement of the hypertrophic soft tissue is successful in returning the patient to his or her previous activities.- - - - - - - - - - ranking = 3keywords = soft (Clic here for more details about this article) |
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