Cases reported "Sprains and Strains"

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1/8. axillary vein thrombosis mimicking muscular strain.

    axillary vein thrombosis may occur on strenuous activity with a clinical picture similar to a simple strain. It carries significant morbidity but a good outcome is possible with early treatment. The aetiology, investigation, and treatment are discussed.
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ranking = 1
keywords = vein thrombosis, thrombosis, vein
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2/8. chiropractic care of a patient with low back pain associated with subluxations and a Malgaigne-type pelvic fracture.

    OBJECTIVE: To describe the chiropractic care of a patient with a pelvic ring fracture and concomitant subluxations of multiple segments of the spinal column. CLINICAL FEATURES: A 23-year-old male, after falling down a flight of stairs, was initially hospitalized for fractures of the pelvis. Five weeks posthospitalization, the patient initiated chiropractic care with complaints of severe low back pain with lower extremity involvement. He also complained of neck pain and occipital headache. The patient had several positive low back orthopedic tests with bilaterally absent Achilles deep tendon reflexes. The anteroposterior radiographic view revealed ununited fractures at the left superior and inferior pubic ramus, noted as a type I Malgaigne fracture. Subluxations were detected at the left innominate (ie, fracture-subluxation) and at the patient's lumbar, thoracic, and cervical spine. INTERVENTION AND OUTCOME: The patient was cared for with contact-specific, high-velocity, low-amplitude adjustments to sites of vertebral and sacroiliac subluxations. The patient's response to care was positive, receiving great pain relief. Less than 3 months after initiating care, the patient returned to work on regular duty. CONCLUSION: There are indications that patients suffering from the injuries described above may derive benefits from chiropractic care. The practitioner must pay careful attention to issues of biomechanical and vascular stability and adjustment modifications in these types of patients.
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ranking = 0.0013805430304309
keywords = deep
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3/8. Ankle sprain: an unexpected complication.

    Blunt arterial injury is usually caused by high velocity trauma and can result in intimal dissection. We present a case of a professional footballer who sustained an intimal tear of the posterior tibial artery following a minor eversion injury of the ankle. The injury was noticed because of the physical demands of this patient's profession. This was confirmed by an arteriogram and was treated with bypass surgery using an arm vein. Arterial intimal injury has not been reported previously with this type of injury. A high index of suspicion is needed to diagnose these injuries and revascularisation either by primary anastomosis or vein interposition graft is suggested.
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ranking = 0.0063847347389464
keywords = vein
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4/8. 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.
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ranking = 15.107851998466
keywords = deep vein thrombosis, deep vein, vein thrombosis, thrombosis, vein, deep
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5/8. Surgical treatment of chronic dislocation of the peroneal tendons.

    Recent reports on the outcome of sports injuries have pointed out that ankle sprains may cause long term discomfort, this occasionally being due to peroneal tendon dislocation which may become chronic. The present paper reports a method, which includes deepening of the retromalleolar groove and at the same time maintaining the cartilagenous gliding layer. Long term follow-up (2 to 10 years) is presented on four patients. One of the patients returned successfully to international track and road races. In each case, the clinical result after the operation was successful, the ankles showing normal biomechanical functions.
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ranking = 0.0013805430304309
keywords = deep
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6/8. Bilateral digital artery thrombosis: a case report.

    Blunt arterial trauma can cause digital arterial occlusion, and vein grafts may be required to restore adequate digital blood flow, as in the case of this 55-year-old man who developed thrombosis of both the radial and ulnar digital arteries of the ring finger.
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ranking = 0.46326413696683
keywords = thrombosis, vein
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7/8. rupture of the flexor tendons of the little finger in fractures of the hook of the hamate bone. Report of two cases.

    Two cases of rupture of the flexor tendons of the little finger associated with a fracture of the hook of the hamate bone are presented. The preoperative diagnosis had not been made. Excision of the fractured hook and repair of the tendons by a short graft from the palmaris longus in one case and by the transfer of the superficial flexor of the ring finger in the other case gave a good final result. The authors remark on the rarity of reports of this fracture in the literature, the frequent occurrence of nonunion and the two complications which are exceptional; rupture of the flexor tendons and compression of the deep branch of the ulnar nerve. The fracture is mainly encountered in sports that require the grasping of a handle (tennis, golf, hockey, squash). The diagnosis is often missed at the onset because of not using the correct X-ray positioning: special incidence for the carpal tunnel view and a 3/4 view with the wrist in 45 degrees of supination and forced radial deviation.
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ranking = 0.0013805430304309
keywords = deep
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8/8. Peripheral arterial pseudoaneurysm treated by ultrasound-guided compression.

    Ultrasound-guided compression repair of a pseudoaneurysm is a simple, safe and effective therapy, and has been proposed as a first-line treatment for pseudoaneurysms caused by catheterization. Herein, we report a case of a pseudoaneurysm arising from a sport injury which was treated by this method. Obliteration of the track of the pseudoaneurysm induced manual thrombosis and successfully converted the pseudoaneurysm to haematoma. Understanding the mechanism and the procedure is the basis of success in the use of this treatment.
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ranking = 0.09201435391947
keywords = thrombosis
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