Read by QxMD icon Read

Ultrasound nail

F Greve, M Crönlein, M Beirer, C Kirchhoff, P Biberthaler, K F Braun
Anterior tibial pseudoaneurysm is a rare complication after interlocking screw insertion in tibial nailing. We present the case of a 28-year-old male patient with this complication with a 6-week delay after tibial nailing of a right tibial fracture type 42-A1 of the Association for the Study of Internal Fixation (AO/ASIF) classification. On presentation to our emergency department, the patient's complaints were solemnly intermittent pain and occasional swelling of his proximal lower leg. Deep vein thrombosis, compartment syndrome, and implant dislocation were ruled out, and the patient was discharged after his symptoms improved without further intervention...
September 29, 2016: European Journal of Medical Research
Andrea Conti, Silvana Ciardo, Victor Desmond Mandel, Laura Bigi, Giovanni Pellacani
Noninvasive techniques for nail imaging would be useful for confirming diagnosis and monitoring treatment response at the microscopic level in patients with nail psoriasis. However, the use of ultrasound and high-resolution magnetic resonance imaging in nail evaluation is limited. Optical coherence tomography (OCT) produces high-resolution images of transversal tissue sections and represents an optimal approach to the study of the nail. This study used a multibeam OCT instrument to produce speckled variance OCT (SV-OCT) blood-flow images, which were used to measure the degree of change over successive scans...
September 2016: Journal of International Medical Research
Jorge Ocampo-Garza, Nilton Gioia Di Chiacchio, Nilton Di Chiacchio, Carlos D'Apparecida Machado-Filho
A 58-year-old female patient with an 8-month history of changes in the color and the shape of the nail of her right thumb was seen at our clinic. Physical examination revealed transverse overcurvature of the nail and a distal yellowish onycholytic area. (Figure 1A, B and 2A) X-ray, ultrasound and MRI of the right thumb were performed which showed no alterations. Direct microscopic examination of 10% KOH preparation of the affected nail demonstrated hyaline septate hyphae with a positive culture for Trichophyton rubrum...
August 31, 2016: Journal of the European Academy of Dermatology and Venereology: JEADV
Jonathan Walter Esclovon, Melissa Ponder, Nail Aydin, Subhasis Misra
A 59-year-old woman with right breast mass was diagnosed with invasive ductal carcinoma (IDC). Workup consisted of bilateral diagnostic mammogram and ultrasound (US); both showed a right breast mass with normal left breast. Core biopsy showed IDC with estrogen receptor negative (ER-)/progesterone receptor negative (PR-) and HER2/neu positive receptor status. The patient underwent carboplatin-based chemotherapy with Herceptin. The mass completely resolved. The patient desired to proceed with bilateral total mastectomy with right sentinel lymph node biopsy (SLNB)...
2016: BMJ Case Reports
Ashish J Mathew, Laura C Coates, Debashish Danda, Philip G Conaghan
INTRODUCTION: Modern imaging may aid in the diagnosis, prognosis and monitoring of therapeutic response in psoriatic arthritis (PsA). Detection of osteitis and technical advances like whole body magnetic resonance imaging (MRI) exemplify the value of this technology. AREAS COVERED: Ultrasound (US) provides a clinic-based tool for evaluating both joint pathologies and extra-articular structures (especially enthesitis) including skin and nail disease. Recent studies have demonstrated subclinical disease in psoriasis without arthritis, as well as in PsA, with implications for diagnosis and treatment classification...
August 4, 2016: Expert Review of Clinical Immunology
Iwona Sudoł-Szopińska, Grzegorz Pracoń
Plain radiography reveals specific, yet late changes of advanced psoriatic arthritis. Early inflammatory changes are seen both on magnetic resonance imaging and ultrasound within peripheral joints (arthritis, synovitis), tendons sheaths (tenosynovitis, tendovaginitis) and entheses (enthesitis, enthesopathy). In addition, magnetic resonance imaging enables the assessment of inflammatory features in the sacroiliac joints (sacroiliitis), and the spine (spondylitis). In this article, we review current opinions on the diagnostics of some selective, and distinctive features of psoriatic arthritis concerning magnetic resonance imaging and ultrasound and present some hypotheses on psoriatic arthritis etiopathogenesis, which have been studied with the use of magnetic resonance imaging...
June 2016: Journal of Ultrasonography
Tsuyoshi Ota
INTRODUCTION: In adult phalanx fractures with delayed union, we obtained good results from low-intensity pulsed ultrasound (LIPUS) fracture treatment. METHODS: The subjects were 10 patients (7 male and 3 female) presenting with adult phalanx fracture with delayed union. The average age was 38.3-year-old. Eight cases presented with distal phalanx fracture and 2 with proximal phalanx fracture. Six cases involved a closed fracture and 4 cases an open fracture. The average LIPUS start time was 3...
August 2016: Journal of Orthopaedic Trauma
Daniela Berritto, Francesca Iacobellis, Claudia Rossi, Alfonso Reginelli, Salvatore Cappabianca, Roberto Grassi
Recent development of ultra high-resolution ultrasound systems, with frequencies as high as 70 MHz and capability resolution as fine as 30 μm, could permit new diagnostic applications to small parts. A variety of superficial targets within the first 1 cm of the skin surface could be imaged, including dermatological applications such as assessment of skin layers, hair follicles and the nail unit. Nail disorders are frequent but they are diagnosed mainly based on clinical examination; although biopsies and scrapings can provide clinically significant information, most patients do not perceive biopsies positively...
July 12, 2016: Journal of Dermatology
Andreia Alves, Guido Vanermen, Adrian Covaci, Stefan Voorspoels
A new, fast, and environmentally friendly method based on ultrasound assisted extraction combined with dispersive liquid-liquid microextraction (US-DLLME) was developed and optimized for assessing the levels of seven phthalate metabolites (including the mono(ethyl hexyl) phthalate (MEHP), mono(2-ethyl-5-hydroxyhexyl) phthalate (5-OH-MEHP), mono(2-ethyl-5-oxohexyl) phthalate (5-oxo-MEHP), mono-n-butyl phthalate (MnBP), mono-isobutyl phthalate (MiBP), monoethyl phthalate (MEP), and mono-benzyl phthalate (MBzP)) in human nails by UPLC-MS/MS...
September 2016: Analytical and Bioanalytical Chemistry
Faruk Gungor, Kamil Can Akyol, Cenker Eken, Mustafa Kesapli, Inan Beydilli, Mehmet Akcimen
OBJECTIVE: The aim of this study is to detect the value of point-of-care ultrasound (POCUS) for diagnosing a nail bed injury and fracture of distal phalanx in patients presenting with distal finger trauma to the emergency department (ED). METHODS: Patients, 18 to 65 years old, presenting with a blunt trauma of distal finger and diagnosed with subungual hematoma were eligible for the study. Subungual hematoma extending over more than 50%, fracture of distal phalanx, and disruption of periungual tissue or nail integrity were accepted as the indications for nail bed inspection...
September 2016: American Journal of Emergency Medicine
Yuequn Li, Shangwei Liu, Fangfang Xun, Zhan Liu, Xiuying Huang
BACKGROUND The aim of this study was to investigate the use of transcranial Doppler (TCD) for diagnosis of brain death in patients with severe cerebral injury. MATERIAL AND METHODS This retrospective study enrolled 42 patients based on inclusion and exclusion criteria. All patients were divided into either the brain death group or the survival group according to prognosis. Blood flow of the brain was examined by TCD and analyzed for spectrum changes. The average blood flow velocity (Vm), pulse index (PI), and diastolic blood flow in reverse (RDF) were recorded and compared...
2016: Medical Science Monitor: International Medical Journal of Experimental and Clinical Research
Vasu Chirumamilla, Kartik Prabhakaran, Petrone Patrizio, John A Savino, Corrado P Marini, Zobair Zoha
INTRODUCTION: Work site injuries involving high projectile tools such as nail guns can lead to catastrophic injuries. Generally, penetrating cardiac injuries are associated with a high mortality rate. PRESENTATION OF CASE: A construction worker was brought to the emergency room having sustained a nail gun injury to the chest. The patient was hypotensive, tachycardic with prominent jugular venous distention, and had a profound lactic acidosis. Bedside ultrasound confirmed the presence of pericardial fluid...
2016: International Journal of Surgery Case Reports
Lavinia Elena Grigore, Corina Iulia Baican, Carolina Botar-Jid, Liliana Rogojan, Alina Florentina Letca, Loredana Ungureanu, Rodica Cosgarea
There is a large spectrum of tumors presenting as nodular lesions that may affect the subungual space. We report the case of a 62-year-old woman presenting with a rapidly growing nodular lesion under the nail of the first left toe. Non-invasive examinations using dermoscopy, ultrasonography and elastography were performed for the preoperative assessment of the lesion. The biopsy of the lesion revealed superficial acral fibromyxoma, a benign tumor with predisposition for acral sites. The patient underwent radical surgery with wide resection margins...
2016: Clujul Medical (1957)
M L Alonso-Pacheco, E de Miguel-Mendieta, R Maseda-Pedrero, M Mayor-Arenal
Retronychia is a recently described disorder caused by ingrowth of the proximal nail plate into the proximal nail fold. This situation provokes chronic paronychia refractory to antimicrobial therapy. Ultrasound has been proposed as the noninvasive method of choice to confirm the diagnosis and rule out other differential diagnoses, particularly local tumors and arthritic disease. The presence of 2 or more overlapping nail plates and a reduced distance between the root of the nail plate and the base of the distal phalanx could be the ultrasound hallmarks of this condition...
June 2016: Actas Dermo-sifiliográficas
D Vidal, B Echeverria, J García-Gavín, L Comba Pérez-Pérez
Nail diseases are a diagnostic challenge and high-frequency ultrasound with colour Doppler is a simple and painless diagnostic test that can often be useful. Ultrasound allows real-time evaluation of the anatomical structures of the nail and its vascularisation. The present study reviews the literature on ultrasound findings in the normal nail and in inflammatory and tumoural disease.
November 2015: Actas Dermo-sifiliográficas
Ximena Wortsman, Fernando Alfageme, Gaston Roustan, Salvador Arias-Santiago, Antonio Martorell, Orlando Catalano, Maria Scotto di Santolo, Kian Zarchi, Marcio Bouer, Claudia Gonzalez, Robert Bard, Anitha Mandava, Diana Gaitini
OBJECTIVES: To support standardization for performing dermatologic ultrasound examinations. METHODS: An international working group, called DERMUS (Dermatologic Ultrasound), was formed, composed of physicians who have been working on a regular basis and publishing in peer-reviewed articles on dermatologic ultrasound. A questionnaire on 5 critical issues about performance of the examinations was prepared and distributed by e-mail. The areas of discussion included technical aspects, main areas of application, minimum number of examinations per year required for assessing competence, qualifications of the personnel in charge of the examination, and organization of courses...
March 2016: Journal of Ultrasound in Medicine: Official Journal of the American Institute of Ultrasound in Medicine
Elias Lambiris, Andreas Panagopoulos, Panagiotis Zouboulis, Efrosini Sourgiadaki
In spite of increased understanding of biomechanics and improvements of implant design, nonunion of femoral shaft fractures continues to hinder the treatment of these injuries. Femoral nonunion presents a difficult treatment challenge for the surgeon and a formidable personal and economic hardship for the patient. In most series of femoral fractures treated with intramedullary nailing techniques, the incidence of this complication is estimated to be 1%. A higher frequency has recently been reported due to advances in trauma care leading to increased survivorship among severely injured patients and expanded indications of intramedullary nailing...
April 2007: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
Shoutaro Arakawa, Mitsuru Saito, Makoto Kubota, Hidehiko Suzuki, Shigeki Tsuchida, Kurando Hashimoto, Keishi Marumo
Reports are increasing regarding atypical femoral fractures (AFFs) caused by minor trauma in patients using bisphosphonates (BPs) for long periods. Patients with malignant skeletal metastases potentially are at greater risk for these AFFs, especially considering the high dose and the duration of treatment with BPs. We evaluated a case of atypical femoral shaft fracture treated with an intramedullary nail in a patient treated for five years with zoledronate who had breast cancer with metastases to bone. Although bone union was achieved without cessation of zoledronate therapy by applying low-intensity pulsed ultrasounds (LIPUS), the remodeling phase of the fracture healing process was delayed...
September 2015: Clinical Cases in Mineral and Bone Metabolism
Filippo Randelli, Paolo Capitani, Fabrizio Pace, Sara Favilla, Claudio Galante, Pietro Randelli
A 25-year-old man was admitted to our hospital because of pulmonary embolism and suspected fat embolism after sustaining bilateral femoral shaft fracture. A left arm weakness, tachycardia and sudden hemoglobin drop delayed his definitive fixation with intramedullary nailing. His clinical course was further complicated by bleeding from the pin sites of the external fixators which had initially been used to temporarily stabilize his femoral fractures (clotting disturbances). A lower leg Doppler ultrasound and a new pelvic-chest CT angiography excluded any remaining thrombus, meanwhile the embolus had broken in smaller pieces, more distally...
December 2015: Injury
Zbigniew Pilecki, Grzegorz Pilecki, Jacek Ciekalski, Józef Dzielicki, Wiesław Jakubowski
The usefulness of sonotopogram, that is mapping of the operated area basing on ultrasound, is obvious and currently unquestionable. It is performed in order to improve safety level of a patient treated by means of invasive techniques. It constitutes an excellent complement of the Perioperative Control Card. At the beginning it was used in sonosurgical procedures, with time it has become an element of all surgical techniques. It undergoes multiple changes depending on the surgeon's needs. A particularly interesting phenomenon is the combination of the invasive techniques in order to facilitate the performance of medical procedures...
September 2012: Journal of Ultrasonography
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"