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https://www.readbyqxmd.com/read/27857505/glomus-tumours-of-the-hand-review-of-literature
#1
REVIEW
Vivek Machhindra Morey, Bhavuk Garg, Prakash P Kotwal
Glomus tumours are rare benign vascular neoplasms commonly found in the hand particularly in subungual region. Though, its aetiology remains largely unknown, several hypotheses have been made to explain the etiopathogenesis and cause of pain. These tumours usually present as a bluish or pinkish red discolouration of the nail plate with classical triad of localised tenderness, severe pain, and cold sensitivity. Nevertheless, differential diagnosis of other painful tumours, such as leiomyoma, eccrine spiradenoma, haemangioma, neuroma, osteochondroma, or mucous cyst should always be kept in mind while evaluating a patient with severe pain in the tip of the finger...
October 2016: Journal of Clinical Orthopaedics and Trauma
https://www.readbyqxmd.com/read/27559505/huriez-syndrome-with-superadded-dermatophyte-infection
#2
Trupti Surana, Bela Padhiar, Umesh Karia, Purna Pandya
Palmoplantarkeratodermas (PPKs) are a heterogeneous group of hereditary and acquired disorders with underlying gene defects, and characterized by hyperkeratosis of palms and soles with or without other ectodermal and systemic abnormalities. Huriez syndrome is a rare autosomal dominant transgradient type of PPK with high frequency of squamous cell carcinoma in the affected skin. We hereby describe a case of a very rare autosomal dominant PPK in a 40-year-old male patient presenting since birth with PPK extending onto the dorsal aspects of hands and feet with peeling of the skin...
July 2016: Indian Dermatology Online Journal
https://www.readbyqxmd.com/read/27446601/diagnostic-imaging-of-psoriatic-arthritis-part-ii-magnetic-resonance-imaging-and-ultrasonography
#3
REVIEW
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
https://www.readbyqxmd.com/read/27004040/clinico-pathologic-dermoscopic-and-ultrasound-examination-of-a-rare-acral-tumour-involving-the-nail-case-report-and-review-of-the-literature
#4
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)
https://www.readbyqxmd.com/read/26895570/causes-of-secondary-radial-nerve-palsy-and-results-of-treatment
#5
Pawel Reichert, Witold Wnukiewicz, Jarosław Witkowski, Aneta Bocheńska, Sylwia Mizia, Jerzy Gosk, Krzysztof Zimmer
BACKGROUND The aim of this study was to analyze the causes that lead to secondary damage of the radial nerve and to discuss the results of reconstructive treatment. MATERIAL AND METHODS The study group consisted of 33 patients treated for radial nerve palsy after humeral fractures. Patients were diagnosed based on clinical examinations, ultrasonography, electromyography, or nerve conduction velocity. During each operation, the location and type of nerve damage were analyzed. During the reconstructive treatment, neurolysis, direct neurorrhaphy, or reconstruction with a sural nerve graft was used...
2016: Medical Science Monitor: International Medical Journal of Experimental and Clinical Research
https://www.readbyqxmd.com/read/26688297/reliability-validity-and-feasibility-of-nail-ultrasonography-in-psoriatic-arthritis
#6
Anaïs Arbault, Hervé Devilliers, Davy Laroche, Audrey Cayot, Pierre Vabres, Jean-Francis Maillefert, Paul Ornetti
OBJECTIVE: To determine the feasibility, reliability and validity of nails ultrasonography in psoriatic arthritis as an outcome measure. METHODS: Pilot prospective single-centre study of eight ultrasonography parameters in B mode and power Doppler concerning the distal interphalangeal (DIP) joint, the matrix, the bed and nail plate. Intra-observer and inter-observer reliability was evaluated for the seven quantitative parameters (ICC and kappa). Correlations between ultrasonography and clinical variables were searched to assess external validity...
October 2016: Joint, Bone, Spine: Revue du Rhumatisme
https://www.readbyqxmd.com/read/26668529/thyroid-cancer-incidence-in-simultaneous-thyroidectomy-with-parathyroid-surgery
#7
Selman Emirikçi, Beyza Özçınar, Gizem Öner, Nail Omarov, Orhan Ağcaoğlu, Yiğit Soytaş, Nihat Aksakal, Fatih Yanar, Umut Barbaros, Yeşim Erbil
OBJECTIVE: Primary hyperparathyroidism (PHPT) is often seen in conjunction with an underlying thyroid disorder. Imaging methods that are used to localize the parathyroid adenoma also detect associated thyroid nodules and thyroid cancer. The aim of this study was to detect the rate of thyroid cancer identified while performing parathyroidectomy and thyroidectomy in patients with PHPT. MATERIAL AND METHODS: Files of all patients who were operated for PHPT and who underwent simultaneous thyroidectomy were analyzed...
2015: Ulusal Cerrahi Dergisi
https://www.readbyqxmd.com/read/26536649/-yellow-nail-syndrome-associated-with-chronic-sinusitis-and-recurrent-pneumonias
#8
Claudia Schummer, Jörg Tittelbach, Matthias Oehler, Thomas Höhn, Peter Elsner
HISTORY AND CLINICAL FINDINGS: In a 58-year-old man progressive yellowing of all nails was associated with the diagnosis of chronic rhinosinusitis and COPD, later the COPD exacerbated with pneumonias. INVESTIGATIONS: Repeated fungal cultures and polymerase chain reactions to detect fungal DNA in order to exclude Onychomycosis, chest X-ray, computed tomography of the lung, extended pulmonary function tests, ECG, echocardiography and abdominal ultrasonography were performed and had normal results...
November 2015: Deutsche Medizinische Wochenschrift
https://www.readbyqxmd.com/read/26343088/ultrasonography-in-psoriatic-disease
#9
REVIEW
Mihaela Elena Marina, Carolina Botar Jid, Iulia Ioana Roman, Carmen Mihaela Mihu, Alexandru Dumitru Tătaru
Psoriasis represents a common, chronic inflammatory disease involving the skin, nails and joints. Nail psoriasis in usually investigated and diagnosed by clinical examination. New insights support ultrasonography as being a non-invasive reliable imaging technique for studying nail and skin involvement in patients with psoriasis. Power Doppler frequency, higher than 10MHz enables a very sensitive detection and semiquantitative assessment of the blood flow at the dermal level and in the nail bed. In this review we will present the main US findings in skin and nail psoriasis, and discuss the importance of ultrasonography in diagnosing and monitoring psoriasis vulgaris...
September 2015: Medical Ultrasonography
https://www.readbyqxmd.com/read/26015884/glomus-tumor-of-the-hand
#10
Won Lee, Soon Beom Kwon, Sang Hun Cho, Su Rak Eo, Chan Kwon
BACKGROUND: Glomus tumors were first described by Wood in 1812 as painful subcutaneous tubercles. It is an uncommon benign neoplasm involving the glomus body, an apparatus that involves in thermoregulation of cutaneous microvasculature. Glomus tumor constitutes 1%-5% of all hand tumors. It usually occurs at the subungual region and more commonly in aged women. Its classical clinical triad consists of pain, tenderness and temperature intolerance, especially cold sensitivity. This study reviews 15 cases of glomus tumor which were analyzed according to its anatomic location, surgical approach and histologic findings...
May 2015: Archives of Plastic Surgery
https://www.readbyqxmd.com/read/25807093/general-applications-of-ultrasound-in-rheumatology-why-we-need-it-in-our-daily-practice
#11
REVIEW
Santiago Ruta, Anthony M Reginato, Carlos Pineda, Marwin Gutierrez
Ultrasound (US) is a noninvasive imaging technique that continues to gain interest among rheumatologists because of its undoubted utility for the assessment of a wide range of abnormalities in rheumatic diseases. It also has a great potential to be used at the time of consultation as an extension of the clinical examination.Current data demonstrate that the standard clinical approach could result in an insensitive assessment of some the different aspects of the various rheumatic diseases for which US has become a feasible and effective imaging modality that allows early detection of anatomical changes, careful guidance for the aspiration and/or local treatment, and short- and long-term therapy monitoring at the joint, tendon, enthesis, nail, and skin levels...
April 2015: Journal of Clinical Rheumatology: Practical Reports on Rheumatic & Musculoskeletal Diseases
https://www.readbyqxmd.com/read/25797649/ultrasonographic-wrist-and-hand-abnormalities-in-early-psoriatic-arthritis-patients-correlation-with-clinical-dermatological-serological-and-genetic-indices
#12
COMPARATIVE STUDY
Francesca Bandinelli, Valentina Denaro, Francesca Prignano, Ledio Collaku, Giovanni Ciancio, Marco Matucci-Cerinic
OBJECTIVES: The aims of our study are to describe the wrist and hand ultrasound (US) abnormalities compared to clinical examination in early psoriatic arthritis (ePsA) and to analyse their correlation with clinical, dermatological, serological and genetic indices. METHODS: We analysed 1120 fingers and 224 wrists of 112 early PsA, with MyLab70 Xview (Esaote, linear probe) ultrasound (US). Power Doppler active synovitis (AS), erosions, finger tendons tenosynovitis or peritendinitis (TP) and pseudotenosynovitis (PT), were compared to clinical (BASDAI, SHAQ), dermatological (PASI and psoriasis aspects), serological (ESR, CRP, ACPA) and genetic (HLA haplotypes) indices...
May 2015: Clinical and Experimental Rheumatology
https://www.readbyqxmd.com/read/25233166/ultrasound-monitoring-of-fracture-healing-is-this-the-end-of-radiography-in-fracture-follow-ups
#13
COMPARATIVE STUDY
Sourabh Chachan, Barsha Tudu, Biswajit Sahu
OBJECTIVE: To compare the efficacy of ultrasonography (US) versus radiography (XR) in monitoring fracture healing. DESIGN: Prospective diagnostic follow-up study. SETTING: Department of Orthopaedics, Level II trauma center. PATIENTS: Forty-eight acute closed tibial mid diaphysis fracture (OTA 42-A and B) treated by closed reduction and internal fixation with a reamed statically locked tibial interlocking nail between October 2011 and October 2012...
March 2015: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/25192411/a-penetrating-nail-prick-injury-of-the-lateral-plantar-artery-leading-to-pseudo-aneurysm-formation-and-rupture
#14
REVIEW
Emrah Şişli, Ali İhsan Hasde, Mustafa Mavi, Suat Dursun
Pseudo-aneurysm in the plantar region is so rare that there are only sporadic case reports in the literature. The aetiology is usually either iatrogenic or stepping on a piece of glass. In comparison to the medial plantar artery, the lateral plantar artery is the most common arterial structure injured in the plantar region due to its more superficial course and it being less protected by the surrounding structures. With variable presentation and different time intervals from injury to diagnosis, the mechanism and penetration depth of the injury is thought to have a major impact on the formation of a pseudo-aneurysm...
July 2014: Cardiovascular Journal of Africa
https://www.readbyqxmd.com/read/25180999/-new-imaging-procedures-in-rheumatology-from-bench-to-bedside
#15
REVIEW
P Sewerin, B Ostendorf
Modern imaging procedures play an import role in diagnostic and therapy-control in rheumatic diseases. Reasons are the continuous development, the evaluation and the implementation in local / international guidelines and classification criteria. According to new therapeutic goals and the aim of clinical and radiological remission the early diagnosis and sufficient therapy-control is unalterable. The ultrasound is today an inherent tool in the early diagnosis of joint- and vascular diseases and is used comprehensively in rheumatic diseases...
September 2014: Deutsche Medizinische Wochenschrift
https://www.readbyqxmd.com/read/25109160/ultrasound-guided-interscalene-supraclavicular-block-for-an-intramedullary-nailing-of-a-pathologic-humeral-fracture-practical-application-of-ultrasound-guided-regional-anesthesia
#16
Christian R Falyar, Eric C Grossman
Fractures of the proximal upper extremity present a challenge to the anesthesia provider when administering a regional anesthetic because the dermatomal distribution of the upper extremity requires more local anesthetic coverage than any single brachial plexus nerve block can provide. A 60-year-old woman underwent intramedullary nailing of a pathologic humeral fracture using a combination of regional and general anesthesia. This case study shows how ultrasound guidance permitted the performance of both an interscalene and supraclavicular nerve block for a single procedure without the increased volume of local anesthetic that would normally be required, while still providing complete coverage of the entire upper extremity...
June 2014: AANA Journal
https://www.readbyqxmd.com/read/24901593/subungual-schwannoma-with-clinical-sonographic-and-histologic-correlation
#17
Rosamary Soto, Maria Jose Aldunce, Ximena Wortsman, Ivo Sazunic
We show an unusual presentation of a schwannoma that was located in the ungual bed of the left great toe. The clinical, color Doppler ultrasound imaging, and histologic findings are shown to illustrate the case. This type of neurogenic tumor and the ultrasound presurgical imaging support should be considered when dealing with subungual tumors of the foot.
May 2014: Journal of the American Podiatric Medical Association
https://www.readbyqxmd.com/read/24867781/effects-of-fat-accumulation-in-the-liver-on-hemodynamic-variables-assessed-by-doppler-ultrasonography
#18
Naile Bolca Topal, Serap Orcan, Deniz Sığırlı, Gökhan Orcan, Ülkü Eritmen
PURPOSE: To investigate the effect of various degrees of fatty liver infiltration on hepatic hemodynamics using Doppler ultrasonography. METHODS: We included 40 patients with hepatic steatosis and 20 healthy volunteers. Hepatic steatosis was quantified by a chemical shift MRI. Hepatic artery peak systolic and end-diastolic velocity, resistance index (RI) and pulsatility index (PI), hepatic vein RI and PI, portal vein RI, PI, congestion index, and peak maximum velocity were evaluated by Doppler ultrasonography...
January 2015: Journal of Clinical Ultrasound: JCU
https://www.readbyqxmd.com/read/24794490/tailored-approach-to-early-psoriatic-arthritis-patients-clinical-and-ultrasonographic-predictors-for-structural-joint-damage
#19
Yasser El Miedany, Maha El Gaafary, Sally Youssef, Ihab Ahmed, Annie Nasr
This study aims to identify the clinical predictors of arthritis in patients with psoriasis and to evaluate the use of musculoskeletal ultrasonography (US) as a predictor for inflammatory structural progression in psoriatic patients. Measures of association (odds ratio (OR)) were tested, in a prospective, cohort 1-year follow-up study, between structural deterioration and the presence of baseline inflammation, or its persistence. One hundred twenty-six psoriatic patients were prospectively evaluated both clinically and by US at 0, 6, and 12 months for synovitis/ joint damage, enthesitis, and onychopathy...
February 2015: Clinical Rheumatology
https://www.readbyqxmd.com/read/24751589/subungual-glomus-cell-proliferation-in-the-toe-a-case-report
#20
Jeong Ho Seo, Ho Seong Lee, Sang Woo Kim, Jae Jung Jeong, Young Rak Choi
Glomus tumors are rare benign neoplasms. They typically present with a triad of severe pain, point tenderness, and cold sensitivity. Most glomus tumors will form well-circumscribed nodules, and excisional biopsy of masses detected by ultrasonography or magnetic resonance imaging of the lesion can relieve the symptoms. We describe a 30-year-old female patient with nontumorous glomus cell proliferation with clinical symptoms similar to those of glomus tumors. The lesion was treated by exploration and excision, with a satisfactory clinical outcome...
September 2014: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
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