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https://www.readbyqxmd.com/read/29673816/technical-nuances-of-exposing-rat-common-carotid-arteries-for-practicing-microsurgical-anastomosis
#1
Ali Tayebi Meybodi, Joseph Aklinski, Sirin Gandhi, Mark C Preul, Michael T Lawton
BACKGROUND: Animal models are commonly used in training protocols for microsurgical vascular anastomosis. Rat common carotid arteries (CCA) are frequently used for this purpose. Much attention has been paid to the technical details of various anastomosis configurations using these arteries. However, technical nuances of exposing rat CCA have been understudied. The purpose of this study is to describe nuances of technique for safely and efficiently exposing rat CCA in preparation for a vascular anastomosis METHODS: Bilateral CCAs were exposed and prepared for anastomosis in 10 anesthetized Sprague-Dawley rats through a midline cervical incision...
April 16, 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29614144/severe-right-upper-chest-pain-%C3%A2-tender-right-sternoclavicular-joint-%C3%A2-dx
#2
Louis Eubank, Samantha Wood, Tania Strout
A 16-year-old hockey player presented to our emergency department with sharp pain in his right upper chest after "checking" another player during a game. The pain did not resolve with rest and was worse with movement and breathing. The patient did not have dysphagia, dyspnea, paresthesias, or hoarseness. The physical examination revealed tenderness over the right sternoclavicular joint (SCJ) without swelling or deformity. A distal neurovascular exam was intact, and a chest x-ray showed no evidence of dislocation or fracture...
April 2018: Journal of Family Practice
https://www.readbyqxmd.com/read/29610173/sternoclavicular-arthritis-as-a-clinical-presentation-for-lyme-disease
#3
Sriram Ramgopal, Margalit Rosenkranz, Andrew J Nowalk, Noel S Zuckerbraun
Lyme disease is caused by Borrelia burgdorferi and can lead to dermatologic, neurologic, cardiac, and musculoskeletal manifestations. The arthritis of Lyme disease is typically monoarticular, with the knee being most commonly involved. Lyme arthritis of small joints has not previously been well described. We report 3 children who presented with sternoclavicular joint swelling and who were found to have Lyme disease based on enzyme-linked immunosorbent assay and Western blot. This description of sternoclavicular Lyme arthritis highlights the importance of considering Lyme disease in the differential and diagnostic workup of new onset, small joint arthritis in patients presenting from or with travel to Lyme endemic regions...
April 2018: Pediatrics
https://www.readbyqxmd.com/read/29600101/approach-to-resection-of-sternoclavicular-tumor-abutting-the-common-carotid-artery-in-irradiated-field
#4
Juan A Muñoz-Largacha, Jaromir Slama, Jeffrey Kalish, Scharukh Jalisi, Virginia R Litle, Kei Suzuki
Head and neck cancer recurrence at the sternoclavicular junction (SCJ) in irradiated field poses a special challenge in terms of surgical planning. We herein present a case of tonsillar squamous cell cancer recurrence at the SCJ in a patient with history of tracheostomy and head and neck radiation. We describe our preoperative planning for vascular control and possible reconstruction as well as our approach for safe resection.
January 2018: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/29568531/-mycobacterium-kansasii-osteomyelitis-a-masquerading-disease
#5
Kiranmai Bhatt, Krishna Banavathi
Introduction: Non-tuberculous mycobacteria (NTM) are environmental bacteria capable of causing an opportunistic myriad of infections. Mycobacterium kansasii , one such NTM, is responsible for causing pulmonary disease in immunocompromised patients. Rare extrapulmonary manifestations such as lymphadenitis, osteoarticular manifestations, and skin and soft tissue infections are also observed. Case presentation: Here, we report an unusual case of sternoclavicular joint and elbow joint infection with M...
January 2018: JMM Case Reports
https://www.readbyqxmd.com/read/29531495/pustulotic-arthro-osteitis-sonozaki-syndrome-a-case-report-and-review-of-literature
#6
Reyhan Kose, Taskin Senturk, Gokhan Sargin, Songul Cildag, Yasemin Kara
Pustulotic arthro-osteitis (PAO) is a rare chronic inflammatory disease, which has now been classified as a seronegative spondyloarthritis. The sternoclavicular and sternocostal joints, pelvis, vertebra, hip, and long bones are affected. Skin findings of the disease are accepted as a variant of pustular psoriasis, but some authors have suggested that palmoplantar pustulosis (PPP) is a different entity. The synovitis, acne, pustulosis, hyperostosis, and osteitis (SAPHO) syndrome should be considered in the differential diagnosis...
February 2018: Eurasian Journal of Medicine
https://www.readbyqxmd.com/read/29529953/sternoclavicular-joint-replacement-case-report
#7
Fabienne Marie-Louise Robertson, Ali Abdullah Mohammed, Simon Peter Frostick
INTRODUCTION: This report describes the first known sternoclavicular joint (SCJ) replacement with a custom-made prosthesis. HISTORY: A 42-year-old male who presented post left medial clavicular excision with significant pain and limited range of motion impeding his daily activities and ability to work. The patient subsequently underwent a left SCJ arthroplasty with a custom-made prosthesis. Postoperatively, the patient suffered an anterior dislocation of the prosthetic joint which was successfully rectified and stabilized with soft tissue reconstruction, creating a pseudo-capsule from adjacent tissues of the joint...
January 2018: Journal of Orthopaedic Surgery
https://www.readbyqxmd.com/read/29507030/delayed-diagnosis-of-chronic-postoperative-sternal-infection-a-rare-case-of-sternal-tuberculosis
#8
Victoria Rizzo, Yousuf Salmasi, Michael Hunter, Pushpinder Sidhu
Sternal osteomyelitis secondary to mycobacterium tuberculosis (TB) is rare, with <1% of musculoskeletal TB cases reported. The recurrent scenario is unresolving infection and delayed diagnosis. A 75-year-old woman presented with a persistently discharging sternal wound 10 months after coronary artery bypass grafting. Multiple antibiotics, wound debridement and removal of sternal wires was attempted; however, progression to local osteomyelitis and sternoclavicular joint destruction occurred. Tissue biopsies were finally sent for mycobacterial culture testing positive for Mycobacterium tuberculosis High index of suspicion is necessary for diagnosis of sternal tuberculosis, confirmed through timely microbiological investigations...
March 5, 2018: BMJ Case Reports
https://www.readbyqxmd.com/read/29507023/-kingella-kingae-sternoclavicular-osteoarthritis
#9
Sérgio Alves, Lúcia Rodrigues, Mafalda Santos, Diana Moreira
Sternoclavicular arthritis is an unusual osteoarticular infection and can be associated with severe complications. Cases in a paediatric population are infrequently reported, making this approach challenging. Kingella kingae is an agent of increasing recognition in paediatric invasive infections, principally below 2 years of age. A case of K. kingae osteoarthritis in a 17-month-old child is described with a review of the literature.
March 5, 2018: BMJ Case Reports
https://www.readbyqxmd.com/read/29507017/metastatic-mssa-infection-of-the-spine-and-extremities
#10
Yoshihiro Katsuura, Brandon Cincere, Garrick Cason, James Osborn
Here, we present a rare case of metastatic methicillin sensitive Staphylococcus aureus (MSSA) infection arising from an unknown focus and spreading throughout the lumbar spine with associated pyomyositis of the paraspinal musculature, and septic arthritis of the knee, ankle and sternoclavicular joint. This case highlights the potential for missed aspects and delay in diagnosis in the care of metastatic S. aureus and the need for multispecialty intervention. Treatment of S. aureus infections requires a high index of suspicion and careful examination of multiple organ systems to identify the full extent of the disease...
March 5, 2018: BMJ Case Reports
https://www.readbyqxmd.com/read/29489405/imaging-patterns-of-injuries-after-the-2015-amtrak-philadelphia-train-derailment
#11
Anup K Bhattacharya, Sarah Fenerty, Omer A Awan, Beverly Hershey, Gary Cohen, Padmaja Jonnalagadda, Stephen Ling, Sayed Ali
OBJECTIVE: The purpose of this article is to describe the injury patterns observed in the 2015 Philadelphia Amtrak train derailment. CONCLUSION: Fractures accounted for most observed injuries, but uncommon and potentially serious injuries included posterior sternoclavicular dislocation and mesenteric contusion. Imaging plays a critical role in the triage of patients during mass-casualty events, and familiarity with the injury patterns associated with high-velocity unrestrained blunt force trauma will aid diagnosis in any future similar occurrence...
February 28, 2018: AJR. American Journal of Roentgenology
https://www.readbyqxmd.com/read/29466828/nerve-conduction-study-of-the-three-supraclavicular-nerve-branches
#12
Carmen Martinez-Aparicio, Satu K Jääskeläinen, José M Muyor, Björn Falck
INTRODUCTION: We describe a new nerve conduction study technique with reference values for the three branches of the supraclavicular nerve (SCN) in young healthy subjects and application of it in two patients. METHODS: The recording electrode was placed on the posterior border of the sternocleidomastoid muscle, 6-7 cm from the sternoclavicular joint. SCN branches were stimulated below the clavicle, 2.5, 7 and 10.5 cm lateral to the sternoclavicular joint. RESULTS: Twenty healthy volunteers (10 men), 19-38 years, mean 25...
February 21, 2018: Muscle & Nerve
https://www.readbyqxmd.com/read/29420759/non-modifiable-risk-factors-associated-with-sternoclavicular-joint-dislocations-in-the-u-s-military
#13
Baris Gun, Robert Dean, Beatrice Go, Catherine Richardson, Brian R Waterman
INTRODUCTION: Sternoclavicular joint (SCJ) dislocations, although uncommon, are observed in patients with ligamentous laxity as well as those who experience traumatic injuries. The incidence and epidemiology of this costly and debilitating injury to our relatively young and active military population have not previously been reported. The purpose of this study is to consider and quantify the non-modifiable risk factors associated with this injury. METHODS: Using Defense Medical Epidemiological Database, first-time occurrences, from 2006 to 2015 for the ICD-9-CM code 839...
February 6, 2018: Military Medicine
https://www.readbyqxmd.com/read/29399461/figure-of-8-reconstruction-technique-for-chronic-posterior-sternoclavicular-joint-dislocation
#14
Dean Wang, Christopher L Camp, Brian C Werner, Joshua S Dines, David W Altchek
Dislocation of the sternoclavicular joint is a rare injury and typically requires high-energy forces applied through the joint. Initial treatment is dependent on the direction of dislocation, with acute reduction indicated for posterior dislocations presenting with signs of tracheal, esophageal, or neurovascular compression. Although most patients do well with conservative treatment after the initial trauma, some can have persistent pain and scapular dyskinesia due to instability or locked dislocation of the sternoclavicular joint...
October 2017: Arthroscopy Techniques
https://www.readbyqxmd.com/read/29399453/arthroscopic-excision-of-the-sternoclavicular-joint
#15
Graham Tytherleigh-Strong, Lee Van Rensburg
Osteoarthritis changes at the sternoclavicular joint (SCJ) have been shown to be present on computed tomography in more than 90% of people over the age of 60 years. Although usually asymptomatic, when symptoms do occur, they can be very debilitating. Most patients respond favorably to conservative treatment, but there is a small cohort of patients who continue to be symptomatic despite adequate conservative treatment. Surgical management with an open SCJ excision has been shown to give satisfactory results...
October 2017: Arthroscopy Techniques
https://www.readbyqxmd.com/read/29375903/chest-wall-underappreciated-structure-in-sonography-part-ii-non-cancerous-lesions
#16
REVIEW
Andrzej Smereczyński, Katarzyna Kołaczyk, Elżbieta Bernatowicz
The chest wall is a vast and complex structure, hence the wide range of pathological conditions that may affect it. The aim of this publication is to discuss the usefulness of ultrasound for the diagnosis of benign lesions involving the thoracic wall. The most commonly encountered conditions include sternal and costal injuries and thoracic lymphadenopathy. Ultrasound is very efficient in identifying the etiology of pain experienced in the anterior chest wall following CPR interventions. Both available literature and the authors' own experience prompt us to propose ultrasound evaluation as the first step in the diagnostic workup of chest trauma, as it permits far superior visualization of the examined structures compared with conventional radiography...
December 2017: Journal of Ultrasonography
https://www.readbyqxmd.com/read/29354440/sternoclavicular-joint-reconstruction-in-the-setting-of-medial-comminuted-clavicle-fracture
#17
George Sanchez, Nicholas I Kennedy, Márcio B Ferrari, Angela Chang, Matthew T Provencher
A dislocation of the sternoclavicular joint is a particularly threatening injury given the close proximity of neighboring vital structures. Moreover, a traumatic injury resulting in a comminuted fracture of the medial clavicle in addition to joint instability results in even greater complexity. In the setting of sternoclavicular joint instability, definitive treatment that will lead to complete resolution of symptoms is necessary. Various treatment methods, both conservative and operative, with positive treatment outcomes have been described...
August 2017: Arthroscopy Techniques
https://www.readbyqxmd.com/read/29316904/locking-plate-for-treating-traumatic-sternoclavicular-joint-dislocation-a-case-series
#18
Rongguang Ao, Yalong Zhu, Jianhua Zhou, Zhen Jian, Jifei Shi, Cheng Li, Wankun Hu, Baoqing Yu
BACKGROUND: Traumatic sternoclavicular joint dislocations are rare; closed reduction is the primary treatment. The failure of closed reduction or a prominent insult to the skin may require surgery to ensure the best possible outcome. METHODS: The records of 5 patients operated at our institution for sternoclavicular joint dislocation were reviewed. All patients were treated with open reduction and single 3.5-mm locking plate was used for fixation. Outcomes were evaluated with the Constant Shoulder Score (CSS) and Disability of the Arm, Shoulder, and Hand (DASH) questionnaire...
January 9, 2018: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/29287855/branchial-anomalies-in-children-a-report-of-105-surgical-cases
#19
Wanpeng Li, Hongming Xu, Liming Zhao, Xiaoyan Li
BACKGROUND: Branchial anomalies (BAs) account for 20% of all congenital masses in children. We sought to review the incidence of involvement of individual anomalies, diagnostic methods, surgical treatment, and complications of BAs in children. In addition, we also classified our study and analyzed a congenital lower neck cutaneous fistula near the sternoclavicular joint that was thought to be the skin-side remnant of the fourth BAs. METHODS: We conducted a retrospective analysis of 105 children who were referred to our hospital from June 2009 to December 2016 for the treatment of BAs...
January 2018: International Journal of Pediatric Otorhinolaryngology
https://www.readbyqxmd.com/read/29249550/sternoclavicular-joint-infection-presenting-as-nonspecific-chest-pain
#20
Scott A McAninch, Clinton Smithson, Andrew L Juergens, Jason N Collins, Amrita Nanda
BACKGROUND: Sternoclavicular joint infection (SJI), to include septic arthritis (SA), is a rare cause of chest pain and is often found in patients with significant risk factors and sources for SA. Most acute care laboratory results lack significant sensitivity to rule out SA. Radiographic findings in common acute care imaging often does not reveal findings of SA and osteomyelitis in the acute phase of the infection. CASE REPORT: We present a patient without significant risk factors for SA, who initially presented with 3 days of pain to the left chest, left neck and shoulder...
February 2018: Journal of Emergency Medicine
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