keyword
https://read.qxmd.com/read/33623758/pediatric-cervical-hemivertebrae-a-rare-case-presentation-in-a-3-year-old-child
#21
Aniket M Gupta, Jayprakash V Modi, Pratik H Israni, Deepak Agrawal, Shrey K Desai, Nirav Mungalpara
Introduction: Hemi vertebrae are very rarely seen at a cervical level which results in kyphotic deformity without coronal tilt. Vertebral formation defects have been the basis of congenital kyphoscoliosis deformity in the pediatric age group. Cervical spine kyphosis more than 10° along with kinking of cord at a single level results in neurodeficits which require urgent management on the lines of decompression, realignment, and bony fusion to prevent recurrence and failure and to achieve superior outcomes...
July 2020: Journal of Orthopaedic Case Reports
https://read.qxmd.com/read/33508965/distal-tibiofibular-syndesmotic-widening-in-progressive-collapsing-foot-deformity
#22
JOURNAL ARTICLE
Elijah Auch, Nacime Salomao Barbachan Mansur, Thiago Alexandre Alves, Christopher Cychosz, Francois Lintz, Alexandre Leme Godoy-Santos, Daniel Soares Baumfeld, Cesar de Cesar Netto
BACKGROUND: Lateral overload in progressive collapsing foot deformity (PCFD) takes place as hindfoot valgus, peritalar subluxation, and valgus instability of the ankle increase. Fibular strain due to chronic lateral impingement may lead to distraction forces over the distal tibiofibular syndesmosis (DTFS). This study aimed to assess and correlate the severity of the foot and ankle offset (FAO) as a marker of progressive PCFD with the amount of DTFS widening and to compare it to controls...
January 29, 2021: Foot & Ankle International
https://read.qxmd.com/read/33272074/hamstring-autograft-and-anatomical-footprint-evaluation-for-anterior-talofibular-ligament-reconstruction-cadaveric-study
#23
JOURNAL ARTICLE
Nazım Karahan, Murat Kaya, Barış Yılmaz, Demet Pepele Kurdal, Elif Nedret Keskinoz, Esma Esin Derin Çiçek
PURPOSE: The aim of the study was to evaluate whether or not there was any incompatibility between two-strand hamstring tendons taken from the same knee and the ATFL and it was the determination of suitable footprint points in the fibula and talus for anatomical ATFL reconstruction. METHODS: 16 fresh frozen cadaver specimens were dissected to gracilis and semitendinosus tendons and the anterior talofibular ligament. The origins, insertions, distances from osseous landmarks of fibular talus of ATFL were determined...
September 2020: Journal of Orthopaedic Surgery
https://read.qxmd.com/read/32405196/osteoporotic-ankle-fractures-a-narrative-review-of-management-options
#24
REVIEW
Mandeep S Dhillon, Rajesh Kumar Rajnish, Sandeep Patel, Devendra K Chouhan, Tungish Bansal
The management of Osteoporotic ankle fractures is still considered to be a challenge by many surgeons. One of the issues seems to be a lack of data focused on this special subgroup, with very little evidence of good quality. We did a narrative review of the literature in an attempt to identify the magnitude of the problem and to evaluate the evidence in support of management options.The current review of the literature has brought to light some interesting facts. Despite limited data there seems to be an in increase in the incidence of these fractures...
May 2020: Journal of Clinical Orthopaedics and Trauma
https://read.qxmd.com/read/32221217/subclinical-peroneal-neuropathy-affects-ambulatory-community-dwelling-adults-and-is-associated-with-falling
#25
JOURNAL ARTICLE
Louis H Poppler, Jenny Yu, Susan E Mackinnon
BACKGROUND: Peroneal neuropathy with an overt foot drop is a known risk factor for falling. Subclinical peroneal neuropathy caused by compression at the fibular neck is subtler and does not have foot drop. A previous study found subclinical peroneal neuropathy in 31 percent of hospitalized patients. This was associated with having fallen. The purpose of this study was to determine the prevalence of subclinical peroneal neuropathy in ambulatory adults and investigate if it is associated with falling...
April 2020: Plastic and Reconstructive Surgery
https://read.qxmd.com/read/32117608/reassessment-of-the-triassic-archosauriform-scleromochlus-taylori-neither-runner-nor-biped-but-hopper
#26
JOURNAL ARTICLE
S Christopher Bennett
The six known specimens of Scleromochlus taylori and casts made from their negative impressions were examined to reassess the osteological evidence that has been used to interpret Scleromochlus' s locomotion and phylogenetic relationships. It was found that the trunk was dorsoventrally compressed. The upper temporal fenestra was on the lateral surface of skull and two-thirds the size of the lower, the jaw joint posteriorly placed with short retroarticular process, and teeth short and subconical, but no evidence of external nares or antorbital fossae was found...
2020: PeerJ
https://read.qxmd.com/read/31929455/sub-clinical-peroneal-neuropathy-affects-ambulatory-community-dwelling-adults-and-is-associated-with-falling
#27
JOURNAL ARTICLE
Louis H Poppler, Jenny Yu, Susan E Mackinnon
BACKGROUND: Peroneal neuropathy with an overt foot drop is a known risk factor for falling. Sub-clinical peroneal neuropathy (SCPN) due to compression at the fibular neck is subtler and does not have foot drop. A previous study found SCPN in 31% hospitalized patients. This was associated with having fallen. The purpose of this study is to determine the prevalence of SCPN in ambulatory adults and investigate if it is associated with falling. METHODS: A cross-sectional study of 397 ambulatory adults presenting to outpatient clinics at a large academic hospital was conducted in 2016-2017...
January 9, 2020: Plastic and Reconstructive Surgery
https://read.qxmd.com/read/31850815/tumor-induced-osteomalacia-and-the-importance-of-plasma-fibroblast-growth-factor-23-as-an-indicator-diagnostic-delay-leads-to-a-suicide-attempt
#28
JOURNAL ARTICLE
LaRae Seemann, Sandeep Anand Padala, Azeem Mohammed, Nardos Belayneh
Tumor-induced osteomalacia is a rare hypophosphatemic disease caused by unregulated production of fibroblast growth factor 23 by a tumor, thereby inducing renal phosphate wasting and inhibiting appropriate increase of calcitriol production. Symptoms of tumor-induced osteomalacia, including muscle weakness, bone pain, and pathologic fractures, are nonspecific and warrant further workup. We report the case of a 50-year-old African American female with no known psychiatric illness who was admitted after a failed suicide attempt provoked by severe bone pain...
January 2019: Journal of Investigative Medicine High Impact Case Reports
https://read.qxmd.com/read/31268781/traumatic-hallux-varus-in-association-with-agenesis-of-the-fibular-sesamoid-a-case-study
#29
JOURNAL ARTICLE
Tracy Lee, Erik Monson
Hallux varus is most commonly seen iatrogenically following overaggressive lateral release, removal of the fibular sesamoid, or overaggressive removal of the medial eminence. There are several reported cases of traumatic hallux varus, although this is much less common. We present a case of traumatic hallux varus in a patient who was later found to have bilateral absence of her fibular sesamoids. We postulated that lack of her fibular sesamoid led to weakness of her lateral capsular ligaments, thereby making her more susceptible to this injury...
May 2019: Journal of the American Podiatric Medical Association
https://read.qxmd.com/read/30738397/peroneal-nerve-decompression-institutional-review-and-meta-analysis-to-identify-prognostic-associations-with-favorable-and-unfavorable-surgical-outcomes
#30
JOURNAL ARTICLE
Christopher Wilson, Alan P Yaacoub, Adewale Bakare, Na Bo, Abdul Aasar, Nicholas M Barbaro
OBJECTIVEA common cause of peroneal neuropathy is compression near the fibular head. Studies demonstrate excellent outcomes after decompression but include few cases (range 15-60 patients). Consequently, attempts to define predictors of good outcomes are limited. Here, the authors combine their institutional outcomes with those in the literature to identify predictors of good outcomes after peroneal nerve decompression.METHODSThe authors searched their institutional electronic medical records to identify all peroneal nerve decompressions performed in the period between December 1, 2012, and September 30, 2016, and created an IRB-approved database...
February 8, 2019: Journal of Neurosurgery. Spine
https://read.qxmd.com/read/30638643/-scald-ed-block-superficial-cutaneous-anesthesia-in-a-lateral-leg-distribution-within-the-emergency-department-a-case-series
#31
JOURNAL ARTICLE
David H Cisewski, Stephen Alerhand
BACKGROUND: In the midst of a nationwide opioid epidemic, focus has been placed on identifying and utilizing safe, effective opioid-free analgesic alternatives. Lower-extremity peripheral nerve blockades are common and often involve both motor and sensory anesthesia, resulting in leg weakness and ambulatory difficulty. The aim of this case report is to describe an ultrasound-guided peripheral nerve block technique (superficial cutaneous anesthesia in a lateral (leg) distribution within the emergency department ['SCALD-ED' block]) that provides motor-sparing, purely sensory anesthesia after a superficial injury to the lateral leg in patients presenting to the emergency department...
March 2019: Journal of Emergency Medicine
https://read.qxmd.com/read/30088054/fibular-donor-site-following-non-vascularized-harvest-clinico-radiological-outcome-at-minimal-five-year-follow-up
#32
JOURNAL ARTICLE
Anil Agarwal
PURPOSE: The long-term donor site outcome of non vascularized fibular harvest in paediatric age group is not well studied. We evaluated clinical and radiological characteristics of fibular harvest site in children at a minimum five year follow-up. METHODS: The patients with donor legs underwent both physical and radiographic examination. Clinical parameters evaluated were pain, neuromuscular weakness, and standing tibiocalcaneal hindfoot valgus in the donor limb...
August 7, 2018: International Orthopaedics
https://read.qxmd.com/read/29355794/surgical-results-of-common-peroneal-nerve-neuroplasty-at-lateral-fibular-neck
#33
JOURNAL ARTICLE
John Souter, Kevin Swong, Matthew McCoyd, Neelam Balasubramanian, Magan Nielsen, Vikram C Prabhu
BACKGROUND: Common peroneal nerve (CPN) compressive neuropathy is the most common lower-extremity entrapment neuropathy. MATERIALS AND METHODS: A retrospective review of a prospectively maintained single-institution database of all patients with CPN palsy who underwent decompression and neuroplasty over a 5-year period was performed. RESULTS: Thirty patients underwent a neuroplasty of the CPN over a 5-year period (2010-2015) at our institution...
April 2018: World Neurosurgery
https://read.qxmd.com/read/29216768/a-mysterious-case-of-complex-regional-pain-syndrome-in-a-9-year-old-girl
#34
JOURNAL ARTICLE
Angela Burian, Othmar Schuhfried, Richard Crevenna
PURPOSE: To describe the clinical manifestation and the treatment of complex regional pain syndrome type II in childhood. METHODS: Using information on the symptoms, diagnosis, rehabilitation and outcome of a young patient with complex regional pain syndrome type II. RESULTS: A 9-year -old girl had severe pain in the region of the left foot, signs of a common fibular nerve entrapment, hyperalgesia not limited to the distribution of the injured nerve, weakness and temperature asymmetry unknown origin...
December 7, 2017: Disability and Rehabilitation
https://read.qxmd.com/read/28729849/nerve-decompression-and-restless-legs-syndrome-a-retrospective-analysis
#35
JOURNAL ARTICLE
James C Anderson, Megan L Fritz, John-Michael Benson, Brian L Tracy
INTRODUCTION: Restless legs syndrome (RLS) is a prevalent sleep disorder affecting quality of life and is often comorbid with other neurological diseases, including peripheral neuropathy. The mechanisms related to RLS symptoms remain unclear, and treatment options are often aimed at symptom relief rather than etiology. RLS may present in distinct phenotypes often described as "primary" vs. "secondary" RLS. Secondary RLS is often associated with peripheral neuropathy. Nerve decompression surgery of the common and superficial fibular nerves is used to treat peripheral neuropathy...
2017: Frontiers in Neurology
https://read.qxmd.com/read/28161089/are-electrophysiological-features-related-to-disability-in-patients-with-anti-mag-neuropathy
#36
JOURNAL ARTICLE
Aude Gesquière-Dando, Emilien Delmont, Mael Launay, Jose Boucraut, Sharham Attarian
OBJECTIVES: To explore clinical-neurophysiological correlations in anti-myelin-associated glycoprotein (anti-MAG) neuropathy. METHODS: Clinical and electrophysiological data of 42 patients with anti-MAG neuropathy were retrospectively analysed. Disability was evaluated using the Overall Neuropathy Limitation Scale (ONLS), motor impairment through MRC sum score and sensory deficiency through INCAT sensory score. Compound motor action potential (CMAP) sum score was calculated adding the distal CMAP amplitude of the median, ulnar, tibial and fibular nerves of both sides...
February 2017: Clinical Neurophysiology
https://read.qxmd.com/read/27906945/ganglion-cyst-at-the-proximal-tibiofibular-joint-in-a-patient-with-painless-foot-drop
#37
JOURNAL ARTICLE
Abdulmuhsen Alsahhaf, Waleed Renno
Entrapment neuropathies of the fibular nerve and its branches are often underdiagnosed due to the lack of reliable diagnosis using clinical examination and electrophysiologic evaluation. Most fibular nerve compressions may be classified into 2 broad categories: (a) mechanical causes, which occur at fibrous or fibro-osseous tunnels, and (b) dynamic causes related to nerve injury during specific limb positioning. Foot drop resulting from weakness of the dorsiflexor muscles of the foot is a relatively uncommon presentation and closely related to L5 neuropathy caused by a disc herniation...
November 2016: Pain Physician
https://read.qxmd.com/read/27397848/rapsyn-congenital-myasthenic-syndrome-worsened-by-fluoxetine
#38
JOURNAL ARTICLE
Amy C Visser, Ruple S Laughlin, William J Litchy, Eduardo E Benarroch, Margherita Milone
INTRODUCTION: Fluoxetine is a selective serotonin reuptake inhibitor and long-lived open channel blocker of the acetylcholine receptor, often used in the treatment of slow-channel congenital myasthenic syndromes (CMS). METHODS: We report a 42-year-old woman who had a history of episodic limb weakness that worsened after initiation of fluoxetine for treatment of depression. Genetic testing for CMS revealed a homozygous pathogenic mutation in the rapsyn (RAPSN) gene (p...
January 2017: Muscle & Nerve
https://read.qxmd.com/read/27303465/ruptured-peroneal-ganglion-cyst-mri-with-surgical-correlation
#39
JOURNAL ARTICLE
Eric C Wang, Felix S Chew
We describe a case of a proximal anterior leg mass causing weak great toe dorsiflexion. The lesion was demonstrated on MR imaging as a multilocular cystic lesion within the extensor digitorum longus muscle that was connected to the proximal tibio-fibular joint by a pedicle. Fluid extravasation was present that extended inferiorly from the lesion along the fascial planes into the distal anterior lower leg. At surgery, the lesion was found to be compressing the deep peroneal nerve. The final pathologic diagnosis was peroneal ganglion cyst...
2007: Radiology Case Reports
https://read.qxmd.com/read/27117722/vascularized-fibular-grafts-extended-with-vascularized-periosteum-in-children
#40
JOURNAL ARTICLE
Francisco Soldado, Paula Diaz-Gallardo, Lidia Sena-Cabo, Ferran Torner, Josep Bergua-Domingo, Vasco V Mascarenhas, Jorge Knorr
PURPOSE: The purpose of this report is to evaluate the results of extending vascularized fibular grafts (VFG) with vascularized periosteum (VPG) in bone defect reconstruction in children. METHODS: Retrospective study of 10 children, mean age at surgery was 9.8 years (range, 4-16 years). Origin of one defect was oncological (n = 5), septical (n = 2), traumatic (n = 2), or congenital (n = 1). In five cases the flap consisted of a VFG and a vascularized epiphyseal transfer (VFET) in five...
July 2017: Microsurgery
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