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https://www.readbyqxmd.com/read/28645215/upper-extremity-trauma-resulting-from-agricultural-accidents-mechanism-and-severity-for-patients-with-and-without-upper-extremity-injury
#1
Louis C Grandizio, Benjamin Wagner, Jove Graham, Joel C Klena
BACKGROUND: Farming remains the most dangerous occupation in the United States and upper extremity (UE) injuries occur frequently in agricultural accidents. The purpose of this study is to describe the injury mechanisms, severity, and health care costs of UE injuries resulting from agricultural accidents and to compare patients with and without injuries to the UE. METHODS: We performed a 6-year retrospective review of our level I trauma center registry from January 2006 to May 2013, identifying all patients injured in an agricultural accident...
June 1, 2017: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/28636057/symmetrical-brachydactyly-in-a-dog
#2
Megan T Cray, Ursula Krotscheck, Anthony J Fischetti, Kim Tong
Congenital malformations of the canine manus and pes are infrequently reported in the veterinary literature. This includes brachydactyly which is a general term used to indicate the shortening of digits due to abnormal development of the phalanges, metacarpals, or metatarsals. This case report describes isolated brachydactyly in a one-year-old male Maremma Sheepdog affecting all of the phalanges, metacarpals, and metatarsals of digits two through five. This condition was confirmed by determining the length of each phalanx, metacarpal, and metatarsal of the affected dog as well as an unaffected littermate...
June 21, 2017: Veterinary and Comparative Orthopaedics and Traumatology: V.C.O.T
https://www.readbyqxmd.com/read/28633787/the-disappearing-phalanx-a-case-report-of-a-vascular-tumor-of%C3%A2-the%C3%A2-toe
#3
Bridget DeSandis, Sydney C Karnovsky, Giorgio Perino, Mark C Drakos
We report a unique case of an epithelioid hemangioma of the third middle phalanx in which the lesion replaced the phalanx, became symptomatic, and then required resection, bone grafting, and joint arthroplasty. To the best of our knowledge, this is the first report of an epithelioid hemangioma in the toe that was treated using this approach.
July 2017: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/28619973/marjolin-s-squamous-cell-carcinoma-of-the-hallux-following-recurrent-ingrown-toenail-infections
#4
Wahid Abdul, Barry James O'Neill, Anthony Perera
Marjolin's squamous cell carcinoma (SCC) affecting the toe is rare. Due to resemblance with benign conditions it can often result in misdiagnosis. We report a case of Marjolin's SCC affecting the proximal hallux in a patient with recurrent ingrown toenail infections. A 58-year-old woman with a background of wedge resections for ingrown toenail and distal phalanx amputation for osteomyelitis presented with pain and hyperkeratotic raised ulcer around the proximal phalanx. MRI scan revealed soft tissue mass infiltrating the proximal phalanx with biopsies confirming a SCC...
June 14, 2017: BMJ Case Reports
https://www.readbyqxmd.com/read/28616779/-arthrodesis-of-the-distal-interphalangeal-joint-using-the-headless-compression-screw
#5
REVIEW
C K Spies, B Hohendorff, S Löw, L P Müller, J Oppermann, P Hahn, F Unglaub
OBJECTIVE: Arthrodesis of the distal interphalangeal joint of the fingers and interphalangeal joint of the thumb in order to gain reliable stability and function. INDICATIONS: Primary and secondary osteoarthritis, rheumatoid arthritis, defect lesions, septic joint destruction, posttraumatic joint deviation, fatal joint instability, fatal tendon lesions. CONTRAINDICATIONS: Persistent infections (empyema, osteomyelitis, phlegmon), deficient soft tissue mantle, bone/screw mismatch...
June 14, 2017: Operative Orthopädie und Traumatologie
https://www.readbyqxmd.com/read/28609554/digit-preserving-surgery-of-subungual-melanoma-a-case-series-using-vacuum-assisted-closure-and-full-thickness-skin-grafting
#6
D Crisan, J Gülke, C Janetzko, S Kastler, N Treiber, K Scharffetter-Kochanek, L A Schneider
Acrolentiginous melanoma (ALM) is the second most common nail organ tumour and frequently, affects the thumb or the great toe.(1,2) Digit amputation is still the gold standard for many surgeons;(3) it does, however, not protect against local recurrence. An alternative represents complete tumour resection with distal phalanx preservation, which has proven valuable, especially for well demarcated thinner tumours.(4,5) This article is protected by copyright. All rights reserved.
June 13, 2017: Journal of the European Academy of Dermatology and Venereology: JEADV
https://www.readbyqxmd.com/read/28607858/proximal-phalanx-osteoid-osteoma-a-case-report-and-literature-review
#7
REVIEW
Edward H Liu, Nicholas Stone, Salem Omar Alowami, Achilles Thoma
Osteoid osteoma is a rare clinical entity often mistaken for osteomyelitis, enchondroma, osteochondroma and other bony pathologies. Cardinal features include localized swelling and nocturnal pain often relieved by nonsteroidal antiinflammatory drugs. Definitive treatment requires surgical removal of the lesion by curettage or en bloc excision. The following case report details the diagnosis and management of a recurrent case of osteoid osteoma in a long finger proximal phalanx. Included with this case report is a literature review of osteoid osteomas on the hand and the anatomic distribution of 289 cases published in the last 30 years...
May 2017: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/28607607/microrna-signature-of-lung-adenocarcinoma-with-egfr-exon-19-deletion
#8
Lixia Ju, Mingquan Han, Xuefei Li, Chao Zhao
The findings of EGFR mutations and the development of targeted therapies have significantly improved the overall survival of lung cancer patients. Still, the prognosis remains poor, so we need to know more about the genetic alterations in lung cancer. MicroRNAs are dysregulated in lung cancer, and some of them can regulate EGFR. So it is very important to predict the candidate microRNAs that target mutated EGFR and to investigate the role of these candidate microRNAs in lung cancer. In this study, we investigated the difference of microRNAs expression between lung adenocarcinoma cell lines with EGFR exon 19 deletion (H1650 and PC9) and wild-type (H1299 and A549) using the Phalanx Human Whole Genome Microarray...
2017: Journal of Cancer
https://www.readbyqxmd.com/read/28599409/genomic-analysis-of-drug-resistant-small-cell-lung-cancer-cell-lines-by-combining-mrna-and-mirna-expression-profiling
#9
Yitian Chen, Xiang Yang, Yichen Xu, Jiongrui Cao, Longbang Chen
Etoposide (VP16) combined with cisplatin (DDP), as the first-line chemotherapy for small cell lung cancer (SCLC), regularly confers drug resistance. The present study applied complementary (c)DNA and micro (mi)RNA microarray to identify gene and miRNA expression profiles associated with multidrug resistance (MDR) in SCLC. The VP16/DDP (VP16 combined with DDP) resistant SCLC H446/EP cell line was derived from the parental H446 cell line by continuous exposure to increasing concentrations of etoposide and cisplatin...
June 2017: Oncology Letters
https://www.readbyqxmd.com/read/28594518/pediatric-phalanx-fractures
#10
Joshua M Abzug, Karan Dua, Andrea Sesko Bauer, Roger Cornwall, Theresa O Wyrick
Phalangeal fractures are the most common type of hand fracture that occurs in the pediatric population and account for the second highest number of emergency department visits in the United States for fractures. The incidence of phalangeal fractures is the highest in children aged 10 to 14 years, which coincides with the time that most children begin playing contact sports. Younger children are more likely to sustain a phalangeal fracture in the home setting as a result of crush and laceration injuries. Salter-Harris type II fractures of the proximal phalanx are the most common type of finger fracture...
February 15, 2017: Instructional Course Lectures
https://www.readbyqxmd.com/read/28593866/-open-digit-amputation-in-cattle-surgery-wound-healing-and-follow-up
#11
D Devaux, A Steiner, F Pipoz, K Nuss
The aim of this retrospective study was to document secondary wound healing and outcome in 20 cattle that had undergone digit amputation at the level of the distal metaphysis of the first phalanx between April 2009 and June 2015. The surgical technique for amputation was simple and fast, and granulation tissue covered the stump of the first phalanx 9 to 30 days postoperatively. Complications associated with wound healing were seen in 7 animals and in 3, a second surgery was required; all 20 cattle were discharged from the clinic...
June 2017: Schweizer Archiv Für Tierheilkunde
https://www.readbyqxmd.com/read/28589776/early-active-motion-after-rigid-internal-fixation-of-unstable-extra-articular-fractures-of-the-proximal-phalanx
#12
Y Ataker, S Uludag, S C Ece, E Gudemez
The purpose of this study is to describe active early rehabilitation in proximal phalanx fractures treated with rigid internal fixation. A total of 22 consecutive patients presenting with spiral, oblique or comminuted extra-articular fractures of the proximal phalanx were included in the study. All fractures were rigidly stabilized with plate and screws or screws alone and subsequently entered an active early rehabilitation programme. The mean follow-up period was 15.4 months (SD 10.1). Mean visual analogue scale pain score was 0...
June 1, 2017: Journal of Hand Surgery, European Volume
https://www.readbyqxmd.com/read/28580380/recurrent-dislocation-of-the-proximal-interphalangeal-joint-of-the-finger-a-rare-issue-in-hand-surgery
#13
Hossein Saremi, Ali Karbalaeikhani
Recurrent dislocation is not common in small joints. This report presents a recurrent dislocation of the proximal interphalangeal joint of the ring finger in a 23-years-old man. Recurrent dislocation was addressed successfully by repairing the avulsed volar plate to the base of the middle phalanx, followed by 6 weeks of splint immobilization.
March 2017: Archives of Bone and Joint Surgery
https://www.readbyqxmd.com/read/28579046/pathogenesis-and-treatment-of-toe-lesions-in-cattle-including-nonhealing-toe%C3%A2-lesions
#14
REVIEW
Johann Kofler
Toe lesions in cattle include apical white line disease, thin soles, toe ulcers, toe necrosis, digital dermatitis-associated toe ulcers/toe necrosis, and fracture of the claw capsule and the apex of the distal phalanx. For anatomic reasons, the early stages of toe abnormalities (thin sole, apical white line disease, toe ulcer) are at risk of developing into a bone infection. The prevalence of toe lesions differs in dairy herds and feedlots: it is low at the animal level in feedlots and dairies; however, the herd prevalence of toe lesions can reach 50% in dairy herds with endemic digital dermatitis infection...
July 2017: Veterinary Clinics of North America. Food Animal Practice
https://www.readbyqxmd.com/read/28570126/second-and-third-metatarsophalangeal-plantar-plate-tears-diagnostic-performance-of-direct-and-indirect-mri-features-using-surgical-findings-as-the-reference-standard
#15
André Fukunishi Yamada, Michel D Crema, Caio Nery, Daniel Baumfeld, Tania Szejnfeld Mann, Abdalla Y Skaf, Artur da Rocha Correa Fernandes
OBJECTIVE: The objective of our study was to assess the diagnostic performance and associations of the direct and indirect MRI features of the metatarsophalangeal (MTP) joint that are thought to be related to tears of the plantar plate (PP) using surgical findings as the reference standard. MATERIALS AND METHODS: We retrospectively included 23 patients with symptomatic instability of lesser MTP joints who had undergone preoperative 1.5-T MRI and surgical assessment...
June 1, 2017: AJR. American Journal of Roentgenology
https://www.readbyqxmd.com/read/28560172/a-case-of-osteomyelitis-of-the-toe-caused-by-coccidioidomycosis-in-a-17-year-old-with-diabetes-insipidus
#16
Ahmer Khalid, Daniel J Boken, Christine A Nelson, Vicken Y Totten
We report a case of a 17-year-old male who presented with pain in his right first toe. His pain and swelling had worsened and x-rays of his foot revealed erosive changes of the great toe distal phalanx suggesting possible osteomyelitis. His co-morbidities were morbid obesity and diabetes insipidus. He was admitted to the hospital, blood cultures were drawn, and he was started on vancomycin for presumed bacterial osteomyelitis. He underwent incision and drainage of the fluctuant abscess of the toe, where a culture of the wound was taken...
2017: IDCases
https://www.readbyqxmd.com/read/28556936/parasagittal-fractures-of-the-proximal-phalanx-in-thoroughbred-racehorses-in-the-uk-outcome-of-repaired-fractures-in-113-cases-2007-2011
#17
M R W Smith, F C Corletto, I M Wright
BACKGROUND: Thirty years have elapsed since the last published review of outcome following fracture of the proximal phalanx in Thoroughbred racehorses in the UK, and contemporary results are needed to be able to advise of expected outcome. OBJECTIVES: Collect and analyse outcome data following repair of fractures of the proximal phalanx in Thoroughbred racehorses in the UK. STUDY DESIGN: Retrospective case series. METHODS: Case records of all Thoroughbred racehorses admitted to Newmarket Equine Hospital for evaluation of a parasagittal fracture of the proximal phalanx during a 5-year period were reviewed...
May 30, 2017: Equine Veterinary Journal
https://www.readbyqxmd.com/read/28550794/minimal-resection-interposition-arthroplasty-of-the-first-metatarsophalangeal-joint
#18
Panagiotis K Givissis, Panagiotis D Symeonidis, Dimitrios M Kitridis, Dimitrios N Daskalakis, Anastasios G Christodoulou
BACKGROUND: Interposition arthroplasty of the first metatarsophalangeal (MTP) joint is a viable alternative to fusion in patients with advanced hallux rigidus. The purpose of this study is to evaluate the midterm results of a modification of the technique. METHODS: Case series of 18 interposition arthroplasties were performed on 13 female patients with Grade III-IV hallux rigidus. The technique included cheilectomy, bunionectomy when needed, minimal resection of the base of the proximal phalanx and interposition of a fascia lata allograft in the first metatarsophalangeal joint...
March 23, 2017: Foot
https://www.readbyqxmd.com/read/28549284/long-term-results-of-the-toefit-plus-replacement-for-first-metatarsophalangeal-joint-arthritis
#19
REVIEW
Shreekant Gupta, Saqib Masud
Hallux rigidus is osteoarthritis affecting the metatarsophalangeal joint of the first toe. Patients often complain of pain and stiffness with pain being aggravated by walking, particularly during toe-off in the gait cycle. Osteoarthritis of the metatarsophalangeal joint is commonly treated with arthrodesis or resection arthroplasty. Metallic replacement of this joint is used sometimes but is not widely accepted. The use of silastic joints has problems with synovitis and implant failure. The authors used titanium implants, which can be screwed into the metatarsal and phalanx, allowing good fixation without the use of bone cement...
June 2017: Foot
https://www.readbyqxmd.com/read/28544177/giant-orf-tumor-in-an-immunocompromised-patient
#20
L Polivka, P Moguelet, J F Meritet, N Ouali, C Francès, P Senet
Herein, we report the efficacy and the safety of open-spray cryotherapy in an immunocompromised woman presenting with tumor-like orf lesion. A 58-year-old woman was referred with a 4-month history of an undiagnosed, painful, ulcerated, tumor-like lesion on the last phalanx of the fifth digit of her left hand. Six months earlier, the woman had received a cadaveric kidney transplant for an indication of focal segmental glomerulosclerosis. This article is protected by copyright. All rights reserved.
May 23, 2017: Journal of the European Academy of Dermatology and Venereology: JEADV
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