keyword
https://read.qxmd.com/read/33407335/clinical-results-of-arthroscopic-tight-fibrous-band-release-for-adult-moderate-to-severe-gluteal-fibrosis-using-anterior-and-posterior-portals-a-retrospective-analysis-of-118-consecutive-cases
#21
JOURNAL ARTICLE
Shu-Guang Gao, Wei-Jie Liu, Ming Yang, Jing-Ping Li, Chao Su, Shi-da Kuang, Jie-Peng Xiong, Ke Chou, Zhi-Yong He, Liang-Jun Li
BACKGROUND: To evaluate the clinical outcomes of arthroscopic tight fibrous band release in the treatment of adult moderate-to-severe gluteal fibrosis using anterior and posterior portals during mid-term follow-up. METHODS: The data of 138 patients (58 males, 80 females) aged between 18 and 42 years (mean, 28.6 years), presenting with bilateral moderate-to-severe gluteal fibrosis (GF) from October 2013 to August 2019, was retrospectively analyzed. All patients underwent arthroscopic tight fibrous band release using anterior and posterior portals with radiofrequency energy...
January 6, 2021: BMC Musculoskeletal Disorders
https://read.qxmd.com/read/33208662/evaluation-of-longitudinal-and-tubular-compression-treatment-for-lower-limb-edema
#22
JOURNAL ARTICLE
R Gary Sibbald, James A Elliott, Patricia Coutts, Reneeka Persaud-Jaimangal
BACKGROUND: Many patients with lower limb edema do not tolerate traditional higher-pressure compression devices and require alternative devices for edema control. METHODS: Two systems were evaluated for control of bilateral or unilateral lower limb edema: an elasticized longitudinal stockinette (ELS; EdemaWear; Compression Dynamics, Omaha, Nebraska) and an elasticized tubular bandage (ETB; Tubigrip; Mölnlycke Health Care, Norcross, Georgia). Twenty-five patients were recruited; patients with bilateral edema (n = 12) wore the ELS on one limb, and the ETB on the other...
December 2020: Advances in Skin & Wound Care
https://read.qxmd.com/read/33194135/acute-diverticulitis-masquerading-as-unilateral-sciatica-like-symptoms
#23
Victoria Novoselova, Alexandre Lacasse
A 66 year-old female presented with Systemic Inflammatory Response Syndrome (SIRS), severe left thigh pain, and localized edema. Non-contrast Computed Tomography (CT) suggested the presence of air in the left thigh and no evidence of an acute intra-abdominal process. Blood cultures grew an anaerobic gram-negative microorganism identified as Bacteroides fragilis . Repeat CT imaging with intravenous (IV) contrast revealed acute diverticulitis and the presence of a retroperitoneal abscess with extension to the thigh muscle...
October 29, 2020: Journal of Community Hospital Internal Medicine Perspectives
https://read.qxmd.com/read/32659799/water-reductive-effect-of-lymphaticovenular-anastomosis-on-upper-limb-lymphedema-bioelectrical-impedance-analysis-and-comparison-with-lower-limb-lymphedema
#24
JOURNAL ARTICLE
Yoshichika Yasunaga, Daisuke Yanagisawa, Yuta Nakajima, Shinei Mimura, Miharu Kobayashi, Shunsuke Yuzuriha, Shoji Kondoh
BACKGROUND:  We previously examined the water reductive effect of lymphaticovenular anastomosis (LVA) using bioelectrical impedance analysis (BIA) measurement on lower-limb lymphedema and revealed mean water volume reduction and edema reduction rate by leg LVA to be 0.86 L and 45.1%, respectively. This study aimed to clarify the water reductive effect of LVA on arm lymphedema and compare its results with those for leg lymphedema. PATIENTS AND METHODS:  The efficacy of LVA for unilateral arm lymphedema was evaluated using BIA in a retrospective cohort...
November 2020: Journal of Reconstructive Microsurgery
https://read.qxmd.com/read/32431556/may-thurner-syndrome-%C3%AF-a-neglected-cause-of-unilateral-leg-swelling
#25
Ehab Badawy, Mohammed A Seif, Amr Elmoheen
May-Thurner syndrome (MTS) is a clinical condition characterized by the compression of the left iliac vein by the right iliac artery. This condition predisposes the patient to deep venous thrombosis (DVT). We present the case of a 30-year-old female who arrived at the emergency department of our facility with progressive left leg swelling for four weeks, with low-risk probability for DVT. Examination revealed left leg swelling with pitting edema extending up to the knee. Her calf muscle was tender to palpation...
2020: Open Access Emergency Medicine: OAEM
https://read.qxmd.com/read/32209243/evaluation-and-selection-of-lower-limb-lymphedema-patients-for-lymphaticovenular-anastomosis-a-prospective-study
#26
JOURNAL ARTICLE
Martina Kristiansen, Martin Halle, Marco Pignatti, Ann-Charlott Docherty Skogh
BACKGROUND: Lymphaticovenular anastomosis (LVA) with supramicrosurgical technique has recently gained popularity as a treatment method for patients with lymphedema. The aim of this study was to prospectively evaluate objective changes in leg volume in patients operated with LVA for lymphedema in the lower extremity, and to find positive predictors for the treatment method to facilitate the location of the venules and lymphatic vessels. PATIENTS & METHODS: 31 consecutive patients with lymphedema in the lower extremity and positive pitting test were examined with lymphoscintigraphy and indocyanine green (ICG) lymphography...
December 2020: Injury
https://read.qxmd.com/read/32037213/the-james-a-rand-young-investigator-s-award-traditional-intravenous-fluid-vs-oral-fluid-administration-in-primary-total-knee-arthroplasty-a-randomized-trial
#27
RANDOMIZED CONTROLLED TRIAL
Jason M Jennings, Mauricio Mejia, Michael A Williams, Roseann M Johnson, Charlie C Yang, Douglas A Dennis
BACKGROUND: Optimal perioperative fluid management has not been established in patients undergoing orthopedic surgical procedures. Our purpose was to investigate the effects of perioperative fluid management (ie, preoperative, intraoperative, and postoperative) on patients undergoing total knee arthroplasty (TKA). METHODS: One hundred thirty patients who met inclusion criteria undergoing primary unilateral TKA were prospectively randomized into traditional (TFG) vs oral (OFG) perioperative fluid management groups...
June 2020: Journal of Arthroplasty
https://read.qxmd.com/read/31911886/protein-losing-gastroenteropathy-with-severe-hypoalbuminemia-associated-with-sj%C3%A3-gren-s-syndrome-a-case-report-and-review-of-the-literature
#28
Tetsuya Akaishi, Ken Yasaka, Michiaki Abe, Hiroshi Fujii, Mika Watanabe, Tsuyoshi Shirai, Kota Ishizawa, Shin Takayama, Yutaka Kagaya, Hideo Harigae, Tadashi Ishii
A 30-year-old man with severe hypoalbuminemia (serum albumin: 0.9 g/dL) was admitted with severe bilateral leg edema and unilateral pleural effusion. Serum anti-SS-A and SS-B antibody levels were abnormally elevated, and his symptoms fulfilled the diagnostic criteria for Sjögren's syndrome. Technetium-99m albumin scintigraphy revealed protein leakage from a large area of the small intestine. Immunohistochemistry revealed perivascular deposition of C1q, C3d, and immunoglobulin G in the duodenal mucosa. The patient was diagnosed with protein-losing gastroenteropathy associated with Sjögren's syndrome...
January 2020: Journal of General and Family Medicine
https://read.qxmd.com/read/31539068/unilateral-leg-edema-erdheim-chester-disease
#29
JOURNAL ARTICLE
L Uliel, A Schattner, E Nissim, I Dubin
No abstract text is available yet for this article.
February 1, 2020: QJM: Monthly Journal of the Association of Physicians
https://read.qxmd.com/read/31231056/indocyanine-green-lymphography-findings-in-older-patients-with-lower-limb-lymphedema
#30
JOURNAL ARTICLE
Shuhei Yoshida, Isao Koshima, Hirofumi Imai, Ayano Sasaki, Yumio Fujioka, Shogo Nagamatsu, Kazunori Yokota, Mitsunobu Harima, Shuji Yamashita, Kensuke Tashiro
OBJECTIVE: Lymphedema is classified as primary or secondary according to the underlying cause. Primary lymphedema is hereditary and is considered a consequence of an inherited abnormality of the lymphatic system. Secondary lymphedema, however, is a consequence of lymphatic failure resulting from trauma, parasitic infection, or iatrogenic obstruction. Primary lymphedema is divided into three broad groups, namely, lymphedema congenita, lymphedema praecox, and lymphedema tarda. With the exception of lymphedema tarda, it is thought that age-related deterioration in lymphatic pump function is caused by oxidative stress...
June 20, 2019: Journal of Vascular Surgery. Venous and Lymphatic Disorders
https://read.qxmd.com/read/30815356/chylothorax-after-spinal-fusion-surgery-a-case-report-and-literature-review
#31
Kazutoshi Toriyama, Nariaki Kokuho, Chika Yajima, Junichiro Kawagoe, Yuuki Togashi, Takao Tsuji, Hideaki Nakayama, Shinji Abe
Chylothorax is reported as a postoperative complication, mainly in the field of thoracic surgery, but there are only 14 reports in the field of spinal surgery. A 64-year-old woman underwent spinal fusion surgery by the anterior and posterior approach for her scoliosis. She developed leg edema and right pleural effusion 2 months after the surgery. Laboratory findings showed decreased total protein and albumin levels in serum. The color of the thoracentesis sample was pinkish white, and the Triglyceride level in the pleural effusion was high...
2019: Respiratory Medicine Case Reports
https://read.qxmd.com/read/30516529/unilateral-leg-edema-is-it-always-vascular
#32
JOURNAL ARTICLE
Ferit Onur Mutluer, Cenk İndelen, Neris Dinçer, Gamze Aslan, Mehmet Şanser Ateş
Unilateral lower extremity edema below the knee commonly results from deep venous thrombosis, venous insufficiency, or lymphedema. The patient history, a physical examination, and lower extremity venous duplex ultrasound often reveal the underlying etiology, which is frequently of vascular origin. Presently described is the case of a 23-year-old patient who underwent a diagnostic workup for unilateral leg swelling and was found to have a relatively uncommon cause of edema: lipedema. Lipedema is a disease characterized by subcutaneous adipose tissue deposition, and although diagnosed very rarely in general cardiology outpatient clinics, it has been demonstrated to be a cause of lower extremity edema in approximately one-fifth of cases in specialized clinics...
December 2018: Türk Kardiyoloji Derneği Arşivi: Türk Kardiyoloji Derneğinin Yayın Organıdır
https://read.qxmd.com/read/30500644/the-epidemiology-of-micro-arteriovenous-fistulas-in-the-lower-legs
#33
JOURNAL ARTICLE
Fukashi Serizawa, Miyako Tanaka, Takuya Shimizu, Daijirou Akamatsu, Masato Ohara, Hitoshi Goto, Takashi Kamei
BACKGROUND: Patients presenting with edema, skin redness, pain, and itching in their lower legs are common and encountered often in daily practice. However, although commonly recognized diseases such as deep venous thrombosis, stasis dermatitis due to varicose veins, lymphedema, and cellulitis are diagnosed correctly in most cases, micro-arteriovenous fistulas (AVFs) may often be overlooked due to low awareness and rarity. This study was carried out to evaluate the prevalence of micro-AVF in patients presenting with foot skin symptoms...
April 2019: Annals of Vascular Surgery
https://read.qxmd.com/read/30388722/bioelectrical-impedance-analysis-of-water-reduction-in-lower-limb-lymphedema-by-lymphaticovenular-anastomosis
#34
JOURNAL ARTICLE
Yoshichika Yasunaga, Daisuke Yanagisawa, Erika Ohata, Kiyoshi Matsuo, Shunsuke Yuzuriha
BACKGROUND:  Although lymphedema is fundamentally abnormal accumulation of excess water in the extracellular space, previous studies have evaluated the efficacy of physiological bypass surgery (lymphaticovenular anastomosis [LVA]) for lymphedema without measuring water volume. This study clarified the water reductive effect of LVA using bioelectrical impedance analysis (BIA). METHODS:  The efficacy of LVA for unilateral lower-limb lymphedema was evaluated using BIA in a retrospective cohort...
November 2, 2018: Journal of Reconstructive Microsurgery
https://read.qxmd.com/read/30311891/a-new-proposal-physical-examination-test-for-unilateral-lower-extremity-edema
#35
JOURNAL ARTICLE
Fatih Ada, Volkan Emren
OBJECTIVE: Patients with iliac vein compression syndrome (IVCS) usually present to the hospital with left-sided leg edema. We looked for an answer to the question: ''Can iliac vein compression syndrome (IVCS) be predicted with a reliable physical examination test in the differential diagnosis?'' Methods: We tested a new physical examination on patients with only left-sided lower extremity edema. In this physical examination the widest area of the calf point (just below tuberosity of the tibia) and medial malleolus was measured in both legs on the Trendelenburg position at 30°and repeated in standing position...
September 25, 2018: Heart Surgery Forum
https://read.qxmd.com/read/30008250/acute-onset-of-unilateral-edema-of-leg-followed-by-hemiplegia-in-an-adolescent-a-case-report
#36
JOURNAL ARTICLE
Bonnie Y Kim, Ashley S Moon, Robert Vasquez, Rajasekharan Warrier
No abstract text is available yet for this article.
October 2018: Clinical Pediatrics
https://read.qxmd.com/read/29900086/mass-compression-from-recurrent-lymphoma-mimicking-lower-extremity-cellulitis
#37
JOURNAL ARTICLE
David G Li, Katherine M Krajewski, Arash Mostaghimi
Cellulitis is a common skin and soft tissue infection with substantial misdiagnosis rates due to its nonspecific clinical characteristics. In this report, we present a patient with recurrent metastatic diffuse large B-cell lymphoma (DLBCL) masquerading as a unilateral lower extremity cellulitis. A 62-year-old man with a history of DLBCL, in remission for two years, presented with a two-week history of swelling and erythema of the right thigh and leg. Despite treatment with clindamycin and cephalexin, the redness and swelling continued to progress...
April 12, 2018: Curēus
https://read.qxmd.com/read/29607251/pseudotumor-from-metal-on-metal-total-hip-arthroplasty-causing-unilateral-leg-edema-case-presentation-and-literature-review
#38
REVIEW
Caleb W Grote, Paul C Cowan, David W Anderson, Kimberly J Templeton
Metal-on-metal (MoM) total hip arthroplasty (THA) can be associated with adverse metal reactions, including pseudotumors. This case report describes a 58-year-old female with an MoM THA-related pseudotumor that caused unilateral leg edema from compression of her external iliac vein. After thorough preoperative workup to rule out infection and deep vein thrombosis and consultation with a vascular surgeon, the patient underwent revision THA and excision of her pseudotumor. She had complete resolution of her swelling at 4 years after surgery...
2018: BioResearch Open Access
https://read.qxmd.com/read/29098102/compression-of-the-femoral-vessels-by-a-pseudotumor-after-metal-on-metal-total-hip-arthroplasty
#39
JOURNAL ARTICLE
Yasuaki Tamaki, Tomohiro Goto, Takahiko Tsutsui, Tomoya Takasago, Keizo Wada, Koichi Sairyo
Here we present a case of pseudotumor following total hip arthroplasty (THA) that resulted in a circulatory disturbance caused by compression of the femoral vasculature. A 63-year-old man presented with pain, swelling, and redness of the left leg 5 years after primary metal-on-metal THA using the AML-Plus stem, Pinnacle® acetabular cup, and 36 mm diameter Ultamet™ metal head system (DePuy Orthopaedics, Warsaw, IN). Enhanced computed tomography and magnetic resonance imaging revealed a large cystic lesion extending from the left hip anteriorly to the intrapelvic region and compressing the left femoral vessels...
2017: Case Reports in Orthopedics
https://read.qxmd.com/read/28956956/edema-areas-of-calves-measured-with-magnetic-resonance-imaging-as-a-novel-indicator-for-early-staging-of-lower-extremity-lymphedema
#40
JOURNAL ARTICLE
Li Wang, Xiaoying Wu, Mingfeng Wu, Zizhou Zhao, Hui Tang, Suqin Li, Lianming Wu, Shiteng Suo, Qing Lu
BACKGROUND: Staging of lower extremity lymphedema (LEL) is difficult in clinical work. The excellent soft tissue contrast of magnetic resonance imaging (MRI) enables soft tissue changes to be feasibly and reproducibly characterized and distinguished. AIM: To determine whether cross-section areas of edema calves measured with MRI could be useful for staging of the LEL. MATERIALS AND METHODS: We recruited 138 participants who were clinically diagnosed with LEL: 61 unilateral and 77 bilateral LEL...
June 2018: Lymphatic Research and Biology
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