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https://www.readbyqxmd.com/read/29039226/reconstruction-of-traumatic-dorsal-loss-of-the-thumb-four-different-surgical-approaches
#1
Roberto Adani, Raffaele Mugnai, Giovanna Petrella
BACKGROUND: This article outlines our methods for thumb reconstruction following dorsal skin loss injury located between the metacarpophalangeal joint (MPj) and the entire nail affecting skin, nail, tendon, and bone in different combinations but with intact sensate palmar skin. METHODS: Between 1990 and 2015, 24 patients were treated for dorsal thumb defects using 4 different surgical techniques. Five cases of dorsal compound traumatic loss were reconstructed by custom-made dorsal great toe transfer...
October 1, 2017: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/28979032/dual-infection-with-mycobacterium-tuberculosis-and-mycobacterium-leprae-at-same-site-in-an-immunocompetent-patient-an-unusual-presentation
#2
Romana Ghosh, Jayanta Kumar Barua, Abhimanyu Garg, Bhakti Pada Barman
Occurrence of two mycobacterial infections Tuberculosis & Leprosy in a single immunocompetent person and at single site is very unusual even in endemic countries like India. We report the case of 23yr old male, who previously presented with trophic ulcer under the ball of right great toe one yr back and diagnosed as a case of Multibacillary leprosy, now presented with chronic discharging sinus, ulceration, granulation and crusting over same site even under treatment with MDT MB. Such clinical presentation, in corroboration with proper diagnostic test likes AFB staining and BACTEC culture evaluation with no evidence immunosuppression prompted us to make a diagnosis of dual infection with M...
September 2017: Indian Journal of Dermatology
https://www.readbyqxmd.com/read/28974346/retrospective-analysis-of-the-akin-osteotomy
#3
Steven M Douthett, Nathan K Plaskey, Lawrence M Fallat, John Kish
Hallux abductovalgus is one of the most common deformities addressed by foot and ankle surgeons. Surgically, it can be approached using a wide variety of procedures. After performing the first metatarsal osteotomy, the final step is often to realign the great toe in a rectus position. This is performed with an osteotomy of the proximal phalanx. The Akin osteotomy is a medially based closing wedge osteotomy of the proximal phalanx. When executing the osteotomy, the goal is not only to correct abduction, but also to keep the lateral cortex intact, which allows it to act as an additional point of fixation...
September 30, 2017: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/28959448/solitary-massive-lipoma-in-the-planter-aspect-of-great-toe-presenting-as-two-masses
#4
Iyiade Olatunde Olaoye, Micheal Dapo Adesina
Lipoma is rare in the planter aspect of the toes, and only few cases of massive lipoma have been reported in this site. The differential diagnosis of masses in the foot and toes is wide, and clinical diagnosis may be challenging. Access to magnetic resonance imaging, a standard diagnostic investigation for such soft tissue masses of the foot and toes, may be limited in some practice, requiring a reliance on clinical signs. We report a solitary massive lipoma in the planter aspect of the right great toe that appeared as two masses and with modification of typical clinical signs of lipoma...
2017: SAGE open medical case reports
https://www.readbyqxmd.com/read/28866701/p40-in-metastatic-pulmonary-trophoblastic-tumour-potential-diagnostic-pitfall-on-histopathology
#5
A G Vallonthaiel, R Walia, R Pramanik, M C Sharma, D Jain
p40, one of the two isomers of p63, is nowadays widely used for diagnosis of squamous cell carcinoma, especially in subtyping non-small cell carcinoma on lung biopsies. We describe a case in which lung tumour was misdiagnosed as squamous cell carcinoma due to p40 immunopositivity. A 36-year-old lady presented with cough and left sided chest pain of 2 months duration. Chest imaging revealed a lesion in left lower lobe of the lung and biopsy was suggestive of squamous cell carcinoma. However, past history revealed amputation of great toe for non-healing discharging ulcer which on histopathology was diagnosed as choriocarcinoma...
August 2017: Malaysian Journal of Pathology
https://www.readbyqxmd.com/read/28865580/mid-term-outcomes-of-first-metatarsophalangeal-arthroplasty-using-the-primus-fgt-double-stemmed-silicone-implants
#6
Stefano Fieschi, Mo Saffarini, Luigi Manzi, Arrigo Fieschi
BACKGROUND: Silicone implants for first metatarsophalangeal (MTP-1) arthroplasty are regaining popularity, though most studies have long inclusion periods, or short follow-up. The authors aimed to report mid-term outcomes of a cohort that received a third-generation MTP-1 implant at minimum follow-up of 5 years. METHODS: The authors evaluated 70 MTP-1 arthroplasties performed in 64 patients using the Primus™ Flexible Great Toe implant. The indications were hallux rigidus of grade II (10%) and grade III (87...
September 2017: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/28857941/triple-combination-therapy-for-pincer-nail-deformity-surgical-matricectomy-thioglycolic-acid-and-anticonvex-sutures
#7
Adile Dikmen, Kadri Ozer, Mustafa Gurhan Ulusoy, Koray Gursoy, Uğur Koçer
BACKGROUND: Pincer nail deformity (PND) is characterized by an excessive transverse curvature of the nail plate that increases along the longitudinal axis of the nail. Although many conservative and surgical techniques have been used in clinical practice, an established consensus for the correction of PND has not been present yet. OBJECTIVE: Aim of the technique described in this article is to provide to restore the suitable nail-matrix system curvature by a simplified and quick approach, which could be seen as a synthesis of conservative and surgical treatments described in the literature...
August 28, 2017: Dermatologic Surgery: Official Publication for American Society for Dermatologic Surgery [et Al.]
https://www.readbyqxmd.com/read/28844292/comparison-of-plantar-pressure-distribution-in-patients-with-hallux-valgus-and-healthy-matched-controls
#8
Takashi Hida, Ryuzo Okuda, Toshito Yasuda, Tsuyoshi Jotoku, Hiroaki Shima, Masashi Neo
BACKGROUND: Detailed information regarding differences in plantar pressure distribution between hallux valgus and healthy feet is unavailable. The purposes of the present study were to clarify the characteristics of the plantar pressure distribution in patients with hallux valgus compared with healthy matched controls and to determine whether hallux valgus leads to dysfunction of the great toe during walking. METHODS: The study consisted of 25 patients with symptomatic moderate-to-severe hallux valgus (HV group) and 13 healthy matched volunteers (C group) without hallux valgus...
August 22, 2017: Journal of Orthopaedic Science: Official Journal of the Japanese Orthopaedic Association
https://www.readbyqxmd.com/read/28820949/association-between-patient-factors-and-outcome-of-synthetic-cartilage-implant-hemiarthroplasty-vs-first-metatarsophalangeal-joint-arthrodesis-in-advanced-hallux-rigidus
#9
Andy Goldberg, Dishan Singh, Mark Glazebrook, Chris M Blundell, Gwyneth De Vries, Ian L D Le, Dominic Nielsen, M Elizabeth Pedersen, Anthony Sakellariou, Matthew Solan, Alastair S E Younger, Timothy R Daniels, Judith F Baumhauer
BACKGROUND: We evaluated data from a clinical trial of first metatarsophalangeal joint (MTPJ1) implant hemiarthroplasty and arthrodesis to determine the association between patient factors and clinical outcomes. METHODS: Patients ≥18 years with hallux rigidus grade 2, 3, or 4 were treated with synthetic cartilage implant MTPJ1 hemiarthroplasty or arthrodesis. Pain visual analog scale (VAS), Foot and Ankle Ability Measure (FAAM) sports and activities of daily living (ADL) scores, and Short Form-36 Physical Function (SF-36 PF) subscore were obtained preoperatively, and at 2, 6, 12, 24, 52, and 104 weeks postoperatively...
August 1, 2017: Foot & Ankle International
https://www.readbyqxmd.com/read/28801132/in-vivo-imaging-of-the-sentinel-vein-using-the-near-infrared-vascular-imaging-system-in-hallux-valgus-patients
#10
Tomoyuki Nakasa, Masakazu Ishikawa, Yasunari Ikuta, Masahiro Yoshikawa, Mikiya Sawa, Yusuke Tsuyuguchi, Nobuo Adachi
BACKGROUND: A high incidence of dorsomedial cutaneous nerve (DMCN) damage in hallux valgus surgery has been reported. Identification of the vein around 1st metatarsal head is reported to be helpful to reduce the DMCN damage during surgery. The near-infrared (NIR) vascular imaging system, the VeinViewer(®) Flex, projects the vein onto the skin. The purpose of this study was to investigate the difference of the vein course between normal and hallux valgus foot using the VeinViewer(®) Flex, and to validate that the DMCN was accompanied with its vein...
August 8, 2017: Journal of Orthopaedic Science: Official Journal of the Japanese Orthopaedic Association
https://www.readbyqxmd.com/read/28797219/unresolving-trismus-following-third-molar-surgery-report-of-a-case-of-fibrodysplasia-ossificans-progressiva-with-review-of-literature
#11
B R Rajanikanth, Kavitha Prasad, K Vineeth, Sushma M N Sonale, Khuteja Al-Kubra
BACKGROUND: Trismus is a problem commonly encountered by the dental practitioner. It has a number of potential causes, and its treatment will depend on the cause. However, there are very few reports of trismus due to fibrodysplasia ossificans progressiva (FOP) following third molar surgery. CLINICAL PRESENTATION: FOP is a rare human genetic disorder with characteristic clinical features like progressive formation of extraskeletal bone or heterotopic ossification and congenital malformation of the great toes...
August 11, 2017: Cranio: the Journal of Craniomandibular Practice
https://www.readbyqxmd.com/read/28792429/glabrous-flow-through-flaps-for-simultaneous-resurfacing-revascularization-and-reinnervation-of-digits
#12
Chao Chen, Liwen Hao, Wenhai Sun, Zengtao Wang, Zihai Ding, Shizhen Zhong
INTRODUCTION: Composite injuries of the volar surfaces of fingers are frequently associated with digital vessel and nerve damage. Flow-through glabrous flaps can provide esthetic tissue coverage as well as revascularization, and using a neurovascular flap, allows primary reconstruction of the digital nerve. METHODS: Between June 2010 and August 2014, we prospectively studied the use of Microsurgical flow-through glabrous flaps to achieve simultaneously digital revascularization and soft tissue coverage in 13 fingers of 12 patients who experienced volar injuries, comprising 6 great toe fibular flaps, 3 medial plantar flaps, 1 pedis medialis flap, and 3 hypothenar flaps...
November 2016: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/28764186/intraosseous-epidermal-inclusion-cyst-of-the-great-toe-masquerading-as-bone-tumour
#13
Uma Kumar, Sangeeta Lamba
No abstract text is available yet for this article.
June 2017: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/28714106/prevalence-and-distribution-of-sesamoid-bones-and-accessory-ossicles-of-the-foot-as-determined-by-digital-tomosynthesis
#14
Bon San Koo, Yoonah Song, Seunghun Lee, Yoon-Kyoung Sung, Il-Hoon Sung, Jae-Bum Jun
We previously reported that digital tomosynthesis (DTS) is a reliable tool for evaluating bony structures of the hand. The current study aimed to identify the prevalence and distribution of sesamoid bones and accessory ossicles of the foot using DTS and to compare the results to those of conventional radiography (CR). Foot images (DTS, 213; CR, 44) of 213 patients taken at a tertiary hospital were retrospectively reviewed. Sesamoid bones were identified in the metatarsaophalangeal (MTP), distal interphalangeal (DIP) and interphalangeal (IP) joints of the great (I), second (II), third (III), fourth (IV), and fifth (V) toes...
July 16, 2017: Clinical Anatomy
https://www.readbyqxmd.com/read/28678089/children-receiving-hematopoietic-stem-cell-transplantation-are-at-increased-risk-of-onychocryptosis-requiring-surgical-management
#15
Brian Ezekian, Brian R Englum, Brian F Gilmore, Jina Kim, Harold J Leraas, Timothy A Driscoll, Elisabeth T Tracy, Henry E Rice
PURPOSE: At our institution, a high proportion of children with onychocryptosis (ingrown toenail) requiring surgical intervention were noted to have a history of hematopoietic stem cell transplantation (HSCT). We analyzed the characteristics of patients who underwent surgical intervention for onychocryptosis and examined our institutional HSCT database to determine if an association exists between onychocryptosis and HSCT. MATERIALS AND METHODS: Surgical cases for onychocryptosis performed from 2000 to 2012 were identified...
July 3, 2017: Journal of Pediatric Hematology/oncology
https://www.readbyqxmd.com/read/28677012/persistent-impairments-3%C3%A2-years-after-neo-adjuvant-chemotherapy-for-breast-cancer-results-from-the-matox-project
#16
Hans-Jürgen Hurtz, Hans Tesch, Thomas Göhler, Ulrich Hutzschenreuter, Johanna Harde, Lisa Kruggel, Martina Jänicke, Norbert Marschner
PURPOSE: Although treatment for early breast cancer improved prognosis greatly, it can have significant long-term consequences, which must be considered during treatment decision. METHODS: 453 patients with neoadjuvant or adjuvant treatment intention were recruited into the MaTox project within the prospective, multicentre, population-based German TMK cohort study (Tumour Registry Breast Cancer) between 2008 and 2009. Patient-reported outcomes (PROs) on 26 treatment-related symptoms were assessed via a specifically designed questionnaire at 4 weeks, 6 months, 18 months and 3 years after start of systemic treatment...
July 5, 2017: Breast Cancer Research and Treatment
https://www.readbyqxmd.com/read/28660074/treatment-of-hallux-valgus-deformity
#17
Lukas Fraissler, Christian Konrads, Maik Hoberg, Maximilian Rudert, Matthias Walcher
Hallux valgus deformity is a very common pathological condition which commonly produces painful disability. It is characterised as a combined deformity with a malpositioning of the first metatarsophalangeal joint caused by a lateral deviation of the great toe and a medial deviation of the first metatarsal bone.Taking the patient's history and a thorough physical examination are important steps. Anteroposterior and lateral weight-bearing radiographs of the entire foot are crucial for adequate assessment in the treatment of hallux valgus...
August 2016: EFORT open reviews
https://www.readbyqxmd.com/read/28624667/schwannoma-and-neurofibroma-of-the-posterior-tibial-nerve-presenting-as-tarsal-tunnel-syndrome-review-of-the-literature-with-two-case-reports
#18
REVIEW
Makgabo John Tladi, Nikiforos Pandelis Saragas, Paulo Norberto Ferrao, Andrew Strydom
BACKGROUND: Hallux valgus is the lateral deviation of the great toe at the MTPJ that has many attributing aetiologies. This study will aim to identify whether hallux valgus progresses over time in the oriental Chinese population in Hong Kong. METHODS: Patients with acquired symptomatic hallux valgus who presented to clinic between 2008 and 2013 were included. The deformities were analysed radiologically at presentation and pre-operative and angles were measured...
March 30, 2017: Foot
https://www.readbyqxmd.com/read/28622578/the-progression-of-hallux-valgus-in-the-oriental-chinese-population-in-hong-kong
#19
Kenneth Kin-Hoo Koo, Lung Fung Tse, Hi Shan Cheng, Kevin Ki Wai Ho
BACKGROUND: Hallux valgus is the lateral deviation of the great toe at the MTPJ that has many attributing aetiologies. This study will aim to identify whether hallux valgus progresses over time in the oriental Chinese population in Hong Kong. METHODS: Patients with acquired symptomatic hallux valgus who presented to clinic between 2008 and 2013 were included. The deformities were analysed radiologically at presentation and pre-operative and angles were measured...
March 31, 2017: Foot
https://www.readbyqxmd.com/read/28609554/digit-preserving-surgery-of-subungual-melanoma-a-case-series-using-vacuum-assisted-closure-and-full-thickness-skin-grafting
#20
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
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