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https://www.readbyqxmd.com/read/29454228/obturator-internus-muscle-abscess-caused-by-methicillin-resistant-staphylococcus-aureus-in-an-adult-a-case-report
#1
Akinori Maeda, Isaku Saku, Shotaro Kanda, Kazuo Saita, Toru Akiyama
INTRODUCTION: Obturator internus muscle (OIM) abscess is a rare condition, usually affecting children after trauma or muscular effort. Blood cultures always yield positive findings, with Staphylococcus aureus being the most common culprit. There are few reports in adults. PRESENTATION OF CASE: We report a case of OIM abscess in an adult. A 24-year-old male was admitted to our hospital because of right hip pain and fever. He was diagnosed with OIM abscess, and methicillin-resistant Staphylococcus aureus (MRSA) was detected on bacterial examination...
February 9, 2018: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/29445932/fibrodysplasia-ossificans-progressiva-a-current-review-of-imaging-findings
#2
REVIEW
Adam H Bauer, Jeff Bonham, Luis Gutierrez, Edward C Hsiao, Daria Motamedi
OBJECTIVE: Fibrodysplasia ossificans progressiva is a rare genetic disorder characterized by congenital skeletal deformities and soft tissue masses that progress to heterotopic ossification. Deformities of the great toes are distinctive, and heterotopic ossification in the soft tissues follows an expected anatomic and temporal pattern. In addition to heterotopic ossification, osteochondromata, middle ear ossification, demyelination, lymphedema, and venous thrombosis are characteristic...
February 14, 2018: Skeletal Radiology
https://www.readbyqxmd.com/read/29438169/superficial-solitary-fibrous-tumor-a-series-of-26-cases
#3
Patrick Feasel, Alyaa Al-Ibraheemi, Karen Fritchie, Riyam T Zriek, Wei-Lien Wang, Elizabeth Demicco, Marcela Saeb-Lima, John R Goldblum, Brian P Rubin, Jesse K McKenney, Jennifer S Ko, Steven D Billings
While superficial (cutaneous/subcutaneous) solitary fibrous tumor (SFT) have been described, definitive diagnosis is difficult due to overlapping features with other tumors. We describe the largest series to date of superficial SFT. For inclusion, SFT had to arise in dermis or subcutis. Twenty-six cases were identified. Patients ranged from 16 to 80 years (mean, 47 y) with a marked female predominance (19 F; 7 M). Tumors involved the head (11), thigh (7), back (3), shoulder (2), upper arm (1), ankle (1), and great toe (1)...
February 12, 2018: American Journal of Surgical Pathology
https://www.readbyqxmd.com/read/29413775/a-comparative-prospective-cohort-health-economic-analysis-comparing-ankle-fusion-isolated-great-toe-fusion-and-hallux-valgus-surgery
#4
David T Loveday, Lynne V Barr, Constantinos L Loizou, Garry Barton, George Smith
BACKGROUND: This study assessed the health economics and outcomes of three common foot and ankle operations. METHODS: Between July 2013 and October 2014 all patients undergoing ankle fusion (AF) for osteoarthritis, first metatarsophalangeal joint fusion for osteoarthritis (MF) or hallux valgus surgery (HV) were included. Patients having additional procedures were excluded. Patients completed the Manchester-Oxford Foot Questionnaire (MOX-FQ), the EuroQol EQ-5D-5L questionnaire and the EQ-VAS on presentation and at least 6 months post-operatively...
February 2018: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29409186/medial-and-lateral-exostoses-of-the-distal-phalanx-of-the-hallux-a-potentially-painful-bunion-like-structure-part-1-incidence-and-clinical-application
#5
V Montiel, M Alfonso, C Villas, A Valentí
BACKGROUND: Exostoses at the base of the distal phalanx of the great toe are usually asymptomatic. The literature has not generally considered them as the origin of a possible problem resulting from a pressure conflict between hallux and shoe (medial aspect) or second toe (lateral aspect) nor a potential complication of surgical correction of hallux valgus deformity. No studies, to our knowledge, have evaluated its possible correlation with other foot disorders. When one of these neglected exostoses became painful after surgical correction of hallux valgus, we decided to start a study to determine their possible origin, prevalence in daily practice and histo-pathological morphology...
November 13, 2017: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29392615/a-comprehensive-and-narrative-review-of-historical-aspects-and-management-of-low-grade-hallux-rigidus-conservative-and-surgical-possibilities
#6
REVIEW
S Caravelli, M Mosca, S Massimi, C Pungetti, A Russo, M Fuiano, G Catanese, S Zaffagnini
Hallux rigidus, Latin for Stiff Toe, is characterized by an osteoarthritic degeneration of the articular surfaces of the first metatarsophalangeal joint. The aim of this literature narrative overview is to summarize and expose the great amount of management concepts and information, including the well-codified operative procedures and the more up to date knowledge about non-operative and surgical treatment of hallux rigidus. This may provide current information for physicians, medschool attendants and researchers...
February 1, 2018: Musculoskeletal Surgery
https://www.readbyqxmd.com/read/29373219/cutaneous-vascular-responses-of-the-hands-and-feet-to-cooling-rewarming-and-hypoxia-in-humans
#7
Heather C Massey, James R House, Michael J Tipton
INTRODUCTION: This study investigated skin vasomotor responses in the fingers and toes during cooling and rewarming with and without normobaric hypoxia. METHODS: Fourteen volunteers (8 males and 6 females) were exposed to gradual air cooling (mean±SD: -0.4±0.1oC·min-1) followed by rewarming (+0.5±0.1oC·min-1) while breathing normoxic air (FIO2 0.21 at 761±3 mm Hg) or hypoxic gas (FIO2 0.12, at 761±3 mm Hg, equivalent to ~5000 m above sea level). Throughout the gradual cooling and rewarming phases, rectal temperature was measured, and skin temperatures and laser Doppler skin blood flow were measured on the thumb, little finger, and great and little toe pads...
January 16, 2018: Wilderness & Environmental Medicine
https://www.readbyqxmd.com/read/29353123/a-locking-compression-plate-versus-the-gold-standard-non-locking-plate-with-lag-screw-for-first-metatarsophalangeal-fusion-a-biomechanical-comparison
#8
Daniel Mandell, John Karbassi, Hanbing Zhou, Brian Burroughs, Philip Aurigemma, Abhay R Patel
INTRODUCTION: The treatment of end-stage first metatarso-phalangeal joint (MTP) arthritis has been arthrodesis. A dorsal non-locking plate with a lag screw has been the standard traditional fixation method. This study compares the biomechanical strength of a locking compression plate (LCP) with and without internal compression versus this known gold standard. METHODS: In group 1, six matched pairs of cadaver great toes were used to compare the standard non-locking dorsal plate and 3...
November 4, 2017: Foot
https://www.readbyqxmd.com/read/29331288/hallux-valgus-evaluation-on-mri-can-measurements-validated-on-radiographs-be-used
#9
Nathan Heineman, Yin Xi, Lihua Zhang, Riham Dessouky, Jed Hummel, Justin Skweres, Dane Wukich, Avneesh Chhabra
Hallux valgus (HV) is a common deformity of the great toe affecting >23% of adults in the United States. The severity of the deformity is traditionally analyzed using radiographs to determine measurements such as the HV and intermetatarsal angles. We sought to determine the relationship between the radiographic and magnetic resonance imaging (MRI) measurements because this is not yet known. Two of us analyzed a series of 56 consecutive patients who had had radiographs and MRI performed on the same foot between April 27, 2015 and March 9, 2016 and who satisfied all other inclusion and exclusion criteria (age 18 to 100 years, no history of recent foot trauma, and no metal hardware in the foot)...
January 11, 2018: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29298501/minimally-invasive-distal-metatarsal-metaphyseal-osteotomy-of-the-lesser-toes-learning-curve
#10
Sabine Krenn, Sascha Albers, Peter Bock, Clemens Mansfield, Michel Chraim, Hans-Joerg Trnka
BACKGROUND: Minimally invasive surgery has a shorter surgical time, and in this study we focus on minimally invasive distal metatarsal metaphyseal osteotomy (DMMO). The operation seems to be less complex but requires a high learning curve. We report on our first patients to underline the need for extensive training and great awareness for the risks in the early learning stages. METHODS: We evaluated 27 patients (mean age = 60.9 years) with a mean follow-up time of 7...
January 1, 2018: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/29284179/differences-in-pain-thresholds-elicited-by-intraoral-electrical-stimuli-between-individuals-with-and-without-diabetes-mellitus
#11
Takahiro Ogawa, Suguru Kimoto, Yoshio Nakashima, Nobuhiko Huruse, Masanori Ono, So Furokawa, Masakazu Okubo, Hidenori Yamaguchi, Yasuhiko Kawai
There is little evidence about sensation in individuals with diabetes mellitus (DM) in the dental research field. We investigated whether pain thresholds (PTs) differ between individuals with and without DM (non-DM; NDM). To this end, we assessed whether PTs obtained from the oral cavity, hands, and feet differed from each other and across groups, and whether PTs differed for the three current frequencies used for testing (2000 Hz, 250 Hz, and 5 Hz). PT measurements were obtained from the oral mucosa and the tips of the fingers and toes of 56 volunteers, including 21 individuals with DM (12 men and 9 women, average age: 72...
December 28, 2017: Journal of Oral Rehabilitation
https://www.readbyqxmd.com/read/29259851/fibrodysplasia-ossificans-progressiva-basic-understanding-and-experimental-models
#12
REVIEW
Zijuan Qi, Jing Luan, Xiaoyan Zhou, Yazhou Cui, Jinxiang Han
Fibrodysplasia ossificans progressive (FOP) is an extremely rare autosomal dominant disorder characterized by congenital malformations of the great toes and progressive heterotopic ossification that can induce a disabling second skeleton. Spontaneously occurring flare-ups can cause inflammatory soft tissue to swell, followed by progressive and disabling heterotopic endochondral ossification. FOP is very rare, with an estimated incidence of one case per two million individuals. There is no definitive treatment for FOP, but the longevity of patients with FOP can be extended by early diagnosis and appropriate prevention of flares-up...
November 2017: Intractable & Rare Diseases Research
https://www.readbyqxmd.com/read/29218293/acral-hypomelanocytic-melanoma-of-left-great-toe-a-rare-cancer
#13
Mohd Altaf Mir, Varun Chauhan, Ali Adil Mahmud, Lalit Mohan Bariar, Suhailur Rehman
No abstract text is available yet for this article.
September 2017: World Journal of Plastic Surgery
https://www.readbyqxmd.com/read/29203308/magnetic-resonance-imaging-undetectable-epiduroscopic-hotspot-in-chronic-discogenic-back-pain-does-sinuvertebral-neuropathy-actually-exists
#14
Sung Ho Choi, Nitin Adsul, Hyeun Sung Kim, Jee-Soo Jang, Il-Tae Jang, Seong-Hoon Oh
BACKGROUND: The causes of chronic discogenic back pain have not yet been clearly identified. Neural ingrowth around the annulus is widely considered to be one of the possible cause. However, neuropathy around the annulus has yet to be observed visually. We report a case of a hotspot that was observed in an epiduroscopic view, but not in imaging findings. CASE DESCRIPTION: A 46-year-old woman was admitted with pain in the back, left buttock, and posterior thigh for 2 years...
December 1, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/29187549/quantitative-input-output-relationships-between-human-soleus-muscle-spindle-afferents-and-motoneurons
#15
Alan McComas, Hubert deBruin, Winnie Fu
A method is described which, for the first time, allows instantaneous estimation of the Ia fiber input to human soleus motoneurons following electrical stimulation of the tibial nerve. The basis of the method is to determine the thresholds of the most and least excitable 1a fibers to electrical stimulation, and to treat the intervening thresholds as having a normal distribution about the mean; the validity of this approach is discussed. It was found that, for the same Ia fibre input, the percentage of soleus motoneurons contributing to the H (Hoffmann)-reflex differed considerably among subjects; when the results were pooled, however, there was an approximately linear relationship between Ia input and motoneuron output...
November 29, 2017: Journal of Neurophysiology
https://www.readbyqxmd.com/read/29185052/functional-status-mediates-the-association-between-peripheral-neuropathy-and-health-related-quality-of-life-in-individuals-with-diabetes
#16
Tessa Riandini, Hwee Lin Wee, Eric Y H Khoo, Bee Choo Tai, Wilson Wang, Gerald C H Koh, E Shyong Tai, Subramaniam Tavintharan, Kurumbian Chandran, Siew Wai Hwang, Kavita Venkataraman
AIMS: To examine differences in health-related quality of life (HRQoL) between patients with and without diabetic peripheral neuropathy (DPN), and whether these differences can be explained by functional deficits. METHODS: This was a cross-sectional study of 160 patients with type 2 diabetes mellitus, 80 with DPN and 80 without. Assessments included HRQoL (health utility score derived from EQ-5D-5L), functional status measurements [muscle strength, timed up and go (TUG), five times sit-to-stand (FTSTS), functional reach, body sway velocity] and self-reported balance confidence [Activities-specific Balance Confidence (ABC) scale]...
November 28, 2017: Acta Diabetologica
https://www.readbyqxmd.com/read/29181358/a-case-report-upper-thoracic-chance-fracture-with-monoplegia%C3%A2-an-unusual-presentation
#17
Ketan Shripad Khurjeka, Himanshu Gurunath Kulkarni, Shailesh Hadgaonkar, Ajay Kothari, Ashok Shyam, Parag Sancheti
Introduction: Chance fractures, the horizontal splitting vertebral fractures caused by flexion distraction mechanism, are inherently unstable fractures. These fractures can land up with significant visceral injuries. There are most commonly seen at thoracolumbar junction or in lumbar spine due to their high mobility. These fractures are extremely rare in the thoracic spine due to the rigidity of thoracic spine rendered by attachment of ribs. Furthermore, the level of injury makes neurological complications even graver...
July 2017: Journal of Orthopaedic Case Reports
https://www.readbyqxmd.com/read/29152302/surgical-management-of-extensive-hypertrophic-scarring-of-the-halluces-secondary-to-a-decade-of-untreated-onychocryptosis-an-illustrative-case-report
#18
Dean J Samaras, Andrew C Kingsford
Extensive hypertrophic scarring of the halluces secondary to chronic onychocryptosis is a rare condition, which causes significant physical and psychosocial effects. In this case, a 31-year-old male developed large lesions on both great toes after he delayed treatment of chronic hallucal onychocryptosis for over a decade. Current treatment options for hypertrophic and keloid lesions in the foot and ankle vary considerably and differentiation is critical for appropriate treatment planning. In this case, surgical excision with total matrixectomy (modified Zadik-Syme) was considered optimal management...
2017: SAGE Open Medical Case Reports
https://www.readbyqxmd.com/read/29151998/hallux-osteoid-osteoma-a-case-report-and-literature-review
#19
REVIEW
Konstantinos C Xarchas, George Kyriakopoulos, Spyros Manthas, Leon Oikonomou
Osteoid osteoma is a benign bone tumour that mostly affects males in the second and third decade of their life. The lesion mainly occurs in long bones, usually in the femur and tibia, causing severe localized pain that is worse at night and responds to nonsteroidal anti-inflammatory drugs (NSAIDs). Diagnosis is usually made on the basis of history and radiographic findings. However, in more unusual locations as the hand and foot, diagnostic issues can arise. Treatment often includes complete removal of the tumor...
2017: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/29144039/chronic-plaque-on-the-great-toe-of-a-10-year-old-boy
#20
Trevor Hansen, Jessica Smith, Tracy Funk
No abstract text is available yet for this article.
November 2017: Pediatric Dermatology
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