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broken necks

Ian David Kaye, Themistocles S Protopsaltis
Pyogenic cervical facet joint infections are rare and such infections from a dental origin are even less common. Of these few cases, none have described infection with Streptococcus intermedius as the pathogen. A 65-year-old orthopaedic surgeon complained of fevers, right-sided radiating neck pain, stiffness, swelling, erythema, and right upper extremity weakness one month after he had broken a crown over his right mandibular premolar, a continued source of pain. Imaging of the cervical spine showed a right C4-C5 facet inflammatory arthropathy and a small epidural abscess that was cultured and initially treated with intravenous antibiotics...
September 2016: Bulletin of the Hospital for Joint Diseases
Pablo Villaseñor-Ovies, José Eduardo Navarro-Zarza, Miguel Ángel Saavedra, Cristina Hernández-Díaz, Juan J Canoso, Joseph J Biundo, Robert A Kalish, Francisco Javier de Toro Santos, Dennis McGonagle, Simon Carette, José Alvarez-Nemegyei
This study aimed to identify the anatomical items of the upper extremity and spine that are potentially relevant to the practice of rheumatology. Ten rheumatologists interested in clinical anatomy who published, taught, and/or participated as active members of Clinical Anatomy Interest groups (six seniors, four juniors), participated in a one-round relevance Delphi exercise. An initial, 560-item list that included 45 (8.0 %) general concepts items; 138 (24.8 %) hand items; 100 (17.8 %) forearm and elbow items; 147 (26...
August 18, 2016: Clinical Rheumatology
Yuelian Sun, Chun Sen Wu, Onyebuchi A Arah, Jørn Olsen
PURPOSE: Cancer and birth defects cluster in families more often than expected by chance, but the reasons are neither well known nor well studied. METHODS: From singletons born alive in Denmark between 1 January 1977 and 31 December 2007, we identified children who had no congenital malformations but had a full or half sibling with a congenital malformation (CM) diagnosed in the first year of life; this constituted the exposed group, while children whose siblings had no such condition constituted a reference group...
October 2016: Cancer Epidemiology
Jesse D Meaike, Ryan M Dickey, Elizabeth Killion, Erica L Bartlett, Rodger H Brown
Nonmelanoma skin cancers are the most common skin cancers in the United States and the most common malignancies afflicting the head and neck region. Reconstruction of resulting defects has significant aesthetic and functional implications, and plastic surgeons are frequently consulted for reconstruction. Reconstruction can be accomplished via a multitude of approaches spanning the reconstructive ladder, and the approach should be individualized based upon both patient-related and defect-related factors. Here the authors propose a simplified approach to facial reconstruction broken down by aesthetic region...
August 2016: Seminars in Plastic Surgery
Shih-Jie Lin, Kuo-Chin Huang, Po-Yao Chuang, Chien-Yin Lee, Tsan-Wen Huang, Mel S Lee, Robert Wen-Wei Hsu
BACKGROUND: The Russel-Taylor type 2B fractures compromised the trochanteric region and medial buttress of proximal femur. This fracture pattern limits the choice of implants and raises the risk of adverse outcomes. We aimed to (i) determine the outcome of Russel-Taylor type 2B fractures treated using reverse less invasive stabilization system plates (LISS-DF) and to (ii) learn what factors affected outcomes after osteosynthesis with reverse LISS plates. DESIGN: A retrospective study SETTING: The study was conducted at a Level III trauma center in Taiwan...
October 2016: Injury
Barbara A Morrongiello, Amanda Cox, Rachel Scott, Sarah E Sutey
The current study examined children's understanding of No Diving warning signs. Normally-developing 7 to 10 year olds were asked questions to assess their understanding of text, images, and main messages on No Diving warning signs. These structured interviews were audio recorded and responses were later coded. Results revealed that children understood the behavior advised against (diving), why it is prohibited (can hit head on the bottom), and what can happen (serious injury including hospitalization). They understood that breaking your neck results in limitations in mobility and can occur from diving, but they did not anticipate that such an injury is likely to occur...
2016: International Journal of Environmental Research and Public Health
Maria Del Pilar Duque Orozco, Oussama Abousamra, Kenneth J Rogers, Mihir M Thacker
BACKGROUND: This study aimed to report the radiographic presentation of involved hips in children with hereditary multiple exostoses (HME). This included radiographic hip measurements, osteochondromas location, and relationship with hip subluxation. METHODS: Anteroposterior pelvis radiographs of children with HME, seen between 2003 and 2014, were retrospectively reviewed. Only patients who were skeletally immature at the first visit were included. One radiograph per patient per year was reviewed...
June 18, 2016: Journal of Pediatric Orthopedics
Jan Christoffer Lüers, David Schwarz, Andreas Anagiotos, Antoniu-Oreste Gostian, Dirk Beutner, Karl Bernd Hüttenbrink
OBJECTIVE: Analysis of the audiometric results after repair of a defective footplate with the sandwich cartilage shoe technique in a follow-up study. STUDY DESIGN: Retrospective analysis of audiometric data. SETTING: Hospital. PATIENTS: The cohort consisted of 12 patients, who underwent ossicular reconstruction after sandwich cartilage shoe technique in a case of insecure stapes footplate. The mean age was 42.7 years with an equal sex distribution...
August 2016: Otology & Neurotology
Sormani Bento Fernandes de Queiroz, Valthierre Nunes de Lima, Pedro Henrique Gonçalves Holanda Amorim, Osvaldo Magro-Filho, Rivadávio Fernandes Batista Amorim
Use of imaging tools like digital C-arm, tridimensional tomography, and navigational surgery has proven its value to the surgical removal of broken needles. A 32-year-old patient was referred for evaluation of a fractured needle during inferior alveolar nerve block attempt few days before. The patient complained of a pricking sensation at the injured area while moving the neck. A contrasted computed tomography was performed for further evaluation of the needle toward the vascular network of the neck, showing a close location by the left facial artery, parallel to the styloid process of the temporal bone...
June 2016: Journal of Craniofacial Surgery
Padmakumar Ramachandran, Rohith Poondru Reddy, M Sudhakar Rao, Ashwal Adamane Jayaram
In this era of an ever increasing number of interventions in cardiology, there is a parallel increase in the number of complications associated with these interventions, such as broken catheter tip and guide wire embolisation. The most commonly used and effective method for the percutaneous retrieval of such broken fragments is a goose neck snare. However in cases where this technique has been a failure, newer and novel innovations have been implemented for the retrieval of such broken fragments. We present a case of seven-year-old female child with a 3mm peri-membranous ventricular septal defect who was taken up for device closure...
March 2016: Journal of Clinical and Diagnostic Research: JCDR
Homa Alemzadeh, Jaishankar Raman, Nancy Leveson, Zbigniew Kalbarczyk, Ravishankar K Iyer
BACKGROUND: Use of robotic systems for minimally invasive surgery has rapidly increased during the last decade. Understanding the causes of adverse events and their impact on patients in robot-assisted surgery will help improve systems and operational practices to avoid incidents in the future. METHODS: By developing an automated natural language processing tool, we performed a comprehensive analysis of the adverse events reported to the publicly available MAUDE database (maintained by the U...
2016: PloS One
Goshi Nishimura, Kenichiro Yabuki, Masaharu Hata, Masanori Komatsu, Takahide Taguchi, Masahiro Takahashi, Osamu Shiono, Daisuke Sano, Yasuhiro Arai, Hideaki Takahashi, Yoshihiro Chiba, Nobuhiko Oridate
BACKGROUND: Definitive chemoradiotherapy (CRT) is used to treat lymph node metastatic head and neck cancer patients. Regional control of the neck disease is important to improve the prognosis, and the accuracy of the method used to evaluate the metastatic lymph node(s) after CRT is crucial to the decision-making process for any following salvage surgery. METHODS: Patients undergoing CRT were divided in two groups of patients of those showing complete clinical response (CR) and those showing clinical non-response (non-CR), as assessed by computed tomography (CT) and/or magnetic resonance imaging (MRI), ultrasonography, fluorodeoxyglucose-positron emission tomography (FDG-PET), and fine needle aspiration cytology...
August 2016: International Journal of Clinical Oncology
Masaaki Sakamoto, Hitoshi Watanabe, Hidetaka Higashi, Hitoshi Kubosawa
A 77-year-old woman underwent metal-on-polyethylene total hip arthroplasty for osteoarthritis of the right hip at another institution. During surgery, the greater trochanter was broken and internal fixation was performed with a trochanteric cable grip reattachment. Although postoperative recovery was uneventful, approximately 6 years later, the patient had severe right hip pain with apparent swelling, and she was referred to the authors' institution. Plain radiographs showed evidence of severe osteolysis in the proximal femur and cable breakage; however, preoperative aspiration culture findings were negative for bacterial growth...
January 2016: Orthopedics
Bingran Zhao, Henny C van der Mei, Minie Rustema-Abbing, Henk J Busscher, Yijin Ren
Sub-gingival anaerobic pathogens can colonize an implant surface to compromise osseointegration of dental implants once the soft tissue seal around the neck of an implant is broken. In vitro evaluations of implant materials are usually done in monoculture studies involving either tissue integration or bacterial colonization. Co-culture models, in which tissue cells and bacteria battle simultaneously for estate on an implant surface, have been demonstrated to provide a better in vitro mimic of the clinical situation...
December 2015: International Journal of Oral Science
Soshi Uchida, Hajime Utsunomiya, Toshiharu Mori, Tomonori Taketa, Shoichi Nishikino, Toshitaka Nakamura, Akinori Sakai
BACKGROUND: Patients with developmental dysplasia of the hip (DDH) have a greater risk of acetabular labral tearing and joint instability, which predispose them to developing osteoarthritis. The arthroscopic management of DDH, however, remains controversial. HYPOTHESIS: Specific clinical characteristics and radiographic parameters correlate with and predict a worsened clinical outcome after hip arthroscopic surgery for DDH. STUDY DESIGN: Case control study; Level of evidence, 3...
January 2016: American Journal of Sports Medicine
Agnieszka Mielczarek, Jarosław Damian Kasprzak, Andrzej Marcinkiewicz, Małgorzata Kurpesa, Barbara Uznańska-Loch, Karina Wierzbowska-Drabik
Takotsubo cardiomiopathy (TTC) (known also as "ampulla cardiomyopathy," "apical ballooning" or "broken heart syndrome") is connected with a temporary systolic left ventricular dysfunction without the culprit coronary lesion. Takotsubo cardiomyopathy was first described in 1990 in Japan after octopus trapping pot with a round bottom and narrow neck similar in shape to left ventriculogram in TTC patients. The occurrence of TTC is usually precipitated by a stressful event with a clinical presentation mimicking myocardial infarction: chest pain, ST-T segment elevation or T-wave inversion, a rise in cardiac troponin, and contractility abnormalities in echocardiography...
2015: International Journal of Occupational Medicine and Environmental Health
R Anding, H van Ahlen, S C Müller, S Latz
We report on a negative outcome after implantation of a magnetic urethral closure device, consisting of one part screwed into the pubic bone and one part as a vaginal cone, for the treatment of urinary stress incontinence grade III. Continence was never achieved for the patient. The urethra narrowed over time due to erosion and scarring and the patient started intermittent catheterization, because spontaneous micturition was not possible. The magnet was broken, the bladder neck was eroded, several fragments were found in the bladder, and numerous fragments were scattered throughout the small pelvis...
July 2015: Der Urologe. Ausg. A
Kyle M Stein
This report describes a case of needle breakage during an inferior alveolar nerve block to perform a restorative dental procedure on a 13-year-old patient. The needle was removed in a minimally invasive fashion using a Medtronic StealthStation S7 surgical navigation system and custom interocclusal splint to allow for stable, identically repeatable positioning of the mandible. This report adds another example of the utility of image-guided surgery for the removal of foreign bodies from the head and neck region in a minimally invasive fashion...
October 2015: Journal of Oral and Maxillofacial Surgery
Balazs B Lörincz, Chia-Jung Busch, Nikolaus Möckelmann, Rainald Knecht
INTRODUCTION: The primary advantage of robotic thyroidectomy is to avoid a neck scar. On the other hand, this sophisticated technique implies some potential risks otherwise not associated with conventional thyroidectomy, increased costs, and prolonged operating times. With all these factors being an important issue, we analysed the data of our initial European series in order to understand the nature of the learning curve for this technique. METHODS: Ten patients underwent transaxillary robotic thyroidectomy for benign disease, performed consistently by the same surgeon with the same team, within a timeframe of 12 months...
June 2015: International Journal of Surgery
Shabab Nasir, Waseem Akram, Rashad Rasool Khan, Muhammad Arshad, Iram Nasir
BACKGROUND: Rove beetles of the genus Paederus cause dermatitis when they come in contact with human skin. This condition is prevalent in some tropical and subtropical regions, such as in northern Pakistan, where it was recorded for the first time by US troops. Despite much research from other countries on this subject, few studies, mostly clinical, have been performed in a Pakistani context. A survey was carried out in villages, towns and cities of Punjab province, Pakistan, to explore the rove beetle population dynamics and to develop a model to elucidate the symptoms, preventive measures and treatment strategies for this dermatitis...
2015: Journal of Venomous Animals and Toxins Including Tropical Diseases
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