ABSTRACT
Partial or complete absence of the posterior arch of the atlas is a well-documented anomaly but a relatively rare condition. This condition is usually asymptomatic so most are diagnosed incidentally. There have been a few documented cases of congenital defects of the posterior arch of the atlas combined with atlantoaxial subluxation. We report a very rare case of congenital anomaly of the atlas combined with atlantoaxial subluxation, that can be misdiagnosed as posterior arch fracture.
Subject(s)
Adult , Female , Humans , Cervical Atlas/abnormalities , Diagnosis, Differential , Spinal Diseases/diagnosisABSTRACT
A 17-year-old male patient visited our hospital with a palpable mass on the lateral aspect of the knee joint of five years duration without any related trauma history. The patient felt tenderness around the mass and had limitations in doing flexion exercises. Magnetic resonance imaging of the knee suggested the possibility of synovial hemangioma, and thus surgical treatment was planned. A tumor within the knee joint was found by arthroscopy, and a resection was carried out by dual coagulation shaver. The biopsy confirmed the diagnosis of a synovial hemangiomas. The patient presented months later at the out-patient clinic with no evidence of recurrence.
Subject(s)
Adolescent , Humans , Male , Arthroscopy , Biopsy , Exercise , Hemangioma , Knee , Knee Joint , Magnetic Resonance Imaging , Outpatients , RecurrenceABSTRACT
Amputation should be considered for the patients with limb necrosis or infection due to major vessel obstruction combined with diabetes. Patients with peripheral artery occlusive disease combined with diabetes have a higher risk of amputation and a higher possibility of reoperation than those patients without diabetes because of complications that include hematoma, infection and necrosis of the stump. We report here on 2 cases for which balloon angioplasty was used to promote wound healing on the stump site during amputation, and the patients had peripheral artery occlusive disease with a diabetic foot. The wounds healed early without complication in both cases.
Subject(s)
Humans , Amputation, Surgical , Angioplasty, Balloon , Arteries , Diabetic Foot , Extremities , Glycosaminoglycans , Hematoma , Necrosis , Reoperation , Wound HealingABSTRACT
Intrapelvic pin migration of the Kirschner wires or the Steinman pins that are used for the treatment of hip fracture is rare, but it can be serious when it occurs. We experienced a delayed intestinal injury that was caused by the migration of an intrapelvic pin, and this happened 10 years after performing fixation for an acetabular fracture. For preventing this potential complication, the pins have to be used only as a temporary fixation and the end of the pins should be bent. Further, the patients should be followed up clinically and radiographically for a long time. If pin migration does occur, the pin should be removed.