ABSTRACT
The widespread use of diagnostic radiography, especially using magnetic resonance imaging, has helped to increase the diagnosis of paralabral cysts in patients with chronic shoulder pain. These paralabral cysts are frequent in the anterior, the superior, and the posterior compartment of the shoulder joint but are rare in the inferior compartment. Paralabral cysts in the shoulder appear particularly in men in their third and fourth decades but rarely in elderly patients. We report a case of an inferior paralabral cyst in an elderly patient whom we treated through arthroscopic decompression.
Subject(s)
Aged , Humans , Male , Arthroscopy , Decompression , Diagnosis , Magnetic Resonance Imaging , Radiography , Shoulder Joint , Shoulder Pain , ShoulderABSTRACT
The widespread use of diagnostic radiography, especially using magnetic resonance imaging, has helped to increase the diagnosis of paralabral cysts in patients with chronic shoulder pain. These paralabral cysts are frequent in the anterior, the superior, and the posterior compartment of the shoulder joint but are rare in the inferior compartment. Paralabral cysts in the shoulder appear particularly in men in their third and fourth decades but rarely in elderly patients. We report a case of an inferior paralabral cyst in an elderly patient whom we treated through arthroscopic decompression.
Subject(s)
Aged , Humans , Male , Arthroscopy , Decompression , Diagnosis , Magnetic Resonance Imaging , Radiography , Shoulder Joint , Shoulder Pain , ShoulderABSTRACT
We experienced a case of 63 years old male patient who had synchronous rectus abdominis intramuscular schwannoma and chest wall lipoma. Schwannoma is rare benign tumor which derived from nerve sheath and mainly peripheral nerve of flexor part. The authors report rare synchronous schwannoma and lipoma development.
Subject(s)
Humans , Male , Lipoma , Neurilemmoma , Peripheral Nerves , Rectus Abdominis , Thoracic Wall , ThoraxABSTRACT
Necrotizing fasciitis is one of the few true emergencies in orthopedic surgery that has a very high mortality rate unless recognized promptly and treated aggressively. The authors report a case of a patient with necrotizing fasciitis on the thigh that developed secondary to an unrecognized rectal cancer perforation through the short external rotator muscles. Clinicians should always be alert to the potential that rectal cancer perforations can cause necrotizing fasciitis in rare cases.
Subject(s)
Humans , Emergencies , Fasciitis , Fasciitis, Necrotizing , Muscles , Orthopedics , Rectal Neoplasms , ThighABSTRACT
PURPOSE: To evaluate the treatment outcome for Type A2 or above intertrochanteric fractures in elderly patients using cementless bipolar hemiarthroplasties incorporating a standard (tapered, rectangular) stem. MATERIALS AND METHODS: We retrospectively reviewed the records of 37 patients who had undergone bipolar hemiarthroplasty between February 2006 and February 2010 in our hospital, and who had received follow up evaluation for more than two years after the surgery. The mean patient age was 73.5 years (range 65-88 years), and 16 patients were male and 21 were female. We evaluated the the results of their treatment by analyzing the operation duration, volume of bleeding, measured results for the recovery of walking capability, and any complications and radiologic findings. RESULTS: The mean operation duration was 75.3 minutes(50-185 minutes). The average total volume of bleeding was of 755.5 cc(75-1,400 cc). Upon the final follow-up visit, 27 patients(72.9%) had recovered more than 80% of their pre-injury Barthel index values(72.8+/-15.1). Complications included one case of deep infection, one case of acetabular erosion, and 3 cases of greater trochanter non-union. There were no cases of revisions due to prosthesis loosening or for other reasons. CONCLUSION: Cementless bipolar hemiarthroplasty using a tapered, rectangular stem is a viable alternative treatment for type A2 intertrochanteric fractures in elderly patients which supports rapid patient mobilization ability.
Subject(s)
Aged , Female , Humans , Male , Femur , Follow-Up Studies , Hemiarthroplasty , Hemorrhage , Hip , Hip Fractures , Osteoporosis , Prosthesis Failure , Retrospective Studies , Treatment Outcome , WalkingABSTRACT
Malignant vascular tumors (angiosarcoma) of bone are rare and represent a less than 1% of malignant bone tumors. The authors report a case of a patient with angiosarcoma misdiagnosed as infection, which developed adjacent to a stainless steel intra-medullary nail used for fixation of a femur fracture.
Subject(s)
Humans , Bone Neoplasms , Femur , Fracture Fixation, Intramedullary , Hemangiosarcoma , Nails , Stainless SteelABSTRACT
Vascular complications related to hip arthroplasty are common, however, total occlusion of a critical artery that threatens survival of an extremity is extremely rare. We report on a patient who had thrombotic arterial occlusions at the iliac and popliteal arteries following hemiarthroplasty of the hip.