ABSTRACT
BACKGROUND: Impalement of the body is a rare injury and comes with varied presentation. There is no set classification or defined protocols for managing this injury. This case report aims to create awareness among trauma surgeons about unusual presentation and management of such case. CASE SUMMARY: A 45-year-old man presented to the emergency department with a sharp penetrating wooden plank at right clavicular region between the neck and shoulder following a road traffic accident. The vehicle had crashed into a roadside wooden hut, thus causing an impalement injury. He was meticulously worked up and taken to emergency theatre. The wooden plank was removed and the wound healed uneventfully. Postoperatively, he had fairly good shoulder function and was able to return back to work successfully. CONCLUSION: Each impalement injury brings in challenges in management as no two cases are the same. The varied presentation and risks involved should be known to medical professionals handling the emergency. Coordinated multidisciplinary team approach is needed for successful outcome.
ABSTRACT
INTRODUCTION: Lipomas are considered to be benign tumors comprising 50% of all soft tissue tumors. They originate from mesodermal germ layer but are classified based on component tissue and location. Parosteal lipomas are frequently located at the extremities, particularly at diaphysis or diametaphysis of long bones. CASE REPORT: Here, we report a case of parosteal lipoma with a delayed presentation involving dominant right forearm without any neurological deficits to create awareness of the rare existence of this benign tumor. CONCLUSION: A prompt diagnosis of such tumors has to be done as early as possible.
Subject(s)
Humeral Head/abnormalities , Joint Instability/physiopathology , Osteolysis, Essential/diagnosis , Range of Motion, Articular/physiology , Shoulder Joint/abnormalities , Shoulder Pain/diagnostic imaging , Adult , Exercise Therapy , Female , Humans , Humeral Head/diagnostic imaging , Joint Instability/diagnostic imaging , Joint Instability/etiology , Osteolysis, Essential/physiopathology , Osteolysis, Essential/rehabilitation , Patient Education as Topic , Shoulder Joint/diagnostic imaging , Shoulder Pain/etiology , Shoulder Pain/physiopathology , Treatment Outcome , Watchful WaitingABSTRACT
INTRODUCTION: Various types of foreign bodies have been removed from the knee joint. We report an unusual case of partial anterior cruciate ligament (ACL) tear secondary to a glass foreign body in an adolescent knee joint. CASE REPORT: A 13-year-old boy presented with pain, swelling and deformity of the left knee since 4 days. X-Ray revealed a foreign body in the left knee joint. The glass foreign body remained in the subcutaneous tissue for few days and later migrated into the knee joint. Arthroscopy revealed partial tear in the ACL at the femoral attachment with about 10-20 % of fibres being involved. The glass piece was removed arthroscopically and the ACL fibres were trimmed. CONCLUSION: Arthroscopic removal of foreign bodies from the knee is a very simple procedure and has the advantages of avoiding large incision, shorter stay in the hospital, faster recovery and reduced infection rates. Glass foreign bodies were previously implicated in cartilage damage and meniscal injuries but a foreign body resulting in ACL tear has not been reported in literature.
