ABSTRACT
Presentamos dos casos de luxación dorsal de la segunda articulación metatarsofalángica, como causa de metatarsalgia. Aunque clínicamente puede confundirse con otras patologías, como el neuroma interdigital, el conocimiento del proceso y una simple radiología convencional, la diagnosticaría sin necesidad de otras pruebas complementarias. Se realizó intervención quirúrgica de la deformidad dolorosa y se completó con resección de la base de la falange proximal de los dedos del pie (AU)
We report 2 cases of dorsal dislocation of the second metatarsophalangeal joint, a source of forefoot pain. Although clinically they could be mistaken for other pathologies, such as interdigital neuroma, the knowledge of the entity, and simple roentgenographic examination, should diagnose them without the need for other complementary tests. Surgical correction of the painful deformity was completed by resecting the bases of the proximal phalanges of second toes (AU)
Subject(s)
Humans , Male , Female , Middle Aged , Metatarsus/injuries , Metatarsus , Metatarsalgia/diagnosis , Metatarsalgia/etiology , Arthroplasty/methods , Hallux Valgus/complications , Metatarsal Bones/pathology , Metatarsal Bones , Metatarsalgia/physiopathology , Metatarsalgia , Ultrasonography/methodsABSTRACT
Varón de 37 años de edad con metatarsalgia a la deambulación. El dolor se localizaba en la zona plantar de la primera articulación metatarsofalángica. En la radiografía convencional se objetivó fragmentación y esclerosis heterogénea. La resonancia magnética confirmó el diagnóstico de necrosis avascular del sesamoideo medial. Se trató conservadoramente con medicación antiinflamatoria y medidas ortopédicas. Aunque no existen muchas referencias bibliográficas, la osteonecrosis de los sesamoideos del pie debe ser considerada en el diagnóstico diferencial de la metatarsalgia persistente
A 37-year-old man presented with forefoot pain presentwith walking. The pain was located in the plantar zone of the first metatarsophalangeal joint. Plain film radiographs revealed fragmentation and heterogeneous sclerosis. Magnetic resonance imaging confirmed the diagnosis of avascular necrosis of the medial sesamoid. He was treated conservatively with metatarsal padding and nonsteroidal anti-inflammatory medications. Although it has not been frequently addressed in the literature, avascular necrosis of the sesamoid bones should be considered in the differential diagnosis of persistentforefoot pain
Subject(s)
Humans , Male , Adult , Osteonecrosis/diagnosis , Sesamoid Bones/pathology , Metatarsalgia/etiology , Osteonecrosis/complications , Diagnosis, DifferentialABSTRACT
No disponible
Subject(s)
Humans , Male , Adult , Magnetic Resonance Imaging , Scimitar Syndrome/diagnosisSubject(s)
Abdominal Pain/etiology , Colonic Diseases/complications , Intussusception/complications , Abdominal Pain/diagnostic imaging , Abdominal Pain/surgery , Aged , Aged, 80 and over , Colectomy/methods , Colonic Diseases/diagnostic imaging , Colonic Diseases/surgery , Female , Humans , Intussusception/diagnostic imaging , Intussusception/surgery , Tomography, X-Ray Computed , Treatment OutcomeABSTRACT
We display the study performed to a female patient affected of laryngeal paralysis to become, based in clinical and radiologic criteria, to diagnose her cerebellar atrophy. We justify our work because of how infrequently this illness heredodegenerative of the central nervous system begins with cranial pairs paralysis. We emphasize the importance that the new methods of explorations specially TAC and IRM, have to guess the possible etiologies of central originated paralysis.
