Localized myxedema of the foot associated with trauma and surgery.

Localized extratibial myxedema is a rare presentation of thyroid disease that manifests with varied symptoms. Previous surgical or radioiodine treatment of hyperthyroidism is linked to the development of localized myxedema, as is prior trauma or surgery. We present the first known case of localized foot myxedema on a background of Graves disease following a traumatic and surgical precipitant and compare and discuss similar cases found in a literature review.

Closed digital artery injury.

Closed digital artery injury with secondary acute ischemia is a rare phenomenon. The most common injury pattern involves a crush mechanism with a resultant transverse fracture in proximity to the interphalangeal joints. Secondary acute ischemia requires urgent surgical exploration with digital arterial repair to avoid necrosis and associated decreased hand function. One should exercise an air of caution when examining significant closed trauma; neurovascular normality should be established by an adequately trained physician. We present a case of closed digital artery injury with secondary acute ischemia and a review of current literature.