RESUMO
Patients who report ongoing adverse symptoms following trapeziectomy may require revision surgery. We present a series of 10 patients who underwent revision surgery using a Silastic interpositional finger joint arthroplasty. Mean age was 60 (range 48-70) years, with a mean interval between primary and revision surgery of 34 (range 12-84) months. Review was performed at an average of 53 (range 21-136) months. Nine of the 10 patients reported improvement in pain, and all patients reported improvement in pinch grip, activities of daily living, and satisfaction at having undergone revision surgery. There were no complications. We found good medium-term results and high satisfaction rates. We advocate this technique as an effective treatment option in these difficult cases, provided other treatable causes of poor outcome are excluded.
Assuntos
Artroplastia/métodos , Articulações Carpometacarpais/cirurgia , Polegar/cirurgia , Trapézio/cirurgia , Atividades Cotidianas , Idoso , Feminino , Força da Mão , Humanos , Masculino , Pessoa de Meia-Idade , Medição da Dor , Satisfação do Paciente , Recuperação de Função Fisiológica , Reoperação , Resultado do TratamentoRESUMO
An ultrasound halo sign surrounding the temporal artery is a well recognized feature associated with giant cell arteritis. We report a previously unreported case of this halo sign being present around the temporal artery due to angiolymphoid hyperplasia with eosinophilia (ALHE) in a young female patient.
Assuntos
Hiperplasia Angiolinfoide com Eosinofilia/diagnóstico por imagem , Arterite de Células Gigantes/diagnóstico por imagem , Artérias Temporais/diagnóstico por imagem , Adulto , Diagnóstico Diferencial , Feminino , Humanos , UltrassonografiaRESUMO
In the United Kingdom women have access to termination of pregnancy for maternal reasons until 24 weeks' completed gestation, but it is accepted practice for children born at or beyond 25 weeks' gestation to be treated according to the child's perceived best interests even if this is not in accordance with parental wishes. The authors present a case drawn from clinical practice which highlights the discomfort that parents may feel about such an abrupt change in their rights over their child, and argue that parents should have greater autonomy over treatment decisions regarding their prematurely born children.
