RESUMO
We report a case of delayed post-traumatic volar midcarpal dislocation in a 39 year-old woman. The dislocation was a gradual process starting from the time of injury. Initial X-rays showed a normal midcarpal joint. By 6 weeks, lunocapitate subluxation was apparent radiologically and by the 18 week X-ray, midcarpal dislocation had occurred. This type of wrist injury has not been previously reported. Because of advanced degenerative changes in the lunocapitate joint, a partial wrist fusion was performed with a successful outcome.
Assuntos
Capitato/lesões , Fraturas Fechadas/diagnóstico por imagem , Luxações Articulares/diagnóstico por imagem , Osso Semilunar/lesões , Osso Escafoide/lesões , Traumatismos do Punho/diagnóstico por imagem , Adulto , Artrodese , Artroscopia , Capitato/diagnóstico por imagem , Capitato/cirurgia , Diagnóstico Diferencial , Seguimentos , Fraturas Fechadas/cirurgia , Humanos , Osso Semilunar/diagnóstico por imagem , Osso Semilunar/cirurgia , Radiografia , Osso Escafoide/diagnóstico por imagem , Osso Escafoide/cirurgia , Traumatismos do Punho/cirurgiaRESUMO
Gastrostomy-site metastases from head and neck cancer have been reported numerous times following endoscopic insertion, with direct implantation being implicated. We present the first reported case of gastrostomy-site metastasis following radiological insertion, and discuss the mechanisms by which this may have occurred. These include: direct implantation, hematogenous dissemination, or the natural shedding of tumor cells into the gastrointestinal tract.