RESUMO
Fusion of the proximal interphalangeal joint (PIPJ) after failed arthroplasty may be challenging in view of bone loss at the ends of the proximal phalanx and the middle phalanx. This might require the use of a structural bone graft to fill the defect and avoid shortening of the digit. Although several methods have been described for primary PIPJ fusion, none of these methods addresses bone loss at this joint. We use a tricortical iliac crest bone graft fashioned to provide the required angulation at the fusion site. A dorsal plate is used to fix the fusion mass and obliquely placed screws provide sequential compression at both ends of the bone graft. We have performed this technique safely in three patients with no complications. Level of Evidence: Level V (Therapeutic).
Assuntos
Artroplastia , Transplante Ósseo , Artroplastia/efeitos adversos , Artroplastia/métodos , Placas Ósseas , Articulações dos Dedos/diagnóstico por imagem , Articulações dos Dedos/cirurgia , HumanosRESUMO
INTRODUCTION: This study aims to determine whether musculoskeletal corticosteroid injections increase the risk for COVID-19. METHOD: 734 patients who received a corticosteroid injection during the COVID-19 pandemic were followed and their COVID status within 30 days after the injection checked. The results were then compared with an age and sex matched control group. RESULTS: No statistically significant difference in the frequency of COVID-19 cases between the two groups was found. CONCLUSION: It appears that the use of musculoskeletal corticosteroid injections during the COVID-19 pandemic does not confer increased risk of contracting the virus.
RESUMO
This paper presents the first report of osteomyelitis in heterotopic ossification in a patient with macrodystrophia lipomatosa. Careful review of magnetic resonance imaging allowed correct diagnosis and design of a limited surgical excision. Osteomyelitis should be considered in the differential diagnosis of pain and discharge when heterotopic ossification is present.
