RESUMO
Foreign bodies in the foot can remain silent for years before presentation. We describe two foreign body infections in the feet of two patients more than 18 years after the initial insult. These cases emphasize the need for careful evaluation of patients with an unexplained infection in the foot, and thorough debridement, when surgical treatment is necessary.
Assuntos
Pé/cirurgia , Corpos Estranhos/cirurgia , Infecções Estafilocócicas/cirurgia , Staphylococcus epidermidis , Adulto , Feminino , Corpos Estranhos/complicações , Corpos Estranhos/diagnóstico , Humanos , Pessoa de Meia-Idade , Reoperação , Infecções Estafilocócicas/diagnóstico , Infecções Estafilocócicas/etiologia , Procedimentos Cirúrgicos Operatórios/métodos , Fatores de Tempo , Falha de TratamentoRESUMO
Localizing the acromioclavicular joint can be difficult. Using bony landmarks--the clavicle and the spine of the scapula--the acromioclavicular joint can be consistently localized for physical examination, injections, and surgery.
Assuntos
Articulação Acromioclavicular/anatomia & histologia , Articulação Acromioclavicular/diagnóstico por imagem , Humanos , Palpação , RadiografiaRESUMO
A case report is presented in which a professional football player, who was 4 years status post anterior cruciate ligament (ACL) reconstruction with autogenous patellar tendon, ruptured his graft. The contralateral patellar tendon was not available as a graft because of a more recent ACL reconstruction using that autogenous patellar tendon. This case reports the use of a previous donor site for supplying a patellar tendon autograft. Biopsy of the donor graft was consistent with normal tendon. The use of a healed patellar tendon donor site is a viable option for revision anterior cruciate reconstructive surgery. This option prevents the possibility of disease transmission with use of an allograft. We have shown grossly and histologically that the donor site has the potential to regenerate to tissue that has the appearance of normal tendon. This option could be available for revision surgery, but would not be recommended if the initial surgery was < 18 months-2 years in the past.