ABSTRACT
Compartment syndrome is a serious condition in which the pressure in the limb increases and potentially compromises capillary circulation with subsequent ischaemic complications. This case report presents a case of bilateral lower limb compartment syndrome after bilateral breast reduction for back pain. The patient was an otherwise healthy 24-year-old Afro-Caribbean woman. This report aims to highlight the need for an increased index of suspicion for compartment syndrome in any postoperative patient complaining of lower limb pain.
Subject(s)
Compartment Syndromes/etiology , Leg/blood supply , Mammaplasty/adverse effects , Back Pain/etiology , Back Pain/surgery , Female , Humans , Young AdultABSTRACT
Rectal leiomyosarcomas are very rare mesenchymal tumours. This is a case report of a rectal leiomyosarcoma diagnosed initially as a leiomyoma in a patient who had undergone pelvic radiotherapy several years previously. In addition to its pathological rarity, this case is of particular interest because it reinforces the association between pelvic irradiation and rectal leiomyosarcomas and it highlights the importance of treating suspicious cases aggressively in spite of favourable preoperative radiological and histological assessment.
Subject(s)
Leiomyosarcoma/diagnosis , Neoplasms, Radiation-Induced/diagnosis , Rectal Neoplasms/diagnosis , Aged , Colonoscopy , Diagnosis, Differential , Female , Humans , Leiomyosarcoma/etiology , Magnetic Resonance Imaging , Neoplasms, Radiation-Induced/etiology , Radiotherapy/adverse effects , Rectal Neoplasms/etiologyABSTRACT
The Extensor Indicis Proprius Opponensplasty although not widely exercised by hand surgeons has previously been shown to produce good results in the restoration of thumb opposition. Over the last 5 years the Extensor Indicis Proprius was selectively used in cases where the Flexor Digitorum Superficialis was unavailable or inappropriate. In a small case series operating on a total of six male patients with an average age of 32 and follow up of 12 months we have been impressed by the functional outcome and lack of donor site morbidity. The Extensor Indicis Proprius is expendable with minimal donor site morbidity, is of sufficient length and has an optimal line of pull to provide a superior mechanical advantage and a favourable torque when compared to Flexor Digitorum Superficialis.