Asunto(s)
Traumatismos de la Rodilla/diagnóstico , Ligamento Cruzado Posterior/lesiones , Fracturas de la Tibia/diagnóstico , Niño , Humanos , Inestabilidad de la Articulación , Traumatismos de la Rodilla/terapia , Imagen por Resonancia Magnética , Masculino , Rango del Movimiento Articular , Fracturas de la Tibia/terapia , Tomografía Computarizada por Rayos XRESUMEN
Osteoarticular amyloidosis can be one of the musculoskeletal system manifestations related to dialysis. We share our experience in dealing with a case of disseminated haemodialysis-associated amyloidosis in a 74-year-old end-stage renal failure patient. This patient suffered from a serious complication, namely an unprovoked pathological fracture at the basal neck region of the right femur. Polyarticular cystic and lytic lesions over the contralateral proximal femur, bilateral proximal humerus and the right lunate were noted on further imaging. In view of extensive amyloidotic infiltration into the proximal femur as well as the acetabulum, a cemented total hip arthroplasty operation was performed for pain relief and restoration of function. The radiological investigations, diagnostic challenges, operative as well as histopathological findings are discussed. This disease should be considered in the differential diagnosis of pathological juxta-articular fracture in patients undergoing haemodialysis.
Asunto(s)
Amiloidosis/etiología , Fracturas del Cuello Femoral/etiología , Fracturas Espontáneas/etiología , Diálisis Renal/efectos adversos , Anciano , Amiloidosis/complicaciones , Artroplastia de Reemplazo de Cadera , Fracturas del Cuello Femoral/cirugía , Fracturas Espontáneas/cirugía , Cadera/diagnóstico por imagen , Humanos , Fallo Renal Crónico/terapia , Masculino , Cintigrafía , Hombro/diagnóstico por imagenRESUMEN
Robot-assisted excision of an ectopic parathyroid adenoma in the superior mediastinum was performed in a 57-year-old man. The mass was located by methoxyisobutylisonitrile scan and computed tomography. Identification of the ectopic parathyroid adenoma was facilitated by the 3-dimensional images of the da Vinci robotic system, and resection was achieved using EndoWrist instruments. Robot-assisted excision of parathyroid adenoma located in the relatively inaccessible superior mediastinum proved to be feasible.
Asunto(s)
Adenoma/cirugía , Mediastino/cirugía , Neoplasias de las Paratiroides/cirugía , Paratiroidectomía/métodos , Robótica/métodos , Adenoma/complicaciones , Adenoma/diagnóstico , Humanos , Imagenología Tridimensional/métodos , Fallo Renal Crónico/complicaciones , Masculino , Mediastino/diagnóstico por imagen , Persona de Mediana Edad , Neoplasias de las Paratiroides/complicaciones , Neoplasias de las Paratiroides/diagnóstico , Cintigrafía , Tomografía Computarizada por Rayos X/métodos , Resultado del TratamientoRESUMEN
A 62-year-old woman with a middle mediastinal hemangioma was successfully treated using a video-assisted thoracic surgery approach facilitated by segmental rib resection, despite an initial radiological study that showed encasement by the surrounding great vessels. Pathological examination confirmed a cavernous hemangioma. This approach offers potential resection in difficult cases of mediastinal tumor.
Asunto(s)
Hemangioma Cavernoso/cirugía , Neoplasias del Mediastino/cirugía , Cirugía Torácica Asistida por Video , Femenino , Hemangioma Cavernoso/diagnóstico por imagen , Humanos , Neoplasias del Mediastino/diagnóstico por imagen , Persona de Mediana Edad , Osteotomía , Costillas/cirugía , Tomografía Computarizada por Rayos X , Resultado del TratamientoRESUMEN
Triceps tendon rupture is a rare condition. The usual mechanism of injury is a fall on an outstretched hand, although direct contact injuries have also been reported to cause this injury. A 67-year-old woman presented with injuries caused by direct impact to her right elbow after a fall. X-rays of the elbow demonstrated the cardinal clinical 'gap' and 'flake' signs. It is necessary to be aware of this injury and perform a careful examination at the time of the initial presentation, as the signs of this injury are usually subtle. Most reported primary repairs have been performed with non-absorbable transosseous sutures. In this case report, we show how using suture anchors for reattachment is a technically feasible alternative operative method providing a good surgical outcome.