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  • Necrotizing Fasciitis

    We presented a patient with a severe form of streptococcal NF of the left upper limb in whom amputation was performed as a life saving procedure.[] Free tissue transfer (FTT) is an option for reconstruction in difficult cases.[] After treating with percutaneous drainage and third cephalosporin intravenously, the patient recovered and discharged on the 50th day after admission.[] The standard treatment of this severe condition has long been early and aggressive surgical debridement and adequate antimicrobial therapy.[] INTRODUCTION: Necrotizing fasciitis is an uncommon soft-tissue infection that involves the superficial fascia, subcutaneous fat, and deep fascia.[] Early IVIG ( 2 days) did not alter this effect (P .99).[] Necrotizing fasciitis, which literally translated means "inflammation of the fascia (connective tissue) causing cell death," is the proper medical term for what is colloquially[] The presence of gas within the necrotized fasciae is characteristic, but may be lacking.[] Initially, she didn’t think much about the rugburn-like abrasion on her arm – but later that night, Madsen’s arm began to swell.[] Pain often occurs at the time of the injection, but tissue necrosis typically becomes apparent a few days later.[]

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  • Compartment Syndrome

    BACKGROUND: Compartment syndrome of the upper extremity is a surgical emergency that, when left untreated, can have dire consequences.[] This worsening cycle can eventually lead to a lack of sufficient oxygen in the soft tissues (tissue ischemia) and tissue death (necrosis).[] Abstract An 89-year-old woman presented after blunt injury to the left orbit from a fall.[] Abstract A 64-year-old man who underwent percutaneous coronary intervention via right radial artery access reported right-hand pain and swelling 2 hours after the procedure[] The aim of this sudy was to determine the prevalence and factors associated with development of IAH/ACS among critically ill surgical patients.[] First of all, the release of the skin and subcutaneous tissues allows to decompress the compartments under direct control.[] Determining its presence, however, can be challenging in obtunded patients or those with an altered mental status.[] Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.[] The last incision of the deep lamina of the deep anterior fascia had no noticeable impact.[] She developed a haematoma in the right arm at the site of a previous arterial line insertion.[]

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  • Dupuytren Contracture

    Electronic address: [email protected] 2 Department of Orthopedic Surgery, University of Pittsburgh, Pittsburgh, PA. 3 Hand and Upper Extremity Center, Wexford, PA.[] It is used for mild cases of contracture, when the tissue is not so thick. Radiation therapy may stop or slow down thickening of the tissue.[] Apply pressure as if pulling your left hand to the left and your right hand to the right. When done correctly, you will feel tension in your fingers, wrists and arms.[] MATERIALS AND METHODS: A retrospective review was performed comparing patients treated with open fasciectomy (group 1) to patients treated with percutaneous NA (group 2) for[] The synthesis technique combines with success the best features of current methods for the surgical treatment of advanced Dupuytren's disease.[] Abstract Dupuytren disease is a proliferative fibroplasia of the subcutaneous palmar tissue, occurring in the form of nodular and cords.[] […] microvessel ischemia in the hand and specific platelet-derived and fibroblast growth factors act at the cellular level to promote the dense myofibroblast population and altered[] […] for normal fascia).[] The Disability of the Arm, Shoulder, and Hand score and the Euroqol improved over time.[] We describe the case of a 64-year-old woman who presented with decreased extension of the fourth and fifth digits on the upper extremities bilaterally; previous conservative[]

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  • Lipoma

    DIAGNOSIS: Upper rectal intussusception caused by a giant rectal lipoma.[] The VEGF expression of soft tissue lipoma can be understood in the same context.[] We can introduce a "starfish"to the operationand the cardiopulmonary bypass is unnecessary for the left lipoma with coronary artery disease.[] The use of percutaneous biopsies is controversial because, if it is a case of liposarcoma, they may cause local dissemination via the implanting of neoplastic cells along[] This report describes a minimally invasive surgical strategy that we have introduced for FTL sectioning.[] We report a case of an intramuscular lipoma occurring as a subcutaneous midline nasal mass in a 3-month-old infant.[] Approximately 60% of solitary cutaneous lipomas display clonal alterations. The most common alteration involves a breakpoint on bands 12q13-15.[] Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.[] In your case, the lipoma in your arm could be a candidate for removal.”[] Favorite Table Print Neoplasms of Subcutaneous Fat at a Glance Adipocyte tumors are the most frequently encountered group of mesenchymal neoplasms.[]

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  • Subcutaneous Emphysema

    Emerg Med J (Emerg Med J 2001;18:522) subcutaneous emphysema upper limb Statistics from subcutaneous emphysema upper limb Case report A 73 year old woman presented[] […] wounds in the web space skin may result in a transport of air across the defect, acting like a ball valve mechanism to trap and then force the air into the subcutaneous tissue[] A 52-year-old White male presents to the emergency department with complaint of left eye swelling that occurred overnight without known cause.[] A case of a 75-year-old lady who underwent a percutaneous Mumford procedure for acromioclavicular osteoarthrosis has been reported.[] 998.81 Complications surgical procedures 998.9 accidental puncture or laceration 998.2 amputation stump (late) 997.60 anastomosis - see Complications, anastomosis burst stitches[] […] the skin is known as subcutaneous crepitation.[] Case Summary An 82-year-old woman presented at the emergency department of a suburban hospital with alteration of consciousness, which was proved later to be due to cerebrovascular[] Certain medical procedures that insert a tube into the body.[] Subcutaneous emphysema manifests as painless tissue swelling secondary to air tracking along fascia into areas of least resistance. 1 Chest and gastrointestinal trauma and[] We present the case of a 70 year-old smoker patient, who was admitted in hospital for removal of a tumour located on the left vocal cord.[]

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  • Lipedema

    Abstract Lipedema refers to the abnormal deposition of subcutaneous fat causing a striking enlargement of the lower extremities that is out of proportion to the upper body[] Here we describe the histopathological features of the lipedema tissue and nonaffected adipose tissue obtained from a typical patient with severe lipedema.[] Results: Total volume reduction over the study period for the left and right upper extremities and left and right lower extremities was 525 ml and 225 ml (p Keywords Lipedema[] Non Surgical Treatment Options Non-surgical medical treatment is largely ineffective.[] Abstract Background Lipedema is a common painful subcutaneous adipose tissue (SAT) disorder in women affecting the limbs.[] The big veins remain untouched in the phlebograms and an alteration of the skin elasticity is demonstrated.[] LE&RN seeks to accelerate the prevention, treatment, and cure of the disease while bringing patients and medical professionals together to address the unmet needs surrounding[] Pathophysiology 6. 6 7. 7  Elasticity of skin and fascia is decreased causing abnormal clumping of elastic fibers.  Skin loses its role causing increased compliance of SAT[] We describe a patient with classic lipedema and multiple lipomas of her arms and trunk.[] Patients suffer from gross bilateral, symmetrical enlargement of the buttocks, thighs and calves — and occasionally the upper arms — but retain a relatively normal upper torso[]

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  • Thoracic Outlet Syndrome

    This is a unique case of an anomalous artery and its accompanying vein causing direct compression to the upper brachial plexus causing TOS.[] We report 2 rare cases of soft tissue neoplasms resulting in apparent vTOS.[] Arteriography demonstrated occlusion of the left vertebral artery only when her head was rotated to the left.[] All venous cases were managed with transaxillary first rib resection followed by postoperative venography and percutaneous angioplasty when required.[] This systematic review and meta-analysis summarizes and compares the outcomes and major complications of the surgical procedures for the 3 types of TOS: arterial, venous,[] Cubital tunnel syndrome: a retrospective review of 53 anterior subcutaneous transpositions. J Hand Surg. 2000;25B:453–6. Google Scholar 9. Adson AW.[] However, she represented 12 years later with right upper limb pain and altered sensation. Examination revealed a positive Allen's test on the right.[] Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.[] Fascia And TOS Fascia is found in all areas of the thoracic outlet. It is fascia's quality of adapting to stress that can lead to the symptoms of TOS.[] Venous TOS features pallor, a weak or absent pulse in the affected arm, which also may be cool to the touch and appear paler than the unaffected arm.[]

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  • Spinal Trauma

    The prevalence of upper cervical injuries and spinal cord injuries is greater.[] Recognition of soft tissue injuries impacts patient management and outcome. Back To Top[] The global muscular strength of the left extensors was measured at 3/5. The right tibialis anterior muscle strength was measured at 2/5.[] In trauma this includes the use of percutaneous spinal fracture fixation and expandable corpectomy cages.[] Decompression fusion – This is a surgical procedure that includes both decompression and fusion.[] Subcutaneous hemorrhage may result.[] F or many years surgeons have been puzzled by the fact that some patients with injuries of the cervical spine have sustained severe neurological deficit without alteration[] However, simple fragility fractures of the thoracic and lumbar spine can be treated with a brace and/or pain medications.[] Disease Symptoms of Spinal Trauma Spinal cord injuries of any kind may result in one or more of the following: Loss of sensation, muscle weakness or paralysis in the trunk, arms[] Spinal Trauma - 109-13 Rationale Traumatic spinal cord injuries may have life-altering effects on patient, family, and community.[]

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  • Hernia

    Hiatal hernia occurs in the upper part of the stomach. Part of the upper stomach pushes into the chest.[] […] community in its clinical implementation of skeletal muscle-engineered tissue beyond laboratory research for diaphragmatic replacement.[] INTRODUCTION: Large hiatal hernia (HH) is often associated with left atrial (LA) compression, anteroposterior cardiac compression (manifesting as reduced right ventricular[] Abstract To evaluate the efficacy of laparoscopic percutaneous extraperitoneal closure (LPEC) for unilateral inguinal hernia in children and effect of intraoperative laparoscopic[] Abstract Due to the rarity of Grynfelt hernia, there is no standardized surgical technique.From April 2010 to September 2017, 12 cases of primary superior lumbar hernia (Grynfelt[] With cure by subcutaneous injections, together with sugcested (!) and improved methods for kelotomy.[] CONCLUSION: Surgical correction of the inguinal hernia without the use of a prosthesis does not cause alterations in vascularization and testicular volume in the first six[] The interparietal fascia (cremasteric fascia) was loose in all patients.[] […] walking, yoga, or gentle aerobics and stretching exercises not straining on the toilet and avoiding constipation learning how to lift heavy objects safely, so that your arm[] […] medial) femoral Nerve, Artery, Vein, Empty space ( femoral canal femoral hernia ), Lymphatics References: [4] [2] Clinical features Non-complicated femoral hernia A globular, subcutaneous[]

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  • Radiculopathy

    Centre, Shimla, Himachal Pradesh, India. [email protected] Abstract This report describes the case of an elderly gentleman who presented with sudden onset bilateral upper[] Interestingly, artificial and squared atrophy of the skin and subcutaneous tissue, thought to correspond to the radiation fields, were observed in the lower back, and electromyography[] Abstract A 57-year-old woman presented with a fever and left-sided hip and back pain.[] OBJECTIVE: Percutaneous endoscopic surgery is increasingly used as an alternative to open microsurgery for treating lumbar spinal diseases.[] There are three surgical procedures commonly performed to treat cervical radiculopathy.[] When pain recurred, a Computed Tomography was performed and it showed alterations compatible with spinal tophi formation and nerve root involvement.[] In the Journal of the American Medical Association (JAMA) December 8, 2018 issue ( 3 ), editors provided a 2018 update of “medical overuse”, that is medical treatments that[] A release of the fascia will be felt as this taut connective tissue gives way. An end-point will be palpated in 45-60 seconds.[] Weakness, numbing and tingling in the arms along the course of the nerve are also common.[] Evaluation by a certified athletic trainer 6 days postinjury showed radiculopathy in the C7 distribution of his left upper extremity.[]

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