1/34. The styloid or "Eagle" syndrome: an unexpected consequence.The development and pathogenesis of the elongated styloid process with a calcified stylohyoid ligament are reviewed and discussed. A case report is presented to demonstrate that, although the related symptoms may be mild, unless the patient is aware of the cause of the discomfort, a "cancerophobia" may cause great emotional distress.- - - - - - - - - - ranking = 1keywords = motion (Clic here for more details about this article) |
2/34. A conservative management protocol for calcific tendinitis of the shoulder.OBJECTIVE: This paper presents a management protocol for calcific tendinitis and describes its effective application in 2 cases of calcific tendinitis of the supraspinatus tendon in middle-aged women. CLINICAL FEATURES: Two patients presented to a chiropractic clinic with previously diagnosed calcific tendinitis of the supraspinatus tendon. Both patients complained of chronic pain and tenderness in the shoulder region and had a limited range of shoulder motion as a result of the pain. Radiographs demonstrated calcific deposits in the region of the supraspinatus tendon. INTERVENTION AND OUTCOMES: Both patients were admitted to a treatment protocol involving approximately 20 sessions of phonophoresis (driving of medication into tissue by ultrasound) with Movelat cream followed by cross-friction massage to the supraspinatus tendon and range of motion exercises. A second set of radiographs was requested. The calcific deposits, clearly seen on the previous radiographs, were no longer visible, and symptoms were resolved. At 4-month follow up, both patients continued to be symptom-free. CONCLUSION: The result of these studies indicates that the management of calcific tendinitis falls within the scope of chiropractic practice and supports the use of a trial period of conservative management in cases of calcific tendinitis before consideration of surgical treatment.- - - - - - - - - - ranking = 2keywords = motion (Clic here for more details about this article) |
3/34. Multislice cardiac spiral CT evaluation of atypical hypertrophic cardiomyopathy with a calcified left ventricular thrombus.We report a case of a 43-year-old male patient with an atypical nonobstructive hypertrophic cardiomyopathy and a calcified left ventricular thrombus, and present results of multislice computed tomography (MSCT) using retrospective electrocardiograph gating, which is a new modality in cardiac imaging. Obtaining virtually motion-free images with a temporal resolution of 250 ms in an optimized heart scan MSCT allows functional imaging with evaluation of impaired systolic and diastolic left ventricular wall motion.- - - - - - - - - - ranking = 2keywords = motion (Clic here for more details about this article) |
4/34. Dystrophic calcinosis in a child with a thumb sucking habit: case report.We present an uncommon case of a 3-year-old boy with a finger sucking habit who developed dystrophic calcification in his left thumb. Two years after excision, there was no recurrence, and the thumb retained full range of motion. We also discuss its probable pathogenesis and present a brief review of the literature about orthopedic complications in the hand due to this habit.- - - - - - - - - - ranking = 1keywords = motion (Clic here for more details about this article) |
5/34. Severe valvular and aortic arch calcification in a patient with Gaucher's disease homozygous for the D409H mutation.Gaucher's disease is an autosomal recessive inherited defect of the lysosomal enzyme glucocerebrosidase, which leads to glucocerebroside accumulation in the reticuloendothelial system. Homozygosity for the D409H mutation has been associated with cardiovascular valvular disease. We present a case of a 17-year-old Palestinian patient who presented with severe aortic and mitral valvular calcification, as well as calcification of the ascending aorta, the aortic arch and the ostia of his coronary arteries. The patient was confirmed to be homozygous for the D409H mutation in the glucocerebrosidase gene. The patient's enzyme assay for glucocerebrosidase activity was 5 nm/h/mg protein (normal 13-22 nm/h/mg). The patient presented with symptoms of dyspnea and chest pain. He had a 6-year history of documented aortic valve calcification by echocardiogram after two of his older brothers died of congestive heart failure and severe valvular calcification. cardiac catheterization showed a severely calcified aorta with almost no motion of the aortic valve leaflets and severe calcification of the mitral valve and the mitral valvular apparatus. The patient underwent extensive cardiac surgery with aortic and mitral valve replacements and intraoperative findings confirmed calcification of the entire aortic root. Electron microscopy of the valves confirmed the presence of Gaucher's cells. enzyme therapy with imiglucerase was initiated. The patient is in stable condition, 20 months post-operatively.- - - - - - - - - - ranking = 1keywords = motion (Clic here for more details about this article) |
6/34. Return to Australian rules football after acute elbow dislocation: a report of three cases and review of the literature.Acute elbow dislocation is an uncommon problem encountered in contact sports such as Australian Rules football [ARF]. Previously there have been few guidelines presented as to when the athlete can safely return to sport following such an injury. During the 1998 playing season the author as medical officer of a professional ARF team encountered three athletes who had an elbow dislocation. All resulted from a fall on an outstretched hand during competition. The athletes returned to football at 13 days, 21 days and 7 days respectively. All subsequently completed the football season without re-injury and at post-season clinical review and one year subsequent to this no athlete described residual symptoms nor was there any loss of range of motion of the elbow joint. Clinical recommendations that allow for athletes to make a safe and early return to contact sport following an episode of acute elbow dislocation include; 1) commencing active mobilization as soon as possible after injury, 2) using passive mobilization to attain full extension as soon as possible, 3) allowing the athlete to return to training before full extension is achieved and 4) allowing the athlete to return to contact sport as soon as full extension is achieved with assistance of elbow stability taping.- - - - - - - - - - ranking = 1keywords = motion (Clic here for more details about this article) |
7/34. Combined hyertrophic subaortic stenosis and calcific aortic valvular stenosis.A well documented case of combined hypertrophic subaortic stenosis and calcific aortic stenosis is reported. Detection of multilevel involvement in cases of left ventricular outflow obstruction requires a high index of suspicion and precise hemodynamic and angiographic documentation. Careful analysis of the total data base is necessary for proper management of the patient. The pathogenesis of this combined lesion is unclear: Asymmetrical septal hypertrophy may occur as a consequence of the valvular stenosis, or it may be that abnormal leaflet motion in patients with hypertrophic obstruction produces leaflet thickening, calcification, deformity and stenosis.- - - - - - - - - - ranking = 1keywords = motion (Clic here for more details about this article) |
8/34. Paraspinal cervical calcifications associated with scleroderma.Although soft tissue calcifications are well known to occur as a late manifestation in scleroderma, symptomatic paraspinal calcinosis is very rare. Clinically, patients present with focal neck pain, weakness or radiculopathy, and decreased range of motion of the neck. We describe the imaging features of a rare case of cervical paraspinal calcinosis in a 74-year-old woman with long-standing scleroderma. Standard radiography is usually sufficient to confirm the diagnosis, but CT-scan allows a more precise location of the calcifications around the facet joints, sometimes with associated erosions. The advantage of MRI is to evaluate the possible intraspinal extension of the calcifications in case of focal neurological symptomatology.- - - - - - - - - - ranking = 1keywords = motion (Clic here for more details about this article) |
9/34. Tumoral calcinosis infiltrating the biceps brachii tendon - excision and reconstruction with allograft: a case report.Two patients with limited elbow motion due to tumoral calcinosis underwent resection of calcified masses around the elbow joints. This necessilated removal of the distal two thirds and three fourths of the biceps muscles. The resulting defects were reconstructed with homologous achilles tendon grafts. Both patients regained M4 muscle power and no recurrences were observed.- - - - - - - - - - ranking = 1keywords = motion (Clic here for more details about this article) |
10/34. Mitral regurgitation due to ruptured chordae tendineae in patients with hypertrophic obstructive cardiomyopathy.mitral valve regurgitation in association with hypertrophic obstructive cardiomyopathy is usually caused by the systolic anterior motion of the anterior mitral leaflet. Recently, five patients were encountered with hypertrophic obstructive cardiomyopathy who had mitral regurgitation due to ruptured chordae tendineae. The diagnosis was confirmed in all patients during operation for left ventricular septal myectomy-myotomy (Morrow procedure). Preoperative identification of ruptured chordae tendineae as the cause of mitral regurgitation was established by transesophageal echocardiography in the three most recent cases. All patients had successful septal myectomy-myotomy for relief of left ventricular outflow obstruction, and mitral valve competence was restored by valve repair rather than by prosthetic valve replacement. The clinical course of these patients illustrates important management considerations as well as the utility of transesophageal echocardiography for diagnosis. Chordal rupture should be considered in the differential diagnosis of mitral regurgitation in patients with hypertrophic obstructive cardiomyopathy, especially in those with acute hemodynamic deterioration.- - - - - - - - - - ranking = 1keywords = motion (Clic here for more details about this article) |
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