1/46. gangrene of the hand: a complication of radial artery cannulation.radial artery cannulation for constant monitoring of arterial pressure and blood gases has become commonplace in the care of the seriously ill. The radial artery is readily accessible and is often regarded as carrying a negligible complication risk, because there is extensive collateral arterial flow in the hand. To the rarely reported cases of gangrene of the hand secondary to cannulation of the radial artery, this publication adds two, both survivors. One, a 46-year-old female with a clinical picture suggestive of mild Raynaud's disease, was treated by closed mitral commissurotomy; the second, a 44-year-old female, was treated for drug overdose complicated by cardiac arrest and renal shutdown.- - - - - - - - - - ranking = 1keywords = sea (Clic here for more details about this article) |
2/46. Development of Peyronie's and Dupuytren's diseases in an individual after single episodes of trauma: a case report and review of the literature.A case is presented in which a patient experienced the development of both Dupuytren's disease and Peyronie's disease after single episodes of sports-related trauma. These disorders and other fibromatoses are linked not only by similar pathologic features but by increased frequency of simultaneous occurrence. Some genetically predisposed individuals experience the development of the disorders after trauma or after some other factor unmasks that predisposition. A review of the literature with emphasis on the relationship between these fibromatoses and the varied nonsurgical attempts at treatment is presented.- - - - - - - - - - ranking = 6keywords = sea (Clic here for more details about this article) |
3/46. Partial transient osteoporosis of the hand.OBJECTIVE: To describe the radiographic and scintigraphic findings of partial transient osteoporosis (PTO) of the hand. To discuss the relationship of PTO and other localized demineralizing diseases. DESIGN AND patients: Three patients with PTO that affected two or three digits of the hand are reported. Two patients were middle-aged women and the third was a young man. All presented with a history of trauma to the hand. All patients experienced localized burning pain, swelling and vasomotor changes including redness of the skin, hyperhidrosis and signs of vasomotor instability of the involved fingers. Plain radiography and bone scanning were used in the diagnosis and follow-up of these cases. RESULTS: All patients had a radial distribution of the osteoporosis that involved adjacent rays. In all patients two rays were involved. The radiographic changes manifested as minimal patchy osteoporosis involving the cortical, cancellous, subarticular and subperiosteal bone with no articular involvement. The increased uptake on scintigraphy coincided with the radial distribution of the osteoporosis. All patients improved on physical therapy and were symptom-free approximately 6 months after the initial injury. These patients were followed up for more than 2 years. CONCLUSION: PTO of the hand is an uncommon disease with typical clinical and radiographic findings. Bone scintigraphy confirms the partial involvement of the hand.- - - - - - - - - - ranking = 2keywords = sea (Clic here for more details about this article) |
4/46. Two case reports of vinorelbine extravasation: management and review of the literature.Vinorelbine tartrate (Navelbine, Burroughs Wellcome Company, research Triangle Park, NC, USA) is a semisynthetic vinca alkaloid approved in many countries for the first-line treatment of patients with advanced non-small-cell lung cancer. It is also used in the treatment of advanced breast and ovarian cancers and lymphoma. Like other vinca alkaloids, Navelbine can cause skin necrosis as a consequence of inadvertent extravasation in surrounding tissues during intravenous administration. In such cases, early treatment is strongly advocated. There is no documented case of vinorelbine extravasation in the literature. The authors herein report two cases successfully treated with hyaluronidase injections plus saline flushout under local anesthesia.- - - - - - - - - - ranking = 1keywords = sea (Clic here for more details about this article) |
5/46. Mononeuropathy of the deep palmar branch of the ulnar nerve. A case occurring in a diabetic woman.A diabetic woman developed mononeuropathy of the deep palmar branch of the ulnar nerve six months following repetitive palmar trauma. The illness was initially incorrectly diagnosed as motor neuron disease, emphasizing the importance of accurate diagnosis of diseases that cause wasting of intrinslc muscles in the hand.- - - - - - - - - - ranking = 2keywords = sea (Clic here for more details about this article) |
6/46. hand infection associated with clenched fist syndrome in residents of long-term care facilities.1. Clenched fist syndrome is a clinical entity in which no organic disease can be found. 2. The syndrome usually follows a minor inciting incident and is associated with swelling, pain, and paradoxical stiffness. 3. patients with severe forms of clenched fist syndrome may experience infections of the palm or joints.- - - - - - - - - - ranking = 1keywords = sea (Clic here for more details about this article) |
7/46. Polyphosphate bone scanning of non-malignant bone disease in children.The advent of 99mTechnetium phosphate bone scanning radiopharmaceuticals has opened new methods of investigation of pediatric bone diseases. In axial skeleton pain, suspected osteomyelitis, evaluation of vascular integrity and suspected but undetected fractures, the bone scan has proved to be a highly complementary study to the radiologic examination.- - - - - - - - - - ranking = 5keywords = sea (Clic here for more details about this article) |
8/46. Secretan's disease: a unique case report and literature review.Secretan's disease was first described in 1901 as "hard edema and traumatic hyperplasia of the dorsum of the metacarpus." Other names for this process include peritendinous fibrosis, posttraumatic hard edema, and factitious lymphedema. Over the years, many theories have been proposed as to the etiology of the disease--trauma that leads to peritendinous fibrosis, hypersympathetic stimulus after an injury, and self-inflicted trauma. There is no consensus regarding pathophysiology, classification, prognosis, or treatment, but the literature suggests that Secretan's disease is an injury that is self-inflicted either for secondary gain or as a conversion reaction and that is best treated with conservative care and psychiatric counseling. Our case report is unique in that our patient had an unusual presentation, underwent an upper extremity sympathectomy before developing Secretan's disease, and returned to work soon after surgery.- - - - - - - - - - ranking = 8keywords = sea (Clic here for more details about this article) |
9/46. Recurrent palmoplantar hidradenitis with exclusive palmar involvement and an association with trauma and exposure to aluminum dust.Recurrent palmoplantar hidradenitis is a benign, self-limited inflammatory skin condition that has been reported to occur on the soles and palms of otherwise healthy children and young adults. patients with the disease present with tender, erythematous and edematous plaques and nodules on the palmoplantar skin. We describe a child who had recurrent palmoplantar hidradenitis that occurred after trauma and exposure to aluminum dust and manifested as lesions localized to only the palmar surfaces. This case is presented to add exclusive palmar involvement to the diagnostic spectrum of recurrent palmoplantar hidradenitis and to review the proposed pathogenesis of the disease.- - - - - - - - - - ranking = 2keywords = sea (Clic here for more details about this article) |
10/46. vibrio vulnificus infection of the upper extremity.vibrio vulnificus is a potentially limb- and life-threatening infection. This pathogen should be suspected in any patient with a rapidly progressive infection who has a history of saltwater contact. Although the infection may occur in otherwise healthy individuals, V vulnificus has a proclivity for patients with underlying chronic disease, particularly hepatic dysfunction. Prompt recognition and immediate treatment with antibiotics and possibly surgical debridement may prevent amputation or death.- - - - - - - - - - ranking = 1keywords = sea (Clic here for more details about this article) |
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