Operative management of bilateral Salter–Harris type III fractures of the proximal phalanges of the great toes of a 10-year-old female ballet dancer: a case report

Differentiation between the normal variant cleft epiphysis and Salter–Harris type III fracture of the first proximal phalanges of the foot in children might be challenging. The authors describe a case of a 10-year-old ballet dancer girl with bilateral epiphyseal segmentation of the first proximal phalanges of the foot, unresponsive to conservative treatment. Considered a nonhealing stress-induced fracture, operative treatment with closed reduction and Herbert screw insertion was chosen on both sides. Complete union was achieved, with significant reduction of pain. The presented case suggests that internal fixation can be a viable option in the treatment of the problem.
Source: Journal of Pediatric Orthopaedics B - Category: Orthopaedics Tags: Trauma Source Type: research

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Migraine is a huge medical problem, accounting for half of the disability produced by all neurologic diseases worldwide. The medication sumatriptan (Imitrex) is well known for the treatment of a migraine attack. Sumatriptan is part of a group of medications known as the triptans. Triptan medications have been in use for over 20 years and are very effective for the acute treatment of headache (relieving migraine headaches that are already in progress). But they also have limitations; triptans can cause temporary narrowing of blood vessels in the heart and elsewhere that can result in side effects, such as chest pain or tigh...
Source: Harvard Health Blog - Category: Consumer Health News Authors: Tags: Drugs and Supplements Headache Health Source Type: blogs
Conclusion: Two holocervical cord intramedullary ependymomas were safely and effectively surgically resected without incurring significant perioperative morbidity. PMID: 31819817 [PubMed]
Source: Surgical Neurology International - Category: Neurosurgery Tags: Surg Neurol Int Source Type: research
Authors: Sangrador M, Olvera JG, Ortiz VM Abstract A 25-year-old woman presented with a 4 months history of progressive pain and tumefaction in the right parietal region. Deformity of the scalp was evident, and a biopsy was taken, reporting a high- grade dermatofibrosarcoma. She underwent surgical management, achieving a gross total resection. Dermatofibrosarcoma protuberans is a rare tumor arising from the dermis. It tends to have an indolent course and local recurrence after excision. PMID: 31819815 [PubMed]
Source: Surgical Neurology International - Category: Neurosurgery Tags: Surg Neurol Int Source Type: research
Authors: Ekinci M, Ciftci B, Atalay YO PMID: 31818090 [PubMed - as supplied by publisher]
Source: Minerva Anestesiologica - Category: Anesthesiology Tags: Minerva Anestesiol Source Type: research
Conclusion Spaceflight and exploration of the galaxy’s expanses are a risk-inherent, but worthy endeavor. Back on terra firma, state-of-the-art medical devices offer life-changing and often life-saving applications to patients. In order for today’s device makers to survive in a competitive and challenging marketplace, every production advantage must be pursued. On the cusp of 2020, companies simply can’t afford to retain legacy DHR data systems when superior, more efficient tools are right at their fingertips. Thankfully, it doesn’t take a moonshot eff...
Source: MDDI - Category: Medical Devices Authors: Tags: Software Source Type: news
ConclusionPolicymakers may unintentionally rely on flawed assumptions and methodologies such as static scoring, which we propose results in flawed conclusions. Legislative options involve some additional cost. The issue is whether proposed legislative options offer more effective outcomes along with more efficient cost. Using a dynamic scoring model to incorporate savings from 3 primary sources, we found that (1) chiropractic care provides better outcomes at lower cost, (2) chiropractic treatment and care leads to a reduction in cost of spinal surgery, and (3) chiropractic care leads to cost savings from reduced use and ab...
Source: Journal of Chiropractic Humanities - Category: Complementary Medicine Source Type: research
ConclusionsResults describe how diverse environmental, patient, and provider factors contribute to unneeded LS-MRI for acute, uncomplicated low-back pain. Prior research using a single intervention to reduce unneeded LS-MRI has been ineffective. Results suggest that multifaceted de-implementation strategies may be required to reduce unneeded LS-MRI.
Source: Journal of General Internal Medicine - Category: Internal Medicine Source Type: research
Oral arginine supplementation significantly increased plasma arginine levels and improved acute pain-related outcomes in children with sickle cell disease in a randomized, placebo-controlled, phase 2 trial.Medscape Medical News
Source: Medscape Medical News Headlines - Category: Consumer Health News Tags: Pediatrics News Source Type: news
ConclusionSurgery remains the choice of therapy for pelvic MBD that resulted in alleviation of pain and quality of life improvement.
Source: International Journal of Surgery Case Reports - Category: Surgery Source Type: research
Publication date: Available online 5 December 2019Source: Orthopaedics &Traumatology: Surgery &ResearchAuthor(s): Jean-Yves JennyAbstractHip or knee revision for infection requires careful planning of the debridement phase. Bacteriological sample management needs to be planned. Multidisciplinary decisions have to be taken as to 1- or 2-stage strategy, reconstruction technique and soft-tissue management. Surgical resection should be complete while economical. There must be no shortcomings in the technical procedure. Implant removal and surgical debridement are the keys to curing the infection, and planning is essent...
Source: Orthopaedics and Traumatology: Surgery and Research - Category: Orthopaedics Source Type: research
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