Clavicule flottante, à propos d’un cas
ConclusionLa clavicule flottante est une lésion traumatique rare mais potentiellement invalidante. Son diagnostic a bénéficié de l’apport de la TDM avec reconstruction 3D permettant un bilan lésionnel précis. Le choix du traitement est difficile. Chez les patients jeunes et actifs, une réduction anatomique à ciel ouvert et une stabilisation adéquate sont recommandées.SummaryIntroductionFloating clavicle or bipolar clavicular dislocation is a rare and little-known affection of the shoulder girdle. Through a case report and a review of the literature, the authors discuss the pathogenesis, the diagnostic approach and the treatment of this pathology.Synthesis of factsAn athlete, a 35-year-old cyclist, presented a high-energy trauma to the right shoulder following a fall at a high speed. Computed tomography (CT) with three-dimensional (3D) reconstructions showed Rockwood type V acromioclavicular dislocation and antero-inferior sternoclavicular dislocation. Surgical treatment was performed with open reduction and pinning of the sternoclavicular and acromioclavicular joint. Evolution was towards secondary displacement and anterior sternoclavicular subluxation at six weeks, contrasting with a favorable clinical outcome at the last follow-up.ConclusionFloating clavicle is a rare but potentially disabling traumatic lesion. Its diagnosis has benefited from the contribution of CT with 3D reconstruction for a prec...
In conclusion, it remains unclear if brain-specific regional and temporal changes occur in the expression of the different APP variants during AD progression. Since APP is also found in blood cells, assessing the changes in APP mRNA expression in peripheral blood cells from AD patients has been considering an alternative. However, again the quantification of APP mRNA in peripheral blood cells has generated controversial results. Brain APP protein has been analyzed in only a few studies, probably as it is difficult to interpret the complex pattern of APP variants and fragments. We previously characterized the soluabl...
Conclusion: The study has shown a bedside measurement of ONSD through sonography as an efficient tool to assess elevations in intracranial pressure in head injury patients.
Conclusion Neuroendoscopy provides excellent illumination and vision when a small bone flap is employed. The main advantages of this technique include the precise treatment of structures which are related with progression and recurrence of CSDH, and the minimally invasive nature of the procedure. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents | Abstract | Full text
Publication date: Available online 6 September 2020Source: Journal of Clinical Orthopaedics and TraumaAuthor(s): Nobuaki Chinzei, Mitsuaki Noda, Hiroshi Nashiki, Takehiko Matsushita, Atsuyuki Inui, Shinya Hayashi
Conclusion: MRI follow-up after ILS and VS resection and CI is reproducibly possible. Implant choice and positioning should be considered before implantation to allow for a pain-free visual assessment afterward. This finding allows for the first time a widening of the indication into this patient group.
CONCLUSIONS: Sodium divalproate, frequently used in the treatment of bipolar disorder, is a rare cause of eosinophilic lung disease, even years after its introduction. Rapid diagnosis and withdrawal of treatment led to complete resolution in the reported case. PMID: 32739035 [PubMed - as supplied by publisher]
CONCLUSIONS: The anatomic approach for harvesting a vascularized chondrocostal graft is simple and only slightly differs from the approach described for harvesting a non-vascularized chondrocostal graft. The vascular supply to the perichondrium of such a vascularized chondrocostal graft is sustained by the internal thoracic vessels which have a sufficient diameter and length to allow easy micro-anastomosis. The organization of the microvasculature within the perichondrium allows the graft to be tailored to a large cartilage defects and also to small bipolar cartilage defects. PMID: 32721442 [PubMed - as supplied by publisher]
ConclusionMinimal invasive resection of liver solitary fibrous tumor seems safe and feasible. Because of its advantages compared with laparoscopy, robotic approach could improve accessibility to central tumors liver resection.
Authors: Park I, Oh MJ, Shin SJ Abstract For proper treatment of recurrent anterior instability of the shoulder with a bone defect, the defect size should be assessed preoperatively with three-dimensional computed tomography or magnetic resonance imaging. In general, the risk of postoperative recurrence of instability is estimated on the basis of preoperative imaging of bipolar bone defects: more than 20%-25% glenoid bone loss and off-track Hill-Sachs lesions have been considered risk factors for recurrence. In patients with a glenoid bone defect more than 20%-25%, a bone graft procedure, such as the Latarjet proce...
CONCLUSIONS: While HRCT may aid in the diagnosis of otosclerosis and rule out concomitant pathology in certain cases of clinical uncertainty or unexplained symptoms, its sensitivity for otosclerosis remains low. HRCT should not be relied upon to diagnose routine fenestral otosclerosis. PMID: 32432485 [PubMed - as supplied by publisher]