Two cases of pressure ulcers related to acute calcium pyrophosphate crystal arthritis: A new concept of “disease‐specific unexpected external forces”

International Wound Journal, EarlyView.
Source: International Wound Journal - Category: Surgery Authors: Source Type: research

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The WHO reports that one of the major chronic conditions affecting the elderly worldwide is musculoskeletal disorders that are associated with long-term pain and disability. Considering the healthcare needs of the elderly (i.e. comprehensive, accessible, efficient) and the advantages of ultrasound (US) use (patient-friendly, convenient, cost-effective, and does not require exposure to radiation or magnetic fields), there seems to be a ‘gap’ in the actual clinical practice. In this paper, we aimed to highlight the potential value of US imaging in the management of the elderly with a wide spectrum of musculoskele...
Source: International Journal of Rehabilitation Research - Category: Rehabilitation Tags: Review articles Source Type: research
Conclusions: The Girdlestone arthroplasty is an effective modality to treat hip infection, ankylosis, heterotopic ossification, dislocation, or other pathology associated with the spinal cord injury patient. Long-term follow-up of a large patient population reveals the efficacy of the procedure in preventing recurrence and improving patient quality of life.
Source: Annals of Plastic Surgery - Category: Cosmetic Surgery Tags: Reconstructive Surgery Source Type: research
We reported a 30 years old man who suffered a bite wound of the right hand in a fight. Two days after the injury, he was admitted in emergency because of stab wound above the head of the third metacarpal bone. He presented the swelling, redness, pain and f...
Source: SafetyLit - Category: Global & Universal Tags: Economics of Injury and Safety, PTSD, Injury Outcomes Source Type: news
We reported a 30 years old man who suffered a bite wound of the right hand in a fight. Two days after the injury, he was admitted in emergency because of stab wound above the head of the third metacarpal bone. He presented the swelling, redness, pain and fever. Primary revision confirmed only partial lesion of the extensor apparatus. During the following days, we recorded a deterioration of local findings and magnetic resonance imaging revealed osteomyelitis and septic arthritis of the thirdmetacarpophalangeal joint. The wound was then revised several times using negative pressure wound therapy in combination with intraven...
Source: Chinese Journal of Traumatology - Category: Orthopaedics Authors: Tags: Chin J Traumatol Source Type: research
Adverse outcomes after hand surgery in patients with rheumatoid arthritisThe systemic, progressive and polyarticular nature of rheumatoid arthritis increases the complexity of surgical decision making in patients with the disease, and the problem may be compounded by the diverse referral patterns of rheumatologists and surgeons. Nevertheless, it is now generally accepted that a multidisciplinary approach, involving input from all individuals treating the patient, is optimal. This retrospective study from Mexico aimed to identify predictors of adverse outcomes in this unique population. A prospective analysis of physical ex...
Source: Plastic Surgery - Category: Cosmetic Surgery Source Type: research
Conclusions Septic arthritis of the SCJ is routinely managed surgically at many centers. We report that primary closure with a muscle flap can achieve similar outcomes to secondary intention in selected patients. Furthermore, patients experienced minimal functional impairment at long-term follow-up.
Source: The Annals of Thoracic Surgery - Category: Cardiovascular & Thoracic Surgery Source Type: research
CONCLUSIONS: Septic arthritis of the SCJ is routinely managed surgically at many centers. We report that primary closure with a muscle flap can achieve similar outcomes to secondary intention in selected patients. Furthermore, patients experienced minimal functional impairment at long-term follow-up. PMID: 27083249 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - Category: Cardiovascular & Thoracic Surgery Authors: Tags: Ann Thorac Surg Source Type: research
Conclusions Septic arthritis of the sternoclavicular joint is an unusual infection, especially in otherwise healthy adults. Because it is associated with serious complications such as chest wall abscess, prompt diagnosis and appropriate treatment are required.
Source: Journal of Medical Case Reports - Category: Journals (General) Source Type: research
In his post, “The geriatrician shortage: The problem isn’t what you think,” I completely agree that the current gap in health care professionals’ skills to care well for our aging population is exceedingly complex, reaching well beyond lack of medical school training or funding.  Funding for graduate medical education needs to be transformed to match the workforce needs of the nation, with special attention to filling workforce gaps in rural areas. Other health professions (nursing, pharmacy, social work, rehabilitation, and many others) need to enhance geriatric competencies in their scho...
Source: Kevin, M.D. - Medical Weblog - Category: Journals (General) Authors: Tags: Physician Geriatrics Primary care Source Type: blogs
We report a case of circumferential venous leg ulcer in a rheumatoid arthritis patient. Mesh skin grafting was performed in another hospital, but the graft failed and the patient was referred to our hospital. This ulcer was treated by the combination therapy of a fenestrated‐type artificial dermis with negative pressure wound therapy (NPWT) and secondary mesh grafting using our ‘grip tape technique’. NPWT was started at −100 mmHg and continued until the formation of dermis‐like tissue. A section stained using haematoxylin and eosin and an anti‐αSMA (α smooth muscle actin) immunohi...
Source: International Wound Journal - Category: Surgery Authors: Tags: CASE REPORT Source Type: research
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