2,899 results match your criteria anterior cutaneous

The instep flap for anterior ankle coverage with bone and hardware exposure.

Eur J Orthop Surg Traumatol 2021 Jun 12. Epub 2021 Jun 12.

Division of Orthopaedic and Trauma Surgery, Sahel General Hospital, University Medical Centre, PO Box 99/25., Ghoubeiry, Beirut, Lebanon.

Purpose: The instep medial plantar flap is a well-known flap based on the medial plantar artery of the foot and usually used for coverage of soft tissue defects of the heel area. It has seldom been reported for coverage of anterior ankle area with exposure of the bone and metallic hardware after open reduction and internal fixation of distal tibial fractures. The primary purpose of this study is to evaluate the feasibility and viability of this flap as well as its reliability saving the internal fixation devices and efficiency protecting bone healing; the secondary purpose is to assess the condition of the flap and its cosmetic appearance, as well as occurrence of complications related to its harvesting. Read More

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Persistent pain relief following a single injection of a local anesthetic for neuropathic abdominal wall and groin pain.

Scand J Pain 2021 Jun 10. Epub 2021 Jun 10.

Department of Surgery, Máxima Medical Center, Eindhoven/Veldhoven, The Netherlands.

Objectives: It is our experience that a small portion of patients with neuropathic abdominal wall pain syndromes such as the anterior cutaneous nerve entrapment syndrome (ACNES) have a long term beneficial response following just one single tender point injection (TPI) with a local anesthetic agent. This report focuses on the phenomenon of ongoing pain relief following a single local anesthetic injection in neuropathic abdominal wall and groin pain syndromes.

Methods: This report is an overview based on earlier studies from a center of expertise for neuropathic abdominal wall and groin pain syndromes. Read More

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Endovascular revascularization of chronic total arterial occlusion of the lower limb using the SAFARI technique.

J Vasc Bras 2021 Mar 12;20:e20200126. Epub 2021 Mar 12.

Hospital Nacional Edgardo Rebagliati Martins - HNERM, Departamento de Cirugía de Tórax y Cardiovascular, Vascular and Endovascular Surgery Service, Lima, Peru.

The SAFARI technique or Subintimal Arterial Flossing with Antegrade-Retrograde Intervention is an endovascular procedure that allows recanalization of Chronic Total Occlusive (CTO) lesions when conventional subintimal angioplasty is unsuccessful. Retrograde access is usually obtained through the popliteal, anterior tibial, dorsalis pedis artery, or posterior tibial arteries and may potentially provide more options for endovascular interventions in limb salvage. The case of an 81-year-old man with a history of uncontrolled hypertension, diabetes mellitus, and dyslipidemia is presented. Read More

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Excision of deep endometriosis nodules of the sciatic nerve in 10 steps.

J Minim Invasive Gynecol 2021 Jun 3. Epub 2021 Jun 3.

Endometriosis Center, Clinique Tivoli-Ducos, Bordeaux, 33000, France.

Objective: To present 10 standardized and reproducible surgical steps allowing for complete excision of deep endometriosis nodules involving the sciatic nerve.

Design: Surgical education video. The local IRB confirmed that the video met ethical criteria required for publication. Read More

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Tunneled Flaps: An Ingenious Reconstructive Option for Anterior Auricle Defects.

J Cutan Aesthet Surg 2021 Jan-Mar;14(1):14-19

Department of Dermatology, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal.

Background: The anterior surface of the auricle is especially susceptible to a variety of traumatic insults and cutaneous malignancies. However, given the unique anatomy of this structure and the lack of local tissue available, the reconstruction of these defects is still a challenge. Despite of their positive outcomes, tunneled flaps have not been thoroughly explored in the literature. Read More

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Erdheim-Chester Disease: a comprehensive review from the ophthalmologic perspective.

Surv Ophthalmol 2021 May 31. Epub 2021 May 31.

National and Kapodistrian University of Athens, 1st University Eye Clinic, G.Genimatas General Hospital, Athens, Greece. Electronic address:

Erdheim-Chester disease (ECD) is a rare clonal histiocytic neoplasm with less than 1200 documented cases to date. The disease is life-threatening and difficult to recognize, although increasing awareness as well as the integration of clinical, imaging, pathology information and genetic studies have led to a recent exponential increase in new reported cases.. Read More

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Compression socks enhance sensory feedback to improve standing balance reactions and reflex control of walking.

BMC Sports Sci Med Rehabil 2021 Jun 2;13(1):61. Epub 2021 Jun 2.

Rehabilitation Neuroscience Laboratory, University of Victoria, PO Box 3010 STN CSC, Victoria, BC, V8W 3P1, Canada.

Background: Compression garments are generally used for their potential benefits in exercise performance and post-exercise recovery. Previous studies show that compression sleeves worn at the elbow change neuromuscular control and improve performance during reaching movement. Cutaneous stimulation of the foot skin produces location-specific reflexes in the lower limb that guide foot placement during locomotion. Read More

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Bikini Incision Increases the Incidence of Lateral Femoral Cutaneous Nerve Injury in Direct Anterior Approach Hip Arthroplasty: A Prospective Ultrasonic, Electrophysiological, and Clinical Study.

J Arthroplasty 2021 May 15. Epub 2021 May 15.

Department of Joint Surgery, Shanghai General Hospital, Shanghai Jiaotong University, Shanghai, China.

Background: Lateral femoral cutaneous nerve (LFCN) injury has been widely reported as one of the most common complications of direct anterior approach (DAA) hip arthroplasty. Bikini incision is considered to increase the incidence of this complication.

Methods: A prospective randomized study was conducted after including ninety-nine bikini and ninety-six longitudinal incision DAA cases from May to November 2020. Read More

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Minimally invasive internal fixation for unstable pelvic ring fractures: a retrospective study of 27 cases.

J Orthop Surg Res 2021 May 31;16(1):350. Epub 2021 May 31.

Department of Orthopaedics, West China Hospital, Sichuan University, No.37 Guoxue Lane, Chengdu, 610041, Sichuan, People's Republic of China.

Background: This study aimed to evaluate the radiographic and clinical outcomes of anterior subcutaneous internal fixation (INFIX) with or without posterior fixation for the treatment of unstable pelvic fractures.

Methods: Intraoperative blood loss, operation time, and duration of hospital stay were recorded, and fracture union and postoperative complications were evaluated. The fracture reduction quality was evaluated using the Matta score, pelvic deformity index (PDI), and pubic symphyseal width (PSW). Read More

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Are Oral Mucosal Changes a Sign of COVID-19? A Cross-Sectional Study at a Field Hospital.

Actas Dermosifiliogr 2021 May 12. Epub 2021 May 12.

Servicio de Dermatología, Hospital Universitario La Paz, Madrid, Spain.

Background: Coronavirus disease 19 (COVID-19) has many manifestations, including respiratory, thrombotic, neurologic, digestive, and cutaneous ones. Cutaneous manifestations have been classified into 5 clinical patterns: acro-ischemic (pseudo-chilblain), vesicular, urticarial, maculopapular, and livedoid. Oral manifestations have also been reported, but much less frequently. Read More

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Imaging and clinical features of neurocutaneous melanosis in the pediatric population.

Curr Med Imaging 2021 05 26. Epub 2021 May 26.

Department of Biomedical and Dental Sciences and of Morphofunctional Imaging, University of Messina, Italy.

Background: Neurocutaneous melanosis (NCM) is a rare nonfamilial phakomatosis characterized by the presence of congenital melanocytic nevi and abnormal melanocytes infiltration of the leptomeninges.

Objective & Methods: This paper shows the importance of early diagnosis and the most important imaging features of the disease on CT and MR scans. PubMed database was searched from January 1972 to September 2020. Read More

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Comparison of the effect of different volumes ropivacaine on deep serratus anterior plane block in patients undergoing breast surgery: a prospective randomized double-blinded trial.

Ann Palliat Med 2021 May 20. Epub 2021 May 20.

Department of Anesthesiology, The First Affiliated Hospital of Soochow University, Suzhou, China; Department of Anesthesiology, Dushu Lake Hospital Affiliated to Soochow University, Suzhou, China.

Background: A larger volume of local anesthetic provides a wider range of blocked sensory but carries a greater risk. The purpose of this trial was to compare the effect of different volumes of ropivacaine injected to deep serratus anterior plane in patients undergoing breast surgery.

Methods: In this randomized double-blind trial, 60 patients undergoing breast surgery were randomly allocated to R10, R20 and R30 groups (n=20), and received deep serratus anterior plane block with 10, 20 and 30 mL of 0. Read More

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Duplicated transverse cervical nerve and external jugular vein.

Anat Cell Biol 2021 May 25. Epub 2021 May 25.

Department of Neurosurgery, Tulane Center for Clinical Neurosciences, Tulane University School of Medicine, New Orleans, LA, USA.

The transverse cervical nerve arises from anterior rami of the second and third cervical spinal nerves via the cervical plexus. We present a case of a left duplicated transverse cervical nerve with a duplicated external jugular vein in a 72-year-old female cadver. The transverse cervical nerve bifurcated into two branches, . Read More

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Supernumerary Head of the Biceps Brachii Muscle: An Anatomic Variant With Clinical Implications.

J Chiropr Med 2021 Mar 12;20(1):37-42. Epub 2021 May 12.

Private practice, McDonough, Georgia.

Objective: The purpose of this anatomic case report is to describe a variation of the biceps brachii muscle identified in an adult male cadaveric specimen and its potential clinical relevance.

Methods: A cadaveric specimen with a left supernumerary biceps brachii muscle was dissected. Adjacent neurovascular structures were isolated, and their pathways were observed for possible areas of compression. Read More

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Serratus Anterior Plane Block Combined with General Analgesia and Patient-Controlled Serratus Anterior Plane Block in Patients with Breast Cancer: A Randomized Control Trial.

Adv Ther 2021 Jun 22;38(6):3444-3454. Epub 2021 May 22.

Department of Anesthesiology, Guangzhou First People's Hospital, School of Medicine, South China University of Technology, No.1 Panfu Road, Yuexiu District, Guangzhou, 510180, Guangdong, China.

Introduction: Anterior serratus muscle plane block is a novel regional block technique for blockade of the sensory plane of the lateral cutaneous branch of the intercostal nerve (T2-T9), which effectively relieves the pain of patients and improves the quality of recovery. This study aimed to observe the early effectiveness and safety of serratus anterior plane block combined with general anesthesia and patient-controlled serratus anterior plane block in early postoperative recovery in breast cancer.

Methods: The study involved a total of 84 patients undergoing radical mastectomy in our hospital. Read More

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A Case of Bilateral Multifocal Choroiditis Associated with BRAF/MEK Inhibitor Use for Metastatic Cutaneous Melanoma.

Ocul Immunol Inflamm 2021 May 19:1-5. Epub 2021 May 19.

Department of Ophthalmology, University of Washington, Seattle, Washington, USA.

To report a case of BRAF/MEK inhibitor-associated multifocal choroiditis that recurred after medication re-exposure and resolved after discontinuing BRAF/MEK inhibition and administering local steroid therapy. A 32-year-old woman with metastatic cutaneous melanoma on dabrafenib/trametinib presented with bilateral anterior uveitis and new bilateral multifocal chorioretinal scars. The anterior uveitis resolved after a course of topical steroids. Read More

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Asynchronous Bilateral Ureteric-Arterial Fistula: Diagnosis and Treatment.

Case Rep Urol 2021 3;2021:5590432. Epub 2021 May 3.

Urology Unit-Cannizzaro Hospital, via Messina 829, Catania, Italy.

A 48-year-old woman submitted to anterior exenteration plus ileal-cutaneous conduit for metastatic cervical cancer during the change of the ureteral stent showed massive bleeding in the left ureter. A selective intra-arterial angiography showed a fistula between the ureter and the left common iliac artery that the interventional radiologist quickly repaired by inserting a vascular endoprosthesis. Six months later, gross hematuria secondary to right ureter-iliac fistula occurred again and a second endoprosthesis was inserted. Read More

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Histologic Patterns of Cutaneous Metastases of Breast Carcinoma: A Clinicopathologic Study of 232 Cases.

Am J Dermatopathol 2021 Jun;43(6):401-411

Professor, Departments of Pathology, Medical College of Wisconsin, Milwaukee, WI.

Abstract: Cutaneous metastasis may be the initial sign of internal malignancy but more often represents a late manifestation of widely disseminated disease. Breast carcinoma is the most common malignancy to metastasize to the skin. Although several studies have detailed the histopathologic patterns of cutaneous metastasis from internal malignancies, very little has been published regarding metastases of breast carcinoma to the skin. Read More

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Tumor-like herpes simplex infection in an HIV patient.

An Bras Dermatol 2021 May 15. Epub 2021 May 15.

Department of Dermatology, Hospital General Universitario Gregorio Marañón, Universidad Complutense de Madrid, Madrid, Spain.

A 56-year-old man, HIV-positive, presented with a 3-day history of multiple indurated erythematous nodules with superficial and well-defined erosions on his right gluteus. Skin biopsy showed ballooning-necrotic keratinocytes and cultures were positive for herpes simplex 2. Genital herpes simplex infection recurrences may not be restricted to the anterior part of the genitalia and clinical presentation in the lumbar area or gluteus must be differentiated from varicella-zoster virus infection. Read More

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A Prospective Randomised Study to Assess the Analgesic Efficacy of Serratus Anterior Plane (SAP) Block for Modified Radical Mastectomy Under General Anaesthesia.

Turk J Anaesthesiol Reanim 2021 Apr 30;49(2):124-129. Epub 2020 Nov 30.

Department of Onco-Anaesthesiology and Palliative Medicine, Dr. Bhim Rao Ambedkar Institute Rotary Cancer Hospital, All India Institute of Medical Sciences, New Delhi, India.

Objective: Breast cancer is the most common malignancy among women and often requires surgery for the removal of the tumour. Uncontrolled pain after breast surgeries is a common problem. Serratus anterior plane (SAP) block is a recently designed technique to block the lateral cutaneous branches of the ventral rami of thoracic intercostal nerves and may cover the area of surgical dissection for modified radical mastectomy (MRM). Read More

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Are Oral Mucosal Changes a Sign of COVID-19? A Cross-Sectional Study at a Field Hospital.

Actas Dermosifiliogr (Engl Ed) 2021 May 12. Epub 2021 May 12.

Servicio de Dermatología, Hospital Universitario La Paz, Madrid, Spain.

Background: Coronavirus disease 19 (COVID-19) has many manifestations, including respiratory, thrombotic, neurologic, digestive, and cutaneous ones. Cutaneous manifestations have been classified into 5 clinical patterns: acro-ischemic (pseudo-chilblain), vesicular, urticarial, maculopapular, and livedoid. Oral manifestations have also been reported, but much less frequently. Read More

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Conservative management of anterior cutaneous nerve entrapment syndrome: A case report.

J Bodyw Mov Ther 2021 Apr 10;26:141-146. Epub 2020 Dec 10.

Doctor of Chiropractic, Private Practice of Chiropractic, Oviedo, FL, USA.

Objective: To describe a conservative approach to care of an adult patient presenting with chronic abdominal wall pain persisting two years following abdominal surgery.

Clinical Features: A 62-year-old female presented to a chiropractic neurologist with abdominal wall pain and sensation deficits. Her prior surgical history and a positive Carnett's sign indicated anterior cutaneous nerve entrapment syndrome (ACNES). Read More

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A Novel Minimally Invasive Spherical Periacetabular Osteotomy: Pelvic Ring Preservation and Patient-Specific Osteotomy by Preoperative 3-Dimensional Templating.

J Bone Joint Surg Am 2021 May 14. Epub 2021 May 14.

Department of Orthopaedic Surgery, Kanazawa Medical University, Kahoku-gun, Ishikawa, Japan.

Background: Spherical periacetabular osteotomy (SPO) is a novel osteotomy involving splitting the teardrop, using patient-specific preoperative planning, and requiring only a 7-cm skin incision. We report preoperative planning methods and short-term results of SPO.

Methods: In preoperative planning, computed tomography (CT) images were imported into 3-dimensional templating software. Read More

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Metastatic Carcinoma of Prostate as a Mimicker of SAPHO Syndrome.

Clin Med Res 2021 May 13. Epub 2021 May 13.

Department of Laboratory medicine and Hemato-pathology, Mayo Clinic Health System, Eau Claire, WI 54702.

Paraneoplastic arthritides are a group of immune mediated inflammatory arthropathies associated with occult or manifest malignancy. Musculoskeletal spread of an underlying malignancy may also mimic many rheumatologic conditions. Distinguishing primary rheumatologic condition from paraneoplastic arthritides versus direct musculoskeletal spread of malignancy can be challenging especially in individuals with prior history of cancer and new musculoskeletal complaints. Read More

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[Plastic-surgical coverage of an extended defect on the scalp using a bipedicled vascularised flap after removal of two cutaneous squamous epithelial carcinomas].

Handchir Mikrochir Plast Chir 2021 May 10. Epub 2021 May 10.

Uniklinik Bonn; Abteilung für Mund-, Kiefer und Plastische Gesichtschirurgie.

Covering huge scalp defects is often a great challenge. Different aspects play a major role in planing and performing the covering of vast defects. We present the case of a patient with a squamous cell carcinoma of the scalp, measuring 8 × 9 centimeters. Read More

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Incidence of lateral femoral cutaneous nerve lesions after direct anterior approach primary total hip arthroplasty - a literature review.

Orthop Traumatol Surg Res 2021 May 4:102956. Epub 2021 May 4.

II. Orthopedic Department, Orthopedic Hospital Speising, Speisinger Str. 109, 1130 Vienna, Austria; Michael Ogon Laboratory for Orthopedic Research, Orthopedic Hospital Speising, Speisinger Str. 109, 1130 Vienna, Austria.

Introduction: Lesions of the lateral cutaneous femoral nerve are a reported complication of the direct anterior approach (DAA) for total hip arthroplasty (THA). Little is known about the incidence rates of this lesion. The goal of this study was to answer the following questions: (1) Is the true incidence rate of LFCN lesions after DAA THA known? (2) What are the reasons for the wide range of reported incidence rates in the literature? (3) Are surgeons increasingly aware of the significance of LFCN lesions?

Methods: A US Medical Library of Medicine database search was performed for DAA THA. Read More

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Innervation of digital joints: an anatomical overview.

Surg Radiol Anat 2021 May 6. Epub 2021 May 6.

Department of Orthopedic Surgery, Rouen University Hospital, Rouen, France.

Introduction: The innervation of the digital joints as well as the anatomical relationships of the articular branches is present in this anatomical work to determine the technical feasibility of a selective and efficient denervation of the digital joints.

Materials And Methods: A study of 40 distal interphalangeal (DIP), 40 proximal interphalangeal (PIP), 50 metacarpophalangeal (MCP), 10 interphalangeal (IP) of the thumb, and 10 trapezo-metacarpophalangeal (TMC) joints was performed on ten hands. Under magnification and a proper surgical approach, we collected the course, the source origin, the number of articular nerve branches, and their caliber. Read More

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Vaginal mucositis related to immunotherapy in endometrial cancer.

Gynecol Oncol Rep 2021 May 31;36:100742. Epub 2021 Mar 31.

Rutgers Cancer Institute of New Jersey, United States.

Immunotherapy, specifically immune checkpoint inhibitors (ICPi), has revolutionized our approach to treating all solid tumors, including gynecologic malignancies. Compared to standard chemotherapy, the adverse events associated with immunotherapies, are often mild and localized, although more severe systemic responses can also occur. While dermatitisdermatitis is a most commonly reported side effect of ICPi therapy, cutaneous toxicities have a range of clinical manifestations and can provide a challenge in an otherwise favorable treatment protocol. Read More

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Endoscopic Anterior Transposition of Ulnar Nerve (EATUN) for Treatment of Tardy Ulnar Nerve Palsy.

Indian J Orthop 2021 Apr 12;55(2):478-483. Epub 2021 Mar 12.

Department of Biostatistics, Christian Medical College and Hospital, Vellore, Tamil Nadu India.

Background: Tardy ulnar nerve palsy is the development of late onset ulnar nerve dysfunction and is usually treated by open anterior transposition of ulnar nerve. Open technique is done using a longitudinal incision about 6-8 inch. in length with chances of development of medial antebrachial cutaneous nerve neuromas. Read More

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Cardiac manifestations in Finnish gelsolin amyloidosis patients.

Amyloid 2021 Apr 20:1-5. Epub 2021 Apr 20.

Heart and Lung Center, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.

Introduction: Finnish gelsolin amyloidosis (AGel amyloidosis) is an inherited systemic amyloidosis with well-known ophthalmological, neurological and cutaneous symptoms. Additionally, cardiomyopathies, conduction disorders and need of cardiac pacemakers occur in some patients. This study focuses on electrocardiographic (ECG) findings in AGel amyloidosis and their relation to cardiac magnetic resonance (CMR) changes. Read More

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