Publications by authors named "Caroline Cushman"

Introduction: Below-knee amputations (BKAs) treat lower-limb conditions such as ischemia, peripheral artery disease, and trauma. This study uses social media to examine patient outcomes and perspectives post-BKA.

Methods: Data from Facebook, Instagram, and X (formerly Twitter) from February 26, 2014, to February 26, 2024, were analyzed.

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Case: We present a 42-year-old man who developed extensive left lower extremity arterial thrombosis following COVID-19 pneumonia. Despite multiple revascularization attempts and a below-knee amputation, he faced wound necrosis and insufficient soft tissue coverage. An innovative approach using a pedicled flap and sequential flow-through free flaps was used for limb salvage.

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Background: Autologous fat grafting (AFG) has gained popularity in both cosmetic and reconstructive surgery, including hand surgery, due to its regenerative potential and dual benefits of enhancing aesthetics and function. This systematic review aims to evaluate the efficacy of AFG in treating various hand pathologies.

Methods: A systematic review was conducted following PRISMA guidelines.

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Article Synopsis
  • The musculoskeletal system is prone to joint pain from conditions like rheumatoid arthritis and osteoarthritis, prompting the exploration of peptides as a new treatment option that is safe and minimally invasive.
  • This study reviews existing oral and intra-articular peptide therapies, focusing on their effectiveness for soft tissue regeneration and comparing their delivery routes.
  • The review found that both oral and intra-articular peptides can aid in soft tissue repair, but each has its own challenges of bioavailability, and more research is needed to establish their efficacy before they are widely adopted as an alternative to surgery.
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A 41-year-old male with a history of tobacco and alcohol use presented to our clinic for a follow up of an incidentally diagnosed splenic mass. The patient was sent for further diagnostic evaluation, and computed tomography showed a large splenic mass with heterogenous enhancement raising concern for neoplasm. Due to the uncertain nature of the splenic lesion and high complication rate of percutaneous splenic biopsy, a splenectomy was performed.

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Article Synopsis
  • Visceral artery pseudoaneurysms, especially in the gastroduodenal artery, are rare but can lead to severe complications like rupture, particularly in patients with chronic pancreatitis.
  • A 61-year-old man with chronic pancreatitis and other health issues was found to have a 7 cm pseudoaneurysm that was successfully treated using coil embolization after presenting with abdominal pain and fevers.
  • This case emphasizes the need for quick diagnosis and treatment of GDA pseudoaneurysms and shows that endovascular therapies can effectively enhance outcomes in complex cases linked to chronic pancreatitis.
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Arteriovenous malformations (AVMs) are rare vascular anomalies that present complex diagnostic and therapeutic challenges, particularly in uncommon locations such as the lower extremities. A 72-year-old female with chronic atrial fibrillation, hypertension, and peripheral vascular disease presented with severe lower extremity edema due to multiple AVMs below the knee. This case underscores the importance of a multidisciplinary, individualized approach in managing complex AVMs and highlights the need for advanced imaging and diverse interventional techniques to ensure effective treatment and long-term outcomes.

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The right posterior segmental duct (RPSD) draining into the cystic duct is exceedingly rare. Ligation of the cystic duct in proximity to the junction of an aberrant right hepatic duct after a cholecystectomy can lead to life threatening complications. The present case study reveals a severed anomalous RPSD and subsequent Roux-en-Y hepaticojejunostomy procedure employed to fix biliary anomaly.

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