Pityriasis rubra pilaris (PRP) is a rare dermatologic disorder marked by erythema, scaling, pruritus, pain, and follicular hyperkeratosis. It usually appears as red, scaly patches with areas of unaffected skin and is commonly associated with orange-colored palms and soles. While the exact etiology is unknown, emerging evidence points to several contributing factors.
View Article and Find Full Text PDFMuir-Torre syndrome (MTS) is a rare, autosomal dominant condition that is within the spectrum of Lynch syndrome (hereditary nonpolyposis colorectal cancer (HNPCC)). Sebaceous adenomas are among the most specific manifestations of MTS. Other malignancies include tumors of the colon, rectum, and genitourinary systems, such as endometrial, ovarian, urothelial, and prostate cancer.
View Article and Find Full Text PDFAngioedema involves fluid accumulation into the interstitial spaces of the dermis, subcutaneous tissue, and mucosal surfaces. While usually benign and self-limited, angioedema can lead to laryngeal edema, a life-threatening condition. The most common causes are histamine-mediated allergic reactions.
View Article and Find Full Text PDFCutaneous plasmacytosis (CP) is a rare condition characterized by benign proliferation of mature plasma cells in the skin. It presents as reddish-brown macules, papules, or plaques, typically located on the neck, face, and trunk. The etiology remains unknown, though it is believed to be reactive rather than malignant.
View Article and Find Full Text PDFSyphilis is a sexually transmitted infection caused by the bacterium . This disease is characterized by four different stages, each presenting with a variety of manifestations or asymptomatic disease. These stages can be further broken down into early-stage syphilis, which includes primary and secondary syphilis, and late-stage syphilis, which includes tertiary syphilis.
View Article and Find Full Text PDFObjective: Catalina Island's Casino Point is a popular scuba diving site and is located 11.6 nautical miles from the University of Southern California Catalina Hyperbaric Chamber. We sought to determine the best method of providing high-performance CPR during a dive emergency, comparing manual cardiopulmonary resuscitation (CPR) with 2 mechanical compression devices during a simulated boat transport.
View Article and Find Full Text PDFHigh-pressure water injection injuries of the hand are uncommon, and there is limited literature to guide their treatment. The ideal management of these injuries, whether nonoperative with close observation or early surgical debridement, remains unknown. The authors retrospectively identified a cohort of patients with high-pressure water injection injuries to the hand during a 16-year period.
View Article and Find Full Text PDFPostoperative knee stiffness can influence outcomes following operative treatment of multiligament knee injuries (MLKIs). The purpose of this study was to evaluate patient and surgical factors that may potentially contribute to stiffness following surgery for MLKIs. All surgically managed MLKIs involving two or more ligaments over a 10-year period at a single level one trauma center were included in this study.
View Article and Find Full Text PDFWe conducted a study to identify and contrast patterns in the treatment of common injuries that occur in National Football League (NFL) players and National Collegiate Athletic Association (NCAA) Division I football players. Orthopedic team physicians for all 32 NFL and 119 NCAA Division I football teams were asked to complete a survey regarding demographics and preferred treatment of a variety of injuries encountered in football players. Responses were received from 31 (97%) of the 32 NFL and 111 (93%) of the 119 NCAA team physicians.
View Article and Find Full Text PDFPower and tip pinch are an integral part of intrinsic hand function that can be significantly compromised with dysfunction of the ulnar nerve. Loss of power pinch is one component that can significantly affect an individual's ability to perform simple daily tasks. Tip pinch is less affected, as this task has significant contributions from the median nerve.
View Article and Find Full Text PDFPrimary care physicians occupy a vital position to impact many devastating conditions, especially those dependent upon early diagnosis, such as skin cancer. Skin cancer is the most common cancer in the United States and despite improvements in skin cancer therapy, patients with a delay in diagnosis and advanced disease continue to have a grave prognosis. Due to a variety of barriers, advanced stages of skin cancer are more prominent in rural populations.
View Article and Find Full Text PDFBackground: Recent literature has shown that posterolateral corner injuries of the knee have poor results when treated with repair, when compared to reconstruction. Our study sought to compare outcomes of posterolateral knee injuries treated with repair versus reconstruction and report results from our institution, with the hypothesis that acute repairs have comparable results to reconstructions.
Methods: We identified patients with posterolateral knee reconstruction or repair from January 1, 2000 to March 1, 2012.
Background: In an attempt to improve the accuracy and reproducibility of tunnel positioning, radiographs are being analyzed in an attempt to recreate the native anatomy of the ACL. Understanding the native ACL radiographic anatomy is an essential prerequisite to understand the relevance of postoperative tunnel position.
Questions/purposes: We performed a systematic review of the literature to delineate the radiographic location of the native ACL femoral and tibial footprints.
Purpose: To analyse one institution's experience with multiligament knee injuries.
Methods: Over 10 years, 133 multiligament knee injuries including 130 patients were included in the study. Inclusion criteria included: (1) injury to two or more knee ligaments (2) multiligament knee repair/reconstructive surgery.
Purpose: Our goal was to evaluate the impact of body mass index (BMI) on complications and associated injuries in patients undergoing surgical treatment for multiligamentous knee injuries (MLKIs).
Methods: Over a period of 10 years, 126 MLKIs (123 patients) were included in the study. The inclusion criteria were (1) injury to 2 or more knee ligaments, (2) multiligament repair and/or reconstruction performed by 1 of 3 sports medicine orthopaedic surgeons at our institution, and (3) minimum of 1 year of follow-up.