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Poncet disease in a patient with smear-negative pulmonary tuberculosis: A case report.
Malays Fam Physician
August 2024
MD, MPath (Anatomic Pathology), Hospital Pulau Pinang, Jalan Residensi, George Town, Ministry of Health Malaysia, Penang, Malaysia.
Article Synopsis
- Pulmonary tuberculosis can be hard to diagnose when patients don’t show typical symptoms, leading to confusion for doctors.
- Poncet disease is a condition related to tuberculosis that causes joint pain and skin lesions without destructive infection.
- A case study showed a patient with joint pain and skin nodules who was ultimately diagnosed with smear-negative pulmonary tuberculosis, and their symptoms improved after starting treatment.
Management of Lunate Facet Escape after Distal Radius Fracture Volar Plating: Surgical Technique.
J Hand Microsurg
March 2024
Department of Orthopedic Surgery, Rothman Institute at Thomas Jefferson University, Philadelphia, Pennsylvania, United States.
Fractures involving the lunate facet of the distal radius (commonly called the volar ulnar corner or "critical corner") are often difficult to recognize radiographically. "Lunate facet escape" refers to the displacement of this fragment after attempted distal radius fracture closed or open reduction methods. Lunate facet escape can have severe consequences including carpal collapse with pain, instability, and arthritis.
View Article and Find Full Text PDFIsolated Unilateral Absence of Lunate: A Case Report and Review of Literature.
J Hand Surg Asian Pac Vol
June 2024
The Department of Plastic, Hand and Reconstructive Microsurgery, Ganga Medical Center and Hospitals Pvt. Ltd., Coimbatore, Tamil Nadu, India.
Isolated unilateral absence of lunate is an extremely rare condition with only one such case reported in English literature so far. The rarity of this condition can lead to diagnostic dilemma, especially if patient has an old history of trauma or surgery around the wrist, leading to unnecessary intervention and difficulty in ensuring a good surgical outcome. We present such a case and discuss the clinical pointers to the diagnosis of this condition.
View Article and Find Full Text PDFOutcome of Preoperative Asymptomatic or Minimally Symptomatic DRUJ Arthritis after Total Wrist Arthrodesis: A Single-Institution Case Series.
J Wrist Surg
August 2023
Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota.
Concomitant severe radiocarpal (RC) arthritis with asymptomatic or minimally symptomatic distal radioulnar joint (DRUJ) arthritis can be debilitating for patients. Surgical management of these combined arthritides can pose a dilemma for surgeons and patients. The purpose of this study was to evaluate patients with concomitant RC and DRUJ arthritides who underwent only total wrist arthrodesis (TWA) to determine the need for subsequent surgical management of preoperative asymptomatic/minimally symptomatic DRUJ arthritis.
View Article and Find Full Text PDFSimultaneous Reconstruction of the Distal Radioulnar Joint Ligaments and Interosseous Membrane Combined with Ulna Shortening Osteotomy for Chronic Essex-Lopresti Injury.
J Hand Surg Asian Pac Vol
June 2022
Department of Orthopaedic Surgery, Gold Coast University Hospital, Southport, QLD, Australia.
The Essex-Lopresti pattern of injury comprises radial head fracture, distal radioulnar joint (DRUJ) dislocation and disruption of the interosseus membrane (IOM). Diagnosis is often delayed, and reconstruction remains a management dilemma, with several proposed techniques addressing the radial head via either replacement or fixation; reconstruction of the DRUJ ligaments via anatomic or non-anatomic methods; and IOM reconstruction with synthetic grafts, allograft or autograft. We present a 26-year-old man with a chronic Essex-Lopresti injury who underwent revision ulnar shortening osteotomy (USO), IOM reconstruction using a brachioradialis graft and an Adams-Berger ligament reconstruction of the DRUJ ligaments following a three-year course of increasing pain and instability following radial head dislocation.
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