Background: Intramedullary spinal cord abscesses are rare and can be potential harmful lesions that cause a variety of neurologic problems. It is a treatable cause of paraparesis; however, diagnosis is not often straightforward due to the indolent course and rarity of the disease.
Case Report: We report a case of a 32-month-old boy referred to our institution with a neglected intramedullary cord abscess after 6 months.
Conclusion: Strong clinical suspicion, in addition to prompt surgical drainage with proper antibiotic therapy, seems crucial in prevention of permanent neurological disability.
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http://dx.doi.org/10.1007/s00381-007-0421-7 | DOI Listing |
Medicine (Baltimore)
December 2024
Department of Orthopaedics and Traumatology, University of Health Sciences, Adana City Training and Research Hospital, Adana, Türkiye.
Neglected malleolus fracture cases, among other conditions in which arthrodesis is inevitable, usually present with pseudoarthrosis of the malleolus and impaired ligament balancing. The study aimed to summarize the clinical data results of neglected malleolus fractures accompanied by ankle instability. The retrospective study was conducted at Adana City Training and Research Hospital.
View Article and Find Full Text PDFJ Orthop Case Rep
December 2024
Department of Orthopaedics, Government Medical College and Hospital, Nagpur, Maharashtra, India.
Introduction: Most patients with these injuries are taken to hospitals frequently for specialized orthopedic treatment. However, because quackery is a common practice in the many regions, it is common in underdeveloped nations, particularly in rural India, for these injuries to be initially overlooked. This study aimed to assess the efficacy of open intramedullary nailing in the treatment of patients with neglected bilateral fracture shaft femurs in terms of union achievement and functional outcomes.
View Article and Find Full Text PDFBone
January 2025
Julius Wolff Institute, Berlin Institute of Health at Charité - Universitätsmedizin Berlin, Germany. Electronic address:
Treatment of bone fractures are standardized according to the AO classification, which mainly refers to the mechanical stabilization required in a given situation but neglect individual differences due to patient's healing potential or accompanying diseases. Specially in elderly or immune-compromised patients, the complexity of individual constrains on a biological as well as mechanical level are hard to account for. Here, we introduce a novel framework that allows to predict bone regeneration outcome using combined proteomic and mechanical analyses in a computer model.
View Article and Find Full Text PDFJ Pers Med
August 2024
Department of Orthopedics and Traumatology, Paracelsus Medical University, General Hospital Nuremberg, Breslauer Straße 201, 90471 Nuremberg, Germany.
Background: Proximal humerus fractures are common fractures of the elderly population which can lead to long-term compromise of a patient's shoulder function. Closed reduction and internal fixation with intramedullary nailing is a well-established surgical technique yielding good outcomes, as perceived by patients, obtained via Patient-Reported Outcome Measures, and objectified by clinical shoulder testing. Apart from conventional range-of-motion testing and clinical shoulder tests, strength testing of the shoulder is a yet-neglected but meaningful and standardizable outcome parameter.
View Article and Find Full Text PDFCureus
July 2024
Department of Orthopedics and Traumatology, University General Hospital of Patras, Patras, GRC.
Developmental dysplasia of the hip (DDH) is a serious condition resulting in inadequate acetabular development, distorted bone configuration, and substantially altered hip biomechanics. An extensive leg length discrepancy (LLD) is commonly encountered in such cases, making a total hip arthroplasty (THA) procedure extremely challenging. Although good results in terms of patients' satisfaction, implant survival rates and overall improved quality of life have been reported, complication rates are considerably higher than primary THA procedures performed for idiopathic osteoarthritis.
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