Introduction: With the rarity and benign nature, angioleiomyoma is a tumor of disputed etiology that originates from the tunica media of the blood vessels. Lacking any characteristic clinical or radiological features, often leading to preoperative misdiagnosis, it is only diagnosed confidently on the basis of histopathology; for this reason combined with the rarity, angioleiomyoma would not be usually found at the top of the differential diagnosis list. Local excision is usually curative with excellent prognosis.
Case: This report discusses a case of a 60-year-old healthy lady who complained of a chronic painless mass in the right 2nd digit. Originating from the proper ulnar digital artery, it was excised with no complications. Histopathology results confirmed the diagnosis of angioleiomyoma. No recurrence was observed 6 months following the procedure.
Discussion: Out of the handful published papers concerned with angioleiomyoma in hands, few report the origin to be the digital artery.
Conclusion: Further awareness about this tumor is required and it should be included in the differential diagnoses list of the treating surgeon.
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http://dx.doi.org/10.1016/j.ijscr.2020.04.013 | DOI Listing |
Front Bioeng Biotechnol
December 2024
Bone and Joint Research Center, Chang Gung Memorial Hospital at Linkou, Taoyuan, Taiwan.
Background: Pediatric supracondylar humeral fractures present considerable surgical challenges due to the difficulty of achieving proper fracture alignment and stable fixation while avoiding injury to the ulnar nerve. This study assesses the biomechanical performance of a novel Kirschner wire (K-wire) fixation device (KFD), designed to enhance stability and reduce complications linked to traditional K-wire configurations.
Methods: Using finite element analysis (FEA), we evaluated four fixation strategies for treatment of pediatric supracondylar humeral simple transverse fractures: crossed pin fixation, crossed pin fixation with KFD, two lateral pin fixation, and two lateral pin fixation with KFD, under various mechanical loads.
Sports (Basel)
October 2024
Department of Rehabilitation Medicine, Kyoto Prefectural University of Medicine, Kyoto 6028566, Japan.
Elbow injuries are common in judo, particularly among adolescents. This study investigated the incidence and patterns of three types of elbow injuries (sprain, dislocation, and fracture-dislocation) among Japanese adolescent judo players (12 to 18 years old) using data from a nationwide insurance database, covering the period from 2010 to 2019. A total of 4614 elbow injuries were recorded, with sprains being the most frequent (67.
View Article and Find Full Text PDFHealthcare (Basel)
October 2024
Plastic Surgery, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Via Albertoni 15, 40138 Bologna, Italy.
Introduction: The choice of the most adequate surgical technique for upper limb defects remains challenging. The aim of this article is to discuss the main microsurgical (pedicled or free) reconstructive options for the post-oncological reconstruction of different anatomical areas of the upper extremity.
Materials And Methods: We reviewed different reconstructive methods reported in the literature needing microsurgical expertise and compared them to our clinical experience, in order to provide further guidance in the choice of different flaps for upper limb soft tissue reconstruction.
J Clin Monit Comput
October 2024
Zablocki VA Medical Center, Milwaukee, WI, USA.
Quantitative neuromuscular monitoring reduces the incidence of residual neuromuscular block, but broad acceptance of monitoring has been elusive despite recommendations for quantitative monitoring for decades. Acceptance of quantitative monitoring may, in part, be related to the quality of the data from monitoring systems. This evaluation explored proper stimulating electrode positioning for electromyographic (EMG) monitoring, the impact of an educational intervention on electrode positioning and anesthesia provider (anesthesiologist, resident, anesthetist) confidence in the monitoring data from the device.
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