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High-velocity traumatic amputations of the proximal upper extremity are devastating to the patient and represent an extreme surgical challenge to the treatment team. The hand surgeon must simultaneously battle devascularization with timely microvascular anastomosis, gross contamination with meticulous debridement, and amputation with stable fixation. In restoring a functional extremity, many of these goals are in contention with each other.
View Article and Find Full Text PDFIntroduction: Iatrogenic injury to the ilioinguinal nerve and its branches during anterior inguinal hernia repair is a cause of chronic inguinal pain in up to 12 % of patients undergoing this operation. The risk of nerve injury is high, given the nerves' relatively small caliber and strictly-confined space through which they pass. In the current report, we describe using a novel fluorescence imaging system developed to detect nerve autofluorescence in a 66-year-old man who presented with a left-sided Type II inguinal hernia and underwent inguinal hernioplasty.
View Article and Find Full Text PDFThe financial cost of injuries and their association with team success in professional men's cricket.
J Sci Med Sport
January 2025
Centre for Health, and Injury & Illness Prevention in Sport, Department of Health, University of Bath, United Kingdom; UK Collaborating Centre on Injury & Illness Prevention in Sport (UKCCIIS), United Kingdom. Electronic address: https://twitter.com/statman_sean.
Objectives: To quantify the direct and indirect costs associated with injuries in professional men's cricket from 2015/16 to 2021/22 and to report the association between the cost of injuries and team success.
Design: Retrospective cohort study.
Methods: Injury insurance claims were obtained for cricket-related injuries to determine direct costs.
Illnesses and Diseases Constitute a Quarter of Medical Conditions in an Under-21 National Football Team.
J Sport Rehabil
January 2025
Department of Hand Surgery, Bridge Hospital, Helsinki University Central Hospital and University of Helsinki, Helsinki, Finland.
Context: There is a minimal number of studies of under-21-year-old national football teams, and the literature is injury centric. Particularly, current knowledge is deficient regarding noninjurious medical conditions, such as illnesses and diseases.
Design: The objectives of this study were to analyze the descriptive characteristics of injuries and illnesses or diseases encountered in an under-21 football team during 2 European championship qualification tournaments.
A Sneaky Culprit: Secondary Infectious Keratitis Due to Brevundimonas diminuta.
Eye Contact Lens
January 2025
Medical College of Wisconsin, Milwaukee, WI.
Purpose: To describe a rare case of infectious keratitis secondary to Brevundimonas diminuta, a gram-negative bacillus with fluoroquinolone resistance and rare clinical isolation.
Methods: A 50-year-old man with contact lens overuse presented with a large corneal ulcer and hand motion visual acuity. Initial treatment with fortified topical tobramycin and vancomycin yielded slow improvement, and initial culture grew Staphylococcus epidermidis, Staphylococcus hominis, and Corynebacterium bovis.
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