Introduction: Complex upper extremity trauma poses us with significant challenges in orthopedic and reconstructive surgery due to the complex anatomy and functional importance of the extremities. These injuries are often the result of high-energy mechanisms like motor vehicle collisions, which makes their management particularly demanding. Making the decision between limb salvage and amputation in such cases requires careful consideration of multiple factors such as functionality, risk of complications, and recovery.
Case Report: We describe the case of a 39-year-old male who had sustained an open fracture of the elbow, avascular necrosis of the olecranon, a displaced ulna fracture, and transections of the triceps tendon and ulnar nerve. We tried to salvage the limb through planned reconstructive surgeries despite the complexity of the injuries and recommendations for amputation.
Conclusion: Managing complex upper extremity trauma requires a structured approach that balances innovative techniques with effective infection control and soft-tissue reconstruction.
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http://dx.doi.org/10.13107/jocr.2025.v15.i02.5224 | DOI Listing |
Endokrynol Pol
March 2025
Sexology Lab, Department of Psychiatry, Jagiellonian University Medical College, Krakow, Poland.
This article presents framework guidelines for the care of adolescent transgender (T) and non-binary (NB) individuals experiencing gender dysphoria (GD) and/or gender incongruence (GI). Developed by a multidisciplinary expert panel, these guidelines aim to address the complex medical, psychological, and social needs of this diverse population. The document emphasises the importance of individualised, affirmative care that respects the autonomy, identity, and rights of adolescents.
View Article and Find Full Text PDFIndian J Otolaryngol Head Neck Surg
February 2025
Consultant Otolaryngology, Department of Otolaryngology-Head and Neck Surgery, NMC Specialty Hospital, Electra Street, Abu Dhabi, United Arab Emirates.
The collapsibility and dynamic phenomenon of the upper airway in obstructive sleep apnea syndrome (OSAS) patients during sleep is a complex mechanism. Its assessment prior to definitive surgery by drug-induced sleep endoscopy may mimic a snap shot of airway collapse during natural sleep. However, it still presents a shortcoming even after three decades of research and evolution in its technique.
View Article and Find Full Text PDFCureus
February 2025
Gastroenterology and Hepatology, Baylor Scott & White All Saints Medical Center, Fort Worth, USA.
Intraductal papillary mucinous neoplasms (IPMNs) are a prevalent subtype of pancreatic cystic lesions, especially among individuals with liver cirrhosis. Intraductal papillary neoplasms of the bile duct (IPNBs) differ in histopathology based on the location and cellular variability in each location. Intrahepatic IPNBs are less aggressive than the extrahepatic variant, highlighting its heterogeneity and complexity.
View Article and Find Full Text PDFLangmuir
March 2025
Department of Chemistry and Materials Engineering, Kansai University, 3-3-35, Yamate-cho, Suita, Osaka 564-8680, Japan.
Associative phase separation (complex coacervation) in liquid-liquid phase separation (LLPS) involves the separation of multiple substances into concentrated and dilute phases by electrostatic interactions. Simple phase separation (simple coacervation) occurs when the hydrophilicity and hydrophobicity of a single molecule change dramatically in response to a specific stimulus. Simple coacervation arises from the lower critical solution temperature (LCST)- and upper critical solution temperature (UCST)-type phase separations in aqueous media containing temperature-responsive polymers.
View Article and Find Full Text PDFMed Hypothesis Discov Innov Ophthalmol
February 2025
Dokuz Eylul University, Department of Ophthalmology, Izmir, Turkiye.
Background: Eye function is vitally dependent on an adequate blood supply, primarily provided by the ophthalmic artery, an internal carotid artery branch. This review provides an overview of the vascular supply of the eye.
Methods: A targeted search of PubMed / MEDLINE was performed using the terms "central retinal vein," "central retinal artery," "internal carotid artery," "ophthalmic artery," "ophthalmic vein," "posterior ciliary arteries," "retinal capillaries," "vascular supply of the eye," "ocular vascular supply," "external carotid artery," and "vortex vein".
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