Acral milia-like idiopathic calcinosis cutis in a child with down syndrome: report of a case, review of the literature, and description of dermoscopic findings.

Milia-like idiopathic calcinosis cutis (MICC) is a rare dermopathy, usually occurring in children with Down syndrome. We report a case of an 8-year-old girl with Down syndrome who presented with histologically verified MICC, briefly review the literature on MICC, discuss the differential diagnosis, and describe the use of dermoscopy in the evaluation of lesions, which we believe has never been published previously with this entity.

A novel method for storage of medical records and documents.

Many medical groups have a problem storaging and managing inactive medical records. The storage process involves selecting the records from inactive status, moving the records to storage and retrieving them if the patient is re-established. Many groups simply run out of storage space and are in need of an efficient and cost-effective way to manage this problem.

Improving the C-arm image of small bones.

The C-arm image of a small bone can sometimes be improved by suspending the extremity in the air, rather than positioning it flat on the operating-room table in the traditional manner. The C-arm roentgenogram is a modern development that allows rapid visualization of a roentgenographic image via computer enhancement of a low, k-voltage shot. As with any technical advance, it has its limitations; for small bones and bones involving growth plates, it is frequently deceiving.

Tips of the trade #37. Technique for reduction of shoulder dislocation.

A modification of the hippocratic technique for reduction of a dislocated shoulder is presented. This technique facilitates application of traction and rotation.

Tips of the trade #35. Intramedullary nailing of the femoral shaft with supination.

Use of the supine position in femoral shaft nailing is useful in cases of ipsilateral hip fracture and when multiple injuries are present. The nail enters at the greater trochanter and then maintains an upright position parallel to the canal of the femur. This technique facilitates control of respiratory function and limits nerve compression complications.

Technique of shoulder arthroscopy.

The C-arm is a useful tool with shoulder arthroscopy. The operative technique is described.