Targeting the Plantar Fascia for Corticosteroid Injection.

Plantar fasciitis is often a difficult condition to treat. It is related to repetitive strain of the fascia at its attachment to the heel bone. This condition quite often appears with the concomitant presence of a plantar calcaneal heel spur.

Quantitative score modulation of HSP90 and HSP27 in clear cell renal cell carcinoma.

We sought to evaluate the expression of HSP27 and HSP90 chaperones in renal cell carcinomas as a target for cancer therapeutics.A total of 127 clear cell renal cell carcinomas stratified according to the Mayo Clinic SSIGN (size, staging, grading, and necrosis) risk groups (good, 1; poor, 5) and 20 cases with metastases, were available. Immunostaining for both HSP27 and HSP90 was performed on tissue microarrays.

Ileocecal endometriosis: clinical and pathogenetic implications of an underdiagnosed condition.

Objective: To review our experience with surgical treatment of ileocecal endometriosis.

Design: Observational study.

Setting: Tertiary university hospital in Italy.

Unicompartmental knee prosthetization: Which key-points to consider?

Unicompartmental knee arthroplasty (UKA) has evolved into a suitable option for diseased knees that cannot be managed with arthroscopic treatment and at the same time are not good candidates for total knee replacement. Since meticulous execution of the surgical technique is essential to optimizing UKA outcome, some procedural key-points are mandatory. Templates (phantoms) are then used to size the required prosthetic component (using these radiographs.

[An unusual case of post-traumatic adult complex foot deformity].

A peculiar clinical presentation of post-traumatic complex left foot fracture deformity is presented in this report as the result of a motorbike accident. Notwithstanding the significant deformity following forefoot fractures, the patient complained only of the recent onset of metatarsalgia. Of particular interest, is that this severe foot injury as well following deformity was overlooked, probably because patient had sustained head injury that was the main problem to treat due to life risk.

Acute compartment syndrome of the foot in a 17-year-old boy.

Acute compartment syndrome is both a life and limb threatening surgical emergency, caused by an increase in compartment contents due to either trauma or surgery. We illustrate a foot compartment syndrome, clinically diagnosed, that took place after direct injury during a football match. Compartments release through fasciotomies promptly relieved symptoms.

The handshake technique: proposal of a closed manual reduction technique for Colles' wrist fracture.

Colles' fracture is a distal radius injury, with dorsal tilt of the distal radial fracture fragment. Its typical treatment involves reduction and plaster cast immobilization to restore its anatomical position. Sometimes, reduction maneuver may be difficult with poor outcomes, requiring repeated reduction maneuvers or eventual surgical treatment.

Sleep apnoea/hypopnoea syndrome: combination therapy with the Pillar palatal implant technique and continuous positive airway pressure (CPAP). A preliminary report.

A preliminary report. The objective of this study was to evaluate the possibility of reducing CPAP pressure levels and improving patient adherence to CPAP therapy by stiffening the soft palate tissue with a Pillar palatal implant. Many patients have difficulty complying with CPAP therapy if high levels of airway pressure are necessary for their therapy to be successful.

A clinical picture of chronic polyarticular tophaceous gout.

An unusual picture of polyarticular tophaceous gout is reported. It concerns a 61-year-old patient with tophaceous deposits for 30 years. Descriptive clinical and radiographic images are furnished.

Diagnostic imaging and unforeseen associated lesions in astragalo-scaphoid dislocation: a case report.

A case of an isolated astragalo-scaphoid dislocation following a fall from a motorbike is reported. Due to the diagnostic obscurity of the full extent of the injury, computed tomography (CT) with 3D reconstruction was utilized to precisely visualize the articular condition and revealed the presence of small intra-articular bone fragments and calcaneo-cuboid subluxation. Furthermore, the detailed imaging offered valuable information for preoperative planning.

The "wall-socket" technique. Proposal of a new surgical procedure for revision acetabular arthroplasty.

Prosthetic socket revisions are always difficult and affected by problems such as possible bone-stock losses, leading to an increase in morbidity associated with surgery. These aspects are more important in elderly patients due to their frequently poor health. The bone deficit may be filled in different ways, with techniques that are nevertheless technically demanding and at risk of complications.

A minimally invasive reduction and synthesis method for calcaneal fractures: the "Brixian bridge" technique.

Calcaneal fractures are difficult to treat because of their often-related sequelae. The authors present a simple, rapid, economic, and easy-to-perform technique that uses percutaneously positioned Kirschner wires plus a plaster cast for the reduction and stabilization of certain calcaneal fractures. A review of the relevant literature is also provided.

The chessboard technique - a new freehand aiming method for rapid distal locking of tibial nails.

Distal locking is considered a difficult stage of the endomedullary tibial nailing procedure. A new rapid, simple, and inexpensive freehand aiming technique is presented that uses a galvanized metal grid. The grid is positioned to overlay the skin of the medial cutaneous face of the tibia, giving to the underlying bone under fluoroscopy a pattern that resembles a chessboard.

Immunological aspects of chronic fatigue syndrome.

Chronic fatigue syndrome (CFS) is a specific clinical condition that characterises unexplained disabling fatigue and a combination of non-specific accompanying symptoms for at least 6 months, in the absence of a medical diagnosis that would otherwise explain the clinical presentation. Other common symptoms include headaches, myalgia, arthralgia, and post-exertional malaise; cognitive difficulties, with impaired memory and concentration; unrefreshing sleep; and mood changes. Similar disorders have been described for at least two centuries and have been differently named neurasthenia, post-viral fatigue, myalgic encephalomyelitis and chronic mononucleosis.