Microtrauma

  • 文章类型: Case Reports
    运动损伤发生在体育运动中,或锻炼。然而,有一些病变通常与运动有关,在像泰拳这样要求苛刻的身体运动中,还没有发现典型的病变。我们对文献进行了叙述性回顾,以突出这项运动的典型病变,以分析这些疾病的鉴别诊断。
    一位28岁的女性,泰拳运动员16年来,有6个月的历史,在右胫骨干phy端外侧部分持续疼痛。压力伤害之间的区别,恶性骨肿瘤,和肿瘤样病变后重复的微创伤后的运动活动可能是困难的。诊断方法涉及常规X射线,echotomography,计算机断层扫描,和磁共振成像扫描有争议的发现。活检证实最终诊断为非骨化性纤维瘤。
    本病例报告的目的是展示一名专业泰拳运动员胫骨疼痛的诊断中的挑战,并讨论这类患者在文献中人口有限的临床表现。我们的案例说明,即使是现代成像技术也不能总是区分由运动引起的肿瘤和肿瘤样病变;同时记住我们永远不应该过于关注特定的特征遗忘,甚至是罕见的病变如金刚烷胺瘤。
    UNASSIGNED: Sports injuries occur during sport athletic activities, or exercising. However, there are some lesions which are typically associated to sports, in such a demanding and physical sport like Muay Thai that no typical lesion has been detected yet. We performed a narrative review of the literature to highlight the typical lesions of this sport to analyze the differential diagnosis of those conditions.
    UNASSIGNED: A 28-year-old female, Muay Thai athlete since 16 years, presented with a 6 months history of a persistent pain in the metaphyseal lateral part of the right tibia. Differentiation between stress injuries, malignant bone tumors, and tumor-like lesions after repetitive microtrauma following sport activities can be difficult. The diagnostic approach involved conventional X-ray, echotomography, computed tomography scan, and magnetic resonance imaging scan with controversial findings. The biopsy confirmed the final diagnosis of non-ossifying fibroma.
    UNASSIGNED: The purpose of this case report is to exhibit the challenges in the diagnosis of a professional Muay Thai athlete with tibial pain and to discuss the clinical presentation of this type of patients with a limited population in the literature. Our case illustrates that even modern imaging techniques cannot always distinguish between tumor and tumor-like lesions caused by sports; meanwhile remembered us that we should never be too focused on a particular characteristic forgetting even rare pathologies as adamantinoma.
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  • 文章类型: Journal Article
    丛状神经纤维瘤是一种罕见的良性肿瘤,是神经纤维瘤病的一种特殊亚型。本报告是文献综述,其中一例患者因轻微创伤而在右下面部神经纤维瘤切除部位观察到面部出血。通过PubMed搜索,使用术语((面部血肿)或(面部出血))和(神经纤维瘤病),确认了86篇文章,最终选择5篇相关文章(6例患者)。六个病人中,其中2人曾接受过栓塞治疗.然而,因此,所有患者均接受开放手术切除血肿.提到的止血方法是血管结扎(5例),低血压麻醉(两名患者),术后输血(4例)。总之,在神经纤维瘤病患者中,自发性或轻微创伤性出血是可能的.在大多数情况下,它可以通过在降压麻醉下的血管结扎来解决。可选地,可以使用预先栓塞和补充组织粘合剂。
    Plexiform neurofibroma is a rare benign tumor and a special subtype of neurofibromatosis 1. This report is a literature review with a case of patient with facial hemorrhage observed at the site of neurofibroma removal in the right lower face due to minor trauma. Through PubMed search, using terms ((facial hematoma) OR (facial bleeding)) AND (neurofibromatosis), 86 articles were identified, and five related articles (six patients) were finally selected. Of the six patients, two had previously undergone embolization. However, as a result, all patients received open surgery to remove hematomas. The hemostatic methods mentioned were vascular ligation (five patients), hypotensive anesthesia (two patients), and postoperative blood transfusion (four patients). In conclusion, spontaneous or minimally traumatic bleeding is possible in neurofibromatosis patients. In most cases, it can be resolved by vascular ligation under hypotensive anesthesia. Optionally, prior embolization and supplementary tissue adhesive may be used.
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