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  • 文章类型: Case Reports
    Prader-Willi综合征(PWS)是一种极为罕见的15号染色体先天性综合征,在所述个体中表现出多种合并症。患有这种疾病的人的相关生活质量往往严重下降;更悲惨的是,与该疾病相关的死亡率也增加。肺栓塞(PE)与死亡率高度相关,并且已被证明在PWS患者中更为普遍。此病例报告详细介绍了一名PWS患者,该患者在急性鞍状PE中幸存下来,并希望带来更多临床知识,可在与PWS患者打交道时应用。
    Prader-Willi syndrome (PWS) is an exceedingly rare congenital syndrome of chromosome 15 that presents multiple comorbidities in said individuals. The associated quality of life for those with the disease is often severely diminished; more tragically, mortality associated with the disease is also increased. Pulmonary embolism (PE) is highly associated with mortality and has been shown to be more prevalent in patients with PWS. This case report details a patient with PWS who survived an acute saddle PE and looks to bring more clinical knowledge that can be applied when dealing with individuals with PWS.
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  • 文章类型: Case Reports
    我们描述了一例13岁的体操运动员的病例报告,该运动员被诊断患有与轻度内侧上髁突炎相关的鹰嘴应力性骨折,在对此案的文献进行简要回顾之后,研究人员提请注意影像学评估尤其是MR在确定正确诊断和确定伴随损伤方面的重要性.MRI发现首先得出结论,在尺骨鹰嘴的后内侧可见明显的骨髓水肿,线性低信号穿过尺骨鹰嘴,与应力性骨折有关。其次,软骨下线性低信号和桡骨头骨髓水肿与另一次应力性骨折/反应性损伤有关。第三,内侧突骨髓水肿伴上覆软组织水肿提示内侧上髁炎。
    We describe a case report of a 13 year-old a gymnastic athlete who was diagnosed with an olecranon stress fracture associated with mild medial epicondyle apophysitis, Following a brief review of the literature on this case, the researchers call attention to the significance of and imaging assessment especially MR in determining the correct diagnosis and identifying concomitant injuries. MRI findings concluded firstly a marked bone marrow edema seen at the posterior medial aspect of the olecranon with linear low signal traversing the olecranon related to a stress fracture. Secondly, subchondral linear low signal and bone marrow edema at the radial head related to another stress fracture/reaction injury. Thirdly, bone marrow edema at the medial apophysis with overlying soft tissue edema suggestive for medial epicondylitis.
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  • 文章类型: Case Reports
    踝关节是下肢骨折中最常见的损伤部位。尽管如此,Maisonneuve骨折的分类仍然存在很大争议,也许是由于其发病率低。通常被描述为腓骨近端骨折,伴有外旋机制继发的韧带和内侧结构的相关损伤,损伤通常需要手术干预以恢复关节稳定性以获得良好的功能结局.一名32岁的女士遭受了内旋外旋损伤,导致腓骨近端骨折,并破坏了下胫腓骨联合,以及相关的后踝骨折,并使碎片通过联合骨向前移位至踝关节的腹侧。该患者接受了后踝骨折的手术固定以及用螺钉修复的联合。本报告旨在强调Maisonneuve骨折与罕见的后踝骨折的细节,以及它通过连骨的前移,以及提供对当前文献的叙事回顾。
    Ankles are the most common site of injury in lower limb fractures. Despite this, the classification of the Maisonneuve fracture is still highly controversial, perhaps due to its low incidence. Typically described as a proximal fibular fracture with associated injury to the syndesmosis and medial structures secondary to an external rotation mechanism, the injury often necessitates surgical intervention to restore joint stability for good functional outcomes. A 32-year-old lady sustained a pronation external rotation injury resulting in a proximal fibula fracture with disruption of the distal tibiofibular syndesmosis as well as an associated posterior malleolar fracture with displacement of the fragment anteriorly through the syndesmosis to the ventral aspect of the ankle joint. The patient underwent surgical fixation of the posterior malleolar fracture as well as repair of the syndesmosis with a screw. This report aims to highlight the details of a Maisonneuve fracture with the rarer associated posterior malleolar fracture, and its anterior displacement through the syndesmosis, as well as provide a narrative review of the current literature.
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  • 文章类型: Case Reports
    骨骼发育不良会引起严重的神经系统症状,并破坏体内许多骨骼和软骨的发育。骨骼发育不良,虽然在儿科人群中很常见,很少出现在老年群体中。
    该病例在一名50岁的男性患者中出现了骨骼发育不良的独特偶然发现。最终的检查掩盖了颅骨发育不良和脊椎骨发育不良的存在。在这种情况下,患者同时患有两种发育不良。
    锁骨发育不良和脊椎骨phy发育不良是两种罕见的常染色体显性遗传发育不良,通常在生命早期被诊断出,并可能产生严重的后果,包括死亡。在生命早期诊断孩子是至关重要的。彻底骨骼检查的放射学发现有助于早期发现许多发育不良,这有助于改善生活质量并允许有效治疗。
    我们所介绍的病例的新颖性在于CCD和SED的罕见表现在年龄较大时同时发生,伴随的侧支异常通常在婴儿中更常见。因此,早期诊断对于优化管理至关重要。
    UNASSIGNED: Skeletal dysplasia\'s cause significant neurological symptoms and disrupt the development of many bones and cartilages in the body. Skeletal dysplasia, although a common presentation in paediatric population, rarely presents in older age group.
    UNASSIGNED: This case presents a unique incidental finding of skeletal dysplasia in a fifty-year-old male patient who presented with osteoarthritis. Eventual workup uncloaked the presence of cleidocranial dysplasia and spondyloepiphyseal dysplasia. The patient in this case had both dysplasias at the same time.
    UNASSIGNED: Cleidocranial dysplasia and Spondyloepiphyseal dysplasia are two uncommon autosomal dominant dysplasia\'s that are often diagnosed in early life and can have serious consequences, including death. It is critical to diagnose a child early in life. Radiology findings from a thorough skeletal examination aid in the early detection of numerous dysplasia\'s, which helps improving quality of life and allowing for effective treatment.
    UNASSIGNED: The novelty of our presented case lies in the rare presentation of CCD and SED occurring concurrently at an older age with accompanying collateral abnormalities usually emerging more commonly in infants. Early diagnosis is thus essential for optimal management.
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