scholarly journals Usefulness of Kaloderm® in Finger Tip Necrosis : A Case Report

2021 ◽  
Vol 36 (2) ◽  
pp. 144-147
Author(s):  
Chung-Min Yoon ◽  
Seung Cheol Lee ◽  
Ji-An Choi
Keyword(s):  
Case Report ◽  
Primary Repair ◽  
Middle Finger ◽  
Advancement Flap ◽  
Crush Injury ◽  
Flap Surgery ◽  
Mild Pain ◽  
Partial Necrosis ◽  
Finger Tip ◽  
Left Middle

We experienced a case of crush injury of the hand for which we performed a flap surgery and treated the necrotic parts placement using cultured allogeneic keratinocytes (Kaloderm<sup>®</sup> ) with good results. The patient was a 31-year-old woman whose left middle finger was caught in a door, causing a crush injury. Although primary repair was performed, a 2 × 2.5-cm-sized necrosis developed, and a V-Y advancement flap was performed after the removal of dead tissues. However, a 1 × 2-cm-sized partial necrosis occurred and was treated using Kaloderm <sup>®</sup> . After the use of Kaloderm<sup>®</sup> , the patient’s wound was healed, and no complications, except for mild pain, were observed for 1 year after the surgery. If a necrotic site appears after flap placement of fingertip, its treatment is difficult. If used well, Kaloderm<sup>®</sup> may be a good option for necrosis of the fingertips and other areas that are difficult to cure.

scholarly journals Plant Thorn Synovitis of the Hand in an Adult Patient: A Case Report and Review of the Current Literature

2019 ◽  
Vol 5 ◽  
pp. 2513826X1987650
Author(s):  
Sarah L. Zhu ◽  
Cameron F. Leveille ◽  
Emily E. Dunn ◽  
Michael J. Cooper
Keyword(s):  
Case Report ◽  
Current Literature ◽  
Foreign Bodies ◽  
Middle Finger ◽  
Proximal Interphalangeal Joint ◽  
Interphalangeal Joint ◽  
The Past ◽  
Left Middle ◽  
Exploratory Surgery ◽  
Plum Tree

This is a case of plant thorn synovitis of the hand in an adult following a plum tree thorn injury, the first reported case in the hands in the past decade. The patient initially presented with persistent joint discomfort following removal of a retained plum thorn fragment from the skin overlyin the proximal interphalangeal joint of the left middle finger. Initial radiography and sonography imaging following the removal revealed no foreign bodies. However, the patient’s symptoms were worsening and refractory to anti-inflammatory and antibiotic treatment. An exploratory surgery was carried out, which revealed multiple plant thorn fragments within the synovium, each measuring approximately 1 mm in size. A synovectomy was performed and the patient recovered with full function. Our case of plant thorn synovitis is discussed along with a review of the current literature on plant thorn synovitis in the hands.

Fibrous Hamartoma of Infancy: A Case Report With Associated Cytogenetic Findings

2005 ◽  
Vol 129 (4) ◽  
pp. 520-522 ◽  
Author(s):  
Renuka Lakshminarayanan ◽  
Thomas Konia ◽  
Jeanna Welborn
Keyword(s):  
Case Report ◽  
Local Excision ◽  
Reciprocal Translocation ◽  
Benign Neoplasm ◽  
Male Infant ◽  
Middle Finger ◽  
Cytogenetic Studies ◽  
Fibrous Hamartoma Of Infancy ◽  
Subcutaneous Mass ◽  
Left Middle

Abstract A 2-month-old male infant presented with a subcutaneous mass on the left middle finger; the mass had been present since birth. This was treated with local excision, and there has been no recurrence. Histology revealed the typical features of a fibrous hamartoma. Cytogenetic studies revealed a reciprocal translocation, t(2;3)(q31;q21), as the sole abnormality. To our knowledge, this is the first report of the cytogenetic findings in fibrous hamartoma, and it suggests that this lesion represents a benign neoplasm.

scholarly journals Lymphomatoid papulosis localized to the oral mucosa: case report and literature review

2019 ◽  
Vol 25 (3) ◽  
pp. 30
Author(s):  
S. Bretsztajn ◽  
T. Leturc ◽  
E. Euvrard ◽  
A.-G. Bodard
Keyword(s):  
Inflammatory Bowel Disease ◽  
Case Report ◽  
Prognostic Factor ◽  
Literature Review ◽  
Middle Finger ◽  
Pathological Examination ◽  
Lymphomatoid Papulosis ◽  
Mucosal Involvement ◽  
Inflammatory Bowel ◽  
Left Middle

Introduction: Lymphomatoid papulosis is a primary CD 30+ cutaneous lymphoproliferation. Observation: We report the case of a 39-year-old patient who presented with ulcers on the back of the tongue, gums, buccal mucosa, and soft palate, which evolved as spontaneously regressive flare-ups. The diagnosis of inflammatory bowel disease was initially proposed. Several years later, the patient presented an ulcer on the left middle finger. Histological examination confirmed the diagnosis of lymphomatoid papulosis. Discussion: This chronic dermatosis manifests a single rash or multiple papulonodular rashes, evolving as spontaneously regressive flare-ups. Mucosal involvement is rare, and no prognostic factor for this location has been highlighted to this date. Pathological examination is essential. Conclusion: The mucosal involvement of lymphomatoid papulosis is one of the diagnoses to be considered for recurrent mouth ulcers.

Subungual Pigmented SCC on the Left Middle Finger

2019 ◽  
Vol 81 (2) ◽  
pp. 83-84
Author(s):  
Shunichi JINNAI ◽  
Kenjiro NAMIKAWA ◽  
Taisuke MORI ◽  
Naoya YAMAZAKI
Keyword(s):  
Middle Finger ◽  
Left Middle

Individualised Homoeopathy in the Treatment of Onycholysis: An Evidence-Based Clinical Case Report

2021 ◽  
Vol 34 (03) ◽  
pp. 227-234
Author(s):  
Dhiraj Debnath ◽  
Abhiram Banerjee ◽  
Md Mostafijur Rahaman ◽  
Gurudev Choubey
Keyword(s):  
Case Report ◽  
Clinical Case ◽  
Outcome Measurement ◽  
Nail Plate ◽  
Life Quality ◽  
Well Being ◽  
Middle Finger ◽  
Final Visit ◽  
Measurement Scales ◽  
Main Complaint

Abstract Introduction Onycholysis is a chronic nail disorder characterised by the progressive separation of the nail plate from the underlying nail bed. Apart from causing pain and discomfort, it affects the quality of life of an individual due to its visualised cosmetic appearance. Case Summary A 45-year-old female presented with complete loss of nail plate of the left middle finger for 1 month. At the first visit, homoeopathic medicine Tuberculinum bovinum was prescribed and the patient was followed up periodically for 4 months. A series of photographs captured at the first visit and in subsequent visits objectively document the gradual regrowth of her nail plate. Various aspects of her subjective improvement were documented by three validated outcome measurement scales. The patient herself assessed that, after 4 months of follow-up, she is ‘back to normal’ for her main complaint as well as for the overall well-being, which is documented as a +4 score in ‘Outcome in Relation to Impact on Daily Living’ (ORIDL) scale. The Dermatology Life Quality Index (DLQI) score was reduced from 20 at the first visit to 1 after 4 months of treatment. Modified Naranjo Criteria for Homeopathy (MONARCH) score recorded at the final visit (+8 in ‘-6 to +13’ scale) is suggestive of a high likelihood that the improvement in the patient can be attributed to the homoeopathic treatment provided. Conclusion This clinical case report is presented here to critically document the effect of individualised homoeopathic treatment in onycholysis within a plausible timeframe.

scholarly journals Envenomation by neotropical Opisthoglyphous colubrid Thamnodynastes cf. pallidus Linné, 1758 (Serpentes:Colubridae) in Venezuela

2004 ◽  
Vol 46 (5) ◽  
pp. 287-290 ◽  
Author(s):  
Fresnel Diaz ◽  
Luis F. Navarrete ◽  
Jaime Pefaur ◽  
Alexis Rodriguez-Acosta
Keyword(s):  
Case Report ◽  
Marked Improvement ◽  
Middle Finger ◽  
Snake Bite ◽  
Venomous Snake ◽  
Left Hand ◽  
At Home

This is a case report of a "non-venomous" snake bite in a herpetologist observed at the Sciences Faculty of the Universidad de los Andes (Mérida, Venezuela). The patient was bitten on the middle finger of the left hand, and shows signs of pronounced local manifestations of envenomation such as bleeding from the tooth imprint, swelling and warmth. He was treated with local care, analgesics, and steroids. He was dismissed from the hospital and observed at home during five days with marked improvement of envenomation. The snake was brought to the medical consult and identified as a Thamnodynastes cf. pallidus specimen. This report represents the first T. pallidus accident described in a human.

scholarly journals Remedial repair of extensive distal muscle secondary necrosis due to high level crush injury of the upper thighs: a case report

2021 ◽  
Vol 10 (9) ◽  
pp. 10108-10113
Author(s):  
Jie Zhang ◽  
Zaiwen Guo ◽  
Mingming Song ◽  
Jiandong Su ◽  
Bingwei Sun
Keyword(s):  
Case Report ◽  
Crush Injury ◽  
Secondary Necrosis ◽  
Distal Muscle ◽  
High Level

scholarly journals A Small Bowel Perforation in a Goalkeeper: A Case Report and Return to Play Progression

2021 ◽  
Author(s):  
Kenzie Johnston ◽  
Tara A. Condon ◽  
Mario Ciocca ◽  
Alain Aguilar
Keyword(s):  
Case Report ◽  
Small Bowel ◽  
Primary Repair ◽  
Bowel Perforation ◽  
Return To Sport ◽  
Return To Play ◽  
Small Bowel Perforation ◽  
Unique Challenge ◽  
Surgical Interventions ◽  
High Level

Abstract Sports-related intra-abdominal injuries are rare and may be associated with significant morbidity if missed. We present the case of a 21-year-old male collegiate goalkeeper who suffered a small bowel perforation in practice after colliding with a teammate. This athlete underwent laparoscopic primary repair of his small bowel perforation, a relatively uncommon type of surgical intervention for this injury given that similar patients are typically treated via laparotomy. Due to rarity of small intestine injuries in sport, information regarding the success of surgical interventions and return to play (RTP) standards are lacking, let alone information on outcomes and return to sport following a laparoscopic repair. In this case report, we discuss the unique challenge of constructing a RTP protocol for this high-level athlete and propose a protocol for RTP following intra-abdominal injury treated laparoscopically.

scholarly journals Denonvilliers' advancement flap in congenital alar rim defects correction

2009 ◽  
Vol 66 (5) ◽  
pp. 403-406 ◽  
Author(s):  
Marijan Novakovic ◽  
Ivanka Baralic ◽  
Nenad Stepic ◽  
Milica Rajovic ◽  
Vladimir Stojiljkovic
Keyword(s):  
Case Report ◽  
Skin Color ◽  
Rare Case ◽  
Advancement Flap ◽  
Tumor Excision ◽  
Rare Case Report ◽  
Alar Rim

Background. Alar rim defects are mostly acquired, resulting from burns, traumas or tumor excision. Sometimes they can accompany craniofacial clefts. However, isolated congenital alar defects are extremely rare. Case report. We presented two cases of congenital isolated alar cleft. The defect was closed by the use of an advancement flap, the technique described by Denonvilliers. We achieved both symmetry and appropriate thickness of the nostrils. Skin color and texture of the alar rim were excellent, with scars not excessively visible. Conclusion. Denonvilliers' z-plasty technique by using advancement flap provides both functionally and aesthetically satisfying outcome in patients with congenital alar rim defects.

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