Anterior glenohumeral instability is a widespread pathological condition, not only in athletes but also in the general population. The variations in the lesions (soft tissue and bone defects) that occur after traumatic dislocation or recurrence, combined with the degree of ligamentous laxity and activity, have led to numerous surgical techniques. Following the introduction of arthroscopy in the treatment of shoulder pathology, several new procedures and modifications of old methods were introduced to treat anterior instability. Despite this, there is still controversy regarding the proper management of instability cases combined with bone loss or insufficient anterior soft tissue wall or laxity. Additional soft tissue procedures, along with the simple Bankart repair, strengthen the stability of the repair and can fill the gap in the transition from the classic Bankart repair to the potential overtreatment of bony procedures. This literature review attempts to summarize all the critical studies referring to soft tissue techniques and highlight the most crucial points of their conclusions.
Pyomyositis is a rare bacterial infection that used to prevail in tropical areas for the past century. Nowadays though, more and more cases are reported in high-temperature climate areas. Diagnosis is often delayed due to the variance in clinical presentation, the challenging nature of physical examination of a child, and lack of specific laboratory investigating tools. When the diagnosis is delayed, the outcome may be unpredictable. Multifocal localization through hematogenous or direct spread that may affect the skeletal bone tissue is common. Timely diagnosis and response is a race against septic shock.
We present a case series of seven children diagnosed with pyomyositis due to Staphylococcus aureus. High or less clinical suspicion has obviously affected the final outcome since two patients who were not treated in time were subjected to a life-threatening hazard. Five patients who were diagnosed and treated within the first three days after initiation of their symptoms had a predictable and good outcome without complications.
Congenital constriction ring syndrome (CCRS) is a well-described pathological entity that is caused by fibrous bands that entrap parts of the fetus. The manifestations of this syndrome may vary a lot. We present a case of an almost intrauterine amputation of a fetus’s upper limb. Our case is infrequent because the constriction band caused a fracture of the fetus's forearm during pregnancy. Both the band and the fracture resulted in ischemia to the hand and a salvage procedure was applied after birth.
Not many authors have reported fractures due to constriction ring bands and even less have reported fractures of the upper limb. A literature review of this rare entity was conducted.
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