A cancer diagnosis can be an overwhelming experience and has devastating implications for an individual, their family and friends. Radical treatment, although often essential, can have its own health consequences. This case study describes the management of a 38-year-old woman with a portable, non-electrical negative pressure wound therapy device, suggesting benefits in terms of healing, patient independence and improved quality of life. The case study also highlights the importance of effective communication, patient involvement and empowerment in clinical decision-making, showing that an effective client-clinician relationship can help overcome the physical and emotional sequelae of this diagnosis.

Background Data: Shallow-water diving injuries have devastating consequences for patients and their families in terms of requiring intensive use of resources in both the acute and rehabilitative phases of injury. With the final clinical outcome often poor, the question is raised as to whether a target group can be identified for whom to implement a preventive program. Purpose: Our aim is to evaluate the demographics, clinical features and outcomes of shallow-water diving injuries in Fayed resort. Study Design: A descriptive analytic cross section prospective study involving 20 patients with diving accidents.

Background Data: In cases of axillary nerve injury, surgical reconstruction is indicated when no spontaneous recovery is noted after three to six months. Surgical repair has been carried out by neurolysis, a nerve graft or nerve transfer. Purpose: The aim of this study was to report our results with reconstruction of the axillary nerve by transferring the branch of the triceps lower medial head to the anterior division of the axillary nerve. Study Design: A descriptive analytic cross section retrospective study. Patients and Methods: The authors retrospectively reviewed their data archive from 2011 through 2015, and seven patients who were operated on due to complete injury of the axillary nerve either isolated or as part of brachial plexus injury were enrolled in the study. All patients underwent surgical reconstruction by transfer the radial nerve branch from the triceps medial head to the anterior division of the axillary nerve. Results: There were six men and one woman included in this study, with a mean age of 26 years (range 17-37 years). All patients recovered deltoid function and maintained full active elbow extension. Abduction strength improved from approximately 40% that of the normal side at 90˚ of abduction preoperatively to 60% of normal strength postoperatively. There was improved endurance in abduction from approximately 25% to 65% that of the normal side, which was sufficient to eliminate shoulder pain or fatigability. Conclusion: Transfer of the radial nerve branch for the lower triceps medial head to the anterior division of the axillary nerve proved to be an effective method of deltoid re-innervation. (2015ESJ101)

Background Data: Metastatic spine disease continues to be an increasing burden. The cervicothoracic junction represents a transition from the semi rigid thoracic spine to the mobile sub axial cervical spine. Pathologic lesions are prone to result in kyphotic deformity as well as to the possibility of neurological deficits.

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