We would like to inform and guide other hand surgery physicians by sharing the results of a patient with ulnar nerve compression due to hemosiderin accumulation due to hemophilia. We operated a hemophilia patient who applied late and had ulnar nerve compression and we achieved a successful result. In this publication, the patient we operated on was presented as a case report and discussed in the light of literature.
If proximal ulnar nerve injuries are not intervened, it usually leads to irreversible and negative consequences. It results in motor and sensory defects in the areas innervated by the ulnar nerve and weakness in the intrinsic muscles of the hand. In patients with irreversible ulnar nerve damage due to cubital tunnel syndrome that have been left untreated for a long time, or proximal ulnar nerve injuries due to other reasons, the SETS method can restore especially the intrinsic functions of the hand.
In this article, a patient with ulnar nerve damage that developed after benign tumor resection in the vicinity of the ulnar nerve, and the SETS operation and its results, which was performed for a patient whose ulnar functions did not return despite being followed with EMG for 1.5 years, are presented.
Objective: We aimed to investigate the characteristics of patients who underwent unilateral amputation due to diabetes and peripheral artery disease, as well as the risk factors that cause re-amputation, and to determine these patients' survival status and the risk factors for mortality. Patients and Methods: This retrospective study included 133 patients who underwent amputation due to diabetes and peripheral arterial disease between 2012 and 2018. The etiology of amputation, the re-operation rate and time to re-operation following initial amputation, survival status and follow up results were accessed from hospital records. Results: Twenty-eight patients underwent amputation due to peripheral arterial disease, whereas 105 patients had peripheral vasculopathy due to diabetes mellitus. The re-operation rate was 33.8%, and the median period from initial surgery to the second surgery was six-weeks. Sixty-six deceased patients survived with a median of 6 months following initial operation. Conclusion: The most crucial factor causing re-amputation was the non-healing wound problems. Patients with amputation should be followed up carefully for wound problems in the six weeks after surgery. Advanced age, American Society of Anesthesiologist grade 4 patients, associating neurological disease, low albumin level, low lymphocyte count and postoperative intensive care unit requirement were all poor prognostic factors for survival. Re-amputation had no negative effect on survival.
Calcification around the knee joint is a rare condition in athletes. Medial collateral ligament (MCL) calcification is the most frequent post-traumatic ligament calcification. There is very limited information about the calcification of cruciate ligaments. In this study, we aimed to present a management scheme for the diagnosis and treatment process of a veteran athlete with isolated posterior cruciate ligament (PCL) calcification.
A 59-year-old female patient, who was formerly an athlete, admitted to emergency department with generalized right knee pain that aggravated with sports activities. Radiographic images revealed a calcification in line with the PCL contours. It was decided to perform arthroscopic debridement. After the operation, the patient's symptoms regressed rapidly.
Tendon calcifications may cause post-exercise pain in athletes with concomitant chronic diseases. Conservative treatment and non-steroidal antiinflammatory treatment should be tried first in all calcific tendinopathies. Although conservative treatment appears to be frequently satisfactory, arthroscopic excision may be a better option for the refractory or severe cases.
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