At the first visit on the six day after onset, the X - ray was normal. On the same day, MRI findings was osteomyelitis in the middle phalanx. However, the serum inflammatory response was negative.
At the first visit on the six day after onset, the X - ray was normal.
On the same day, MRI findings was osteomyelitis in the middle phalanx. However, the serum inflammatory response was negative. Serum rheumatic response was also negative, but antinuclear antibody was positive at times. On the 12th day after onset of disease, the vicinity of the epiphyseal line of the middle phalanx became erosive.
At this point, from literature search and pediatric consultation, we got a diagnosis of Microgeodic disease. The antibiotic was discontinued. Pain was relieved 2. At 4 weeks after onset, the middle phalanx fractured and fixed with the splint.
Bone fusion was somewhat late. There was no deformation healing, but the epiphyseal line of middle phalanx and distal phalanx closed.
At 7 months after onset, the difference in bone length between bilateral middle phalanges was 2 mm. The finger healed without dysfunction. Redness and swelling of fingers and toes like frostbite. It is accompanied by mild pain and itching. Predilection age is elementary school age 6 - 12 years old.
It is mainly in the middle phalanx. A bone resorption image is recognized in the X-ray image. The cause is unknown, it is thought to be a transient bone circulation disorder.
Prognosis is usually good, it will heal spontaneously in about 6 months. In this case, owing to attaching a diagnosis at a relatively early stage, appropriate treatment could be done. Microgeodic disease was reported 24 papers in PubMed.
Since the arterial arch of the hand is predominant on the ulnar side, it seems that this disease is many in the index finger. Oberg-Manske-Tonkin [OMT]-classificationbut none of these describe involvement proximal from the wrist other than radio-ulnar synostosis.
One case of longitudinal cleavage of the upper extremity has been described in the literature. Materials and methods An otherwise healthy 8-month-old infant presented with congenital split right forearm.
Results Starting from the elbow joint, the forearm is divided into a superior radial forearm with a thumb and an index finger and an inferior ulnar forearm with two fingers. X-rays showed a radius and two metacarpals in the radial forearm and a hypoplastic ulna and a single metacarpal supporting two digits in the shorter ulnar forearm.
The elbow joint of the radial part had an active and passive extension lag of 60 and 50 degrees, respectively, and an active and passive flexion of and degrees, respectively. An ulnohumeral synostosis was present and the ulnar forearm showed no motion.
Conclusions This is the first reported case of congenital forearm. A possible suggested ethiologic theory would be an error of limb bud specification in the 4th or 5th week of gestation.
It has been suggested that the timing of an error in limb bud specification would determine the extent of duplication. An early insult would lead to a more proximal division of the upper limb. We suggest that the case is a forearm cleavage - less severe than a total of upper extremity cleavage, but more severe as a conventional cleft hand.
We suggest that a new category — cleft forearm complex — be added to the OMT —classification. Xuyang Song, Alexandria L.The Hollywood Reporter is your source for breaking news about Hollywood and entertainment, including movies, TV, reviews and industry blogs.
Port Manteaux churns out silly new words when you feed it an idea or two. Enter a word (or two) above and you'll get back a bunch of portmanteaux created by jamming together words that are conceptually related to your inputs..
For example, enter "giraffe" and you'll get . is and in to a was not you i of it the be he his but for are this that by on at they with which she or from had we will have an what been one if would who has her. Address & Contact Info. Saint Louis Ave.
Skokie, IL Tel: () Fax: () [email protected] Most Common Text: Click on the icon to return to initiativeblog.com and to enjoy and benefit. the of and to a in that is was he for it with as his on be at by i this had not are but from or have an they which one you were all her she there would their we him been has when who will no more if out so up said what its about than into them can only other time new some could these two may first then do.
Anomalous or accessory FDS muscles in the palm are rare, but when present they can be painful and interfere significantly with hand function.
We present the case of a 28 year old male mechanic who presented with a painful swelling over his right thenar eminence following a road traffic accident.