Clinics and Practice

358 KiB

Open AccessBrief Report

Early Intervention versus Standard of Care for Mild Idiopathic Scoliosis: A Case-Controlled Series Based on Sosort Criteria Evaluating the Impact of a Scoliosis Activity Suit

by Mark Morningstar

Clin. Pract. 2020, 10(1), 1251; https://doi.org/10.4081/cp.2020.1251 - 14 May 2020

Cited by 2 | Viewed by 994

Abstract

In the present study, a group of adolescent patients diagnosed with mild adolescent idiopathic scoliosis wore a scoliosis activity suit instead of maintaining the recommended observation only strategy. These patients wore the scoliosis activity suit for up to 60 minutes twice daily while [...] Read more.

In the present study, a group of adolescent patients diagnosed with mild adolescent idiopathic scoliosis wore a scoliosis activity suit instead of maintaining the recommended observation only strategy. These patients wore the scoliosis activity suit for up to 60 minutes twice daily while performing normal daily activities. These patients were followed through until end of growth. Their end of growth results were compared to a group of adolescent idiopathic scoliosis (AIS) patients who only participated in observation. The group who wore the scoliosis activity suit maintained their curve measurements through skeletal maturity, while the observation group saw their curves increase an average of 7 degrees. This study showed that a group of AIS patients were able to prevent their curves from progressing during growth, while those participating in an observation-only strategy saw their curves progress to beyond threshold where rigid brace prescription is recommended. These changes were statistically significant in intergroup comparison, as well as intragroup before and after comparison. Full article

445 KiB

Open AccessCase Report

Cavitating Pulmonary Metastases from a Renal Cell Carcinoma

by Kulothungan Gunasekaran, Berty Baskaran, Mandeep Singh Rahi, Jay Parekh and Daniel Rudolph

Clin. Pract. 2020, 10(1), 1234; https://doi.org/10.4081/cp.2020.1234 - 11 May 2020

Cited by 5 | Viewed by 1050

Abstract

Cavitary lung lesions are quite common findings on chest imaging and often pose a diagnostic challenge to the clinicians. We describe a case of a 75-year-old male who presented to the emergency room with hemoptysis. Computed tomography of the chest demonstrated multiple cavitary [...] Read more.

Cavitary lung lesions are quite common findings on chest imaging and often pose a diagnostic challenge to the clinicians. We describe a case of a 75-year-old male who presented to the emergency room with hemoptysis. Computed tomography of the chest demonstrated multiple cavitary pulmonary nodules with peripheral groundglass opacities. Bronchoscopy did not reveal any active bleeding source, and washings were negative for malignancy and infectious cause. Computed Tomography guided biopsy of the left lung nodule showed metastatic carcinoma consistent with papillary renal cell carcinoma. This case highlights the unusual presentation of metastatic renal cell carcinoma. Full article

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Open AccessCase Report

Tibia Vara or Blount’s Disease: Why an Early Diagnosis and Treatment Are Important?

by Angelo V. Vasiliadis, Alexandros Maris and Srinivas Gadikoppula

Clin. Pract. 2020, 10(1), 1222; https://doi.org/10.4081/cp.2020.1222 - 8 May 2020

Cited by 4 | Viewed by 1176

Abstract

Tibia vara is an asymmetrical disorder of the proximal tibia that produces a three-dimensional deformity, which was first described by Blount in 1937. A 6-year-old boy presented with a history of anterior knee pain with progressive bowing of his right leg over the [...] Read more.

Tibia vara is an asymmetrical disorder of the proximal tibia that produces a three-dimensional deformity, which was first described by Blount in 1937. A 6-year-old boy presented with a history of anterior knee pain with progressive bowing of his right leg over the last 1 year after having a fall while playing soccer. An early diagnosis and treatment of this disease can have a great functional impact and lead to very good health outcomes. Full article

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Open AccessCase Report

Ticagrelor: A Safe Option as Part of Triple Therapy?

by Mohammad Umar Farooq

Clin. Pract. 2020, 10(1), 1221; https://doi.org/10.4081/cp.2020.1221 - 27 Apr 2020

Cited by 2 | Viewed by 922

Abstract

Patients with atrial fibrillation who have concurrent coronary artery disease requiring percutaneous coronary intervention are subsequently prescribed dual antiplatelet therapy and anticoagulation resulting in triple therapy (TT). Ticagrelor, a reversibly binding P2Y12 antiplatelet agent, has shown superiority to clopidogrel in prevention of ischemic [...] Read more.

Patients with atrial fibrillation who have concurrent coronary artery disease requiring percutaneous coronary intervention are subsequently prescribed dual antiplatelet therapy and anticoagulation resulting in triple therapy (TT). Ticagrelor, a reversibly binding P2Y12 antiplatelet agent, has shown superiority to clopidogrel in prevention of ischemic events and death, but is also associated with a small increase in the incidence of intracranial bleeding. This bleeding risk may be enhanced in the setting of TT. The objective of this report is to describe a case of a 70-year-old male prescribed TT with ticagrelor and to review the current literature on the safety of ticagrelor as a part of TT. Full article

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Open AccessCase Report

Necrotizing Fasciitis of the Upper Back Presenting with Left Shoulder Pain

by Mohamad Zikri Mohamad Isa, Mohamed-Syarif Mohamed-Yassin and Roqiah Fatmawati Abdul Kadir

Clin. Pract. 2020, 10(1), 1218; https://doi.org/10.4081/cp.2020.1218 - 27 Apr 2020

Cited by 1 | Viewed by 1001

Abstract

Necrotizing fasciitis is a severe and progressive infection of deep soft tissues which results in destruction of the fascia and overlying subcutaneous fat. We report a case of a 45-year-old diabetic gentleman who initially presented with left shoulder pain, which was treated symptomatically. [...] Read more.

Necrotizing fasciitis is a severe and progressive infection of deep soft tissues which results in destruction of the fascia and overlying subcutaneous fat. We report a case of a 45-year-old diabetic gentleman who initially presented with left shoulder pain, which was treated symptomatically. Upon representation, he had fever and the pain extended to his left upper back. There was a warm, firm and mildly tender purplish swelling on his mid to the left upper back. Blood tests revealed significantly elevated white cell counts and C-reactive protein. A CT thorax showed extensive soft tissue gas within the deep and superficial fascial layers of his left upper back. Necrotizing fasciitis was confirmed intraoperatively. The diagnosis of this condition is often difficult as early symptoms can be mild and nonspecific. A high Laboratory Risk Indicator for NECrotizing fasciitis (LRINEC) score may be helpful to rule in this diagnosis and guide further management. Full article

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Open AccessCase Report

Osteosarcoma of Talus with Heterotopic Ossifications and Lung Metastases

by Jieun Jeong, Young Jin Jeong, Do-Young Kang and Kook Cho

Clin. Pract. 2020, 10(1), 1216; https://doi.org/10.4081/cp.2020.1216 - 31 Mar 2020

Cited by 1 | Viewed by 796

Abstract

Osteosarcoma is the most common malignant bone tumor and is known to occur mainly in the metaphyses of long bones. However, a few cases of osteosarcoma in talus have been reported in older patients. We experienced an osteosarcoma of an 80-year-old male patient [...] Read more.

Osteosarcoma is the most common malignant bone tumor and is known to occur mainly in the metaphyses of long bones. However, a few cases of osteosarcoma in talus have been reported in older patients. We experienced an osteosarcoma of an 80-year-old male patient with a talus which is rarely reported and evaluated disease patterns with four different imaging modalities. Full article

498 KiB

Open AccessCase Report

Nasal Prosthesis after Partial Rhinectomy. A Case Report

by Shekhar Gupta, Bharti Gupta and Bhagwandas K. Motwani

Clin. Pract. 2020, 10(1), 1200; https://doi.org/10.4081/cp.2020.1200 - 31 Mar 2020

Cited by 2 | Viewed by 1048

Abstract

Maxillofacial defects can result from several reasons, including neoplasia, congenital malformations, trauma, oral infections, etc. This kind of defects can be severely debilitating to the patients. To improve the quality of life of these patients, the options include surgical reconstruction and maxillofacial prosthesis. [...] Read more.

Maxillofacial defects can result from several reasons, including neoplasia, congenital malformations, trauma, oral infections, etc. This kind of defects can be severely debilitating to the patients. To improve the quality of life of these patients, the options include surgical reconstruction and maxillofacial prosthesis. However, surgical approaches have many inherent disadvantages and limitations. This case report describes the prosthetic rehabilitation of a female patient who underwent partial rhinectomy secondary to basal cell carcinoma. The case was planned with a silicone prosthesis with anatomic and spectacle retention. A non-surgical method of rehabilitation was followed owing to the patient’s choice and financial constraints. The final prosthesis was aimed at enhancing the esthetics and function of the patient, thereby improving her quality of life. Full article

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Clin. Pract., Volume 10, Issue 1 (March 2020) – 7 articles

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