BACKGROUND: The purpose of this study was to identify the clinical and radiological outcomes of hook plate fixation for lateral end fracture of the clavicle and acromioclavicular dislocation. METHODS: There were a total of 20 cases with lateral end fracture of the clavicle and 16 cases with acromioclavicular dislocation. All patients were evaluated for range of motion, functional score by using Constant score, and American Shoulder and Elbow Surgeons shoulder index at just before implant removal and at final follow-up. Coracoclavicular distance was measured in acromioclavicular dislocation and bony union was evaluated in the lateral end fracture of the clavicle. RESULTS: The clinical outcomes and range of motion were increased at the final follow-up compared with just before implant removal in both the lateral end fracture of the clavicle and acromioclavicular dislocation. In acromioclavicular dislocation, all cases—except one—showed maintenance of reduction after implant removal. Moreover, in the lateral end fracture of the clavicle, all cases—except one—showed bony union. CONCLUSIONS: Hook plate fixation in the lateral end fracture of the clavicle and acromioclavicular dislocation resulted in good clinical and radiological results.
Clavicle* ; Dislocations* ; Elbow ; Follow-Up Studies ; Humans ; Range of Motion, Articular ; Shoulder ; Surgeons

No abstract available.
Porokeratosis

A 81-year-old man was referred for respiratory failure by emergency medical technicians. He admitted at intensive care unit for ventilator treatment. Several hours before admission, he took sildenafil 100 mg for erectile dysfunction without prescription. The episodes of hemoptysis occurred several hours later. Computed tomography revealed multifocal diffuse ground-glass attenuation in both lungs. And the more we performed bronchoalveolar lavage, the more the color of it was turned into red. We treated him with empirical antibiotics and tranexamic acid, and hemoptysis was stopped in one day after admission. But in the 5th admission day, he died from sepsis combined with pneumonia caused by Acinetobacter baumannii abruptly.
Acinetobacter baumannii ; Aged, 80 and over ; Anti-Bacterial Agents ; Bronchoalveolar Lavage* ; Emergency Medical Technicians ; Erectile Dysfunction* ; Hemoptysis* ; Hemorrhage* ; Humans ; Intensive Care Units ; Lung ; Male ; Pneumonia ; Prescriptions ; Respiratory Insufficiency ; Sepsis ; Tranexamic Acid ; Ventilators, Mechanical ; Sildenafil Citrate

PURPOSE: The purpose of this study was to evaluate the postoperative success and stability of arthro-scopically assisted posterior cruciate ligament(PCL) reconstructions using quadrupled semitendinosus/ gracilis autograft and Endobutton. MATERIALS AND METHODS: 17 patients(18 knees) with a mean age of 34 years were available for a mean follow up time of 21 months, The functional results were evaluated according to the Lysholm knee score and the overall results by Clancy. The postoperative posterior laxity was measured with difference of posterior translation between the injured and the uninjured knee. RESULT: The Lysholm preoperative mean value was 56.2 points and the postoperative mean value was 85.6 points. Postoperative mean side to side difference of the posterior translation was 5.2mm. There were 78% of the patients above the good grade rating according to overall results of Clancy. CONCLUSION: In patients with PCL rupture, the overall reu1ts and the1igamentovs stability for the quadrupled semitendinosus/gracilis graft reconstruction with Endobutton fixation were acceptable. We consider that the PCL reconstruction using the quadrupled autagenous hamstring tendon graft with Endobutton fixation showed good results. However, more long-term follow up is needed.
Arthroscopy ; Autografts ; Follow-Up Studies ; Humans ; Knee ; Rupture ; Tendons* ; Transplants

No abstract available.
Lichen Planus ; Lichens

No abstract available.
Capillaries* ; Hemangioma, Capillary*

No abstract available.
Animals ; Horns* ; Keratoderma, Palmoplantar*

No abstract available.
Tattooing ; Warts

Objective: We investigated the factors that affect the time from the onset of acute stroke symptoms to arrival at the emergency department (ED). Methods: Between July 2019 and February 2020, patients with acute stroke symptoms who visited a public hospital were evaluated by retrospective analysis using a prospective survey. The data for this study was gathered from baseline interviews with patients enrolled in stroke surveys. The primary outcome was time to arrival at the ED, evaluated as a binary variable with a value of 4.5 hours. Results: Overall, 205 patients were included in the final analysis. Among them, 47% (n=96) of patients with acute stroke symptoms arrived at the ED later than 4.5 hours from the time of onset of acute stroke symptoms. After multivariable logistic regression analyses, it was found that patients with higher National Institutes of Health Stroke Scale (NIHSS) scores, patients who did not live with their family members, and patients who were found by a passerby were associated with early ED arrival post onset of acute stroke symptoms. Among patients diagnosed with acute stroke, those with higher NIHSS scores or underlying malignant diseases were found to present earlier at the ED. Conclusion Approximately half of the patients (47%) with acute stroke symptoms presented to the ED within 4.5 hours. Higher NIHSS scores and the presence of underlying malignancy were identified as the key factors that were associated with an early presentation at the ED from the time of onset of acute stroke.

No abstract available.
Tuberculosis, Miliary*