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  • ISSN: 2373-9819
    Volume 4, Issue 1
    Case Report
    Wen-xue Wang*, Jian-wei Wang, Xin Kang, Guang-hui Fu and Yu-liang Liu
    Introduction: Cranioplasty with autologous skull flaps has obvious advantages, but also induces various complications. We present a case of a rare complication after cranioplasty: bone formation on the residual periosteum in the subcutaneous abdominal pocket.
    Materials and methods: In the present case, partial residual periosteum developed periosteal bone formation in the pocket 10 years after cranioplasty. Thus, lumpectomy was conducted on the left lower abdomen under local anesthesia.
    Results: Pathological sections revealed abundant osteocytes and mature bone matrix, and confirmed the bone formation on the residual periosteum.
    Conclusion: The bone formation on the periosteum has a huge potential, and can provide a new idea for cranioplasty.
    Schiarelli C*, Sciandra M, TartaglioneTand Colosimo C
    Ranula is a rare benign acquired cystic lesion that occurs at the floor of the mouth. It is difficult to diagnose when it is plunging. The objective of this report was to describe a case of multicompartmental extensive ranula with atypical clinical and ultrasound features. We present a case of left submandibular swelling in a child. Imaging features (US and MR), differential diagnosis of huge submandibular lesions and tips of surgical strategies are discussed.MRplays an important role in the diagnosis of plunging ranula in children, addressing surgical approach and technique.
    Hasan BasriSezer*, Mehmet Ali Talmac, Raffi Armagan,Osman TugrulEren
    Stress fracture in non-weight bearing bones is uncommon. Complete stress fracture of both forearm bones without overt risk factors is a very rare condition. This report presents the case of a 68-year-old female patient with displaced stress fracture of both bones of forearm. The fractures were treated with open reduction and plate fixation. To our knowledge this is the first case in the literature presenting with complete stress fracture of both forearm bones in the absence of intrinsic risk factors. Awareness of stress fractures of forearm may prevent displacement and progression to complete fractures.
    Mehmet Ali Engur, Ozlem Karasimav*, Nazlihan Boyaci and Murat Ucar
    Zumbahas emerged as a widespread exercise program combining workout with entertainment. However, there are few scientific reports concerning consequences of this newly-developed activity. Recognizing the injuries that are common in Zumba is the key step for establishing specific preventive measures. We describe an otherwise healthy young female who developed bilateral tibial stress fractures after a few weeks of Zumba class participation. Using proper equipment andincreasing physical activity levels gradually, training of the instructors and providing greater awareness for participants can be regarded as to be principal strategies in order to avoid Zumba related injuries.
    Clinical Image
    Shakeel Anjum*, Donough Howardand Paul O'Connell
    A 65 year old lady with diagnosis of CREST for last 10 years presented with progressive right sided unilateral digital calcinosis particularly worse in her thumb, middle and little fingers. She also had areas of inflammation around calcinosis. This resulted in significant disability as she was right-handed. She was treated with colchicine which resulted in improvement of inflammation and pain.
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