tailieunhanh - Báo cáo y học: "Treatment of stasis dermatitis using aminaphtone: Removal of a below knee plaster cast worn for 28 months: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Treatment of stasis dermatitis using aminaphtone: Removal of a below knee plaster cast worn for 28 months: a case report. | Ingoe et al. Journal of Medical Case Reports 2011 5 74 http content 5 1 74 JOURNAL OF MEDICAL CASE REPORTS CASE REPORT Open Access Removal of a below knee plaster cast worn for 28 months a case report Helen Ingoe Sarah Eastwood David W Elson Claire F Young Abstract Introduction An unusual situation in which a below knee cast was removed after 28 months is reported. To the best of our knowledge no similar cases have been reported in the literature. Case presentation The cast was removed from the leg of a 45-year-old Caucasian woman. Significant muscle atrophy and dense skin scales were present but the underlying skin surface was relatively healthy with only small pitted 1-2 mm ulcers. No pathogenic organisms were cultured from this environment. Conclusion It seems likely that skin can tolerate cast immobilization for prolonged duration. Introduction Extremity casts are frequently applied for routine immobilization for many acute fractures. The period of immobilization varies according to the patient and the fracture. For example a non-operatively treated tibial fracture is rarely immobilized for longer than six months. Total contact casting has been used in the treatment of Charcot s neuropathy for periods of up to one year 1 . We report a case of a below knee cast removal after 28 months. Case presentation When she was 40 years old a Caucasian woman underwent bunion surgery for pain whilst ambulating. The wounds healed without complication but she went on to develop mechanical allodynia intermittent swelling and a bluish discoloration of the foot consistent with a diagnosis of type 1 complex regional pain syndrome. She received many different treatments for continued pain over the subsequent years. Drug therapies using prega-balin strong opiates and epidural analgesia were not fully successful and she was offered a below knee cast as a temporizing measure. There was no pre-existing psychiatric diagnosis but the patient developed a .

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