Lower extremity growth and deformity

Gastrocnemius Muscle Flap and Its Application in Lower Extremity Reconstruction

Acute lower extremity paralysis after lower extremity endovascular intervention.

A 61-year-old man underwent successful percutaneous revascularization of both lower limbs with multiple stent implantations. Paralysis of right lower limb was noticed after completion of procedure when transferring the patient from angiography table. Since hematoma compressing lumbosacral neural plexus could be a fatal complication, computed tomography (CT) image was taken. CT showed bulge of d...

Ultrasound Evaluation of Upper Extremity Deformity

CASE A 64-year-old woman presented to the emergency department after falling when she tripped on a rock while doing yard work. Physical examination revealed an open deformity of the left forearm (Figure 1). Radial pulse was palpable, sensation was intact, and she had normal range of motion of the fingers. While awaiting radiographs, bedside ultrasound was performed (Video). Ultrasound revealed ...

Obesity and Lower Extremity Osteoarthritis

Obesity and osteoarthritis are complex diseases to which multiple interacting factors contribute. The moderate association between obesity and knee joint osteoarthritis reflects the amplification by obesity of role of joint loading in the development and progression of osteoarthritis. However, joint loading is insufficient to explain the disparities between the incidence of knee OA in obese peo...

Lower Extremity Shotgun Wound

A 32-year-old white man presented to the emergency department after suffering a shotgun wound to the left lower extremity. He reports assault at point-blank range with a gun of unknown gauge while lying in the prone position. He was transported to the emergency department by emergency medical services personnel who started the use of peripherally inserted intravenous catheters and applied press...