ampullary tumor is a rare cancer. these patients most commonly present with obstructive jaundice but sometimes disease appear with uncommon signs. this report is an example of such cases. our case is a 53 year old man who presented with recurrent fever and chills and iron deficiency anemia and has been misdiagnosed for two years. the proper diagnosis occurred when the patient showed abnormal li...

abstract  background: the goal of this report is to show our results with extension block technique for treatment of mallet fracture. the indications for this technique were the presence of a large bone fragment, and palmar subluxation.  methods: we retrospectively assessed the results of treatment in 14 mallet fractures  which have been treated by extension block technique to determine the ran...

one of the locations of renal artery atherosclerosis is at the orifice of the renal artery, therefore thestructure of this orifice was assessed in 6 normal, adult male dogs by light microscopy (lm) andtransmission electron microscopy (tem). for the lm study, processed tissues were embedded in paraffinand sectioned serially into 6-μm thickness. sections were stained with orcein. for the tem stud...

background: evaluating the landmarks for rotation of the distal femur is a challenge for orthopedic surgeons. although the posterior femoral condyle axis is a good landmark for surgeons, the surgical transepicondylar axis may be a better option with the help of preoperative ct scanning. the purpose of this study was to ascertain relationships among the axes’ guiding distal femur rotational alig...

conclusions closed reduction and hybrid external fixation can be used as a definitive treatment for severe comminuted fractures of the distal femur and proximal tibia, when the concomitant contusion of the skin and soft tissue damage prohibits safe open reduction and internal fixation. patients and methods in a prospective study, 44 patients with comminuted fractures of the distal femur or prox...

background: considering the importance of an early diagnosis and proper decision-making in regards to the treatment of pediatric distal radius and elbow fractures, this study examines emergency medicine specialists’ accuracy in the diagnosis and treatment of these patients. methods: from 2012 and 2013, children less than 14 years old who were referred to an academic hospital emergency departmen...

Introduction: Space maintenance in primary dentition in patients with early loss of several primary molars is a clinical challenge for pedodontists. In these cases, the conventional distal shoe appliance cannot be used and the efficacy of removable appliances is questionable. Thus, appliances with special designs providing increased patient acceptance and optimal efficacy are required in these ...

OBJECTIVE To determine upper limb function and associated factors in adults with Duchenne muscular dystrophy. DESIGN Cross-sectional study. SUBJECTS A sample of 70 men with Duchenne muscular dystrophy (age range 20-43 years). METHODS General motor function and, in particular, upper limb distal motor function, were assessed with the Motor Function Measure. Muscle strength and range of moti...

We present a case of 35-year old left-handed woman with recurrent giant-cell tumour affecting 1/4 of the distal part of the left ulna, with associated ulnar nerve involvement. After resection of the tumour and 1 cm of the ulnar nerve, the distal ulna was reconstructed with an individually designed and matched prosthesis, followed by ulnar nerve reconstruction. At 12 months follow-up the patient...