A Rare Dislocation: Isolated Proximal Tibiofibular Joint Dislocation
Isolated dislocation of proximal tibiofibular joint is one of the rarely encountered and easily overlooked traumas in ER departments. Injury mechanism can not be elucidated entirely; however it occurs commonly by sudden inversion of foot, concurrently knee is at flexion and foot is at plantar flexion. Diagnosis can be made by determining swelling and sensitivity increase at proximal tibia with comparing healthy side and radiological imaging techniques. Treatment is still a challenging and controversial issue and most of the cases are approached conservatively; for selected cases, it is possible to carry out surgical stabilization. We have reported the case, an isolated dislocation of the proximal tibiofibular joint in a football player.
Multiple Ruptured Epidermal Cysts on The Scalp Mistaken as Hidradenitis Suppurativa
Epidermal cyst is one of the most common benign soft tissue tumors, and it may be easily identified and treated by surgical excision. We experienced a patient who had multiple masses on the scalp and the masses had been misdiagnosed as hidradenitis suppurativa (HS) because of persistent pain, sinus tract and fistula formation and purulent discharge. Based on physical examination, early total excision was performed. On the histopathologic examination, it was diagnosed as multiple ruptured epidermal cysts. In the case presented here, we would like to introduce an initial misdiagnosis but ultimately accurate treatment with excellent cosmetic result and highly satisfaction of the patient.
Sjogren Syndrome Presented with Dibrachial Neuropathy Clinic
Sjogren syndrome (SS) can affect either central nervous system (CNS) or peripheral nervous system (PNS). Symmetric sensorymotor peripheral neuropathy and pure sensorial symmetric polyneuropathy are the most common diseases observed in relation to PNS. Rarely, asymmetrical polyneuropathy such as mononeuritis multiplex and brachial neuropathy may be observed. In this article, we present the clinical and electrophysiological properties of a case which arises with dibrachial neuropathy. Our case is important in terms of evaluation of SS during definitive diagnosis and performing related examinations, especially in patients with a subacutechronical asymmetric weakness.