{"title":"Knee Function of Four Alpine and One Freestyle World Cup Skiers 30 Years after Serious Knee Injuries","authors":"Arne Ekeland, S. Heir","doi":"10.31487/j.ajscr.2023.03.04","DOIUrl":"https://doi.org/10.31487/j.ajscr.2023.03.04","url":null,"abstract":"Objective: Serious knee injuries have ruined many skiing careers. The purpose of this study is to report the knee function of five Norwegian world cup skiers 30 years after a serious knee injury. \u0000Methods: The five skiers with anterior cruciate ligament (ACL) and concomitant serious knee injuries were treated at Oslo University Hospital in the period 1989-92. The median age at the time of injury was 25 (19-26) years. Three of the alpine skiers regained their world cup ranking. About 30 years after their injuries, the skiers were asked about later injuries, competition activity and evaluated by Tegner activity scale and the knee injury and osteoarthritis outcome score (KOOS). \u0000Results: The skiers participated in median 4 (0-5) world cup seasons after their knee injuries and did not suffer new acute knee injuries. Thirty years after the knee injury the tegner score was higher (more activity) and the KOOS score was lower (more symptoms) than those of a normal population of corresponding age group. \u0000Conclusion: Thirty years after a serious knee knee injury the five world cup skiers are still living an active life with higher tegner and lower KOOS scores than the normal population. Functional knee scores should therefore be related to the degree of activity.","PeriodicalId":478397,"journal":{"name":"American Journal of Surgical Case Reports","volume":"40 S186","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138622631","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Igor Monsellato, T. Gatto, G. Costantini, A. Chahrour, Igor Monsellato
{"title":"Robotic Rar for Rectal Cancer with Partial Pelvic Peritonectomy for Carcinosis from Pancreatic Cancer","authors":"Igor Monsellato, T. Gatto, G. Costantini, A. Chahrour, Igor Monsellato","doi":"10.31487/j.ajscr.2023.03.02","DOIUrl":"https://doi.org/10.31487/j.ajscr.2023.03.02","url":null,"abstract":"Introduction: Robotic technology can be used to address several common complications of solid organ malignancies. This case report deals with a patient with rectal cancer undergone robotic rectal resection for bleeding adenocarcinoma, with a new finding of primary pancreatic cancer at post-neoadjuvant re-evaluation. Materials and Methods: A 70-year-old female patient with adenocarcinoma of the rectum was referred to neoadjuvant treatment. Re-evaluation showed a new finding of a pancreatic tumor. CHT was halted for rectal tumor bleeding after 1 week. Palliative rectal surgery was recommended. Results: Patient was discharged on 6th postoperative day; CHT was resumed. No pelvic relapse was diagnosed, the pancreatic lesion reduced volumetrically and a RT was performed. After 1 year from surgery the patient referred to our ER for intestinal obstruction. An explorative laparoscopy revealed a diffuse carcinosis from pancreas. Conclusion: Robotic surgery is safe also in palliative surgery. Minimally-invasive approach minimizes adverse effects of surgical intervention.","PeriodicalId":478397,"journal":{"name":"American Journal of Surgical Case Reports","volume":"46 5","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135820008","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Twist without a Turn: A Rare Case Report of Mal-Rotated Gut with Caecal and Ascending Colon Volvulus in an Adult","authors":"Anubhav Vindal, Vimlendra Kumar Chaudhary, Anubhav Vindal, Manu Vats, Sanchit Katyal, Megha Meena, Gautam Chellani","doi":"10.31487/j.ajscr.2023.03.03","DOIUrl":"https://doi.org/10.31487/j.ajscr.2023.03.03","url":null,"abstract":"Midgut malrotation is a pathology seen in approximately 1:500 live births. It is an anomaly of fetal intestinal rotation that usually presents in the first month of life. It is rare for malrotation to present in adulthood. Symptomatic patients present either acutely with intestinal obstruction and ischemia with a midgut or caecal volvulus, or chronically with vague abdominal pain. In adult life, it is mostly diagnosed incidentally during a radiological investigation or during surgery for an unrelated condition as it is generally asymptomatic in adults. We present a rare case of a patient who presented to us with obstruction due to a mal-rotated gut with caecal and ascending colon volvulus with Ladd’s bands and was operated in our institution.","PeriodicalId":478397,"journal":{"name":"American Journal of Surgical Case Reports","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135366000","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}