Unusual stress fracture of the fifth metatarsal in a basketball player.
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Biomedical subjects
Publications and source records attributed to J R Martire.
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The utilization of nuclear medicine bone scanning examinations early in the diagnostic process allows physicians to render prompt and correct treatment in urgent or difficult athletic cases. Bone scanning should be performed for athletic injuries whenever (1) x-rays are normal but bone or joint pain persists; (2) x-rays are positive but it cannot be determined if the findings are acute or chronic; (3) soft-tissue injuries present and x-rays are not useful; and (4) bone pain or joint impairment present without a history of trauma.
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Our case report of survival from a cardiac gunshot wound with subsequent embolization to the right femoral artery has included plain films and arteriographic confirmation, a review of the mechanics of intracardiac bullet embolization, its incidence, survival rates, and management, and review of the literature.
Radionuclide testicular angiography and static imaging is an easy, rapidly performed study. Its usefulness in separating acute testicular torsion from acute epididymitis has been confirmed. Increased angiographic perfusion with definition of the testicular and deferential arteries in the spermatic cord and the pudendal artery posteriorly is equated with inflammation. Intense increased vascularity on the blood pool image is seen in abscess and acute inflammation, while cases of tumor and trauma have mild increases. Acute or missed testicular torsion, uncomplicated hydroceles, and spermatoceles show absent vascularity. On the static images, decreased activity is characteristic of the stage and location of the avascular structure, Technical factors are stressed.
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Twenty-five years' experience in the management of the diabetic foot is reviewed. Diagnostic aids and surgical principles which proved worthwhile in preventing major amputations are stressed.
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