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「叡王戦」異例の第9局で豊島竜王勝利「二冠」に返り咲き

将棋の八大タイトルの1つ「叡王戦」の七番勝負は、2回の引き分けがあったことから「第9局」までもつれ込む異例の展開となった結果、挑戦者の豊島将之竜王(30)がタイ...

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Pseudotumor due to metallosis after total elbow arthroplasty.

著者 Rotini R , Bettelli G , Cavaciocchi M , Savarino L
Indian J Orthop.2017 Jan-Feb ; 51(1):103-106.
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The incidence of primary total elbow arthroplasty (TEA) in young patients is increasing. The indications for revision surgery are also rising. Here, we report a rare case of pseudotumor detected in a patient 16 years after TEA. Intraoperative findings revealed a necrotic mass characterized by a conspicuous metallosis in the soft tissues around the prosthesis, which caused ulnar nerve dislocation. Due to this anatomical change, a lesion of the nerve was accidentally produced during revision surgery. The case report emphasizes that the indications for elbow replacement, as well as the patient education about the permanent physical limitations, should be carefully considered. Moreover, the high risks of complications related to the revision procedure and pseudotumor removal need to be addressed before surgery. The technique should be done carefully and a preliminary thorough imaging should be performed, since a newly formed mass can cause significant distortion of the anatomy.
PMID: 28216759 [PubMed]
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