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Clinics and Practice
Volume 10
Issue 1
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Clinics and Practice is published by MDPI from Volume 11 Issue 1 (2021). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with PAGEPress.

Clin. Pract., Volume 10, Issue 1 (March 2020) – 7 articles

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358 KiB  
Brief Report
Early Intervention versus Standard of Care for Mild Idiopathic Scoliosis: A Case-Controlled Series Based on Sosort Criteria Evaluating the Impact of a Scoliosis Activity Suit
by Mark Morningstar
Clin. Pract. 2020, 10(1), 1251; https://doi.org/10.4081/cp.2020.1251 - 14 May 2020
Cited by 2 | Viewed by 734
Abstract
In the present study, a group of adolescent patients diagnosed with mild adolescent idiopathic scoliosis wore a scoliosis activity suit instead of maintaining the recommended observation only strategy. These patients wore the scoliosis activity suit for up to 60 minutes twice daily while [...] Read more.
In the present study, a group of adolescent patients diagnosed with mild adolescent idiopathic scoliosis wore a scoliosis activity suit instead of maintaining the recommended observation only strategy. These patients wore the scoliosis activity suit for up to 60 minutes twice daily while performing normal daily activities. These patients were followed through until end of growth. Their end of growth results were compared to a group of adolescent idiopathic scoliosis (AIS) patients who only participated in observation. The group who wore the scoliosis activity suit maintained their curve measurements through skeletal maturity, while the observation group saw their curves increase an average of 7 degrees. This study showed that a group of AIS patients were able to prevent their curves from progressing during growth, while those participating in an observation-only strategy saw their curves progress to beyond threshold where rigid brace prescription is recommended. These changes were statistically significant in intergroup comparison, as well as intragroup before and after comparison. Full article
445 KiB  
Case Report
Cavitating Pulmonary Metastases from a Renal Cell Carcinoma
by Kulothungan Gunasekaran, Berty Baskaran, Mandeep Singh Rahi, Jay Parekh and Daniel Rudolph
Clin. Pract. 2020, 10(1), 1234; https://doi.org/10.4081/cp.2020.1234 - 11 May 2020
Cited by 5 | Viewed by 838
Abstract
Cavitary lung lesions are quite common findings on chest imaging and often pose a diagnostic challenge to the clinicians. We describe a case of a 75-year-old male who presented to the emergency room with hemoptysis. Computed tomography of the chest demonstrated multiple cavitary [...] Read more.
Cavitary lung lesions are quite common findings on chest imaging and often pose a diagnostic challenge to the clinicians. We describe a case of a 75-year-old male who presented to the emergency room with hemoptysis. Computed tomography of the chest demonstrated multiple cavitary pulmonary nodules with peripheral groundglass opacities. Bronchoscopy did not reveal any active bleeding source, and washings were negative for malignancy and infectious cause. Computed Tomography guided biopsy of the left lung nodule showed metastatic carcinoma consistent with papillary renal cell carcinoma. This case highlights the unusual presentation of metastatic renal cell carcinoma. Full article
782 KiB  
Case Report
Tibia Vara or Blount’s Disease: Why an Early Diagnosis and Treatment Are Important?
by Angelo V. Vasiliadis, Alexandros Maris and Srinivas Gadikoppula
Clin. Pract. 2020, 10(1), 1222; https://doi.org/10.4081/cp.2020.1222 - 08 May 2020
Cited by 4 | Viewed by 949
Abstract
Tibia vara is an asymmetrical disorder of the proximal tibia that produces a three-dimensional deformity, which was first described by Blount in 1937. A 6-year-old boy presented with a history of anterior knee pain with progressive bowing of his right leg over the [...] Read more.
Tibia vara is an asymmetrical disorder of the proximal tibia that produces a three-dimensional deformity, which was first described by Blount in 1937. A 6-year-old boy presented with a history of anterior knee pain with progressive bowing of his right leg over the last 1 year after having a fall while playing soccer. An early diagnosis and treatment of this disease can have a great functional impact and lead to very good health outcomes. Full article
305 KiB  
Case Report
Ticagrelor: A Safe Option as Part of Triple Therapy?
by Mohammad Umar Farooq
Clin. Pract. 2020, 10(1), 1221; https://doi.org/10.4081/cp.2020.1221 - 27 Apr 2020
Cited by 2 | Viewed by 682
Abstract
Patients with atrial fibrillation who have concurrent coronary artery disease requiring percutaneous coronary intervention are subsequently prescribed dual antiplatelet therapy and anticoagulation resulting in triple therapy (TT). Ticagrelor, a reversibly binding P2Y12 antiplatelet agent, has shown superiority to clopidogrel in prevention of ischemic [...] Read more.
Patients with atrial fibrillation who have concurrent coronary artery disease requiring percutaneous coronary intervention are subsequently prescribed dual antiplatelet therapy and anticoagulation resulting in triple therapy (TT). Ticagrelor, a reversibly binding P2Y12 antiplatelet agent, has shown superiority to clopidogrel in prevention of ischemic events and death, but is also associated with a small increase in the incidence of intracranial bleeding. This bleeding risk may be enhanced in the setting of TT. The objective of this report is to describe a case of a 70-year-old male prescribed TT with ticagrelor and to review the current literature on the safety of ticagrelor as a part of TT. Full article
647 KiB  
Case Report
Necrotizing Fasciitis of the Upper Back Presenting with Left Shoulder Pain
by Mohamad Zikri Mohamad Isa, Mohamed-Syarif Mohamed-Yassin and Roqiah Fatmawati Abdul Kadir
Clin. Pract. 2020, 10(1), 1218; https://doi.org/10.4081/cp.2020.1218 - 27 Apr 2020
Cited by 1 | Viewed by 804
Abstract
Necrotizing fasciitis is a severe and progressive infection of deep soft tissues which results in destruction of the fascia and overlying subcutaneous fat. We report a case of a 45-year-old diabetic gentleman who initially presented with left shoulder pain, which was treated symptomatically. [...] Read more.
Necrotizing fasciitis is a severe and progressive infection of deep soft tissues which results in destruction of the fascia and overlying subcutaneous fat. We report a case of a 45-year-old diabetic gentleman who initially presented with left shoulder pain, which was treated symptomatically. Upon representation, he had fever and the pain extended to his left upper back. There was a warm, firm and mildly tender purplish swelling on his mid to the left upper back. Blood tests revealed significantly elevated white cell counts and C-reactive protein. A CT thorax showed extensive soft tissue gas within the deep and superficial fascial layers of his left upper back. Necrotizing fasciitis was confirmed intraoperatively. The diagnosis of this condition is often difficult as early symptoms can be mild and nonspecific. A high Laboratory Risk Indicator for NECrotizing fasciitis (LRINEC) score may be helpful to rule in this diagnosis and guide further management. Full article
451 KiB  
Case Report
Osteosarcoma of Talus with Heterotopic Ossifications and Lung Metastases
by Jieun Jeong, Young Jin Jeong, Do-Young Kang and Kook Cho
Clin. Pract. 2020, 10(1), 1216; https://doi.org/10.4081/cp.2020.1216 - 31 Mar 2020
Cited by 1 | Viewed by 626
Abstract
Osteosarcoma is the most common malignant bone tumor and is known to occur mainly in the metaphyses of long bones. However, a few cases of osteosarcoma in talus have been reported in older patients. We experienced an osteosarcoma of an 80-year-old male patient [...] Read more.
Osteosarcoma is the most common malignant bone tumor and is known to occur mainly in the metaphyses of long bones. However, a few cases of osteosarcoma in talus have been reported in older patients. We experienced an osteosarcoma of an 80-year-old male patient with a talus which is rarely reported and evaluated disease patterns with four different imaging modalities. Full article
498 KiB  
Case Report
Nasal Prosthesis after Partial Rhinectomy. A Case Report
by Shekhar Gupta, Bharti Gupta and Bhagwandas K. Motwani
Clin. Pract. 2020, 10(1), 1200; https://doi.org/10.4081/cp.2020.1200 - 31 Mar 2020
Cited by 2 | Viewed by 902
Abstract
Maxillofacial defects can result from several reasons, including neoplasia, congenital malformations, trauma, oral infections, etc. This kind of defects can be severely debilitating to the patients. To improve the quality of life of these patients, the options include surgical reconstruction and maxillofacial prosthesis. [...] Read more.
Maxillofacial defects can result from several reasons, including neoplasia, congenital malformations, trauma, oral infections, etc. This kind of defects can be severely debilitating to the patients. To improve the quality of life of these patients, the options include surgical reconstruction and maxillofacial prosthesis. However, surgical approaches have many inherent disadvantages and limitations. This case report describes the prosthetic rehabilitation of a female patient who underwent partial rhinectomy secondary to basal cell carcinoma. The case was planned with a silicone prosthesis with anatomic and spectacle retention. A non-surgical method of rehabilitation was followed owing to the patient’s choice and financial constraints. The final prosthesis was aimed at enhancing the esthetics and function of the patient, thereby improving her quality of life. Full article
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