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Snapping wrist due to bony prominence and tenosynovitis of the first extensor compartment:A case report

World Journal of Clinical Cases 2021年第16期9卷 3908-3913页

作者： Chia Jung Hu Po-Chin Chow i-shiang tzeng Department of Orthopedics Taipei Tzu Chi HospitalBuddhist Tzu Chi Medical FoundationNew Taipei 23142Taiwan Department of Research Taipei Tzu Chi HospitalBuddhist Tzu Chi Medical FoundationNew Taipei 23142Taiwan

BACKGROUND A snapping wrist is a rare symptom that results from the sudden impingement of one anatomic structure against another,subsequently causing a sudden movement only during wrist *** SUMMARY A 30-year-old woman with a history of right wrist contusion reported right wrist snapping after *** snapping became symptomatic after moving heavy *** pain persisted even when she received 1 mo of conservative *** examination showed painful wrist snapping during wrist radioulnar motion and thumb *** demonstrated bone overgrowth over the radial styloid *** disclosed a tendon jumping over a bony prominence in the first compartment during wrist *** resonance imaging revealed no anomalous tendon nor tumorlike *** the wide-awake local anesthesia no tourniquet(WALANT)technique,the lesion was identified in the first extensor *** patient received stepwise extensor retinaculum release,synovectomy,and bone spur *** 6th week,the patient was completely free of pain and unable to snap her *** started working 7 wk after the *** year after the surgery,the wrist snap was not *** Careful physical examination and dynamic sonography may confirm the diagnosis of a snapping *** the WALANT technique,the lesion could be identified under direct vision,and we could take stepwise interventions according to intraoperative presentations.

关键词： Snapping wrist Tenosynovitis Wide-awake local anesthesia no tourniquet technique Orthopedics Snapping syndromes Wrist Case report

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Role of peripheral eosinophilia in acute exacerbation of chronic obstructive pulmonary disease

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World Journal of Clinical Cases 2020年第13期8卷 2727-2737页

作者： Chih-Wei Wu Chou-Chin Lan Po-Chun Hsieh i-shiang tzeng Yao-Kuang Wu Division of Pulmonary Medicine Taipei Tzu Chi HospitalBuddhist Tzu Chi Medical FoundationNew Taipei City 23142Taiwan Department of Chinese Medicine Taipei Tzu Chi HospitalBuddhist Tzu Chi Medical FoundationNew Taipei City 23142Taiwan Department of Research Taipei Tzu Chi HospitalBuddhist Tzu Chi Medical FoundationNew Taipei City 23142Taiwan

BACKGROUND Eosinophil counts are a promising guide to systemic steroid administration for chronic obstructive pulmonary disease(COPD).AiM To study the role of peripheral eosinophilia in hospitalized patients with acute exacerbation of COPD(AECOPD).METHODS From January 2014 to May 2017,patients with AECOPD hospitalized in Taipei Tzu Chi Hospital were retrospectively stratified into two groups according to their peripheral eosinophil count:The EOS group(eosinophil count≥2%)and the non-EOS group(eosinophil countics,comorbidities,laboratory data,steroid use,length of hospital stay,and COPD-related readmissions were compared between the *** A total of 625 patients were recruited,with 176 patients(28.2%)in the EOS *** EOS group showed a lower prevalence of infection,lower cumulative doses of prednisolone equivalents,shorter length of hospital stay,and higher number of COPD-related readmissions than the non-EOS *** were significantly linear correlations between eosinophil percentage and number of readmissions and between eosinophil percentage and length of hospital stay Picted value of forced expiratory volume in one second(FEV1)were associated with shorter time to first COPD-related readmission[adjusted hazard ratio(***)=1.488,Pively].CONCLUSiON The study findings suggest that the EOS group had the features of a shorter length of hospital stay,and lower doses of systemic steroids,but more frequent *** EOS group and lower percent-predicted FEV1 values were risk factors for shorter time to first COPD-related readmission.

关键词： Chronic obstructive pulmonary disease Exacerbation Eosinophil Readmission Systemic steroid Length of hospital stay Forced expiratory volume in one second

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