Robotic assisted laparoscopic surgery is becoming more widely available, but despite its multiple benefits, it is not without risk. This case is of a 62-year-old female who presented to the emergency department for dyspnea two days after robotic assisted laparoscopic hysterectomy. Physical exam revealed diffuse facial, neck, upper extremity, torso, and lower extremity crepitus, which was diagno...

congenital dislocation of the knee (cdk) is a rare disorder. we report the case of a 7-year-old girl with bilateral knee stiffness, marked anterior bowing of both legs, and inability to walk without aid. radiologic investigation revealed bilateral knee joint dislocation accompanied by severe anterior bowing of both tibia proximally and posterior bowing of both femur distally, demonstrating a co...

Osteoarthritis (OA) is a slowly evolving but active disease of degeneration of the articular cartilage associated with symptoms of joint pain, stiffness, and limitation of movement. Typically, these symptoms tend to be worse with weight bearing and activity and improve with rest. Physical examination often reveals tenderness on palpation, bony enlargement, crepitus on movements, and limitation ...

INTRODUCTION Osteochondroma or exostosis is most common primary benign bony tumor comprising of more than one third of the total occurrences. Osteochondromas are considered as an aberration in the normal physial growth plate and originate from the metaphysis of long bone with more than third (35-46%) of cases affecting the bone around the knee (lower end femur> upper end tibia), 10% cases invol...

The case describes a young girl developing cervicofacial emphysema after fall. She presented in emergency with gradually worsening upper body swelling without any sign of distress. Swelling was found on the right side of the face, all around the neck and right arm with crepitus in all these areas. CT scanning of head, neck and chest were performed and a small area of communication between nasop...

Gas gangrene is a rare but often fatal soft-tissue infection. Because it is uncommon and the classic symptom of crepitus does not appear until the infection is advanced, prompt diagnosis requires a high index of suspicion. We present a case report of a middle-aged man who presented with acute onset lower-extremity pain that was initially thought to be due to deep vein thrombosis. After undergoi...

This article reviews the clinical entity of medial patellar subluxation, including relevant anatomic and biomechanical factors. Most cases of medial patellar subluxation occur as a late complication of lateral retinacuiar release. Symptoms include pain, disability, crepitus, and intermittent swelling. Clinical signs include subluxation of the patella with manual medial glide, an observable defe...

INTRODUCTION We report a case of subcutaneous emphysema and pneumomediastinum that presented postoperatively after tracheal extubation. CLINICAL PICTURE A 51-year-old man had an uneventful anaesthesia lasting about 6.5 hours. Intubation was performed by a very junior medical officer and was considered difficult. He developed sore throat, chest pain, numbness of both hands and palpable crepitu...

multiplanar or global laxity in arthritic knee is rare , most of this patients have neuromuscular disorder (post poliomyelitis , spinal dystrophy) or history of knee trauma. ligament insufficiency and severe bone loss is significant in this patient. the estimated prevalence for the concurrence of charcot marie-tooth (cmt) with myasthenia gravis (mg) suggests an extremely rare event. we have pre...

background: the aim of this study is to evaluate the geometry of the distal femur and the proximal tibia in the osteoarthritic knee using 3d reconstructive ct scan imaging. methods: 449 patients with knee osteoarthritis were treated surgically in our center with patient-specific technology total knee arthroplasty. preoperatively, all the patients underwent a ct scan according to a standard prot...