A case of fibrolipomatous hamartoma of the median nerve is presented. The operative findings were characteristic. The diagnosis should be confirmed by histological examination of a biopsy from an involved palmar cutaneous branch, and treatment should be limited to decompression of the ligament or fascia over the involved area.
Respiratory epithelial adenomatoid hamartoma is a rare benign tumour involving the nasal cavity, paranasal sinuses or rhinopharynx. The tumour most often arises from the posterior part of the nasal septum.We report a case of nasal obstruction throughout a 25-30 year period in a 74-year-old woman caused by a respiratory epithelial adenomatoid hamartoma originating from the uncinate process. The tumour was surgically excised whereby dramatically improving air passage through the nose.Biopsies from pathologies in the nasal cavity is important to get a definite diagnosis and distinguish benign from malignant tumours. A biopsy verified diagnosis of REAH is important prior to plan the extent of surgical excision of this benign lesion to avoid unnecessary aggressive surgery and associated complications such as anosmia, orbital or skull base trauma with risk of orbital haematoma, blindness, cerebrospinal fluid leak and meningitis.
A case of fibrolipomatous hamartoma of the median nerve is presented. The operative findings were characteristic. The diagnosis should be confirmed by histological examination of a biopsy from an involved palmar cutaneous branch, and treatment should be limited to decompression f the ligament or fascia over the involved area.
In order to improve four-beat-rhythm and forelimb action of tölt in Icelandic horses (ICE), special shoeing techniques are applied particularly in front hooves by increasing hoof length and height. Although regulations limit dorsal hoof wall length (LDHW) in competition ICE, their shoeing often deviates from a biomechanically optimal distal limb conformation.This study qualitatively and quantitatively describes current shoeing practices of ICE in competition. Moreover, the influence of LDHW on the occurrence of deviations from a standard hoof conformation, as well as on tölt performance was investigated.At four European competition sites, hoof dimensions of 133 randomly selected ICE were measured manually, and limb conformation and hoof balance were described. Dorsopalmar/plantar and lateromedial radiographs of the left front and hind hooves were taken and various parameters related to hoof dimensions and balance were measured using the Metron-Hoof-Pro software.Toe flares had the highest prevalence of all investigated hoof deformities. Multiple logistic regression analysis revealed that longer LDHW was associated with the occurrence of toe flares (P=0.045), a broken hoof pastern axis (P=0.003), and asymmetry of the quarter wall heights (P=0.015). However, horses with longer LDHW achieved higher competition scores. In spite of its positive effect on tölt quality, a long LDHW is not recommendable as it may be associated with higher prevalence of certain hoof deformities.
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