Partial rupture of the quadriceps muscle in a child

<p>Abstract</p> <p>Background</p> <p>The quadriceps femoris muscle ruptures usually occur in the middle-aged population. We present a 4-year-old patient with partial rupture of the quadriceps femoris muscle. To our knowledge, this is the youngest patient reported with a quadriceps femoris muscle rupture.</p> <p>Case Presentation</p> <p>A 4-year-old girl admitted to our clinic with left knee pain and limitation in knee movements. Her father reported that she felt pain while jumping on sofa. There was no direct trauma to thigh or knee. We located a palpable soft tissue swelling at distal anterolateral side of thigh. The history revealed that 10 days ago the patient was treated for upper tract respiratory infection with intramuscular Clindamycin for 7 days. When we consulted the patient with her previous doctor and nurse, we learnt that multiple daily injections might be injected to same side of left thigh. MRI showed a partial tear of vastus lateralis muscle matching with the injection sites. The patient treated with long leg half-casting for three weeks. Clinical examination and knee flexion had good results with conservative treatment.</p> <p>Conclusions</p> <p>Multiple intramuscular injections may contribute to damage muscles and make prone to tears with muscle contractions. Doctors and nurses must be cautious to inject from different parts of both thighs.</p

Towards a Non-invasive Pectus Excavatum Severity Assessment Tool Using a Linear Discriminant Analysis on 3D Optical Data

Pectus Excavatum (PE) is a congenital anomaly of the thoracic cage, at the level of the sternal-costal plane, which consists of an inward angle of the sternum, in the direction of the spine. Its incidence, equal to 1 in 300–400 people, makes it the most frequent among thoracic malformations. For a proper care of patients suffering from PE, it is essential to monitor the progression of the disease and estimate its severity, in order to follow the course of the pathology over time and define the correct treatment. To this end, over the years, severity indexes, or chest indexes, have been introduced. Among them, in recent years, the so-called optical indices, calculated on optical scans of the patient’s chest, are gaining ground. In fact, the optical scan is faster to apply and prevents the patient from being exposed to radiation. In this work the peculiar morphological features of PE have been examined by extracting various geometric parameters, in order to develop an outpatient support tool for the evaluation of the severity of the pathology and the monitoring of its progression over time. The extracted values have been compared against a ground truth obtained through five independent surveys collected from paediatric specialists. A Linear Discriminant Analysis was performed to determine the accuracy of the classification using the proposed geometric parameters, obtaining positive results