chronic

Paronychia

Definition

 

Paronychia is skin around nail plate

 

Eponychia is skin covering base of nail plate

 

Pathology

 

1.  Due to foreign material between nail plate and paronychium 

 

2.  By hang nail traumatising paronychium

 

Aetiology

 

Acute

- typically polymicrobial 

- aerobes and anaerobes

Chronic PLC Management

Issues

 

Limb alignment

 

Risk that late posterolateral corner reconstruction will fail in the setting of the varus knee

- varus knee alignment and varus thrust in stance phase

- consider osteotomy first in this setting

 

Results

 

Posterolateral Corner Reconstruction

 

Moulton et al. Am J Sports Med 2016

- systematic review of PCL reconstruction for chronic injuries

- 450 patients

Gout

DefinitionElbow Gout

 

Heterogeneous group of diseases characterised by

- hyperuricaemia

- recurrent attacks of acute arthritis

 

Diagnosis confirmed by

- crystals of Monosodium Urate in synovial fluid

- tophi ("Porous stone") urate in soft tissues

- renal urate stones

 

Epidemiology

 

Adult men