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Browsing by Author "Royeca, J. Matthew"
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Item Complex regional pain syndrome as a result of total knee arthroplasty: A case report and review of literature(Elsevier, 2019-07-24) Royeca, J. Matthew; Cunningham, Conor M.; Pandit, Hemant; King, Samuel W.; Medicine, School of MedicineTotal knee arthroplasty (TKA) is an effective treatment for patients with end-stage symptomatic knee osteoarthritis. As the aging population grows, the demand for the procedure is projected to increase. While highly successful, TKA has associated risks and complications. Complex regional pain syndrome is one uncommon but debilitating complication that can negatively impact patient satisfaction and quality of life. We present a case of complex regional pain syndrome in the operated leg that resulted in significant functional deficits. Key findings of this case include significant and disproportionate pain in the joint, altered cutaneous sensation around the joint, and decreased range of motion in flexion in the absence of any mechanical issues with the TKA. Because of the debilitating nature of this condition, patients must be fully informed of and realize the risks associated with undergoing a widely appreciated procedure such as TKA.Item Late-onset fibrodysplasia ossificans progressiva with atypical presentation: A case report(Elsevier, 2019-07-19) Cunningham, Conor M.; Royeca, J. Matthew; King, Samuel W.; Pandit, Hemant; Medicine, School of MedicineFribrodysplasia ossificans progressiva (FOP) is a rare genetic disease characterized by progressive heterotopic ossification of connective tissues, episodic flare-ups and bilateral deformities of the great toe (hallux valgus). As faulty tissue repair processes progressively calcify tissue, patients suffer from swelling and limited mobility in that area. We present a case of a 66-year-old woman who had initially presented at age 54 without the hallux valgus deformity or classic-type flare-ups. As there is currently no cure for FOP, management is mainly symptom control. Physicians should still consider FOP if imaging indicates progressive heterotopic ossification in the absence of hallux valgus in an older patient.