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(A) Image with ×10 magnification showing fibrosis (Masson’s trichrome stain). (B) Image with ×20 magnification showing polymorphonuclear neutrophil infiltration of pancreatic ducts (haematoxylin and eosin stain).</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Diego Mauricio Peñafiel-Freire, Marta Montes Díaz, Elena Aznal Sáinz" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Diego Mauricio" "apellidos" => "Peñafiel-Freire" ] 1 => array:2 [ "nombre" => "Marta" "apellidos" => "Montes Díaz" ] 2 => array:2 [ "nombre" => "Elena" "apellidos" => "Aznal Sáinz" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S1695403324000365" "doi" => "10.1016/j.anpedi.2024.02.005" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1695403324000365?idApp=UINPBA00005H" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2341287924001030?idApp=UINPBA00005H" "url" => "/23412879/0000010000000004/v1_202404250845/S2341287924001030/v1_202404250845/en/main.assets" ] "itemAnterior" => array:19 [ "pii" => "S2341287924001005" "issn" => "23412879" "doi" => "10.1016/j.anpede.2024.03.043" "estado" => "S300" "fechaPublicacion" => "2024-04-01" "aid" => "3585" "copyright" => "Asociación Española de Pediatría" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "An Pediatr (Barc). 2024;100:305-6" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Images in Paediatrics</span>" "titulo" => "Traumatic rupture of testicle and epididymis" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "305" "paginaFinal" => "306" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Rotura traumática de testículo y epidídimo" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:8 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1180 "Ancho" => 2091 "Tamanyo" => 169503 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Preoperative ultrasound of the scrotum showing mild enlargement of the right testicle with heterogeneous echotexture in the parenchyma, contour abnormality and discontinuity of the tunica albuginea (blue arrow), absence of intratesticular fluid and haematocele (star). The white arrows point to the testicular rupture line.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Sonia Pérez-Bertólez, Jorge Godoy-Lenz, Verónica Alonso" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Sonia" "apellidos" => "Pérez-Bertólez" ] 1 => array:2 [ "nombre" => "Jorge" "apellidos" => "Godoy-Lenz" ] 2 => array:2 [ "nombre" => "Verónica" "apellidos" => "Alonso" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S169540332400033X" "doi" => "10.1016/j.anpedi.2024.02.002" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S169540332400033X?idApp=UINPBA00005H" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2341287924001005?idApp=UINPBA00005H" "url" => "/23412879/0000010000000004/v1_202404250845/S2341287924001005/v1_202404250845/en/main.assets" ] "en" => array:15 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Images in Paediatrics</span>" "titulo" => "Madelung deformity" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "307" "paginaFinal" => "308" ] ] "autores" => array:1 [ 0 => array:3 [ "autoresLista" => "Pedro Moltó-Balado" "autores" => array:1 [ 0 => array:3 [ "nombre" => "Pedro" "apellidos" => "Moltó-Balado" "email" => array:1 [ 0 => "pemolto@gmail.com" ] ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "CAP Baix Ebre, Tortosa, Tarragona, Spain" "identificador" => "aff0005" ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Deformidad de Madelung" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:8 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1069 "Ancho" => 1556 "Tamanyo" => 90930 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Anteroposterior radiograph of both wrists (A) and lateral radiograph of left wrist (B) showing deviation of the distal growth plate of the radius and a V-shaped carpus.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A girl aged 12 years presented to a hospital emergency department with a possible dislocation of the left wrist that would have taken place 3 days prior when the patient was playing and doing acrobatics. From that time, she experienced discomfort moving the wrist.</p><p id="par0010" class="elsevierStylePara elsevierViewall">The examination of the left wrist evinced a prominent ulnar head compared to the contralateral wrist. Bilateral hyperlaxity, full range of flexion and extension, painless pronation against resistance and mild discomfort on forced supination.</p><p id="par0015" class="elsevierStylePara elsevierViewall">The wrist radiograph (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>) showed what seemed like a deviation of the distal epiphysis of the radius and a V-shaped carpus, with no differences between the two wrists. A watchful waiting approach was taken, with provision of conservative treatment with an elastic brace and analgesics and follow-up in the outpatient trauma clinic once Madelung deformity was confirmed with a CT scan (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0020" class="elsevierStylePara elsevierViewall">Madelung deformity is a rare congenital anomaly of the wrist involving a radial deformity with inclination of the radial physis toward the ulnar physis due to an abnormal Vikers ligament or asymmetric growth at the physis. It is more frequent in de girls with bilateral involvement and onset between ages 8 and 12 years.<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> The diagnosis is made by means of plain radiography, which allows visualization of an increased distal radius volar tilt, subluxation of the ulnar head and a V-shaped carpus,<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a> although computed tomography or magnetic resonance imaging can be used to obtain higher-resolution images. The treatment depends on the level of pain and functional impairment, and conservative treatment with wrist splinting is usually sufficient.<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a></p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2024-01-04" "fechaAceptado" => "2024-02-05" "multimedia" => array:2 [ 0 => array:8 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1069 "Ancho" => 1556 "Tamanyo" => 90930 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Anteroposterior radiograph of both wrists (A) and lateral radiograph of left wrist (B) showing deviation of the distal growth plate of the radius and a V-shaped carpus.</p>" ] ] 1 => array:8 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 1374 "Ancho" => 1011 "Tamanyo" => 133770 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0010" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Left wrist 3D computed tomography scan showing dorsal deviation and subluxation of the distal ulna with mild bowing and shortening of the distal diaphysis of the radius and the triangular shape of the semilunar bone (observed in both wrists).</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:2 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Madelung deformity" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "A.C. Ghatan" 1 => "D.P. Hanel" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.5435/JAAOS-21-06-372" "Revista" => array:6 [ "tituloSerie" => "J Am Acad Orthop Surg" "fecha" => "2013" "volumen" => "21" "paginaInicial" => "372" "paginaFinal" => "382" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/23728962" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Madelung Deformity" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "T.A. Saxena" 1 => "J. Mckie" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Libro" => array:3 [ "fecha" => "2023" "editorial" => "StatPearls Publishing" "editorialLocalizacion" => "Treasure Island (FL)" ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/23412879/0000010000000004/v1_202404250845/S2341287924001029/v1_202404250845/en/main.assets" "Apartado" => array:4 [ "identificador" => "77701" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Images in Paediatrics" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/23412879/0000010000000004/v1_202404250845/S2341287924001029/v1_202404250845/en/main.pdf?idApp=UINPBA00005H&text.app=https://analesdepediatria.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2341287924001029?idApp=UINPBA00005H" ]
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