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Richard J Herzog

Publications and source records attributed to Richard J Herzog.

4 recordsLinked to original sources
PubMed2004

Cervical epidural abscess after epidural steroid injection.

STUDY DESIGN: This is a case report of a cervical epidural abscess presenting with neurologic deficits after cervical epidural steroid injection. OBJECTIVE: To describe the presentation, diagnosis, treatment, and outcome of a rare complication of cervical epidural steroid injection. SUMMARY OF BACKGROUND DATA: Cervical epidural steroid injections are a commonly used modality in the treatment of cervical spine disease. Serious complications from the procedure are rare. There is only one previously reported case of cervical epidural abscess after cervical epidural injection in the literature. MATERIALS AND METHODS: A case of cervical epidural abscess after epidural steroid injection is presented and the relevant literature is reviewed. RESULTS: The patient had partial recovery of neurologic function within the first 24 hours after decompressive laminectomy, irrigation, and debridement. There were no perioperative complications. Intraoperative cultures permitted positive identification of the infecting organism and appropriate antibiotic selection. At 7-month follow-up, there was no recurrence of infection and the patient had recovered baseline neurologic function and neck pain status. CONCLUSIONS: Cervical epidural abscess is a rare but potentially devastating complication after epidural steroid injection. Neurologic compromise may occur. Timely diagnosis and appropriate treatment may result in good clinical outcomes.

Cervical Vertebrae↗
PubMedDate not supplied

Preoperative magnetic resonance imaging diagnosis of the floating anterior inferior glenohumeral ligament.

Approximately a century ago, labral avulsion from the glenoid was described as a source of recurrent anterior shoulder dislocation. Since then, the significance of other origins of shoulder instability has been a controversial issue. Cadaveric dissection, biomechanical evaluation, and surgical observation have led to the discovery of additional pathologic conditions associated with glenohumeral instability that must be properly identified and addressed for operative success. Recently, several authors have emphasized the importance of lesions of the glenohumeral ligament as a cause of post-traumatic shoulder instability. One such condition is bipolar avulsion of the anterior inferior glenohumeral ligament (AIGHL), or floating AIGHL. In previous reports, this finding has only been identified during surgery. We present a case of traumatic anterior shoulder dislocation in which a preoperative diagnosis of floating AIGHL was made by magnetic resonance imaging. Recognition of this rare lesion before surgical intervention is advantageous for appropriate preoperative planning and management of patients with posttraumatic anterior glenohumeral instability.

Adolescent↗