0
ARTICLE |

Pretibial Soft-Tissue Lesions Produced by Chronic Ladder Rung Contact

John V. Gaeuman, MD
JAMA. 1984;251(13):1683. doi:10.1001/jama.1984.03340370023017.
Text Size: A A A
Published online

To the Editor.—  The telltale impressions left on the anatomy of physiology of the tradesman or artisan are often characteristic of the particular craft. As such, even if they produce no functional impairment, they serve as interesting clues to the identity of the specific activity.

Report of Cases.—  On two recent but separate occasions, I examined two maintenance electricians who spent a great proportion of their time working on overhead electrical service lines above drop ceilings, always standing on a ladder while thus engaged. The first was a 46-year-old man who was generally in good health. On both anterior midtibial surfaces he had 7-cm swellings, which were relatively soft and fluctuant but with a granular consistency. The overlying skin was slightly thickened and lichenified. There was no evidence of acute inflammation or cellulitis (Figure). Roentgenograms taken of the tibia showed no suggestion of periostitis. These lesions had been present for

Topics

Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

Figures

Tables

References

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();