1/1851. Two episodes of clinical fat embolism following multiple fractures.Second episodes of clinical fat embolism have not previously been reported. This paper presents the case report of a patient with multiple fractures who developed two distinct attacks with a symptom-free interval. The second attack was partly responsible for death, and histological examination confirmed the diagnosis.- - - - - - - - - - ranking = 1keywords = fracture (Clic here for more details about this article) |
2/1851. Central dislocation of the hip with complications.A case of severe central fracture-dislocation of the acetabulum is described. This lesion was complicated by a small-bowel rupture and occlusion of the iliac vessels. In order to reduce the dislocation, iliopubic osteotomy and excision of the hip joint capsule was necessary.- - - - - - - - - - ranking = 0.2keywords = fracture (Clic here for more details about this article) |
3/1851. Hang gliding injuries.Two fatal and 42 non-fatal hang gliding accidents are reported. The commonest cause was stalling the craft, either owing to adverse winds or to pilot inexperience. The most frequent injuries were fractures of the wrist, humerus and spine. Inexperienced pilots were involved in most of the accidents, so that the training and supervision of novices is of fundamental importance if the accident rate of the sport is to be reduced.- - - - - - - - - - ranking = 0.2keywords = fracture (Clic here for more details about this article) |
4/1851. Eighteen fractures in a man with profound mental retardation.A 39-year-old man with generalized tonic clonic epilepsy and profound mental retardation sustained 18 fractures (15 in appendicular and 3 in axial bones) during 19 years. Both femoral necks were fractured, requiring surgical repair. Although he had been on antiepileptic drugs for 35 years, he had no radiographic or biochemical sign of osteomalacia. He had a very low bone mineral density, suggesting osteoporosis. This case illustrates an important medical problem affecting people with developmental disability and a management challenge for their caretakers.- - - - - - - - - - ranking = 1.2001835715291keywords = fracture, femoral neck, neck (Clic here for more details about this article) |
5/1851. Transverse carpal ligament disruption associated with simultaneous fractures of the trapezium, trapezial ridge, and hook of hamate: a case report.Traumatic disruption of the transverse carpal ligament associated with fractures of the trapezial ridge and hook of hamate is a known entity. Only one report of a coronal fracture of the trapezium has been mentioned in the literature. We report a combination of these two injury patterns. diagnosis was aided by computed tomography. Treatment involved excision of the trapezial ridge and hook of hamate fragments with lag screw fixation of the trapezial body fracture.- - - - - - - - - - ranking = 1.4keywords = fracture (Clic here for more details about this article) |
6/1851. Bowel entrapment within pelvic fractures: a case report and review of the literature.Bowel entrapment within a pelvic fracture is a rarely reported but potentially fatal complication. diagnosis is often delayed due to difficulty in differentiating entrapment from the more common adynamic ileus. Computed tomography of the abdomen and pelvis with enteric contrast can be useful in making the diagnosis. We report an unusual case of bowel entrapment within a pelvic fracture presenting as a colocutaneous fistula in a patient with no prior symptoms that suggested a bowel injury. This report expands the realm of presentation of this rare occult bowel injury.- - - - - - - - - - ranking = 1.2keywords = fracture (Clic here for more details about this article) |
7/1851. Palmar (displaced) fracture of the proximal index metacarpal.A patient sustained a fracture of the ulnar side of the proximal end of the second metacarpal. The fragment was completely displaced into the palmar soft tissues. Open reduction was necessary.- - - - - - - - - - ranking = 1keywords = fracture (Clic here for more details about this article) |
8/1851. Lessons to be learned: a case study approach diuretic therapy and a laxative causing electrolyte and water imbalance, loss of attention, a fall and subsequent fractures of the tibia and fibula in an elderly lady.The case is described of a hitherto well, alert and intelligent lady of 85 years of age, who commenced medication with diuretics--prescribed for mild congestive cardiac failure; she developed constipation consequent upon the diuresis and dehydration thereby provoked. As a result she began to take, unknown to her general practitioner, regular and increasing amounts of laxatives. At about this time she was noted by her son to become "rapidly senile"--with the result that she fell on account of losing her normally good concentration and attention; she sustained fractures of the right tibia and fibula. Shortly after admission to hospital she was premedicated, anaesthetised and operated upon, following which there was a postoperative regimen comprising several litres of low sodium isotonic infusions, all given intravenously. She was found at this point to be severely hyponatraemic with a low serum osmolality, but following the institution of water restriction rapidly improved as her serum sodium rose again; there was an accompanying massive diuresis as the previously retained water was voided. Concomitant with the serum sodium rise her mental concentration and attention regained their former levels. The biochemical and cellular mechanisms underlying this patient's symptoms are discussed.- - - - - - - - - - ranking = 1keywords = fracture (Clic here for more details about this article) |
9/1851. Insufficiency fractures, an often unrecognized diagnosis.diagnosis of sacral insufficiency fractures is difficult since the onset is mild, and usually discomfort is attributed to degeneration of the lumbar spine. Computed tomography and radionuclide bone scans are helpful in making the diagnosis, as regular X-ray and magnetic resonance imaging usually fail to demonstrate the fracture.- - - - - - - - - - ranking = 1.2keywords = fracture (Clic here for more details about this article) |
10/1851. AAEM case report 33: costoclavicular mass syndrome. American association of Electrodiagnostic medicine.A true costoclavicular mass syndrome associated with a brachial plexopathy is rare. We report the occurrence of a severe brachial plexopathy as a late complication of a displaced midclavicular fracture. An exuberant callus associated with the clavicular fracture acted as a mass lesion to compress the brachial plexus within the costoclavicular space (i.e., between the clavicle and the first rib). The clinical features and the electrodiagnostic findings in this patient were crucial in suggesting the diagnosis, which was subsequently confirmed by radiographic studies and surgical exploration. Surgical excision of the hyperabundant callus and freeing of the entrapped brachial plexus resulted in marked improvement of the patient's neurological symptoms. Recognition of this uncommon complication of a clavicular fracture is important for the timely diagnosis of this treatable problem.- - - - - - - - - - ranking = 0.6keywords = fracture (Clic here for more details about this article) |
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