1/146. 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 = 1keywords = ridge (Clic here for more details about this article) |
2/146. Fractures of the posteromedial process of the talus. A report of two cases.The authors present two cases of fractures of posteromedial process of talus. One was treated conservatively and the other by excision. The appearances of the CT scans, the therapeutic options and the mechanisms of injury are discussed.- - - - - - - - - - ranking = 0.3048983192577keywords = process (Clic here for more details about this article) |
3/146. Fracture-dislocations of the sacrum. Report of three cases.The pattern of fracture-dislocation of the upper part of the sacrum is demonstrated in three patients. The fracture line followed the segmental form of the sacrum and was usually caused by a posterior force against the pelvis which had been locked by hip flexion and knee extension. Fractures of the lumbar transverse processes also occurred, presumably from avulsion by the quadratus lumborum muscle. The damage to the sacral plexus found in all three cases recovered after several months. Radiographs of the injury are difficult to obtain in severely injured patients but oblique views of the sacrum help to determine the extent of the forward dislocation.- - - - - - - - - - ranking = 0.06097966385154keywords = process (Clic here for more details about this article) |
4/146. Fracture of the lateral process of the talus: appearance at MR imaging and clinical significance.The case of a 59-year-old man with chronic lateral ankle pain following an inversion injury is presented. MR imaging performed to evaluate for soft tissue injury revealed an unsuspected fracture of the lateral process of the talus. The patient underwent surgical exploration of the fracture with debridement of adjacent loose bodies and is currently undergoing aggressive physical rehabilitation.- - - - - - - - - - ranking = 0.3048983192577keywords = process (Clic here for more details about this article) |
5/146. Case report: a nursing challenge, the unstable pelvic fracture.A case report is presented that describes the initial care of a severely injured patient who was hemodynamically unstable. The discussion highlights the process used to recognize life-threatening injuries, to differentiate internal sources of hemorrhage, to provide damage-control surgery, and to stop further bleeding with an interventional radiologic examination. The emergency nursing care of a patient with unstable pelvic trauma is included.- - - - - - - - - - ranking = 0.06097966385154keywords = process (Clic here for more details about this article) |
6/146. Fracture of the styloid process of the temporal bone: an unusual complication of dental treatment. Report of a case.Reported in a case of fracture of the styloid process due to an uncoordinated action of the suprahyoidean and infrahyoidean musculature. The similarity of symptoms to acute disturbances of the temporomandibular joints to those of fracture of the styloid process and the differential diagnoses are discussed. diagnosis of a fracture of the styloid process is achieved mainly by radiographic examination; history and clinical examination are merely confirmatory. Conservative and surgical treatments of fracture of the styloid process, and their respective uses, are briefly reviewed.- - - - - - - - - - ranking = 0.48783731081232keywords = process (Clic here for more details about this article) |
7/146. Fracture of the entire posterior process of the talus.A 25 year old, who had sustained a fracture of the entire posterior process of the talus, is presented. THe fracture was successfully managed conservatively.- - - - - - - - - - ranking = 0.3048983192577keywords = process (Clic here for more details about this article) |
8/146. Cruciate paralysis, hypothesis for injury and recovery.STUDY DESIGN: Case report and review of the literature. OBJECTIVES: Discuss a case of cruciate paralysis, a review of the literature and the hypotheses regarding the pathogenesis and recovery in spinal cord injuries that cause disproportionate weakness of the upper extremities. SETTING: Thomas Jefferson University Hospital, philadelphia, PA, USA. methods: Case report. RESULTS: A case of cruciate paralysis is presented involving a 59-year-old female who experienced a gunshot wound to the face. Initial motor exams revealed mild lower limb weakness and absent upper limb function with an upper limb modified American Spinal Injury association motor score of 0/50 (a modified impairment scale using half point muscle grades). Spinal imaging revealed fractures of the C1 anterior ring and the odontoid process, both associated with multiple bullet fragments. No spinal surgery was performed and she was placed in halo fixation. By 3 weeks she had regained enough upper limb function to manipulate large objects with her left hand and move her right hand. At that time, her upper limb asia score was 16/50. By 5 weeks, her upper limb modified asia motor score had improved to 31.5/50 and she began manipulating feeding utensils, writing legibly, and brushing her teeth with her left hand. CONCLUSIONS: In this case report we present a patient's motor and functional recovery. We also discuss the hypothesis that the acute central cord syndrome and cruciate paralysis are a likely result of similar pathologic mechanisms and that good functional outcome resulted from an initially disabling trauma.- - - - - - - - - - ranking = 0.06097966385154keywords = process (Clic here for more details about this article) |
9/146. Fracture of the entire posterior process of the talus: a case report.A fracture of the entire posterior process of talus is rare. In this case report, the authors present a case of isolated displaced fracture of the entire posterior process, which was treated by early open reduction and internal fixation through a posterolateral approach. The fracture healed without evidence of avascular necrosis of either the posterior fragment or the talar body. The aim of this article is to highlight the importance of early internal fixation of this uncommon type of fracture.- - - - - - - - - - ranking = 0.36587798310924keywords = process (Clic here for more details about this article) |
10/146. Missed lumbar transverse process fractures in a high school football player.OBJECTIVE: To discuss the case of a football player who had suffered a transverse process fracture of the lumbar spine that was overlooked on initial chiropractic and medical examination. CLINICAL FEATURES: A 17-year-old male football player had been speared in the back by another player. He reported severe initial pain that caused him to fall to the ground, and there was a moderate degree of pain at the time of his chiropractic examination 1 week after injury. INTERVENTION AND OUTCOME: Initial chiropractic treatment consisted of spinal manipulation to the lumbar spine. Follow-up care consisted of lumbar spine radiographs that showed evidence of a lumbar transverse process fracture at 2 levels. The boy was referred to his medical doctor, who was not convinced of the presence of a fracture and returned him to play. A computed tomography scan was subsequently performed; this confirmed fractures of the transverse processes of L2 and L3. The patient was precluded from contact sports for 4 weeks. chiropractic care 3 weeks after injury included physiotherapy and drop table mobilization to the sacroiliac joints. The patient returned to play 4 weeks after the injury. CONCLUSION: Transverse process fractures commonly occur secondary to blunt trauma in contact sports such as football. With high-force direct trauma, radiographs should be performed to rule out fracture before returning the athlete to play or commencing spinal manipulation.- - - - - - - - - - ranking = 0.48783731081232keywords = process (Clic here for more details about this article) |
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