Der Unfallchirurg
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Osteoarthritis of the knee is often diagnosed in the orthopedic trauma practice. One major cause is axial deformity with overload. In the case presented here osteomyelitis of the tibial diaphysis developed in childhood. ⋯ In this way it was possible to eradicate the osteomyelitis of the lower leg and to achieve osseous consolidation between the tibia and fibula. Despite the significant shortening of the lower limb and the varus axial deformity, the knee joint function was satisfactory in the subsequent development. After a long interval without symptoms the patient developed a medially accentuated osteoarthritis of the knee.
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Thoracic inlet syndrome is a rare venous obstruction of the upper extremity caused by narrowness of the costoclavicular angle. This case report describes an obstruction of the vena subclavia after percutaneous elastic stable medullary nailing of a comminuted fracture of the clavicle.