Eur J Trauma Emerg S
-
Eur J Trauma Emerg S · Apr 2008
Examining the Impact of Renal Trauma Guidelines on Urologists in UK.
To investigate whether urologists in UK utilise and adhere to recently published renal trauma guidelines. ⋯ Only 74 (50%) responding urologists utilized the recently published guidelines in the management of renal trauma, and adherence to the recommendations - by those urologists who claimed to use the guidelines - was very variable. To facilitate the best practice in the management of renal trauma, it would be ideal if urologists and trauma surgeons were encouraged to adhere to established guidelines. As diagnostic imaging has a crucial role in the majority of cases, informed discussion with the local radiology department would probably help in achieving the standards required.
-
Scaphoid fractures in children are rare injuries. A complete scaphoid waist fracture in a 13-year-old boy after fall on the extended wrist is reported. Following early diagnosis by MRI, the fracture healed uneventful with conservative treatment. The appropriate diagnostic approach and the advantages of MRI for suspected scaphoid fractures in children are discussed.
-
Eur J Trauma Emerg S · Apr 2008
Nonunion of a Pediatric Distal Radial Metaphyseal Fracture Following Open Reduction and Internal Fixation : A Case Report and Review of the Literature.
A boy, age 9, presented with deformation and pain of the left distal forearm, 1 year after a plate osteosynthesis for a distal radial metaphyseal fracture. This case showed a pediatric nonunion of a distal radial metaphyseal fracture which caused strong deformation of the left distal forearm. This is an extremely rare complication in children following an open reduction and internal fixation for a displaced distal forearm fracture. Key points of pediatric fracture healing are discussed and a review of the literature is given.
-
Eur J Trauma Emerg S · Apr 2008
Current Concepts: Simple and Complex Elbow Dislocations - Acute and Definitive Treatment.
Dislocations of the elbow account for 20% of all dislocations. Thus, after the shoulder, the elbow joint is the joint most frequently afflicted by dislocations. ⋯ Ligament repairs or reconstruction and hinged external fixators are necessary in some cases to restore stability for early motion. In general, simple dislocations have a better prognosis than complex dislocations.
-
We present a case of traumatic fibular bowing associated with ankle fracture in a 14-year-old girl. Acute traumatic bowing deformities of the fibula have always been reported as associated with mid-shaft tibial fractures, but involvement of the distal fibula associated with an ankle fracture has not been reported. The clinical picture is described and the mechanism of injury discussed.