Eur J Trauma Emerg S
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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.
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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.
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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.
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Eur J Trauma Emerg S · Apr 2008
Cytokine Responses to Glucocorticoids and Surgery : A Randomized Controlled Trial.
This prospective randomized study was designed to evaluate the implication of high preoperative doses of glucocorticoids on the cytokine responses after surgical correction in patients with ankylosing spondylitis. ⋯ This study shows that surgery adds a complexity to cytokine productions in patients with ankylosing spondylitis, and that the balance of these cytokines is significantly influenced by glucocorticoids.
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Eur J Trauma Emerg S · Apr 2008
The Prognostic Significance of Pulmonary Contusions on Initial Chest Radiographs in Blunt Trauma Patients.
The importance of immediate versus delayed pulmonary contusions among severely injured blunt trauma patients is unknown. We hypothesized that patients with pulmonary contusions apparent on initial chest radiographs have higher rates of mortality and acute respiratory distress syndrome than patients who have delayed radiographic changes of pulmonary contusions. ⋯ Amongst intubated blunt trauma patients with confirmed pulmonary contusions diagnosis, an initial chest radiograph that reveals immediate pulmonary contusion is associated with higher mortality and ARDS compared with the absence of such findings. This suggests that the initial chest radiographs have prognostic significance in relation to pulmonary contusions due to blunt trauma.