Eur J Trauma Emerg S
-
Eur J Trauma Emerg S · Feb 2009
How to Cover Soft-Tissue Defects After Injuries to the Leg in Precarious Conditions.
In precarious conditions, bone exposure on the leg is synonymous with amputation. The authors describe their experiences with such injuries in 15 patients. ⋯ The pedicled flap is an essential technique for fighting against infection, especially in cases where only poor technical and medicinal resources are available. This simple and reliable technique allows most tissue defects on the leg to be covered.
-
Eur J Trauma Emerg S · Feb 2009
Is Routine Spiral CT-Chest Justified in Evaluation of the Major Blunt Trauma Patients?
New generation spiral CT scanners permit multiple consecutive CT examinations on the same trauma patient in a short period of time. The purpose of this study was to evaluate the diagnostic role and therapeutic impact of routine spiral CT chest in multiply injured patients or patients with a suspicious mechanism of injury. ⋯ Although the incidence of significant injuries identified by the chest CT scan was low, it did prompt immediate intervention in a significant number of patients; some of them had potentially life-threatening injuries. Routine use of CT scanning is warranted in early evaluation of polytrauma patients or patients with severe blunt chest trauma.
-
Eur J Trauma Emerg S · Feb 2009
Simultaneous, Bilateral Pathological Displaced Intracapsular Hip Fractures Occurring Spontaneously Secondary to Osteomalacia of Hypomagnesemic Origin: A Case Report and Review of the Literature.
Spontaneous fractures involving both of the femoral necks simultaneously are exceedingly rare events. We report a case of an elderly female who presented after breaking both femoral necks following a trivial fall, initially diagnosed as age-related osteoporosis. Both the hips were treated by hemiarthroplasty. ⋯ We examine the different etiological factors and mechanisms operating in the causation of this rare injury and explore the possible role of magnesium in the pathogenesis of osteomalacia. Fractures may remain occult until late, leading to increased morbidity and mortality. The value of an early MRI is recapitulated, with emphasis placed on prevention and early fixation.
-
Eur J Trauma Emerg S · Feb 2009
Giant Synovial Cyst of the Anterior Compartment: An Unusual Cause of Chronic Knee Pain After Trauma.
There is almost no literature describing the management and rationale for intervention for posttraumatic, extra-articular synovial cysts of the knee. We describe the very rare case of a 45-year-old blind man who developed chronic knee pain after a traumatic injury. He was found to have a giant, posttraumatic, true synovial cyst of the knee in an extra-articular location and migrating down the anterior compartment. The surgical management, potential complications, and rationale for intervention are discussed.