Eur J Trauma Emerg S
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Malunions are fractured bones that have healed in pathological positions. This leads to nonphysiological load transfer. Clinical symptoms at the ankle may include swelling, pain and impaired function. ⋯ Surgical correction may be indicated if the malunion is symptomatic. Different osteotomies have been described, but the goal of surgery will always be the reduction and retention of the subluxed talus in an effort to recreate stable conditions. Eighty percent of patients show good results with significant pain reduction in mid-term follow-up studies. Ankle arthrodesis after corrective osteotomy is rarely necessary.
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Eur J Trauma Emerg S · Dec 2010
Transverse dislocation of the elbow with ipsilateral shaft of radius fracture in an adult.
A report of a rare case of transverse dislocation of the elbow associated with fracture of the shaft of the ipsilateral radius. ⋯ To the best of our knowledge, this is first case of transverse dislocation of the elbow with an ipsilateral radial shaft fracture in an adult. Closed reduction of such dislocations is usually achievable, though open reduction may be required in some case.
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Eur J Trauma Emerg S · Dec 2010
Predictors of missed injuries in hospitalized trauma patients in the emergency department.
To determine the extent of missed injuries in patients hospitalized with major trauma in a Turkish Level 1 emergency department. We also tried to identify the primary factors contributing to each missed injury and to determine their subsequent adverse short-term clinical outcomes. ⋯ The study highlights the need for a trauma team approach and the need for support of radiological report in the ED.
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Eur J Trauma Emerg S · Dec 2010
Definitive treatment in a spiral-fracture of the distal humerus shaft with severe osteoporosis after two failed osteosynthesis: problem and solution. A case report and literature review.
Osteoporotic fractures in the elderly are often complicated by delayed union, pseudarthrosis or implant failure and are associated with considerable morbidity and prolonged reconvalescence. At present there is cumulating recommendation to treat this kind of fractures with angular stable implants. ⋯ The present case illustrates the problems we have faced with after a single locking plate fixation, especially in poor bone, and shows a possible solution by performing a double(-locking)-plate fixation.
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Eur J Trauma Emerg S · Dec 2010
Appendicular tuberculosis: review of 155 published cases and a report of two cases.
This paper provides an overview of the literature on appendicular tuberculosis (ATB) between 1909 and 2010. ⋯ Tuberculosis is a systemic disease with localized manifestations; therefore, anti-TB therapy must be initiated in any patient whose pathologic specimen reveals tuberculosis.