Eur J Trauma Emerg S
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Fractures and dislocations at the mid-tarsal (Chopart) joint are frequently overlooked or misinterpreted at first presentation. Inadequate joint reduction and stabilization almost invariably lead to painful malunions or nonunions, residual instability, and deformity. Because of the central position and the essential function of the mid-tarsal joint, malunions lead to a considerable impairment of global foot function and the rapid development of posttraumatic arthritis. ⋯ One patient underwent fusion of the talonavicular joint for avascular necrosis and collapse of the navicular. The mean American Orthopaedic Foot and Ankle Score (AOFAS) improved significantly from 38.8 preoperatively to 80.8 at follow-up. However, the majority of malunited mid-tarsal fracture-dislocations will require corrective fusion of the affected joint(s) with axial realignment because of manifest posttraumatic arthritis at the time of patient presentation.
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Eur J Trauma Emerg S · Jun 2010
Fixation of Subtrochanteric Fractures in Two Patients with Osteopetrosis Using a Distal Femoral Locking Compression Plate of the Contralateral Side.
Osteopetrosis or Albers-Schönberg disease is a rare inherited skeletal disorder characterized by increased osteodensity and modeling defects. The fragility of such dense bone may lead to an increased incidence of fractures, especially on the hip and proximal femur. These fractures can pose problems during surgery, as the bones are hard and no medullary cavity is available for intramedullary nailing. Here we report our experience of two sisters who both presented with a subtrochanteric fracture that was fixed using a distal femoral locking compression plate (DF-LCP; Synthes, Obedors, Switzerland) of the contralateral side.
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Ganglion of the humeroradial joint is a relatively rare condition, which may cause local compressive neuropathy. It is usually diagnosed in adults. Sonography of peripheral nerves can be of high value in finding the exact localization of the nerve lesion. We present a case of a healthy 55-year-old woman with radial palsy caused by an elbow ganglion which was resolved following a surgical procedure.