Acta Orthop Belg
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Case Reports
Combined approach for a locked unilateral facet fracture-dislocation of the cervicothoracic junction.
The authors present the case of a 36-year-old patient who sustained a unilateral fracture-dislocation C7-T1 involving all three columns, given the lesion of the C7-T1 disc on MRI. In view of the fractured facet, closed reduction without anaesthesia was not attempted. ⋯ In a second operation, anterior fusion C7-T1 was added, using a tricortical bone graft and instrumentation. The authors felt that this three-column lesion at the cervicothoracic junction necessitated combined posterior-anterior stabilisation.
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Nicolau Syndrome (also known as Embolia cutis medicamentosa and livedo-like dermatitis) is a rare but severe localized adverse drug reaction to a range of intra-muscular preparations. It manifests as acute pain, cutaneous, subcutaneous and intra-muscular inflammation and necrosis immediately following an injection, with potentially devastating sequelae. We describe the syndrome in a 21-year-old national level race walk athlete following an intramuscular diclofenac injection.
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We present the case of a benign groin mass associated with metal particle debris after hip resurfacing. We discuss the histological diagnosis of 'aseptic lymphocytic vasculitis associated lesions' (ALVAL).
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Fractures of the proximal humerus are common. Most can be treated conservatively with good results. However, there is no uniform treatment of displaced fractures. ⋯ The Constant-Murley shoulder score (CMS) to assess function and a visual analogue scale (VAS) assessing pain were used. At 24 months, the mean CMS was 76 (range: 34 to 100) for the fractured side and 85 (range: 66 to 100) for the uninjured side, the mean VAS was 22 (range: 0 to 78). We believe that this study shows that operative intervention is a viable option for displaced proximal humeral fractures.