Acta Orthop Belg
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Review Case Reports
Posterior epidural mass: can a posteriorly migrated lumbar disc fragment mimic tumour, haematoma or abscess?
A 60-year-old woman complained of low back pain radiating to both buttocks and to the anterior aspect of the left thigh. MRI showed a left posterolateral epidural mass at the L1-L2 level. An epidural abscess was suspected, but the biochemistry was normal. ⋯ Eleven of the 27 lumbar cases (40%) were complicated with Cauda Equina Syndrome (CES). MRI is the method of choice to make the diagnosis. The differential diagnosis includes tumour, haematoma and abscess.
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Patellar tendon ruptures are rare but very invalidating lesions. We describe a case of re-rupture of a sutured patellar tendon. ⋯ Additionally, the strength of the graft allows early rehabilitation, and no further surgery for hardware removal is necessary. For these reasons we recommend this procedure for acute patellar tendon ruptures with a poor tissue quality or for revision surgery of the patellar tendon.
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Traumatic hip dislocation is rare in children. The purpose of this study was to investigate the epidemiological features, dislocation types, treatments, and clinical and radiological outcomes. Seven cases of traumatic hip dislocation in children treated between 1996 and 2006 were included in this study. ⋯ One child had a stiff hip and a radiograph showed signs of avascular necrosis. The severity of injury was related to the age at the time of injury. Factors predisposing to avascular necrosis were delayed reduction and severity of trauma.
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Case Reports
Dorsally angulated proximal phalanx fractures: closed reduction and rigid fixation using a reversed extension splint.
Dorsally angulated proximal phalanx fractures have always presented a difficulty for treatment. A variety of options for treatment have been tried in the past, many of these are operative options and therefore carry the risks of a surgical procedure. We present a case of a conservatively managed proximal phalanx fracture using a reversed dynamic or static finger extension splint, such as Roylan Sof-Stretch. The finger was immobilised using this splint and achieved bony union and very good function at both the metacarpophalangeal and proximal interphalangeal joints.