Acta Chir Belg
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Jaw claudication is mostly described as a symptom of giant cell arteritis. However it can also occur in presence of severe bilateral external carotid artery stenosis. ⋯ Bilateral jaw claudication as a symptom of carotid atherosclerosis is a rare condition. It can be treated by unilateral carotid endarterectomy.
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Comparative Study
Elastic intramedullary nailing of midclavicular fractures.
The majority of midclavicular fractures are treated conservatively. Fractures that require internal fixation are treated by plate osteosynthesis as the standard procedure. Elastic stable intramedullary nailing is an increasingly popular alternative for the internal fixation of displaced midclavicular fractures. ⋯ Complications consisted of skin irritation in four cases. One acromioclavicular joint separation was observed postoperatively. Elastic stable intramedullary nailing of displaced midclavicular fractures is a minimally invasive technique with excellent functional results and early pain relief.
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The vacuum pack technique is used increasingly for temporary abdominal closure. This paper communicates the related experience of the authors. ⋯ Temporary abdominal closure with the vacuum pack is a simple and inexpensive technique. Primary fascial closure is possible in approximately half of the cases ; however, the frequency of incisional hernia is high.
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Case Reports
Endovascular treatment of acute subclavian pseudo-aneurysm after fracture of the clavicle.
Pseudo-aneurysms of the subclavian artery remain a rare complication after fracture of the clavicle. Nerve compression has been described with delayed paralysis as a consequence. We report a case of delayed diagnosis of a subclavian pseudo-aneurysm after a closed fracture of the clavicle in a 93-year-old patient. ⋯ Concern about stent deformation and stent fractures has been expressed. With the introduction of highly flexible stents, one can hope that this complication is less likely to occur. Although follow-up is relatively short, we believe that endovascular exclusion of subclavian pseudo-aneurysms is preferable to a surgical approach.