Journal of orthopaedic surgery (Hong Kong)
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J Orthop Surg (Hong Kong) · Apr 2006
Review Case ReportsSoft-tissue sarcoma mimicking large haematoma: a report of two cases and review of the literature.
We report on 2 patients with soft-tissue sarcomas mimicking large haematomas. Neither patient had a medical history of trauma or bleeding tendency. ⋯ It is important to reconfirm prior trauma and investigate the clinical course and images of patients with an unusual history of haematoma in the extremities. The possibility of a malignant tumour should be suspected, and repeated biopsies should be performed if necessary.
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J Orthop Surg (Hong Kong) · Apr 2006
Randomized Controlled Trial Comparative StudyPosterior lumbar interbody fusion versus intertransverse fusion in the treatment of lumbar spondylolisthesis.
To compare 2 methods of fusion in the treatment of lumbar spondylolisthesis: posterior lumbar interbody fusion (PLIF) and intertransverse fusion (ITF). ⋯ Morbidity and complications are much higher following PLIF than ITF. ITF is recommended because of the simplicity of the procedure, lower complication rate, and good clinical and radiological results.
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J Orthop Surg (Hong Kong) · Apr 2006
Case ReportsNicolau syndrome following intramuscular diclofenac administration: a case report.
Nicolau syndrome (livedoid dermatitis) is a rare adverse reaction of a still largely unidentified pathogenesis at the site of intramuscular drug injection. The typical presentation is pain around the injection site soon after injection, followed by erythema, livedoid patch, haemorrhagic patch, and finally necrosis of skin, subcutaneous fat, and muscle tissue. The phenomenon has been related to the administration of a variety of drugs, including non-steroidal anti-inflammatory drugs, corticosteroids, and penicillin. ⋯ The lesion required multiple debridements and a partial-thickness skin graft. Subcutaneous injection, rather than intramuscular injection, was found to be a determining factor in this case. Clinicians must be cautious in the use of proper injection procedures, including appropriate needle length, in order to minimise complications.