Acta orthopaedica Scandinavica
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Sixty-five patients suffering from coccygodynia resistant to conservative treatment had total or partial coccygectomy, all without serious complications. Eight reoperations were performed. ⋯ A normal radiograph of the coccyx does not exclude a good result from coccygectomy. We recommend total coccygectomy using a longitudinal incision in carefully selected and well-informed patients.
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Case Reports
Fracture dislocation of the ankle with the fibula trapped behind the tibia. A case report.
The authors present a case of fracture dislocation of the ankle with the fibula entrapped behind the tibia--Bosworth's fracture. It is often unrecognized as such because it is so rare and because radiographs are not correctly interpreted. A stable reduction can be obtained by closed treatment when promptly recognized.
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Randomized Controlled Trial Comparative Study Clinical Trial
Regional anesthesia preferable for Colles' fracture. Controlled comparison with local anesthesia.
In a prospective randomized study of 99 displaced Colles' fractures, regional intravenous block was compared with local anesthesia in the fracture hematoma. Patients treated with regional intravenous block had less pain during the manipulation of the fracture and better grip strength at the 6-month follow-up. The anatomic end result (dorsal angulation) was better after regional anesthesia.
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Lipofibromatous hamartoma is a rare, benign tumor, most often affecting the median nerve. Our case involved the volar radial digital nerve of the index finger, treated with a partial excision of the tumor. Important nerve branches should not be sacrificed in order to achieve radical excision.