Aktuelle Traumatologie
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Aktuelle Traumatologie · Jun 1992
[Importance of the Segond avulsion fracture as a sign of complex ligamentous knee injury].
The Segond fracture is a small bony avulsion of the lateral tibial condyle. A study of 11 patients, treated between 1986 and 1990, points out the importance of this injury. In our series all patients showed an additional major ligamentous damage. 10 patients had an injury of the anterior cruciate ligament. This harmless "lateral capsular sign" on the standard x-ray of the knee-joint should give reason for further diagnostic measures, mainly the arthroscopic examination.
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Aktuelle Traumatologie · Dec 1991
Case Reports[Isolated fracture of the medial malleolus combined with a traumatic dislocation of the peroneal tendon at the ankle joint].
A case report on an obviously rare combined injury of a fracture of the malleolus medialis and a traumatic dislocation of a peroneal tendon at the left ankle joint in a female patient of 20 years of age. The patient had had a car accident (using the safety seat belt) by colliding head-on with a tree. ⋯ Because of persistent swelling and pain in the region of the outer malleolus despite elevation of the leg and measures to alleviate swelling, lateral revision of the ankle joint was done 14 days later, suspecting an injury of the anterior syndesmosis or of the lateral ligaments. To our surprise we discovered a traumatic dislocation of the peroneal tendon which was then surgically treated according to Kelly.
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Aktuelle Traumatologie · Dec 1991
Case Reports[True Madelung's deformity and traumatic pseudo-Madelung. An exemplary differential diagnosis of the deformity in the forearm of children].
This article describes the differential diagnosis between hereditary Madelung's deformity and acquired posttraumatic Pseudo-Madelung's deformity. Three cases of posttraumatic Pseudo-Madelung's deformity were reported. ⋯ Differential diagnostic criteria for the discrimination between both forms are also discussed. A rare case of acquired posttraumatic "reversed" Madelung's deformity is also reported.
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Aktuelle Traumatologie · Dec 1991
[Restriction of movement in the proximal and distal radio-ulnar joints in posttraumatic angulation and torsion of the radius].
Posttraumatic angular and rotatory deformities of radius or ulna or both frequently cause a restriction of supination-pronation. The loss of motion is determined by the direction and the degree of angulation and by location of fracture. The dorsopalmar angulation and radioulnar deviation of the radius in an anatomic forearm specimen are simulated and the motions of the radius during supination-pronation are investigated. ⋯ The angle of torsion is measured in left and right intact radii between transversal epiphyseal and diaphyseal axes. The torsion of the distal radial epiphysis varies from 0 to 16 degrees. Left and right radius of a single individual show very small differences in their torsion; therefore a comparison to the intact contralateral bone is indicated.
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Aktuelle Traumatologie · Oct 1991
Comparative Study[Experience with plate osteosynthesis in femoral shaft fractures].
Today, femoral shaft fractures are often treated by open or closed intramedullary nailing because of a lower rate of complications with this method. Therefore, the practice of plating these fractures is now decreasing. ⋯ At the University Clinic of Surgery in Graz, 107 femoral shaft fractures were plated between 1983-1986. We could find no higher incidence of complications between plating or nailing femoral fractures described by previous authors compared with our own results.