Archives of orthopaedic and trauma surgery
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Arch Orthop Trauma Surg · Jan 1998
Review Case ReportsTraumatic forearm amputation with avulsions of the ulnar and median nerves from the brachial plexus.
A case of a traumatic forearm amputation and associated complete avulsions of the ulnar and median nerves from the brachial plexus due to a crush-traction injury of the distal part of the right forearm is reported. The patient also suffered a traumatic head injury. The injury of the upper limb and the general condition of the patient were so serious that an amputation at the 1/3 middle part of the forearm had to be performed.
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Arch Orthop Trauma Surg · Jan 1998
Review Case ReportsAbscess formation as a complication caused by postoperative osteomyelitis of the femur.
We report an unusual case of a giant femoral abscess caused by postoperative osteomyelitis after treating a fracture of the femoral shaft. The patient ignored it until the abscess began to interfere with knee flexion, but no symptoms of inflammation such as fever, pain or abnormal laboratory values were found. Within the marrow cavity, many plasma cells produced immunoglobulins G and M, and the level of these substances in the abscess fluid connected to the bony focus were higher than the serum levels. It was concluded that the inflammation in this case signified a peculiarity in a primarily chronic process.
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Arch Orthop Trauma Surg · Jan 1998
Review Case ReportsAvulsion fracture of the second metacarpal base by the extensor carpi radialis longus.
An avulsion fracture of the insertion of the extensor carpi radialis longus tendon is rare. There have been only five reports of this injury in the literature [1, 2, 4]. We describe an additional case in which open reduction with internal fixation gave a satisfactory result.
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Arch Orthop Trauma Surg · Jan 1998
Review Case ReportsBilateral calcaneal fracture in childhood. Case report and review of the literature.
Calcaneal fractures in young children are rare. Bilateral calcaneal fractures in this age group are exceptional. In the literature only 4 cases of bilateral calcaneal fractures have been reported, and the youngest patient was 6 years old (range 6-17 years). ⋯ This is confirmed by other studies. It is not unlikely that the incidence is indeed higher because the joint involvement in childhood injuries is often subtle, and the fracture can easily be overlooked on initial X-ray examination. We survey the literature and report the case of a 5-year-old boy who sustained bilateral calcaneal fractures and an additional fracture of the neck of the talus on one side, a combination which to our knowledge has never been described before.
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Arch Orthop Trauma Surg · Jan 1998
Review Case ReportsRecurrent dislocation of tibialis posterior tendon. A report of two cases.
We successfully treated two patients with recurrent dislocation of the tibialis posterior tendon by creating a bone block. Sudden resistive contraction of the tibialis posterior muscle is considered to be the mechanical cause of the initial traumatic injury, and a shallow tibialis posterior tendon sulcus may be the predisposing factor. ⋯ When treating patients with a complaint of long-standing pain around the medial malleolus, we must bear in mind the possible diagnosis of recurrent dislocation of the tibialis posterior tendon. If the patient can voluntarily dislocate the tendon by active plantar flexion and inversion of the ankle, the diagnosis is definitive.