Eur J Trauma Emerg S
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Eur J Trauma Emerg S · Apr 2008
Iatrogenic Sciatic Nerve Palsy Following Hemiarthroplasty of the Hip.
We report a rare complication following insertion of an uncemented hip prosthesis that resulted in posterior perforation of the femoral stem and a sciatic nerve palsy. To our knowledge, sciatic nerve palsy due to the femoral stem perforating the cortex has not been previously described.
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Eur J Trauma Emerg S · Apr 2008
Current Concepts: Simple and Complex Elbow Dislocations - Acute and Definitive Treatment.
Dislocations of the elbow account for 20% of all dislocations. Thus, after the shoulder, the elbow joint is the joint most frequently afflicted by dislocations. ⋯ Ligament repairs or reconstruction and hinged external fixators are necessary in some cases to restore stability for early motion. In general, simple dislocations have a better prognosis than complex dislocations.
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Eur J Trauma Emerg S · Apr 2008
Examining the Impact of Renal Trauma Guidelines on Urologists in UK.
To investigate whether urologists in UK utilise and adhere to recently published renal trauma guidelines. ⋯ Only 74 (50%) responding urologists utilized the recently published guidelines in the management of renal trauma, and adherence to the recommendations - by those urologists who claimed to use the guidelines - was very variable. To facilitate the best practice in the management of renal trauma, it would be ideal if urologists and trauma surgeons were encouraged to adhere to established guidelines. As diagnostic imaging has a crucial role in the majority of cases, informed discussion with the local radiology department would probably help in achieving the standards required.
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Scaphoid fractures in children are rare injuries. A complete scaphoid waist fracture in a 13-year-old boy after fall on the extended wrist is reported. Following early diagnosis by MRI, the fracture healed uneventful with conservative treatment. The appropriate diagnostic approach and the advantages of MRI for suspected scaphoid fractures in children are discussed.
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Eur J Trauma Emerg S · Apr 2008
Bilateral Sacroiliac Joint Dislocation in an Adolescent after a Skiing Accident.
A bilateral sacroiliac joint (SI joint) dislocation is a rare injury pattern, in contrast to bilateral fracture dislocations of the SI joint. The incidence of pelvic dislocation of the SI joint without significant bone structural damage would most likely be observed in young children or adolescents after receiving a blunt, high energy impact. These young patients often suffer life threatening injuries to the intestines, neural or vascular systems or severe injury of the urinary tract. ⋯ This rare injury is a consequence of a pure vertical shear impact. This case report describes a technical pitfall of the iliolumbar transfixation and a solution to the problem. A dorso-ventro-dorsal approach, which utilizes both iliolumbar transfixation and ventral bilateral double plating osteosynthesis will be presented.