Eur J Trauma Emerg S
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Eur J Trauma Emerg S · Dec 2010
Stabilisation of the elbow in cases of severe disruption of the lateral collateral complex.
Rupture of the lateral collateral ligamentous complex of the elbow is a serious injury. If direct repair of the ligamentous complex is not possible, then an alternative method must be found to stabilise the elbow. ⋯ This technique is a viable alternative to hinged external fixation in patients with severe lateral instability of the elbow joint.
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Eur J Trauma Emerg S · Dec 2010
Transverse dislocation of the elbow with ipsilateral shaft of radius fracture in an adult.
A report of a rare case of transverse dislocation of the elbow associated with fracture of the shaft of the ipsilateral radius. ⋯ To the best of our knowledge, this is first case of transverse dislocation of the elbow with an ipsilateral radial shaft fracture in an adult. Closed reduction of such dislocations is usually achievable, though open reduction may be required in some case.
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Eur J Trauma Emerg S · Dec 2010
Management of isolated duodenal rupture due to blunt abdominal trauma: case series and literature review.
Duodenal injuries are uncommon and are associated with significant morbidity and mortality due to delayed diagnosis (in the case of blunt trauma) or associated major vascular injuries (in the case of penetrating trauma). Isolated blunt injuries may have a subtle clinical presentation, and are particularly difficult to diagnose when the perforation is located in the retroperitoneal part of the duodenum. ⋯ Early diagnosis and successful surgical planning require experience and clinical suspicion on the part of the surgeon, as well as meticulous laparotomy results.
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Eur J Trauma Emerg S · Dec 2010
Predictors of missed injuries in hospitalized trauma patients in the emergency department.
To determine the extent of missed injuries in patients hospitalized with major trauma in a Turkish Level 1 emergency department. We also tried to identify the primary factors contributing to each missed injury and to determine their subsequent adverse short-term clinical outcomes. ⋯ The study highlights the need for a trauma team approach and the need for support of radiological report in the ED.
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Eur J Trauma Emerg S · Dec 2010
Definitive treatment in a spiral-fracture of the distal humerus shaft with severe osteoporosis after two failed osteosynthesis: problem and solution. A case report and literature review.
Osteoporotic fractures in the elderly are often complicated by delayed union, pseudarthrosis or implant failure and are associated with considerable morbidity and prolonged reconvalescence. At present there is cumulating recommendation to treat this kind of fractures with angular stable implants. ⋯ The present case illustrates the problems we have faced with after a single locking plate fixation, especially in poor bone, and shows a possible solution by performing a double(-locking)-plate fixation.