Eur J Trauma Emerg S
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Eur J Trauma Emerg S · Dec 2010
The Volkmann dogma: a retrospective, long-term, single-center study.
There has been (and still is) some controversy about the treatment of malleolar fractures with an additional fracture of the posterior malleolus (Volkmann triangle) in the last few years. Should a posterior malleolus with a fragment that is larger than 25% of the articular surface be fixed? Can long-term results be influenced by the fixation of the Volkmann triangle? ⋯ In conclusion, the presence of a Volkmann triangle impairs prognosis; fixation, even with anatomic results, does not return the score to "normal." Cartilage damage seems to play a crucial role in the long-term outcome.
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Eur J Trauma Emerg S · Dec 2010
Corynebacterium septic arthritis of the knee presenting as a ruptured septic popliteal cyst.
A rare case of a septic knee arthritis presenting as an infected ruptured popliteal cyst is described. Infection of a popliteal cyst is an uncommon complication of septic arthritis and presentation can mimic that of an acute deep vein thrombosis, leading to delay in diagnosis and treatment. ⋯ Invasive infections caused by Corynebacterium spp. seem to have a predilection for patients who are immunocompromised. It is especially important in this subset of patients that delays in diagnosis are avoided by including it in the differential of an immunocompromised patient presenting with unilateral lower-extremity pain and swelling.
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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
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.