Eur J Trauma Emerg S
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Eur J Trauma Emerg S · Dec 2010
Appendicular tuberculosis: review of 155 published cases and a report of two cases.
This paper provides an overview of the literature on appendicular tuberculosis (ATB) between 1909 and 2010. ⋯ Tuberculosis is a systemic disease with localized manifestations; therefore, anti-TB therapy must be initiated in any patient whose pathologic specimen reveals tuberculosis.
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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
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
Treatment of ankle osteoarthritis: arthrodesis versus total ankle replacement.
While ankle arthrodesis has remained the gold standard treatment for symptomatic primary, secondary, and posttraumatic ankle arthritis, more recently, total ankle replacement (TAR) has seen considerable improvement in terms of biomechanics, function, and complication rates. However, while in the long-term degeneration of the adjacent joints is almost always found on radiographs after ankle arthrodesis, the longevity of TAR is still insufficient and does not match that of total knee and hip joints. The current review article focuses on the treatment of ankle arthritis by means of arthrodesis and TAR.
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Eur J Trauma Emerg S · Dec 2010
Neutrophil-derived circulating free DNA (cf-DNA/NETs), a potential prognostic marker for mortality in patients with severe burn injury.
The predictive value of circulating free DNA/neutrophil extracellular traps (cf-DNA/NETs) has recently been shown in patients with major trauma for sepsis, multiple organ failure, and mortality. Here we report on the predictive potential of cf-DNA/NETs for mortality in patients with severe burn injury. In a prospective study 32 patients with severe burn injury were included. ⋯ ROC revealed largest areas under the curve (AUC) for cf-DNA/NETs on day 1 (0.851) and 3 (0.883) after admission. For all values between day 1 and 7, AUC was 0.815. cf-DNA/NETs seems to be a rapid, valuable marker for prediction of mortality in burn patients. A larger confirmation trial ought to be carried out.