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
Traumatic adrenal gland injury: epidemiology and outcomes in a major Australian trauma center.
Adrenal gland injury (ADGI) is quite rare and mostly associated with other organ injuries secondary to blunt thoracoabdominal trauma. Bilateral ADGI has severe consequences if not discovered in the treatment course of trauma victims. ⋯ ADGI is being increasingly recognized with the widespread use of CT scan in the evaluation of multitrauma patients. ADGI is usually self-limiting and typically managed nonoperatively. Acute adrenal insufficiency should be considered and investigated in case of unexplained hypotension in uni- or bilateral ADGI.
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Eur J Trauma Emerg S · Dec 2010
Proximal humerus fracture with a pink, pulseless arm in a teenage boy and literature review.
Proximal humeral fractures associated with vascular compromise are extremely rare in children. We describe the presentation, diagnosis and management of one such injury in a child.
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Eur J Trauma Emerg S · Dec 2010
Limb salvage or amputation? The use of a gentamicin coated nail in a severe, grade IIIc tibia fracture.
Severe grade IIIc tibial fractures have limited treatment options. The decision between limb salvage or amputation depends on many factors, including the age and health status of the patient, as well as the soft tissue status and associated injuries. Until recently, intramedullary nailing was not a favoured treatment option in such tibial fractures, since it is associated with an increased risk of deep wound infections and osteomyelitis. ⋯ The gentamicin-loaded coating of the UTN-PROtect(®) nail, which releases the antimicrobial agent directly at the bone-implant inter-face, overcomes the limitation of insufficient antibiotic delivery. Awareness of this case and the existing literature supporting the use of an antibiotic coated nail may assist surgeons in their decisions on how to treat severe grade IIIc fractures.
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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.