Nederlands tijdschrift voor geneeskunde
-
Ned Tijdschr Geneeskd · Jan 2011
[Thromboprophylaxis with low-molecular-weight heparin insufficient in high-risk pregnancy].
To evaluate the efficacy and safety of thromboprophylaxis with a low of low-molecular-weight heparin (LMWH) in women with an intermediate to high risk of pregnancy-related venous thromboembolism (VTE). ⋯ There was a considerable risk of pregnancy-related VTE in high-risk women despite a prophylactic dose of LMWH during pregnancy and in the post partum period. For these women thromboprophylaxis with a low, prophylactic dose of LMWH appeared to be insufficient.
-
A 2-year-old boy had fallen at home with a pencil in his hand. On physical examination we found only some blood in the inner corner of his right eye, but MRI showed a traumatic pencil tract into his frontal lobes.
-
A 46-year-old man had pain between the shoulders and at the sternum. Two and a half months earlier he had fallen when cycling. It appeared the pain was caused by fractures of thoracic vertebrae V and VI and a dislocation of the manubrium and body of the sternum.
-
A 72-year-old woman from the inlands of Surinam was admitted to the hospital because of chronic painful swelling of both legs, caused by filariasis.
-
Ned Tijdschr Geneeskd · Jan 2011
Case Reports[Fractures of the hamate bone and metacarpal bone: a rare combination].
Fractures of the hamate bone are rare, but are being seen more frequently due to the increasing popularity of racket sports and golf. ⋯ On conventional X-rays, 60% of wrist fractures are missed. If the clinical picture indicates a fracture of the hamate bone but conventional X-rays reveal no abnormalities then a supplementary CT-scan is advisable. Non-displaced fractures, or fractures with little displacement, can be treated conservatively, but surgical treatment is preferred in the case of displacement or non-union.