ABSTRACT
Abstract Fracture acetabulum is a grave injury and a challenge for orthopedic surgeons. Anterior and posterior approaches have been described for fixation of acetabulum fractures. The modified Stoppa approach is considered an alternate to anterior approach, which provides access to pelvis from inside the cavity. The purpose of this article is to review the available literature on use of the modified Stoppa approach in acetabulum fractures. The available data suggest that modified Stoppa approach is useful in anterior acetabulum fractures and some posterior acetabulum fractures, especially where buttressing of medial wall is required.
Resumo Fraturas acetabulares são lesões graves e desafiadoras para cirurgiões ortopédicos. As abordagens anterior e posterior foram descritas para a fixação dessas fraturas. A técnica de Stoppa modificada é considerada uma alternativa à abordagemanterior, que fornece acesso à pelve pelo interior da cavidade. O objetivo do presente artigo é revisar a literatura disponível sobre o uso da abordagem de Stoppa modificada em fraturas de acetábulo. Os dados disponíveis sugeremque a abordagemde Stoppamodificada é útil em fraturas anteriores de acetábulo e em algumas fraturas posteriores, especialmente aquelas nas quais o reforço da parede medial se faz necessário.
Subject(s)
Humans , Arthroscopy , Shoulder Dislocation , Shoulder JointABSTRACT
Tuberculosis involving the soft tissue from adjacent bone or joint is well recognized. However, primary tuberculous pyomyositis is rare. Their atypical presentations in unusual sites lead to delay in diagnosis. We report three cases of primary tubercular pyomyositis of the forearm muscles in immuno-competent patients. The presentation was subacute with a swelling and vague pain over forearm. Their diagnostic dilemma and response to chemotherapy has been discussed in the present literature. A high grade of suspicion is required to diagnose tubercular myositis, particularly in patients presenting with unexplained soft tissue swelling in an endemic area. However if an early diagnosis and treatment is instituted, morbidity is decreased significantly.