Cervical vertebral fracture: A report of two cases of “Near-Miss” C6 fractures

ervical spine injury is commonly associated with road-traffic accidents. The true incidence of cervical spine injuries is unknown due to under-reporting of such injuries. Cervical spine injury is associated with high morbidity and mortality if it is missed. With the advancement of imaging modalities, the number of missed cervical injuries has reduced. Nevertheless, some clinicians are dependent solely on imaging tools to rule out cervical spine injury in a trauma victim. We report two cases of “near miss” C6 fracture to highlight the importance of a detailed clinical history and clinical examination with imaging as an adjunct to rule out cervical injury.

Management of a failed femoral plate in an obese patient: A case report

Femoral nailing is the overall “gold standard” in treating femoral shaft fractures. However, plate osteosynthesis at the femoral shaft is still being done in selected patients. We report a case of right femoral implant failure after a broad limited contact dynamic compression plate (LC-DCP) insertion and its subsequent management using our minimally invasive technique. Our technique is biologically compliant as well as cosmetically friendly. We converted a loadbearing implant into a load-sharing implant in view that obesity is a significant predictive factor of non-union in a femoral fracture treated with locking plate. The patient subsequently recovered well with no complication.

Marjolin’s ulcer: A case report of chronic leg ulcer leading to squamous cell carcinoma

34 1 Department of Orthopaedic, Hospital Kuala Lipis, 27200 Kuala Lipis, Pahang, MALAYSIA 2 Department of Surgery, Hospital Kuala Lipis, 27200 Kuala Lipis, Pahang, MALAYSIA 3 Department of Pathology, Hospital Tengku Ampuan Afzan, 25300 Kuantan, Pahang, MALAYSIA 4 Department of Radiology, Hospital Kemaman, 24000 Kemaman, Terengganu, MALAYSIA Marjolin’s ulcer: A case report of chronic leg ulcer leading to squamous cell carcinoma Ren Yi Kow 1 , Dhiauddin Hai Ismail 2 , Jamaluddin Shafie 1 , Ruben Jaya Kumar 1 , Nor Hafliza Md Salleh 3 , Chooi Leng Low 4 Case Report IeJSME 2016 10(3): 34-36 Introduction Marjolin’s ulcer is a malignant cutaneous ulcer that undergoes transformation from a previously traumatized or chronically inflammed skin. 1 Causes leading to ulcerations can be burn injury, trauma, chronic osteomyelitis and varicose ulcers. 2 It is named after a French surgeon, Jean Nicolas Marjolin, who first described the condition in patients who developed malignant ulcers from burn scars. 3 We report a case of a chronic non-healing foot ulcer that has become a Marjolin’s ulcer after 12 years