ABSTRACT
One case of transdiafragmatic intercostal hernia after intense coughing fit followed by rib fractures in patient with history of pneumonia is presented. He had a severe coughing fit, developed a right toracoabdominal hematoma and then a tumor that was gradually enlarging. Image exams confirmed the diagnosis. Treatment consisted of surgical repair with the use of a polypropylene prosthetic mesh. It is a rare type of hernia. Only four cases were found in literature. The sooner the disease is diagnosed and treated the better the prognoses will be since it will prevent hernia from strangulation and incarceration.
Subject(s)
Aged , Humans , Male , Cough/complications , Fractures, Spontaneous/complications , Hernia, Diaphragmatic/etiology , Rib Fractures/complications , RibsABSTRACT
Twelve patients with pathological fracture of the proximal femur were treated with reconstruction nail and bone cement during the period from 2002 to 2004. They included seven females and five males; the average age at presentation was 47 years [range 36 to 60 years]. The pathology was known in eight patients and in four could not be detected. The use of reconstruction nail and bone cement allowed the patients to mobilize early and continue their therapy of their lesions, besides, the use of reconstruction nail minimized much the risk of fracture of neck of the femur, a frequent complication with the ordinary nailing
Subject(s)
Humans , Male , Female , Fractures, Spontaneous/complications , Femoral Neck Fractures , Follow-Up Studies , Bone Cements , Bone Neoplasms/secondary , Neoplasm MetastasisABSTRACT
Se realizó un estudio retroprospectivo de 47 pacientes intervenidos quirúrgicamente en el CCOI "Frank País" entre enero de 1990 y diciembre de 1994, por presentar quiste óseo solitario confirmado por medio del estudio anatomopatológico. A todos los pacientes se les halló el índice quístico, empleando la fórmula de Kaelin y MacEwen. 31 pacientes correspondían al sexo masculino, el 95,75 por ciento era menor de 20 años de edad. Luego del curetaje y relleno óseo fueron frecuentes las recidivas. Cuando el índice quístico fue mayor de 3,5 en el fémur y de 4 en el húmero fue alto el número de fracturas patológicas y de recidivas
Subject(s)
Humans , Male , Female , Femur , Fractures, Spontaneous/complications , Humerus/pathology , Bone Cysts/surgeryABSTRACT
We report a case of insufficiency fracture of the sternum in a 70-year-old female patient with a review of the literature. She complained of sudden onset chest pain and aggravating dyspnea. She has been managed with corticosteroid due to chronic obstructive pulmonary disease for 15 years. Diagnosis of sternal insufficiency fracture presented with thoracic kyphosis was made on the basis of absence of trauma history, radiologic findings of lateral chest radiograph, bone scintigraphy and chest computed tomography. Thoracic kyphosis and osteoporosis secondary to menopause, corticosteroid therapy and limited mobility due to chronic obstructive pulmonary disease were considered as predisposing factors of the sternal insufficiency fracture in this patient.
Subject(s)
Aged , Female , Humans , Fractures, Spontaneous/diagnostic imaging , Fractures, Spontaneous/diagnosis , Fractures, Spontaneous/complications , Kyphosis/complications , Lung Diseases, Obstructive/complications , Osteoporosis, Postmenopausal/complications , Sternum/diagnostic imaging , Sternum/injuriesABSTRACT
Ciertas afecciones raquídeas son responsables de dolores y/o de complicaciones neurológicas secundarias al aplastamiento vertebral que ellas producen. Con el fin de consolidar la vértebra y aliviar el dolor surge la Vertebroplastia Acrílica Percutánea, que consiste en la inyección de cemento acrílico por vía percutánea, propuesta inicialmente en el tratamiento de los angiomas vertebrales agresivos. Luego de realizar una punción biopsia de la vértebra, se inserta una aguja de 10 G en el cuerpo vertebral y se inyectan una mezcla de polvo de tantalio y de metil-metacrilato (3 a 5 ml). Fueron tratados exitosamente con este método 31 pacientes portadores de hemangiomas vertebrales y 10 pacientes con dolores severos debidos al aplastamiento vertebral de origen osteoporótico. Siendo el resultado clínico y radiológico estable con un seguimiento de 6 años para los angiomas vertebrales y de 30 meses en 7 pacientes tratados con osteoporosis. Un efecto analgésico significativo permitió desarrollar una actividad normal a 12 pacientes de los 20 tratados con tumores vertebrales. El efecto analgésico fue durable en 10 de ellos con un seguimiento de 6 meses
Subject(s)
Humans , Male , Female , Adolescent , Adult , Middle Aged , Hemangioma/complications , In Vitro Techniques , Methacrylates/therapeutic use , Osteoporosis/therapy , Pain, Intractable/therapy , Spinal Neoplasms/therapy , Spine , Tantalum/therapeutic use , Polymethacrylic Acids/administration & dosage , Polymethacrylic Acids/therapeutic use , Fractures, Spontaneous/complications , Fractures, Spontaneous/therapy , Hemangioma/therapy , Methacrylates/administration & dosage , Osteoporosis/complications , Palliative Care , Punctures , Punctures/instrumentation , Spinal Neoplasms/complications , Cervical Vertebrae/injuriesABSTRACT
Visto que as fraturas de ossos longos, em pacientes portadores de lesäo medular, säo especiais, tanto do ponto de vista de diagnóstico como de tratamento, fizemos um levantamento bibliográfico em relaçäo ao quadro clínico, incidência e localizaçäo dessas fraturas, para futuramente analisarmos o seu tratamento