ABSTRACT
La luxación de la articulación esternoclavicular (AEC) representa menos del 5% de las luxaciones de la cintura escapular. El tratamiento quirúrgico esta reservado para pacientes con inestabilidad de la articulación EC sintomática y persistente. Se han descrito varias técnicas diferentes para la reconstrucción AEC. El objetivo de nuestro trabajo fue reportar el caso de una paciente con inestabilidad EC anterior recurrente, a la que se le realizó una técnica de reconstrucción en forma de 8, como fue descripto por Spencer y Kuhn,utilizando un aloinjerto de tibial posterior
Sternoclavicular dislocations account for less than 5% of all dislocations of the scapular belt. Chronic instability without response to physical therapy warrants surgical treatment. Several techniques have been described for the reconstruction of the SC joint. The purpose of this work was to report on a case of a patient who developed chronic instability of the SC joint and underwent surgical reconstruction using the "figure of eight" technique as described by Spencer & Kuhn15 using posterior tibial allograft
Subject(s)
Adult , Arthroscopy/methods , Sternoclavicular Joint/surgery , Sternoclavicular Joint/injuries , Joint Dislocations , AllograftsABSTRACT
ABSTRACT The authors report on a case of tibial shaft fracture associated with ankle injury. The clinical, radiological and surgical characteristics are discussed. Assessment of associated injuries is often overlooked and these injuries are hard to diagnose. When torque occurs in the lower limb, the ankle becomes susceptible to simultaneous injury. It is essential to make careful assessment based on clinical, radiographic, intraoperative and postoperative characteristics in order to attain functional recovery.
RESUMO Os autores relatam um caso de fratura diafisária de tíbia associado à lesão do tornozelo. As características clínicas, radiológicas e cirúrgicas são discutidas. A avaliação de lesões associadas são muitas vezes negligenciadas e de difícil diagnóstico. Quando um torque no membro inferior ocorre, o tornozelo fica suscetível a uma lesão simultânea. É essencial uma avaliação cuidadosa baseada no aspecto clínico, radiográfico, intra e pós-operatório para recuperação funcional.
Subject(s)
Humans , Male , Adolescent , Sternoclavicular Joint/injuries , Sternoclavicular Joint/surgeryABSTRACT
No abstract available.
Subject(s)
Adult , Female , Humans , Acute Disease , Arteriovenous Fistula/diagnosis , Brachiocephalic Trunk/injuries , Brachiocephalic Veins/injuries , Joint Dislocations/surgery , Echocardiography, Doppler, Color , Heart Failure/diagnosis , Iatrogenic Disease , Orthopedic Procedures/adverse effects , Reoperation , Sternoclavicular Joint/surgery , Tomography, X-Ray Computed , Treatment Outcome , Vascular System Injuries/diagnosisABSTRACT
Posterior sternoclavicular dislocation is a rare traumatic injury that presents a potential risk of injury to mediastinal structures. The diagnosis is fundamentally clinical and treatment is done on an emergency basis. The authors report the clinical case of a young judo athlete with post-traumatic medial epiphyseal fracture-detachment, with posterior displacement (lesion equivalent to posterior sternoclavicular dislocation at pediatric ages). He underwent open reduction and ligament repair by means of a mini-anchor.The radiological and clinical outcome was excellent, and the athlete returned to his sports activity without limitations. We discuss the particular features of this pathological condition, along with the different therapeutic approaches and their complications.