RESUMEN
An unstable fracture-dislocation of the spine usually results in a neurological deficit below the level of the injury. For this type of injury to occur at the mid-thoracic level without spinal cord injury is rare. This case report is of a T5-6 fracture-dislocation, without neurological deficit, which occurred in combination with a mid-clavicular fracture and a 5th rib fracture. The patient was treated by halter traction and pelvic traction for 14 days, and cervico-thoraco-lumbosacral orthosis for three months. Plain radiographs and a CT scan taken three months after trauma revealed a good healing process. At the last assessment, made two years post-trauma, the patient was completely asymptomatic with a pain-free full range of back motion, and was able to participate in various sports. In cases where an oblique shear injury of the back is suspected, and in cases of clavicular fracture, rib fracture and/or hemo-pneumothorax, more attention should be given to detecting a possible fracture-dislocation of the mid-thoracic spine without a neurological lesion.
Asunto(s)
Humanos , Aparatos Ortopédicos , Fracturas de las Costillas , Traumatismos de la Médula Espinal , Columna Vertebral , Deportes , Tomografía Computarizada por Rayos X , TracciónRESUMEN
There has not been reported that the tardy ulnar nerve palsy could be developed as a sequelae of the olecranon fracture. The purpose of this paper is to report our experience of diagnosis and treatment of tardy ulnar nerve palsy, developed in three patients who had managed for non-union and malunion of olecranon fractutre, with a review of the literature.
Asunto(s)
Humanos , Diagnóstico , Codo , Olécranon , Nervio Cubital , Neuropatías CubitalesRESUMEN
Fractures of the capitellum humeri are rare and the recommendations for treatment vary. It can involve a significant portion of the articular surface, rendering the elbow joint unstable. In this situation, it is desirable to reduce and internally fix the capitellar fragment, because this restores the articular surface and augments joint stability. We experienced two cases of capitellar fractures which one case was spontaneously anatomical reduced and the other case was treated by open reduction. In one case the capitellar fragment was spontaneous reduced to a stable position although it was noticed radiographically as an unstable displaced fracture preoperatively. The other case was treated by open reduction and internal fixation with 3.5mm, small, AO, cannulated screw and K-wire. Both cases are reported here with references.