RESUMO
Type 2 manubriosternal dislocations with concomitant spinal fracture are rare and may be associated with thoracic visceral injuries. The complication of delayed haemothorax has not been reported yet. We report a case of a young male who suffered manubriosternal dislocation with chance type thoracic spine fracture due to fall of a tree branch over his back. The haemothorax presented late on day three. The possible injury mechanism is discussed along with review of literature. We conclude that a lateral chest radiograph is indicated in spinal fracture patients complaining of midsternal pain. Computerized axial tomography scan of chest with contrast is indicated to rule out visceral injuries and a chest radiograph should be repeated before the patient is discharged to look for delayed haemothorax.
Assuntos
Adulto , Humanos , Masculino , Hemotórax , Luxações Articulares , Diagnóstico por Imagem , Manúbrio , Ferimentos e Lesões , Radiografia Torácica , Fraturas da Coluna Vertebral , Diagnóstico por Imagem , Esterno , Ferimentos e Lesões , Vértebras Torácicas , Ferimentos e LesõesRESUMO
Intramedullary interlocking nailing is the gold standard for treatment of tibial shaft fractures. The growing use of intramedullary nailing has resulted in an increased number of tibial nailing in daily clinical practice. Despite adequate surgeon experience, tibial nailing is not without complications if proper techniques are not followed. A case of iatrogenic talar neck and medial malleolus fractures during intramedullary nailing of tibia in a 24-year-old male is reported. It is believed to be caused by forceful hammering of insertion zig with foot dorsiflexed. To the best of our knowledge, no such case has been reported in the literature. It is possible to reduce the risk of this complication by adoption of preventive measures.
Assuntos
Humanos , Masculino , Adulto Jovem , Fraturas do Tornozelo , Pinos Ortopédicos , Fraturas do Fêmur , Cirurgia Geral , Fixação Intramedular de Fraturas , Fraturas Ósseas , Diagnóstico , Terapêutica , Doença Iatrogênica , Tálus , Ferimentos e Lesões , Fraturas da Tíbia , Cirurgia Geral , Tomografia Computadorizada por Raios XRESUMO
When compared to adults, pediatric fractures unite readily and nonunion is quite rare. Nonunion is often associated with open fractures, operative interventions, infection, pediatric osteogenesis imperfecta and neurofibromatosis. There are only a few studies and reports mentioning nonunion following conservative ma- nagement of closed pediatric fractures. We report here a case of an eighteen-month-old child who developed nonunion following treatment of fracture of both forearm bones with cast and was successfully treated with plating. To the best of our knowledge, this is the youngest reported case of nonunion following conservative management of closed diaphyseal pediatric fracture.