RESUMO
Avulsion fractures of the anterior superior iliac spine are rare with a incidence 1.4% of pelvis injuries. This injury met commonly in adolescents, as an avulsion fracture of the apophyses, a result of suddenly and forcefully contraction or repetitive contraction of the sartorius and tensor fasciae latae muscles. Patients feel a severe pain localized in the anterior superior iliac spine on palpation and gait can be affected by pain. A high index of suspicion is necessary for emergency physicians to diagnose this rare injury. Treatment is mostly conservative although surgical treatment is required occasionally. We present a 46 years old man admitted to emergency department with a sudden pain on the right of pelvis after stumbling on the road. Avulsion fracture of anterior superior iliac spine detected by means of pelvis x-ray and computed tomography. Surgical intervention was preferred for this non-traumatic fracture due to bone displacement degree and milimetric exocytosis. Our case was unique according to patient’s age, trauma mechanism and treatment requirement as surgery.
RESUMO
Temporomandibular joint (TMJ) dislocation is defined as excessive forward movement of the mandibular condyle beyond the articular eminence with complete separation of the articular surfaces and fixation in that position. A 54 years old man attended our Emergency Department (ED) with complaints of slurred speech and inability to close his mouth after upper gastroendoscopic procedures. Lateral craniography was obtained and illustrated bilateral anterior dislocation of the patient's mandibular condyles. To confirm the diagnosis urgent radiographic imaging is required without delay as the risk of complications occurring increases as time elapses.
RESUMO
Metric and meristic characters are important to identify fish species and their habitat peculiarities. There are many species that belong to the fish genus Barbus, which is found in tropical and extratropical regions, but there are few studies covering the Coruh basin. Two subspecies of Barbus were found in the Coruh River system of Eastern Anatolia, Turkey: Barbus plebejus escherichi and Barbus capito capito. We collected specimens in seven localities for measurement. The number of vertebra were determined radiographically. Some specimens of B. capito capito have a sharper snout in the segments of Coruh where the water flows faster, suggesting a modification related to current. The biometric measurements vary geographically and could be related to abiotic and biotic factors in the habitat. Rev. Biol. Trop. 57 (1-2): 159-165. Epub 2009 June 30.