[Isolated traumatic luxation of the distal radio-ulnar joint. A case report]. / Luxation traumatique isolée de l'articulation radio-ulnaire distale. Présentation d'un cas.

The author reports a case of isolated traumatic volar dislocation of the ulnar head in the distal radioulnar joint. This fairly uncommon injury is seldom accurately diagnosed at first presentation because there is no distinct deformity at the wrist and extension-flexion is normal and painless. However pronation is always restricted and painful. A dislocation of this joint may be simple or complex and the treatment varies accordingly. Because the dislocation in this patient had occurred more than two months previously, surgical reduction failed and resection of the distal ulna using Darrach's procedure was performed.

[Bipolar luxation of the clavicle. A case report]. / Luxation bipolaire de la clavicule. Présentation d'un cas.

The author reports a case of traumatic bipolar dislocation of the clavicle. This very rare lesion was first described by Porral in 1831. Since that time the number of new observations is very small and the treatment remains controversial. Because of his age, our patient was treated by a closed method: immobilization in a figure of 8 bandage after reduction by manipulation. The final functional result was good.

[Bosworth's fracture (fracture-luxation of the ankle with retro-tibial luxation of the fibula). Presentation of a case]. / La fracture de Bosworth (fracture-luxation de la cheville avec luxation rétro-tibiale du péroné). Présentation d'un cas.

The author reports a case of fracture-dislocation of the ankle associated with a posterior dislocation of the proximal part of the fibula behind the tibia: Bosworth's fracture. Hugier first described this "new dislocation of the ankle" in 1848, and Bosworth classified it in 1947. Because the correct diagnosis was not done at first in our patient, our attempt at closed reduction failed. Open reduction was performed, followed by internal fixation of the fibula. A good functional result was obtained at 12 weeks.

[Cancer of the cervix uteri in young people]. / Cancerul colului uterin la tinere.

The age-group distribution, risk factors, histopathological aspects, diagnosis, treatment and prognosis of 111 diagnosed and/or treated cervical carcinomas in women aged up to 40 years out of 478 cases with the same diagnosis were reviewed. It is considered that the incidence of 23.2% in this series is situated at the extreme of the high frequencies reported in the literature. Nineteen per cent of the cases were diagnosed in stages O and Ia, a well organize program for early detection being required. In our series, the 5-year survival rate was 73.3%. This finding, although in a small series of cases, supports the opinion that age has no influence upon the prognosis of this disease.

[The therapeutic options in tibial plateau fractures]. / Optiuni terapeutice în fracturile platourilor tibiale.

The authors report their experience in 49 fractures treated in the interval 1984-1988. In this series, 75.5% of the cases were treated by conservative methods (functional treatment-plaster-cast, continuous extension), the remainder of 24.5% benefiting from a surgical intervention (bolting, screws, uni- or bicondylar plates). In both circumstances, rehabilitation was par, of the treatment. The analysis revealed 61% good and very good results.