ABSTRACT
Mortality rates associated with pelvic ring injury combined with open wounds have decreased considerably during the past 2 decades. Consequently, increased survivability has heightened the demand for definitive stabilization techniques to address pelvic ring instability. Control of hemorrhage and avoidance of sepsis remain paramount concerns in the initial and later stages of management, respectively. Exclusion of occult and readily apparent perforations of the genital urinary and gastrointestinal tracts is essential when using a multidisciplinary approach. Recognition of open and closed degloving injury patterns and appropriate adherence to treatment guidelines will optimize outcome and avoid catastrophic complication.
Subject(s)
Fractures, Closed/complications , Pelvic Bones/injuries , Soft Tissue Injuries/etiology , Soft Tissue Injuries/surgery , Fractures, Closed/surgery , Humans , Patient Care Team , Perineum/injuriesABSTRACT
A 19-year-old collegiate football player with progressive ankle syndesmosis ossification developed acute localized fibular tenderness. Roentgenograms demonstrated a fibular stress fracture proximal to the superior extent of the ossific mass. Surgical resection of the mass resulted in uneventful fibular healing, with resolution of acute and chronic symptoms.
Subject(s)
Fibula/injuries , Football/injuries , Fractures, Stress/etiology , Synostosis/complications , Tibia , Adult , Fibula/diagnostic imaging , Fractures, Stress/diagnostic imaging , Humans , Male , Radiography , Radionuclide Imaging , Synostosis/diagnostic imaging , Tibia/diagnostic imagingABSTRACT
A rare case of a fracture involving almost the entire coronoid process of the ulna (type III) is described. Open reduction and internal fixation of this fragment restored elbow stability and resulted in a painless range of motion lacking only 5 degrees of extension at 7 months.
