ABSTRACT
Over the years giant steps have been made in the evolution of fracture fixation and the overall clinical care of patients. Better understanding of the physiological response to injury, bone biology, biomechanics and implants has led to early mobilisation of patients. A significant reduction in complications during the pre-operative and post-operative phases has also been observed, producing better functional results. A number of innovations have contributed to these improved outcomes and this article reports on the advances made in osteosynthesis and fracture care.
Subject(s)
Fracture Fixation, Internal/methods , Internal Fixators/standards , Fracture Fixation, Internal/standards , HumansSubject(s)
Elbow Injuries , Joint Dislocations/complications , Radius Fractures/complications , Accidental Falls , Adult , Elbow Joint/diagnostic imaging , Fracture Healing , Humans , Joint Dislocations/diagnostic imaging , Joint Dislocations/surgery , Male , Radiography , Radius Fractures/diagnostic imaging , Radius Fractures/surgeryABSTRACT
In an emergency situation, the clinical picture of ankle and subtalar dislocation may be similar. This may lead to the use of the improper technique of reduction, especially in a subtalar dislocation, resulting in the failure of reduction and further damage to the articular surfaces. A case of medial subtalar dislocation is presented, which was managed as an ankle dislocation and manipulated inappropriately, leading to a failure of reduction. The clinical signs of ankle and subtalar dislocation, including points of differentiation between the two are discussed, and the correct method of reduction of subtalar dislocation is described.
Subject(s)
Joint Dislocations/diagnosis , Subtalar Joint/injuries , Adult , Ankle Injuries/diagnosis , Diagnosis, Differential , Emergency Medical Services , Humans , Joint Dislocations/diagnostic imaging , Joint Dislocations/rehabilitation , Male , Musculoskeletal Manipulations , Radiography , Subtalar Joint/diagnostic imagingABSTRACT
Gluteal artery aneurysms are rare, and the majority of them are pseudoaneurysms secondary to blunt or penetrating trauma. The superior gluteal artery is normally affected. Inferior gluteal artery pseudoaneurysms are uncommon, and review of the literature revealed only 10 cases in the last 30 years. The mainstay of diagnosis is angiography, but these aneurysms may not be visible on an aortic flush angiogram, and super selective angiography may be required to delineate the anatomy. Treatment is either by surgical therapy or minimally invasive techniques, such as embolization, during angiography. We report two cases of pseudoaneurysms of the inferior gluteal artery following pelvic and acetabular trauma, presenting very differently in time and clinical picture. A review of the relevant literature is also presented.
