Subject(s)
Carpal Bones/diagnostic imaging , Osteonecrosis/diagnostic imaging , Adult , Carpal Bones/surgery , Cartilage, Articular/surgery , Humans , Male , Osteonecrosis/surgery , Radiography , Range of Motion, Articular , Wrist Joint/diagnostic imaging , Wrist Joint/physiopathology , Wrist Joint/surgeryABSTRACT
Crush-type injuries are potentially serious, and the foot is particularly vulnerable. Despite this, they are often inappropriately dismissed as trivial when first seen. This tendency to underestimate the severity of the injury is reinforced by unimpressive radiographic findings. Poor initial management may have significant physical and medicolegal implications. Four recently treated cases illustrate the covert severity of crush injuries to the foot.
Subject(s)
Foot Injuries , Adolescent , Adult , Foot Injuries/pathology , Humans , Male , Middle AgedABSTRACT
A case is described of compartment syndrome of the lower leg after closed intramedullary nailing of the tibia in which the diagnosis was delayed because an epidural analgesia technique masked the pain. The syndrome was treated by open four-compartment fasciotomy.
Subject(s)
Analgesia, Epidural , Anterior Compartment Syndrome/etiology , Femoral Fractures/surgery , Fracture Fixation, Intramedullary/adverse effects , Accidents, Traffic , Adolescent , Anterior Compartment Syndrome/diagnosis , Humans , MaleABSTRACT
We report three cases of tibial compartment syndrome after closed intramedullary nailing of the tibia. In no case was there any obvious other predisposing factor for the development of the syndrome apart from the surgery and the fracture potential itself. It is recommended that tibial compartment syndrome be regarded as a rare, but significant complication of tibial nailing.
Subject(s)
Compartment Syndromes/etiology , Fracture Fixation, Intramedullary/adverse effects , Fractures, Closed/surgery , Tibial Fractures/surgery , Adult , Bone Nails , Compartment Syndromes/surgery , Fracture Fixation, Intramedullary/methods , Fractures, Closed/complications , Humans , Male , Soft Tissue Injuries/complications , Tibial Fractures/complicationsABSTRACT
This paper examines the serial use of ultrasonic velocity measurement to monitor fracture healing. New Zealand White rabbit tibiae were fractured using a constant-energy technique and the ultrasonic velocity along the bone measured in animals sacrificed at 16 day intervals up to 96 days from fracture. In parallel with these measurements the mechanical performance of the healed tibiae were determined using a three-point bending test. Regression analysis failed to show a sufficiently good correlation between ultrasonic velocity measurements and the bending properties of healing fractures for the method to be of use clinically.
