ABSTRACT
CASE: A 12-year-old girl presented with significant right elbow pain following a fall during soccer which caused an osseous triceps avulsion injury and nondisplaced type II Salter-Harris radial neck fracture. The patient was treated with successful open repair utilizing suture anchor fixation, resulting in full return of function and return to previous activities. CONCLUSION: Timely and accurate diagnosis and treatment of displaced triceps sleeve avulsion injuries is critical and can result in excellent patient outcomes and return to previous functional level. This unique case contributes to the diagnosis and management of this rare condition in pediatric populations.
Subject(s)
Elbow Injuries , Humans , Female , Child , Radius Fractures/surgery , Radius Fractures/diagnostic imaging , Fractures, Avulsion/surgery , Fractures, Avulsion/diagnostic imaging , Suture AnchorsABSTRACT
This case report describes an early-adolescent boy with an osteochondritis dissecans (OCD) lesion of the left femoral head secondary to significant acetabular dysplasia and coxa valga of the proximal femur. Patient underwent left proximal femur varus osteotomy. Follow-up imaging demonstrates healing and resolution of the OCD lesion. Future plan for left hip is periacetabular osteotomy, following triradiate cartilage closure, to correct acetabular dysplasia. The aim of this case report is to support clinicians in the assessment and treatment of this rare condition.
Subject(s)
Hip Dislocation , Osteochondritis Dissecans , Male , Adolescent , Humans , Child , Femur Head/diagnostic imaging , Femur Head/surgery , Osteochondritis Dissecans/diagnostic imaging , Osteochondritis Dissecans/surgery , Femur/diagnostic imaging , Femur/surgery , Hip Dislocation/surgery , Osteotomy/methods , Acetabulum/surgeryABSTRACT
BACKGROUND: While acute rehabilitation following neurotrauma has evolved over the past 30 years to include the common use of pharmacologic agents to promote synaptogenesis and improve recovery potential, little guidance exists for a similar strategy in the post-acute or community re-entry phases of injury. Drawing upon the existing scientific literature, models of pharmacologic intervention in promoting stability in other disease states and the authors' collective clinical experience, this article provides a potential structure by which to implement methods to create a stable physiologic platform to facilitate behavioral intervention. OBJECTIVES: This article reviews basic foundations for physiologic optimization, pharmacologic strategies for facilitation, and dyscompliance after neurotrauma. METHODS: Literature review, case analysis, clinical experience. RESULTS: Guidelines for facilitation of behavioral intervention with physiologic stabilization and with pharmacologic agents are presented with clinical rationale for their utilization. CONCLUSIONS: Improving physiologic readiness for behavioral intervention in the post-acute and community re-entry phases following neurotrauma has potential to improve both the efficiency and durability of these efforts.
