ABSTRACT
This team of nurses and doctors donated a week's vacation, the cost of their airline tickets, and many hours of preparation to help more than 200 children who could not afford orthopaedic care in Colombia. During the outreach mission, Colombian health care staff worked closely with the American team to exchange knowledge of orthopaedic skills and surgical techniques. The impact that members of this team have on the care of these needy children makes the countless hours of preparation for the mission and the work in Colombia very worthwhile. The sharing of time, knowledge, and expertise has not only influenced the orthopaedic health care for children in this small area of the world, but is also a rewarding educational experience for all involved.
Subject(s)
Medical Missions/organization & administration , Orthopedics , Pediatrics , Chicago/ethnology , Child , Colombia , HumansSubject(s)
Attitude of Health Personnel , Nurses/psychology , Orthopedic Nursing , Societies, Nursing , HumansABSTRACT
Pseudoaneurysm (PA) is recognized as a rare complication after pediatric foot surgery. We identified the incidence, pertinent clinical features, and response to surgical intervention in PA as a complication of foot surgery. Four PAs were identified after 2,756 foot operations, an overall incidence of 0.14%. These patients typically had symptoms between 2 and 3 months after index operation with an enlarging, pulsatile, compressible mass in the plantar medial aspect of the foot. Arteriography was helpful in planning surgical intervention. Operative treatment consisted of ligation and excision of PA in all patients. Final outcome of foot deformity surgery was not compromised.
Subject(s)
Aneurysm/epidemiology , Clubfoot/surgery , Foot Diseases/epidemiology , Hematoma/epidemiology , Postoperative Complications/epidemiology , Adolescent , Aneurysm/etiology , Aneurysm/surgery , Chicago/epidemiology , Child , Child, Preschool , Female , Foot Diseases/etiology , Foot Diseases/surgery , Hematoma/etiology , Hematoma/surgery , Hospitals, Pediatric , Humans , Incidence , Male , Postoperative Complications/etiology , Postoperative Complications/surgery , Retrospective StudiesABSTRACT
Most stress fractures are preventable. Proper conditioning and preseason training is essential. Selection of the appropriate age-related sport must be taken into consideration. Adequate warm-up and cool-down is important to prevent muscle injuries that may contribute to stress fractures later on. The athlete should be aware of not "over-doing it" because fatigue is a contributing factor to the stress injury rate. Proper dress and equipment are necessary. Using the basic methods of prevention, along with good sportsmanship, safe participation in any sport may be anticipated. Because the demands and expectations of our high-performance athletes are more prevalent, education and rehabilitation of the sports-injured patient have become ever important. With the emergence of sports medicine as a discipline, injured athletes are returned to the playing arenas much more rapidly with newer protocols and techniques. We must be ready rapidly to assess, diagnose, and treat all sports injuries; however, we must be aware and alert to the possibility that it is an injury of "wear and tear" when making any diagnosis and prescribing any treatment regime.
