ABSTRACT
Transient osteoporosis of the hip (TOH) is a rare cause of pelvic pain in the third trimester of pregnancy and post partum. Although several cases have been reported in literature, its aetiology is poorly understood. The diagnosis is commonly missed in pregnancy, as the presenting symptoms can be vague, and the risks of radiographic imaging deter clinicians from pursuing investigation. In extreme cases, this pathology presents with neck of femur fractures, with no current guidelines on optimal management. We describe the case of a 24-year-old woman who presented with bilateral neck of femur fractures at 34 weeks gestation. Following an emergency caesarean section, operative management consisted of bilateral closed reduction and internal fixation using dynamic hip screws. Postoperative radiographs demonstrated failure of fixation on the left side, which was revised to a complex primary arthroplasty. This case demonstrates both the diagnostic and management challenges associated with TOH.
Subject(s)
Femoral Neck Fractures , Orthopedics , Osteoporosis , Pregnancy Complications , Adult , Cesarean Section , Female , Femoral Neck Fractures/diagnostic imaging , Femoral Neck Fractures/surgery , Femur , Humans , Osteoporosis/complications , Osteoporosis/diagnostic imaging , Pregnancy , Pregnancy Complications/diagnostic imaging , Pregnancy Complications/surgery , Pregnancy Trimester, Third , Young AdultSubject(s)
Fracture Fixation, Internal , Orthopedic Procedures/methods , Pain/diagnostic imaging , Pelvic Bones/diagnostic imaging , Radiography , Slipped Capital Femoral Epiphyses/diagnostic imaging , Child , Emergency Service, Hospital , Humans , Male , Pain/etiology , Pain/pathology , Referral and Consultation , Slipped Capital Femoral Epiphyses/physiopathology , Slipped Capital Femoral Epiphyses/surgery , Thigh , Treatment OutcomeABSTRACT
We report here the draft genome sequences of Bradyrhizobium elkanii strains BLY3-8 and BLY6-1, which are incompatible with Rj3 genotype soybean cultivars. The genome sequences of these strains will be useful to identify a causal gene for this incompatibility.
Subject(s)
Calcaneus/abnormalities , Calcaneus/injuries , Fractures, Stress/diagnosis , Tarsal Bones/abnormalities , Adult , Calcaneus/diagnostic imaging , Calcaneus/surgery , Football , Fracture Fixation, Internal , Fracture Healing , Fractures, Stress/surgery , Humans , Male , Tarsal Bones/diagnostic imaging , Tarsal Bones/surgery , Tomography, X-Ray ComputedABSTRACT
A tarsal coalition is an aberrant union between 2 or more tarsal bones and can be classified as osseous (synostosis) or nonosseous (cartilaginous [synchondrosis] or fibrous [syndesmosis]). This union may be complete or partial and the joints in the hindfoot and midfoot are most commonly affected. The resulting abnormal articulation presents as a noncorrectable flat foot, usually during adolescence, leading to accelerated degeneration within adjacent joints. An understanding of the condition and presenting symptoms enable the clinician to correctly diagnose and initiate appropriate treatment. This review discusses the evidence-based literature on the cause, diagnosis, and current management of tarsal coalition.
