RESUMO
Elbow dislocation associated with both ipsilateral radial and ulnar shaft fractures is a rare pattern of injury, although it is common for elbow dislocation and forearm fractures to occur separately. We report a case of an 80-year-old woman who had a posterolateral elbow dislocation and ipsilateral radial and ulnar shaft fractures and underwent closed reduction and plate fixation. She had an excellent outcome after 22 months of follow-up.
Assuntos
Lesões no Cotovelo , Luxações Articulares/complicações , Fraturas do Rádio/complicações , Fraturas da Ulna/complicações , Idoso de 80 Anos ou mais , Articulação do Cotovelo/cirurgia , Feminino , Fixação Interna de Fraturas , Humanos , Luxações Articulares/cirurgia , Fraturas do Rádio/cirurgia , Fraturas da Ulna/cirurgiaRESUMO
Primary hydatid disease of the skeletal muscle without systemic involvement is rare. A 40-year-old woman presented with a painful mass in her medial left upper thigh. She was misdiagnosed as having a deep intramuscular abscess and a fine needle aspiration was performed, but the fluid came out crystal clear. Further inquiry revealed that her 16-year-old daughter had been operated on twice for liver and lung hydatid disease. Thus, a provisional diagnosis of hydatid disease was made. An echinococcal haemagglutination test was positive. Ultrasonography and magnetic resonance imaging findings were consistent with a type-2 hydatid cyst showing a 'water-lily' sign. The cystic mass within the left gracilis was resected en bloc. Adjunctive albendazole chemotherapy (400 mg/day) was prescribed for 3 months. At the 22-month follow-up, the patient remained free of symptoms.
Assuntos
Equinococose/diagnóstico , Doenças Musculoesqueléticas/diagnóstico , Doenças Musculoesqueléticas/parasitologia , Adulto , Albendazol/uso terapêutico , Equinococose/tratamento farmacológico , Feminino , Humanos , Imageamento por Ressonância Magnética , Doenças Musculoesqueléticas/tratamento farmacológicoRESUMO
The os trigonum is an inconsistently present accessory bone of the foot situated at the posterolateral aspect of the talus. It may be radiographically confused with fractures of the posterior process of the talus. Fracture of the os trigonum per se is extremely rare. Hyperplantarflexion of the ankle is the mechanism of injury in which the os trigonum is compressed between the posterior malleolus of the tibia and the tuber calcaneus. Computed tomography is the choice of imaging modality in cases where fractures of posterior talus structures, including the os trigonum, are suspected. A high index of suspicion is necessary to diagnose a fracture of the os trigonum after a severe plantarflexion injury to the ankle. Conservative treatment is usually successful. We report a case of a fracture of the os trigonum, its clinical features, treatment and significance.
