RESUMO
Spiral computed tomography (CT) with three-dimensional and multiplanar reconstructions was used in the evaluation of tibial fractures in nine patients. Computed tomography added important information to that obtained by plain radiographs. Five (55%) fractures were reclassified. The degree of articular depression was often underappreciated on plain radiographs. Furthermore, the fracture complexity and the spatial relation of fragments could be readily demonstrated with 3-D reconstruction. This technique is useful in planning operative reconstruction.
Assuntos
Fraturas da Tíbia/diagnóstico por imagem , Fraturas da Tíbia/cirurgia , Tomografia Computadorizada por Raios X/métodos , Humanos , Valor Preditivo dos TestesRESUMO
A rare case of macrodystrophia lipomatosis in the foot is reported. The literature is reviewed and the different presentations of macrodactyly are discussed.
Assuntos
Deformidades Adquiridas do Pé/cirurgia , Doenças do Pé/cirurgia , Lipomatose/cirurgia , Adulto , Feminino , Deformidades Adquiridas do Pé/etiologia , Doenças do Pé/etiologia , Humanos , Lipomatose/etiologia , Dedos do Pé/cirurgiaRESUMO
Twenty-two patients with unilateral arthrodesis of the hip were reviewed clinically and radiologically ten years or more after operation. There was evidence of degenerative disease in 63.6% of the contralateral hips, 68.2% of the ipsilateral knees and in 59.1% of the contralateral knees. Both knees were affected in 50% of cases. All the patients had some degree of backache. The incidence of these problems in contrast with previously reported series is discussed.