RESUMO
Tendon ruptures associated with ankle fractures and dislocations or subtalar dislocations are very rare entities with only a few reports of these in the literature. We report a case of an open subtalar dislocation and associated isolated proximal rupture of the flexor digitorum longus tendon at the musculotendinous junction, following a relatively low energy trauma. The finding of the avulsed flexor digitorum longus tendon was intraoperative, and management involved thorough washout of the joint and a primary side-to-side tenodesis with the flexor hallucis longus tendon. The patient has made a good functional recovery from his injuries. This case is reported because of the rarity of this combination of injuries and the associated management dilemma with which it presented us.
Assuntos
Traumatismos do Tornozelo/cirurgia , Luxações Articulares/cirurgia , Articulação Talocalcânea/lesões , Traumatismos dos Tendões/cirurgia , Acidentes por Quedas , Traumatismos do Tornozelo/diagnóstico por imagem , Traumatismos do Tornozelo/etiologia , Humanos , Luxações Articulares/etiologia , Masculino , Ruptura/etiologia , Ruptura/cirurgia , Articulação Talocalcânea/cirurgia , Traumatismos dos Tendões/etiologia , Tomografia Computadorizada por Raios X , Adulto JovemRESUMO
Presenting a paper at a journal club can be a daunting prospect for a trainee and one for which undergraduate medical education may leave the trainee feeling under-prepared. However, the ability to critically appraise and present an academic paper is a competency required of the trainee doctor.
Assuntos
Educação de Graduação em Medicina , Publicações Periódicas como Assunto , HumanosRESUMO
Small bowel perforation following a capsule endoscopy (CE) is a rare but dreadful complication. We report a CE induced small bowel perforation in a patient with Crohn's disease where preoperative investigations failed to reveal any strictures.
