RESUMO
Thigh infection associated with local emphysematous signs on presentation to the emergency room should alert the medical staff at once of potential complication associated with it. The infection may be associated with underlying bowel pathology and has a high mortality rate. Hence, emergency treatment should be instituted. We discuss a case with this uncommon presentation, treatment administered and relevant literature.
Assuntos
Infecções por Bacteroides/complicações , Bacteroides fragilis , Infecções dos Tecidos Moles/complicações , Infecções Estafilocócicas/complicações , Enfisema Subcutâneo/etiologia , Coxa da Perna/microbiologia , Idoso , Doença Diverticular do Colo/complicações , Diverticulose Cólica/complicações , Quadril/microbiologia , Quadril/cirurgia , Humanos , Masculino , Coxa da Perna/cirurgiaRESUMO
Our aim was to study the effect of traction on the compartment pressures during intramedullary nailing of closed tibial-shaft fractures. Thirty consecutive patients with Tscherne C1 fractures were randomised into two groups. Sixteen patients underwent intramedullary nailing of the tibia with traction and 14 patients without traction. Compartment pressures were measured before the application of traction or commencement of the procedure and at the end of the procedure. The data collected was analysed using Student's t test. There was no statistically significant difference (p>0.05) in the pre-operative mean compartment pressures for both groups. The mean post-operative measurements were higher in all four compartments in the traction group (p<0.05). None of the pressures reached the critical level. These results show that traction as an aid unnecessarily increases compartment pressures.
Assuntos
Fixação Intramedular de Fraturas/métodos , Perna (Membro)/fisiopatologia , Pressão , Fraturas da Tíbia/cirurgia , Tração/efeitos adversos , Adulto , Idoso de 80 Anos ou mais , Síndromes Compartimentais/diagnóstico , Síndromes Compartimentais/etiologia , Síndromes Compartimentais/prevenção & controle , Feminino , Humanos , Perna (Membro)/cirurgia , Masculino , Pessoa de Meia-Idade , Estudos ProspectivosRESUMO
Acute traumatic proximal tibiofibular joint dislocation is an exceedingly rare injury. This is a case report in a rare horizontal type joint variant, following a long jump injury. The diagnostic approach when this injury is suspected is described.
