Intra-articular Transcalcaneal Fracture-Dislocation Associated With Ipsilateral Transtalar Fracture: A Report of a Rare Combination

2020 ◽  
Vol 13 (4) ◽  
pp. 335-340
Author(s):  
Danilo Ryuko Cândido Nishikawa ◽  
Bruno Rodrigues de Miranda ◽  
Fernando Aires Duarte ◽  
Guilherme Honda Saito ◽  
Rogério Carneiro Bitar ◽  
...  
Keyword(s):  
Case Report ◽  
High Energy ◽  
Fracture Dislocation ◽  
Calcaneal Fractures ◽  
Short Term ◽  
High Energy Trauma ◽  
Rare Combination ◽  
Severe Bone Loss ◽  
Neck Fracture

The association of ipsilateral talar and calcaneal fractures is an uncommon combination and is typically the result of a high-energy trauma. It is often associated with comminution, marked fracture displacement, and soft-tissue compromise. Obtaining satisfactory clinical and radiographic results is very challenging. Residual deformities, multiple procedures, and limitations are usually the norm. Therefore, studies have suggested that primary arthrodesis may represent the best option of surgical treatment. In this study, we report a case of a 30-year-old male patient with a rare combination of a highly comminuted transcalcaneal fracture-dislocation associated with a talar neck fracture successfully treated with open reduction and internal fixation (ORIF) with an 18-month follow-up. This case demonstrates that even when there are associated fractures of the talus and calcaneus with severe bone loss, ORIF may provide satisfactory outcomes in the short-term postoperative period. Levels of Evidence: Level V: Case report

scholarly journals Ipsilateral Type IV Closed Talus and Calcaneal Fractures: A Case Report and Review of Literature

2013 ◽  
Vol 47 (3) ◽  
pp. 156-158
Author(s):  
Vikas Bachhal ◽  
Kishan Bhagwat ◽  
Kamal Bali
Keyword(s):  
Case Report ◽  
Proximal Tibia ◽  
Calcaneal Fracture ◽  
High Energy ◽  
Review Of Literature ◽  
Calcaneal Fractures ◽  
Management Options ◽  
Pattern Of Injury ◽  
Type Iv ◽  
Neck Fracture

ABSTRACT Talar and calcaneal fractures are commonly associated with other musculoskeletal injuries and systemic trauma. Both injuries in isolation have a guarded clinical outcome, and are associated with numerous complications whether treated operatively or nonoperatively. Few studies, however, have reported cases with ipsilateral closed talus and calcaneal fractures. We report one such rare case presenting with closed ipsilateral type IV talar neck fracture and type IV communited intra-articular calcaneal fracture as a result of high energy trauma. Unfortunately the patient had a concurrent vascular injury at the proximal tibia level which ultimately necessitated amputation. Through our report we highlight the universally poor results in such cases and discuss the management options if encountered with such a rare pattern of injury. How to cite this article Bhagwat K, Bachhal V, Bali K, Dhillon MS. Ipsilateral Type IV Closed Talus and Calcaneal Fractures: A Case Report and Review of Literature. J Postgrad Med Edu Res 2013;47(3):156-158.

scholarly journals High-Energy Transsyndesmotic Ankle Fracture Dislocation: A Case Report and Systematic Literature Review

2018 ◽  
Vol 2018 ◽  
pp. 1-8 ◽  
Author(s):  
Yinshuan Deng ◽  
Chenhui Dong ◽  
Xiaojie Yang ◽  
Rui Liu ◽  
Feiyi Hou ◽  
...  
Keyword(s):  
Systematic Review ◽  
Case Report ◽  
Literature Review ◽  
Ankle Fracture ◽  
Clinical Case ◽  
High Energy ◽  
Fracture Dislocation ◽  
High Energy Trauma ◽  
Ovid Medline ◽  
Type Of Injury

High-energy trauma can cause transsyndesmotic ankle fracture dislocation. These fractures are quite rare. Here we present a clinical case of a male patient with this type of injury. A systematic review of PubMed, Ovid MEDLINE, and Embase electronic databases revealed only two prior publications on a similar topic. We discuss the typical clinical features of these injuries, the treatment of high-energy trauma which can cause transsyndesmotic ankle fracture dislocation, and its prognosis.

scholarly journals Fracture Dislocation of the Anatomical Neck of the Proximal Humerus: Case Report and Literature Review

2020 ◽  
pp. 108-117
Author(s):  
Joseph Maalouly ◽  
Dany Khalil Aouad ◽  
Antonios Tawk ◽  
Georges El Rassi
Keyword(s):  
Case Report ◽  
Humeral Head ◽  
Fracture Dislocation ◽  
Anterior Dislocation ◽  
Neck Fracture ◽  
Bony Fragment ◽  
The Right ◽  
Displaced Fracture ◽  
Evidence Based Guidelines

Fractures of the anatomical neck of the humerus are an extremely rare pathological entity in the field of orthopedic surgery. One of the most feared complications associated with anatomical neck fracture of the humerus is avascular necrosis (AVN). The literature does not contain clear, evidence-based guidelines for the surgical management. This case report highlights the case of a 33-year-old male patient who presented with anatomical neck humerus fracture dislocation after a snowboarding accident. Computed tomography showed a comminuted displaced fracture involving the right humeral neck associated with anterior dislocation of the right shoulder. A small bony fragment adjacent to the glenoid posteriorly was also revealed. The patient was treated with open reduction and internal fixation (ORIF). After 3 years of follow-up, the patient is fully recovered with a normal range of motion of his right shoulder joint. The patient did not show any signs of AVN of the humeral head throughout the course of the 3-year follow-up. Anatomical neck fractures of the humerus are uncommon injuries in the literature. Due to the poor vascularization and the absence of attachment to soft tissue, there is a significantly high risk of AVN associated with fractures of the anatomical neck of the humerus. The patient presented in our report was treated with ORIF since it allows preservation of the humeral head.

scholarly journals A case report of femoral head fracture with osteochondral lesion treated by osteosynthesis and biomimetic scaffold: 2-year clinical and radiological follow-up

2021 ◽  
Vol 8 (1) ◽  
Author(s):  
Alessandro Casiraghi ◽  
Claudio Galante ◽  
Marco Domenicucci ◽  
Stefano Cattaneo ◽  
Andrea Achille Spreafico ◽  
...  
Keyword(s):  
Case Report ◽  
Femoral Head ◽  
Articular Surface ◽  
Osteochondral Lesion ◽  
Hip Dislocation ◽  
Fracture Dislocation ◽  
Osteochondral Lesions ◽  
Femoral Head Fracture ◽  
Osteochondral Scaffold

AbstractThe aim of the present study was to present clinical and radiological outcome of a hip fracture-dislocation of the femoral head treated with biomimetic osteochondral scaffold.An 18-year-old male was admitted to the hospital after a motorcycle-accident. He presented with an obturator hip dislocation with a type IVA femoral head fracture according to Brumback classification system. The patient underwent surgery 5 days after accident. The largest osteochondral fragment was reduced and stabilized with 2 screws, and the small fragments were removed. The residual osteochondral area was replaced by a biomimetic nanostructured osteochondral scaffold. At 1-year follow-up the patient did not complain of hip pain and could walk without limp. At 2-year follow-up he was able to run with no pain and he returned to practice sports. Repeated radiographs and magnetic resonance imaging studies of the hip showed no signs of osteoarthritis or evidence of avascular necrosis. A hyaline-like signal on the surface of the scaffold was observed with restoration of the articular surface and progressive decrease of the subchondral edema.The results of the present study showed that the biomimetic nanostructured osteochondral scaffold could be a promising and safe option for the treatment of traumatic osteochondral lesions of the femoral head.Study Design: Case report.

scholarly journals A Case Report of Femoral Neck Fracture in an Elderly Patient Managed by Non-operative Korean Medical Treatment : 42 Months Follow-up

2018 ◽  
Vol 35 (4) ◽  
pp. 252-258 ◽  
Author(s):  
Ju-ran Kim ◽  
Han Mi Gong ◽  
Seungah Jun ◽  
Jung Hee Lee ◽  
Bong Hyo Lee ◽  
...  
Keyword(s):  
Elderly Patient ◽  
Case Report ◽  
Femoral Neck ◽  
Medical Treatment ◽  
Femoral Neck Fracture ◽  
Neck Fracture

scholarly journals Complications after Displaced Talar Neck Fracture: Results from a Case Series and a Critical Review of Literature

2018 ◽  
Vol 12 (1) ◽  
pp. 567-575
Author(s):  
D. Leonetti ◽  
B. Di Matteo ◽  
P. Barca ◽  
S. Cialdella ◽  
F. Traina ◽  
...  
Keyword(s):  
Functional Performance ◽  
Case Series ◽  
Clinical Results ◽  
Fracture Dislocation ◽  
Review Of Literature ◽  
Non Union ◽  
Fracture Dislocations ◽  
Neck Fracture ◽  
Talar Fractures

Introduction: Talar fractures are uncommon injuries, whose outcome is often characterized by the onset of serious complications. The aims of the present study are: 1) to review the available evidence concerning the outcome and complications of talar neck fractures; 2) to describe the clinical results and the rate of post-op complications in a series of patients treated surgically after talar fracture-dislocations. Materials and methods: The review of the literature was performed on the Pubmed, Embase and Web of Science databases and aimed at identifying clinical trials with at least 10 patients and dealing with surgical management of talar fracture-dislocation (Hawkins grade II to IV). All the papers were analyzed to extract data concerning common complications such as non-union, mal-union, infection, osteonecrosis and osteoarthtritis. The clinical arm of this paper included 26 patients (19 men and 7 women), who underwent fixation of displaced talar fracture by cannulated screws and were retrospectively evaluated, both clinically and radiographically, at a mean 51.2 ± 23.4 months of follow-up. Results: The evaluation through the AOFAS score revelead a loss of functional performance with respect to the pre-injury status. Four patients were re-operated within final follow up, whereas the remaining 22 presented excellent results in 2 cases, good results in 4 cases, fair results in 11 cases and poor results in 5 cases. Osteoarthritis and osteonecrosis incidence were 51.9% and 25.9% respectively. Sixteen studies were included in the review and it was confirmed that the most frequent complication was post-traumatic OA, followed by osteonecrosis and mal-union. A variable range in percentage of complications described should be ascribed to the low quality of trials currently available. Conclusion: Displaced talar fracture are challenging to treat and the outcomes at middle-term are often modest. Looking at complications, the present case series and the review of literature revealed that the most common one is peritalar OA. Osteonecrosis, traditionally regarded as the most fearsome adverse event, is relevant but less frequent than OA.

scholarly journals The presence of interstellar scintillation in the 15 GHz interday variability of 1158 OVRO-monitored blazars

2019 ◽  
Vol 489 (4) ◽  
pp. 5365-5380 ◽  
Author(s):  
J Y Koay ◽  
D L Jauncey ◽  
T Hovatta ◽  
S Kiehlmann ◽  
H E Bignall ◽  
...  
Keyword(s):  
Flux Density ◽  
High Energy ◽  
Short Term ◽  
Owens Valley ◽  
Hot Stars ◽  
Radio Observatory ◽  
Interstellar Scintillation ◽  
The Galaxy ◽  
Rare Class

ABSTRACT We have conducted the first systematic search for interday variability in a large sample of extragalactic radio sources at 15 GHz. From the sample of 1158 radio-selected blazars monitored over an ∼10 yr span by the Owens Valley Radio Observatory 40-m telescope, we identified 20 sources exhibiting significant flux density variations on 4-d time-scales. The sky distribution of the variable sources is strongly dependent on the line-of-sight Galactic H α intensities from the Wisconsin H α Mapper Survey, demonstrating the contribution of interstellar scintillation (ISS) to their interday variability. 21 per cent of sources observed through sightlines with H α intensities larger than 10  rayleighs exhibit significant ISS persistent over the ∼10 yr period. The fraction of scintillators is potentially larger when considering less significant variables missed by our selection criteria, due to ISS intermittency. This study demonstrates that ISS is still important at 15 GHz, particularly through strongly scattered sightlines of the Galaxy. Of the 20 most significant variables, 11 are observed through the Orion–Eridanus superbubble, photoionized by hot stars of the Orion OB1 association. The high-energy neutrino source TXS 0506+056 is observed through this region, so ISS must be considered in any interpretation of its short-term radio variability. J0616−1041 appears to exhibit large ∼20 per cent interday flux density variations, comparable in magnitude to that of the very rare class of extreme, intrahour scintillators that includes PKS0405−385, J1819+3845, and PKS1257−326; this needs to be confirmed by higher cadence follow-up observations.

scholarly journals Treatment of penile lichen sclerosus with topical corticosteroids for over 25 years’ duration: A case report

2018 ◽  
Vol 6 ◽  
pp. 2050313X1879504 ◽  
Author(s):  
Matthew Howard ◽  
Anthony Hall
Keyword(s):  
Case Report ◽  
Relevant Literature ◽  
Lichen Sclerosus ◽  
Short Review ◽  
Short Term ◽  
Topical Corticosteroids ◽  
Long Term Follow Up ◽  
Term Management

Topical corticosteroids are currently recommended only for short-term management of flares of lichen sclerosus, with efficacy in halting disease progression. Given the chronic nature of this condition, there is a lack of literature surrounding the chronic effects of topical corticosteroids on the male genitalia with many dermatologists avoiding prescribing long term. This case report aims to provide anecdotal observation for the long-term use of topical corticosteroids and details the long-term follow-up of an individual who used potent and superpotent topical corticosteroids for over 25 years without significant demonstrable side effects. A short review on relevant literature is provided.

scholarly journals Acute atraumatic bilateral acetabular insufficiency fractures

2019 ◽  
Vol 27 (2) ◽  
pp. 230949901985857
Author(s):  
Daniel Benz ◽  
Patrick Lim ◽  
Zsolt J Balogh
Keyword(s):  
Case Report ◽  
Significant Risk ◽  
Early Mobilization ◽  
High Energy ◽  
Acetabular Fractures ◽  
Insufficiency Fractures ◽  
High Energy Trauma ◽  
Less Invasive

Bilateral acetabular fractures have been documented in the setting of high-energy trauma, but few reports regarding atraumatic bilateral acetabular fractures exist. The following is a case report of bilateral insufficiency acetabular fractures which occurred acutely in the absence of trauma in a 49-year-old female. The case highlights the importance of perioperative awareness of those patients at significant risk of insufficiency fractures and offers a relatively elegant, less invasive solution for early mobilization in the context of acetabula insufficiency fractures.

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