Hangman's fracture surgical management with posterior C2-4 fusion: Case description and literature review

Abstract Background Flexor pollicis longus (FPL) tendon rupture is a rare complication of scaphoid nonunion. Case Description A fit active 70-year-old woman ruptured her FPL when it abraded on a painless 50-year-old scaphoid nonunion. She had asymptomatic scaphoid nonunion advanced collapse (SNAC) arthritis. At surgery, the sharp mobile volar scaphoid osteophytes were excised and the volar wrist capsule was repaired. A vascularized fat flap based on a perforator of the radial artery was used to augment the volar wrist capsule repair and to create a smooth gliding surface for the FPL. The ruptured FPL tendon was reconstructed with a palmaris longus graft. Literature Review Complete rupture of the FPL tendon secondary to scaphoid nonunion is a rare complication. It can be easily misdiagnosed because the original injury may be unrecognized or forgotten. A consensus regarding the optimal surgical management has not been reached. Clinical Relevance The objective of surgery in this case was to restore FPL function and prevent a recurrent rupture. The asymptomatic SNAC arthritis was not treated. No further wrist surgery was required. The patient was asymptomatic with a functioning FPL tendon 4 years after surgery.

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Evolution to Pedicle Reformation Technique in Surgical Management of Hangman's Fracture

World Neurosurgery ◽

10.1016/j.wneu.2021.02.001 ◽

2021 ◽

Author(s):

Dattaraj Sawarkar ◽

Mohit Agrawal ◽

Pankaj Kumar Singh ◽

Shashwat Mishra ◽

Deepak Agrawal ◽

...

Keyword(s):

Surgical Management ◽

Hangman’S Fracture ◽

Hangman's Fracture

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An unusual Hangman's fracture: Description and surgical management

Orthopaedics & Traumatology Surgery & Research ◽

10.1016/j.otsr.2009.03.004 ◽

2009 ◽

Vol 95 (3) ◽

pp. 229-233 ◽

Cited By ~ 6

Author(s):

E. Morel ◽

B. Ilharreborde ◽

F. Zadegan ◽

L. Rillardon ◽

P. Guigui

Keyword(s):

Surgical Management ◽

Hangman’S Fracture ◽

Hangman's Fracture

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Traumatic hangman's fracture after cervical disk arthroplasty with device in-tact: A case report and literature review

North American Spine Society Journal (NASSJ) ◽

10.1016/j.xnsj.2020.100007 ◽

2020 ◽

Vol 1 ◽

pp. 100007

Author(s):

Carson Fuller ◽

Kyle Geiger ◽

Crystal Gomez ◽

Miguel A. Schmitz

Keyword(s):

Case Report ◽

Literature Review ◽

Hangman’S Fracture ◽

Hangman's Fracture ◽

Cervical Disk

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Evolution in the Management of Combined Atlas—Hangman's Fracture

10.1055/s-0038-1660743 ◽

2018 ◽

Author(s):

P. Singh ◽

S. Verma ◽

D. Sawarkar ◽

A. Kumar ◽

D. Agarwal ◽

...

Keyword(s):

Hangman’S Fracture ◽

Hangman's Fracture

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Features of redox homeostasis in patients with liver cirrhosis (literature review and clinical case description)

Acta Medica Leopoliensia ◽

10.25040/aml2020.01.070 ◽

2020 ◽

Vol 26 (1) ◽

pp. 70-86

Author(s):

M.O. Abrahamovych ◽

◽

O.O. Abrahamovych ◽

O.P. Fayura ◽

L.R. Fayura ◽

...

Keyword(s):

Liver Cirrhosis ◽

Literature Review ◽

Clinical Case ◽

Redox Homeostasis ◽

Case Description

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Bi-microbial Healthcare-Associate Endocarditis caused by Enterococcus faecalis and Burkholderia cepacia: A Case Report and literature review

New Emirates Medical Journal ◽

10.2174/025068xx02666200227171615 ◽

2020 ◽

Vol 02 ◽

Author(s):

Masood Ghori ◽

Nadya O. Al Matrooshi ◽

Samir Al Jabbari ◽

Ahmed Bafadel ◽

Gopal Bhatnagar

Keyword(s):

Case Report ◽

Infective Endocarditis ◽

Literature Review ◽

Enterococcus Faecalis ◽

Surgical Management ◽

Burkholderia Cepacia ◽

Clinical Presentation ◽

Complicated Course ◽

Healthcare Associated ◽

Echocardiographic Findings

: Infective Endocarditis (IE), a known complication of hemodialysis (HD), has recently been categorized as Healthcare-Associated Infective Endocarditis (HAIE). Single pathogen bacteremia is common, polymicrobial endocardial infection is rare in this cohort of the patients. We report a case of endocarditis caused by Enterococcus faecalis (E. faecalis) and Burkholderia cepacia (B. cepacia), a first ever reported combination of a usual and an unusual organism, respectively, in a patient on HD. Clinical presentation of the patient, its complicated course ,medical and surgical management ,along with microbial and echocardiographic findings is presented herein. The authors believe that presentation of this case of HAIE may benefit and contribute positively to cardiac science owing to the rare encounter of this organism as a pathogen in infective endocarditis and the difficulties in treating it.

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