RESUMO
Involvement of posterior elements of the spine in spinal tuberculosis is rare. We report a case of a 56-year-old woman who presented with asymptomatic tuberculosis of the tenth and eleventh costotransverse joints. The latter was discovered with a CT scan made to look for a pulmonary embolism. Magnetic Resonance Imaging (MRI) showed liquid in the costotransverse joints with a paravertebral abscess. The patient was managed conservatively. Although rare, posterior tuberculosis of the spine should be known by spine surgeons. MRI is the key to the diagnosis. Conservative treatment is the standard treatment, and surgery is reserved for patients with neurological deficit.
RESUMO
INTRODUCTION: Floating forearm is rare. Simultaneous terrible triad injury of the elbow is even rarer. CASE REPORT: A 47-year-old male patient presented with concurrent dorsal perilunate dislocation of the left wrist combined with a terrible triad injury of the left elbow after a fall from the second floor. The patient had an immediate reduction of the dislocated elbow. Then, a fixation of the radial head by screws, anterior capsule suture, and lateral collateral ligament repair was performed. The wrist dislocation was reduced and fixed with K-wires through a dorsal approach. At 12 months, the patient only complained of moderate pain on heavy lifting and had resumed his work. CONCLUSIONS: A perilunate dislocation of the wrist may occur simultaneously to a terrible triad injury of the elbow at the same side, especially in polytrauma patients. These patients should be examined carefully. An urgent surgical treatment has been successful, while severe damage to the function of the superior limb may result if the diagnosis is missed.