RESUMEN
Radial neck fractures with radial head rotation are very rare and extremely difficult to manage. We present the case of an 11-year-old girl who fell on her outstretched left upper extremity and damaged her left elbow in a road traffic accident. An arthrotomy was performed under a C-Arm fluoroscope, which confirmed the radial head displacement of 180° along with the fracture. The fracture site was reduced and fixed with two Kirschner wires, cutting the wire short at its distal end for a complete closure. Open reduction and internal fixation were followed by casting for five weeks. After two years of follow-up, she had complete pain free range of motion of the affected limb. No post-operative complications have been observed till date. Open reduction and internal fixation with two Kwires is a viable option for such complex injuries. However, further evaluation of outcomes and post-operative complications are required.
Asunto(s)
Fijación Interna de Fracturas , Fracturas Radiales de Cabeza y Cuello , Niño , Femenino , Humanos , Accidentes de Tránsito , Hilos Ortopédicos , Lesiones de Codo , Articulación del Codo/cirugía , Articulación del Codo/diagnóstico por imagen , Fijación Interna de Fracturas/métodos , Reducción Abierta/métodos , Fracturas Radiales de Cabeza y Cuello/diagnóstico por imagen , Fracturas Radiales de Cabeza y Cuello/cirugía , Rango del Movimiento Articular , RotaciónRESUMEN
Chronic granulomatous disease (CGD) is a rare, primary immunodeficiency disorder that occurs due to a defective NADPH (Nicotinamide Adenine Dinucleotide Phosphate) oxidase system. Due to the varying clinical presentation and symptom overlap with other conditions, CGD can often pose as a challenge for paediatricians. This case report describes the approach to diagnosis and management of an infant affected by CGD, with liver abscess.