RESUMEN
Delta tibia (also known as minor tibial duplication) is a rare variant of congenital anterolateral tibial bowing. It is not associated with neurofibromatosis or pseudarthrosis in which there are characteristic changes on the lateral radiograph. This deformity is not thought to be prone to fracture. We describe a child with this deformity, who during a 4-year period sustained two separate fractures following relatively minor trauma. In both circumstances, the injury healed well with no evidence of pseudarthrosis formation.
Asunto(s)
Tibia/anomalías , Tibia/lesiones , Fracturas de la Tibia/diagnóstico por imagen , Fracturas de la Tibia/etiología , Humanos , Lactante , Masculino , Radiografía , Tibia/diagnóstico por imagenRESUMEN
We present a case of a newborn male with seizures who on subsequent radiographs was shown to have bilateral acromial fractures. These are uncommon fractures and are described in association with nonaccidental injury (NAI). However, in this case NAI was thought unlikely due to continuous hospitalisation of the boy. The possible aetiologies are discussed.
Asunto(s)
Acromion/diagnóstico por imagen , Acromion/lesiones , Fracturas Óseas/complicaciones , Fracturas Óseas/diagnóstico , Discapacidad Intelectual/diagnóstico , Discapacidad Intelectual/etiología , Espasmos Infantiles/diagnóstico , Espasmos Infantiles/etiología , Acromion/patología , Fracturas Óseas/congénito , Humanos , Recién Nacido , Síndrome de Lennox-Gastaut , Masculino , RadiografíaRESUMEN
Criminal justice, mental health, and social service professionals face a myriad of role expectations in working with prisoners with mental illness to facilitate community re-entry. These expectations include those related to law enforcement, social welfare, and administrative efficiency. The challenge for front line workers and the multiple systems that employ them is to integrate all these expectations effectively on behalf of the individual as well as the community. Current models of re-entry for individuals leaving prison with mental illness focus on the management and interaction of service systems. This paper presents a model of prisoner re-entry that incorporates a larger social context, illustrating dynamics related to both individuals with mental illness leaving prison and their interaction with the community setting. This model was generated through an interdisciplinary team effort. It was refined through a focus group process that included advocates, community members and other informants from mental health and criminal justice systems in five states. The model is designed to generate new questions for research that address both individual and community level issues.