RESUMO
We present three cases of fracture of the proximal tibia in young children who were jumping on a trampoline. The typical radiological findings and the underlying mechanism of trauma are discussed. The key radiological features are: a transverse hairline fracture of the upper tibia often accompanied by a buckle fracture of the lateral or medial tibial cortex, buckling of the anterior upper tibial cortex and anterior tilting of the epiphyseal plate. New types of injuries related to specific recreational activities are recognized. It is often helpful to associate a typical injury with a particular activity. Trampoline related injuries have increased dramatically over the last years. The most common lesions are fractures and ligamentous injuries, in particular a transverse fracture of the proximal tibia. However the radiological findings can be very subtle and easily overlooked. It is therefore important to be aware of the typical history and radiological findings.
Assuntos
Traumatismos em Atletas/diagnóstico por imagem , Fraturas da Tíbia/diagnóstico por imagem , Traumatismos em Atletas/etiologia , Pré-Escolar , Humanos , Lactente , Masculino , Radiografia , Fraturas da Tíbia/etiologiaAssuntos
Calcinose/complicações , Calcinose/diagnóstico por imagem , Ventrículos Cerebrais , Dermatoses do Couro Cabeludo/complicações , Dermatoses do Couro Cabeludo/diagnóstico por imagem , Tomografia Computadorizada por Raios X , Encéfalo/diagnóstico por imagem , Ventriculografia Cerebral , Feminino , Humanos , Hipopituitarismo/complicações , Deficiência Intelectual/complicações , Imageamento por Ressonância Magnética , Pessoa de Meia-Idade , Dermatoses do Couro Cabeludo/diagnósticoRESUMO
We present a case of multiple vertebral metastases, with multiple fluid-fluid levels, from a moderately to poorly differentiated carcinoma of unknown origin. We suggest that fluid-fluid levels in multiple vertebral lesions are highly suggestive of bone metastases.
Assuntos
Carcinoma/diagnóstico , Imageamento por Ressonância Magnética , Neoplasias Primárias Desconhecidas/patologia , Neoplasias da Coluna Vertebral/diagnóstico , Idoso , Biópsia , Carcinoma/secundário , Diagnóstico Diferencial , Feminino , Humanos , Vértebras Lombares/patologia , Região Sacrococcígea/patologia , Neoplasias da Coluna Vertebral/secundário , Vértebras Torácicas/patologiaRESUMO
Rupture of the gravid uterus is a rare, life-threatening obstetric complication. Major symptoms are hypovolemic shock and abdominal pain during late pregnancy or after vaginal delivery. Immediate surgical therapy is required. We report a case of uterine rupture after vaginal delivery diagnosed by means of ultrasonography and computed tomography.
