Assuntos
Transtornos do Crescimento/diagnóstico por imagem , Osteocondrodisplasias/diagnóstico por imagem , Rádio (Anatomia)/anormalidades , Ulna/anormalidades , Punho/anormalidades , Artrodese/métodos , Feminino , Transtornos do Crescimento/congênito , Transtornos do Crescimento/diagnóstico , Transtornos do Crescimento/patologia , Transtornos do Crescimento/cirurgia , Humanos , Pessoa de Meia-Idade , Osteocondrodisplasias/congênito , Osteocondrodisplasias/diagnóstico , Osteocondrodisplasias/patologia , Osteocondrodisplasias/cirurgia , Osteotomia/métodos , Dor/diagnóstico , Complicações Pós-Operatórias/patologia , Rádio (Anatomia)/cirurgia , Resultado do Tratamento , Ulna/cirurgia , Punho/patologia , Punho/cirurgiaRESUMO
Unicompartmental knee arthroplasty (UKA) has evolved into a suitable option for diseased knees that cannot be managed with arthroscopic treatment and at the same time are not good candidates for total knee replacement. Since meticulous execution of the surgical technique is essential to optimizing UKA outcome, some procedural key-points are mandatory. Templates (phantoms) are then used to size the required prosthetic component (using these radiographs. Arthritic varus (or valgus) knees with an asymptomatic patello-femoral joint are typically ideal for UKA. Metal-backed tibial components should be favourite instead of all-polyethylene tibial components to avoid polyethylene creep that may occur in fixed bearings. Moreover, a proper thickness of the polyethylene layer is mandatory, in order to avoid early failure.
RESUMO
Acute compartment syndrome is both a life and limb threatening surgical emergency, caused by an increase in compartment contents due to either trauma or surgery. We illustrate a foot compartment syndrome, clinically diagnosed, that took place after direct injury during a football match. Compartments release through fasciotomies promptly relieved symptoms. Educational images are furnished.
Assuntos
Basquetebol/lesões , Síndromes Compartimentais/diagnóstico , Síndromes Compartimentais/cirurgia , Doença Aguda , Adolescente , Descompressão Cirúrgica/métodos , Fasciotomia , Humanos , Masculino , Resultado do TratamentoRESUMO
A case of an isolated astragalo-scaphoid dislocation following a fall from a motorbike is reported. Due to the diagnostic obscurity of the full extent of the injury, computed tomography (CT) with 3D reconstruction was utilized to precisely visualize the articular condition and revealed the presence of small intra-articular bone fragments and calcaneo-cuboid subluxation. Furthermore, the detailed imaging offered valuable information for preoperative planning. Patient has healed without sequelae. In light of the good outcome in this case, we suggest utilizing CT with 3D reconstruction when there is a risk to overlook foot dislocation and potential associated lesions.