RESUMO
A case of transient osteoporosis of pregnancy complicated by bilateral neck of femur fractures is reported. We discuss the condition and review the literature, provide information to aid in the diagnostic dilemma clinicians may face when considering imaging techniques and the potential for foetal harm during radiation exposure. We discuss management strategies in such patients.
Assuntos
Fraturas do Colo Femoral/etiologia , Osteoporose/complicações , Complicações na Gravidez , Adulto , Feminino , Fraturas do Colo Femoral/diagnóstico por imagem , Fraturas do Colo Femoral/cirurgia , Fixação Interna de Fraturas , Humanos , Gravidez , Terceiro Trimestre da Gravidez , RadiografiaAssuntos
Acidentes por Quedas , Fraturas Ósseas/etiologia , Escápula/lesões , Dor de Ombro/etiologia , Ferimentos não Penetrantes/etiologia , Idoso , Fraturas Ósseas/diagnóstico por imagem , Humanos , Masculino , Dor de Ombro/diagnóstico por imagem , Tomografia Computadorizada por Raios X , Ferimentos não Penetrantes/diagnóstico por imagemRESUMO
Acute osteomyelitis of the patella is a very rare condition, which commonly affects children between the ages of 5-15 years. Primary haematogenous osteomyelitis in an adult usually occurs in patients with associated risk factors like intravenous drug abuse, HIV infection, and trauma. This report discusses a similar condition in a 46 year old women with no associated predisposing risk factors. The rarity of this condition and its atypical presentation should be borne in mind while treating an adult patient with anterior knee pain. Point tenderness over the patella should alert a physician to the possibility of osteomyelitis of the patella. The value of bone scan and computed tomography in the early stages to help diagnose this condition has been stressed. The literature has been reviewed and discussed briefly.
Assuntos
Osteomielite/complicações , Dor/etiologia , Patela , Infecções Estafilocócicas/complicações , Feminino , Humanos , Pessoa de Meia-Idade , Osteomielite/tratamento farmacológico , Dor/tratamento farmacológico , Fatores de Risco , Infecções Estafilocócicas/tratamento farmacológico , Tomografia Computadorizada por Raios X , Resultado do TratamentoRESUMO
We discuss the management of two low-energy unstable tibial plateau fractures in this report, and describe our new technique of percutaneous plating to stabilise these fractures. This minimally invasive surgery has the obvious advantages to the traditional open reduction and internal fixation and the non-operative management by plaster immobilisation. Stable fixation can be achieved by small fragment plates used in this technique allowing safe mobilisation. This novel method of internal fixation could be a useful inclusion in the armamentarium for the management of tibial plateau fractures and can be safely practised by an orthopaedic surgeon at a District General Hospital.