RESUMO
The paper presents a case of untypical, not included in existing classifications, knee joint dislocation in a young man. An MRI scan confirmed a rupture of both cruciate ligaments and damage to the ligamento-capsular complex on the medial side of the knee joint. Two weeks after injury, an arthroscopy was performed with joint lavage followed by repair of the damaged ligamento-capsular complex. A very good functional result was obtained three years after the injury, in spite of the patient not having consented to an elective cruciate ligament reconstruction.
Assuntos
Ligamento Cruzado Anterior/patologia , Cápsula Articular/patologia , Luxação do Joelho/patologia , Ruptura , Ligamento Cruzado Anterior/cirurgia , Humanos , Cápsula Articular/cirurgia , Luxação do Joelho/complicações , Luxação do Joelho/cirurgia , Imageamento por Ressonância Magnética , Masculino , Adulto JovemRESUMO
The paper presents an analysis of cases of treatment of humeral shaft fracture non-union following operative treatment. Non-union was treated by locked intramedullary nailing in all patients. Bone destruction at the fracture site is an indication for using bone grafts. In our opinion autologous bone marrow injection to the fracture site is an effective method of bone union stimulation, and this non-invasive procedure may be repeated several times. Stable osteosynthesis promotes callus formation and remodeling, and enables early rehabilitation.
Assuntos
Placas Ósseas , Fixação Interna de Fraturas/métodos , Fixação Intramedular de Fraturas/métodos , Consolidação da Fratura , Fraturas do Úmero/cirurgia , Humanos , Procedimentos Cirúrgicos Minimamente Invasivos/métodos , Reoperação , Resultado do TratamentoRESUMO
The paper presents the case of a young snowboarder injured after falling down on a hill slope. Pelvis and spine computed tomography with 3D reconstruction visualised fractures not visible on standard radiographs. Not all injuries to the pelvis can be seen on a-p radiographs. It is due to its complex spatial anatomy and the presence of gas-filled tissue overlying the bony shadows. Fracture detection may be a diagnostic problem in elderly osteoporotic patients and in young patients with multiple injuries. We believe that computed tomography with 3D reconstruction should be performed when there is a strong suspicion of fracture in spite of a negative standard radiological examination.