RESUMO
The authors present a case report and review of the sparse literature of a rare closed degloving injury to the toe, referred to by Flaherty as an "empty toe phenomenon." A 25-year-old man sustained a twisting injury to his left foot when he was involved in a motorcycle accident. The skin was not lacerated around the toe but on physical exam it appeared that part of the toe was empty of its bony contents.
Assuntos
Fraturas Ósseas/diagnóstico por imagem , Fraturas Ósseas/cirurgia , Fraturas Fechadas/diagnóstico por imagem , Luxações Articulares/diagnóstico por imagem , Luxações Articulares/cirurgia , Dedos do Pé/diagnóstico por imagem , Dedos do Pé/lesões , Acidentes de Trânsito , Adulto , Fraturas Fechadas/cirurgia , Humanos , Masculino , Radiografia , Dedos do Pé/cirurgia , Índices de Gravidade do Trauma , Resultado do TratamentoRESUMO
The purpose of this report is to describe our modification of the Verma-Trenhaile biceps tenodesis technique using a superior viewing portal that allows placement of the tenodesis site at the top of the pectoralis major tendon with interference screw fixation. The advantages of this technique include the following: (1) There is no need to exteriorize the tendon through the skin. (2) Viewing from superiorly allows a panoramic view of the groove all the way to the pectoralis major tendon insertion. (3) This panoramic view allows a more complete view of the biceps down to the muscle-tendon junction beneath the pectoralis major tendon. (4) The improved visualization permits the drill hole to be contained within the constraints of the groove. Short-term follow-up shows favorable results clinically, and no major complications have been associated with this technique.