摘要:

Thirteen cases of jejunal perforation from blunt trauma are presented. There are no reliable signs or symptoms, and a normal physical examination may be seen. Free intraperitoneal air on plain radiograms is characteristically absent. Simple debridement and closure is adequate. Mortality is usually associated with other serious concomitant injuries, and complications are associated with diagnostic delays. Diagnostic peritoneal lavage is a safe and reliable procedure for establishing an early diagnosis of serious intraperitoneal injury. Its routine use in all cases of serious blunt abdominal trauma is advocated.

ISSN:0022-5282    

出版商:OVID    

年代:1983

数据来源: OVID

摘要:

Facial trauma often results in minor and infrequently results in major bleeding in the structures of the face. We have recently observed two patients who suffered fatal hemorrhages which could have been controlled using relatively simple measures. Treating physicians often overlook this serious and potentially life-threatening source of hemorrhage until the patient has been in shock for long periods of time and irreversible ischemic brain damage and renal failure have occurred. With careful attention to examination of the face and oropharynx, hemorrhage from these sites can be identified early and the appropriate measures taken to control epistaxis.

ISSN:0022-5282    

出版商:OVID    

年代:1983

数据来源: OVID

摘要:

Instead of completely exposing the patella surgically, fractured patella with mildly displaced or undisplaced fragments and intact retinacular fibers may be treated by applying a figure of 8 tension band wire loop across the front of the patella percutaneously. An 0.8-mm wire is placed via an 18-gauge long injection needle in a crossed pattern, immobilizing the fracture, whether transverse or oblique. In five cases thus treated results have been excellent.

ISSN:0022-5282    

出版商:OVID    

年代:1983

数据来源: OVID

摘要:

A case of simultaneous dislocation of both interphalangeal joints in a single finger in a volleyball player is reported. Reduction was achieved with longitudinal traction and full motion was regained following appropriate immobilization. It appears that the mechanism of injury was a hyperextension force which initially produced dorsal dislocation of the distal interphalangeal joint but even after producing this injury was still prominent enough to produce dorsal dislocation of the proximal interphalangeal joint.

ISSN:0022-5282    

出版商:OVID    

年代:1983

数据来源: OVID

摘要:

A rare case of simultaneous dislocation of both interphalangeal joints in on finger in a table-tennis player is presented. The second dislocation took place when the first dislocated joint became the fixed part of the finger as it hit a wall. Treatment was, first, hyperextension to unlock the base of the phalanx, then traction along the phalanx: its base was then pushed into contact with the head of the proximal phalanx. Splinting was applied with the joint in slight flexion.

ISSN:0022-5282    

出版商:OVID    

年代:1983

数据来源: OVID

ISSN:0022-5282    

出版商:OVID    

年代:1983

数据来源: OVID

ISSN:0022-5282    

出版商:OVID    

年代:1983

数据来源: OVID

ISSN:0022-5282    

出版商:OVID    

年代:1983

数据来源: OVID

ISSN:0022-5282    

出版商:OVID    

年代:1983

数据来源: OVID

ISSN:0022-5282    

出版商:OVID    

年代:1983

数据来源: OVID