摘要:

A fracture-dislocation of the ankle with fixed anterior displacement of the proximal fibular fragment is reported. The mechanism of this injury was likely eversion of the foot which produced rupture of the deltoid ligament and distal tibiofibular diastasis, and lateral dislocation of the talus. The proximal fibular fragment was probably displaced laterally and returned to a position anterior to the fibular notch of the tibia. This injury was extremely unstable and required open reduction with internal fixation, not only to reduce the anterior displacement of the fibula but also to repair the associated disruption of the syndesmotic ligament and anterior capsule. The key radiographic finding was anterior displacement of the distal fibula seen on the lateral view.

ISSN:0022-5282    

出版商:OVID    

年代:1983

数据来源: OVID

摘要:

Intra-aortic balloon counterpulsation (IABC) is a widely used form of mechanical circulatory assistance. We have successfully employed IABC in three patients with refractory cardiogenic shock secondary to cardiac contusion. All patients had multiple blunt injuries with cardiac contusion documented electrocardiographically, by CPK isoenzyme determinations, and clinically. IABC was instituted for hypotension refractory to vasoactive drugs and optimization of intravascular volume status. Cardiac output and blood pressure rose in all cases and fewer ventricular arrhythmias were noted. Discontinuation of IABC was possible within 48 hours in all cases with adequate cardiac performance. We conclude that IABC is a useful approach in the treatment of refractory cardiogenic shock associated with cardiac contusion.

ISSN:0022-5282    

出版商:OVID    

年代:1983

数据来源: OVID

摘要:

We report a patient who developed pneumoperitoneum after cardiopulmonary resuscitation. Ten cases have been reported in the literature. Despite the patient's serious condition, celiotomy was performed to rule out perforation of a hollow viscus and none was found. The likelihood of visceral perforation in this setting is high and despite increasing recognition of pneumoperitoneum that does not require surgical intervention, nonoperative management should not be entertained in this setting unless visceral perforation can be excluded.

ISSN:0022-5282    

出版商:OVID    

年代:1983

数据来源: OVID

摘要:

A case of axillary artery injury resulting from a minimally displaced fracture of the neck of the humerus is reported. Very few such injuries have been reported previously. The mechanism of injury can be from sharp bony fragments, overstretching of the artery especially when atheromatous, or torn intima. Angiography should be performed, followed by exploration where indicated.

ISSN:0022-5282    

出版商:OVID    

年代:1983

数据来源: OVID

摘要:

A case of luxatio erecta associated with a fracture of the greater tuberosity and a mixed nerve lesion is presented. The arm is abducted with the elbow flexed and the hand above the head, and there are creases on the shoulder. Reduction may be accomplished by upward traction on the extended arm with countertraction on the top of the shoulder and carrying the arm through an are to the side of the body.

ISSN:0022-5282    

出版商:OVID    

年代:1983

数据来源: OVID

摘要:

A three-part clavicle fracture not previously described is presented. Treatment of distal clavicle fractures is reviewed, and operative treatment for this type of fracture is recommended. A 3/32 K-wire is inserted under direct vision and X-ray control. The acromioclavicular joint is not entered, and the wire is bent 90° at its distal tip and removed once the fracture has united. In the case reported full use was possible in 6 months.

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