1/47. Intra-articular dislocation of the patella: two cases and literature review.Intra-articular dislocation of the patella remains uncommon and is generally thought to be a problem of young adolescent males. This report reminds emergency physicians that it can occur in the arthritic knee, and it should be considered in the differential diagnosis of locked knee in the elderly. Closed reduction should be attempted in these cases, because the dislocation is liable to be held in place by osteophytes rather than impaction of the patella deep in the intercondylar notch and a good functional outcome can be expected.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
2/47. sternoclavicular joint injuries.Injuries to the sternoclavicular (SC) joint are infrequently encountered. However, retrosternal SC joint dislocations are potentially life-threatening injuries which must be recognized by the examining physician and treated as soon as possible. Plain radiography often fails to fully distinguish SC joint injuries, and computed tomography has emerged as the diagnostic modality of choice for defining the injury complex and surrounding injuries. We have encountered 6 cases of SC joint injuries over the past 3 years and describe their presentation and management.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
3/47. Spontaneous globe luxation associated with contact lens placement.PURPOSE: Globe luxation, characterized as the anterior dislocation of the eyeball beyond retracted lids, presents a dramatic clinical picture. It is an uncommon event and can produce anxiety in both the patient and the physician. The purpose of this article is to present a case of spontaneous globe luxation which occurred with attempted contact lens placement. methods: A case report and literature review are presented. RESULTS: Manual reduction of the globe required conscious sedation in the emergency room. Diffuse superficial punctate keratitis resolved completely with no visual sequelae. DISCUSSION: The clinical features, epidemiology, risk factors, complications and treatments of globe luxation are presented. eye care specialists who fit and dispense contact lenses should be aware of risk factors associated with globe luxation. A step-wise plan for management is presented, in hope of limiting patient discomfort, recurrence, and perhaps long-term visual impairment.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
4/47. The posteromedial process fracture of the talus: a case report.Injuries to the ankle tend to be some of the most common injuries seen in practice. Of these ankle injuries, fractures of the posteromedial process of the talus are often misdiagnosed as ankle sprains because of poor visualization on routine ankle radiographs. The examining physician must have a heightened awareness of this injury to accurately diagnose and treat this fracture. Proper treatment could help to lessen the possibility of post-traumatic arthritis to the ankle and subtalar joints. The authors present a case of a fracture of the posteromedial process of the talus, after a medial subtalar dislocation, treated with open reduction and internal fixation with bioabsorbable pins.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
5/47. Evaluation of the patient with neck complaints following tonsillectomy or adenoidectomy.The emergency physician should be cognizant of the potential postoperative complications of tonsillectomy or adenoidectomy. Two unusual cases are presented to illustrate the differential diagnosis of the postoperative complaint of neck stiffness.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
6/47. rehabilitation techniques for ligament injuries of the wrist.The goal of treatment after any wrist injury is a pain-free, stable joint with sufficient strength and mobility to carry out the daily recreational, and occupational tasks required by the individual. Treatment varies considerably depending on the age of the patient, the severity of the initial injury, the operative procedure performed, and the specific guidelines requested by the referring physician.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
7/47. Atlanto-occipital dislocation.Reported is the case of a 29-year-old woman who sustained an atlanto-occipital dislocation (AOD). This patient survived the initial resuscitation to expire some 72 hours later. survival of patients with AOD is being reported with increasing frequency and with good neurologic recovery in many cases. Emergency physicians should be aware of this injury and the methods of initial evaluation and stabilization in order to maximize the potential for patients with these serious injuries. Radiographic features of AOD are outlined and the potential hazards of longitudinal traction are emphasized.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
8/47. Posttraumatic total dislocation of the upper thoracic spine.BACKGROUND: Difficulty in proper visualization of the upper thoracic spine in plain radiographs allows for injuries at this level to be missed, especially in a busy trauma center. This window of error is increased when the patient presents with no symptoms or signs of neurologic or spinal involvement, as upper thoracic dislocations commonly present early. CASE DESCRIPTION: The authors report a 19-year-old girl who developed progressive paraparesis 18 hours following initial presentation with a scalp avulsion injury. Imaging revealed a complete dislocation at T1-T2, with cord compression. Emergency surgical decompression and reconstruction of her spinal column was performed with a 360-degree stabilization. There was immediate neurologic improvement and on follow-up the patient is neurologically normal. CONCLUSIONS: The case highlights the difficulty in visualization of the upper thoracic spine in routine radiographs taken in a casualty setting. Treating physicians should have a low threshold for investigation of cervico-thoracic dislocations. The possibility of a delayed progressive dislocation should be kept in mind when dealing with injuries with a potential for spinal injury.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
9/47. Stress fractures of the tarsal navicular.Tarsal navicular stress fractures present a difficult diagnostic and treatment dilemma for the orthopedic physician of an active individual. patients often complain of diffuse, poorly-defined symptoms and have a paucity of physical findings. Initial diagnostic evaluation often. fails to recognize navicular stress fractures which results in delayed diagnosis and treatment. A bone scan is sensitive in detecting this entity and the clinician should use this examination in any patient who is suspected of having a navicular stress fracture. After a navicular stress fracture is confirmed, a CT scan is required to identify the extent of the fracture. The progression of navicular stress fractures is fairly predictable; treatment can be tailored based on the needs of the individual as well as the stage of presentation. Nonsurgical and surgical options are effective treatments for this disorder.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
10/47. Bilateral traumatic dislocation of testes.Dislocation of the testis is a rare trauma. Its diagnosis depends on the awareness of the physician of its possible occurrence. It is usually a late finding during treatment of a motorcyclist brought to the emergency room because of multiple trauma injury and is sometimes demonstrated in the computerized tomographic (CT) scanning of the pelvis. We encountered bilateral dislocation of testes in a 40-year-old male due to motorcycle accident. color Doppler ultrasonography was helpful in locating the dislocated testicle and detecting its blood flow. CT scans are often obtained to evaluate the associated injuries and to examine the area of the dislocated testis to help identify a rupture. Closed reduction is the initial treatment of choice. Immediate surgical intervention should also be performed when closed reduction has failed.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
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