1/2. osteopetrosis in trauma.A 19-year-old male with a bone disease that predisposes to pathological fractures was involved in an automobile accident. Although the physician must always look for multiple injuries in any trauma patient, this case illustrates that in the patient with bone disease, the probability of multiple fractures is extremely high. The differential diagnosis of dense-bone disease is discussed as are considerations relevant to caring for the trauma patient with bone disease.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
2/2. Two consecutive rib stress fractures in a female competitive swimmer.We present a case of two consecutive stress fractures in a female swimmer. The diagnosis of the present stress fracture of the ninth rib was based on clinical history and examination and on a new fracture line and callus formation seen in consequent conventional radiographs. Based on the clinical history and radiography, the patient had suffered another rib stress fracture in the fifth rib 15 months earlier. No external trauma had preceded either of the fractures, and no secondary cause of stress fracture was found. Her anatomical and biomechanical characteristics and training errors seem to have been responsible for the stress fractures. sports physicians should be aware of rib stress fractures. With prompt diagnosis the rest period is short.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |