Irreducible Tibial Pilon Fracture Treated with Single-Stage Closed Ilizarov Fixation and Gradual Correction: A Case Report.

Case: A young polytrauma victim of a road traffic accident was diagnosed with comminuted articular fracture of the left distal tibial pilon and open segmental fracture of the fibula. The comminuted distal tibial metaphysis was translocated into the interosseous space and, hence, was irreducible. He underwent single-stage closed Ilizarov device stabilization and gradual postoperative closed reduction to obtain good functional outcome at 9 months.

Medial three-finger drop in high-energy forearm trauma: An unrecognized peripheral nerve injury. A report of two cases.

Case: Absent active extension at metacarpophalangeal (MCP) joints of medial three fingers with intact extension of index finger and thumb following high energy forearm trauma due to recurrent branch of posterior interosseous nerve (RBPIN) injury has not been reported yet. The aim is to highlight an unrecognized sequel of a commonly encountered forearm trauma in two patients who sustained fractures around the elbow and forearm.

Conclusion: In the acute traumatic setting, medial three-finger drop due to RBPIN injury can be missed or misdiagnosed.

Is there an optimal timing of administration of single-dose intravenous tranexamic acid in bilateral total knee arthroplasty? A comparison between preoperative and intraoperative dose.

Purpose: There is no consensus on the optimum timing of administration of tranexamic acid (TA) in bilateral total knee arthroplasty (TKA). We aimed to determine whether the timing of administration of single-dose intravenous TA (either given preoperatively or intraoperatively) has a significant effect on blood loss reduction.

Methods: We compared two cohorts of patients with end-stage arthritis of knees who underwent bilateral TKA and were given single-dose intravenous TA (1 g or 15 mg/kg) at different times during surgery.

Lumbosacral Transitional Vertebra-Related Low Back Pain: Resolving the Controversy.

Study Design: Case control study.

Purpose: The association of lumbosacral transitional vertebra (LSTV) with low back pain (LBP) is controversial, as is the role of occupational physical activity and radiological spinal abnormalities suggestive of other spinal disorders (OSDs) such as spinal degeneration and instability. This study aimed to determine if any association of LSTV with LBP exists.

Compressive Ulnar Neuropathy Due to a Ganglion Cyst and Thickened Cubital Tunnel Retinaculum Fifty Years After Osteomyelitis Variolosa of the Elbow: A Case Report.

Case: Ulnar neuropathy developed acutely in a fifty-four-year-old man with an arthritic and deformed elbow as the result of osteomyelitis variolosa, a complication of smallpox, which he contracted at the age of five years. Intraoperatively, a ganglion cyst arising from the joint and a pathologically thick cubital tunnel retinaculum were found to be compressing the nerve. Surgical excision of the ganglion, release of the cubital tunnel retinaculum, and anterior transposition of the ulnar nerve resulted in substantial clinical improvement at one year.

Coexisting Upper Lumbar-Disc Herniation and Lumbosacral Radiculoplexus Neuropathy: A Diagnostic Challenge: A Case Report.

Case: An elderly man presented with nontraumatic, acute onset of paralysis of the right quadriceps and the hip flexors, adductors, and abductors without backache or signs of nerve-root tension. Magnetic resonance imaging showed evidence of upper lumbar-disc extrusion with foraminal stenosis as well as right-sided inflammatory lumbar plexitis involving the L2, L3, and L4 nerve roots. However, the pattern of neurological involvement and relatively rapid and full recovery following treatment with parenteral corticosteroids suggested a diagnosis of chemical radiculitis.