Massive pneumorrhachis, pneumocephalus and pneumoopticus following thoracic trauma and avulsion of the brachial plexus: case report and review of the literature.

A 41-year-old man with injury of right half of the thorax, fractures of the left crural bones and paralysis of the right upper limb was admitted to our hospital. A CT examination at admission revealed bilateral pulmonary contusion and bilateral fluid- and pneumothorax. In addition pneumomediastinum, pneumopericardium, subcutaneous emphysema and pneumorrhachis at the cervicothoracic transition was demonstrated.

[Postpartal atraumatic sacral fracture. A case report and biomechanical comments].

Objective: A case report describing postpartal nontraumatic sacral fracture.

Design: A case report and biomechanical commment.

Setting: Institute of anatomy, 2nd Medical faculty, Charles University at Prague.

[An occult acetabular fracture revealed by magnetic resonance imaging].

The authors describe the case of a 35-year-old man with an injury to the left hip joint. When examined at the surgical ward, the patient complained of pain and restricted motion of the left hip. No traumatic changes in the left hip joint were revealed on X-ray and CT examination.

[Initial experience with magnetic resonance cholangiopancreatography].

Background: Magnetic resonance cholangiopancreaticography (MRCP) is based on heavily weighted T2 sequences (ETSE--echo-train spin echo) with suppression of fat, giving visualisation of slowly flowing or stagnating fluid. MRCP are short sequences in coronary plane with thickness of 8 cm or 4 mm. Retrospective analysis of all MRCP examinations performed during last 12 months is presented.

[Occult bone trauma detected by magnetic resonance imaging].

Authors deal with a case of a 23-year old women presented with a sport-related injury of the left knee joint. Initially seen in the surgical department, patient presented with pain, swelling, and decreased range of motion of the left knee. Conventional radiographs of the left knee showed no evidence of fracture or osseous abnormality, while the puncture of the joint proved haemarthros.

[Magnetic resonance imaging of growth plates nailing of the forearm and leg bones.].

Results of the presented study indicate that MR imaging is a suitable method for demonstration of the abnormalities of the growth cartilage associated with the intramedullary fixation of the long bones of the forearm and leg. MR imaging permits noninvasive evaluation of the cartilage of the growth plate and the demonstration of the osseous bridges and the residual fibrous channels. Key words: osteosynthesis, growth plate, osseous bridge, MR imaging.

[Early differential diagnosis of tumors of the lesser pelvis using an appropriate combination of noninvasive and invasive methods].

One hundred and twenty-three female patients were subjected to ultrasound and CT examinations on account of suspected tumours in the area of the lesser pelvis, or to evaluate the postoperative situation. Twenty-five patients were subjected in addition to the mentioned examinations also to angiography of the pelvic arteries. From comparison of the results of the radiodiagnostic examination and the surgical (histological) diagnosis ensues that in patients with a malignant tumour of the ovaries and uterus and with a benign tumour of the uterus the CT examination gives-more satisfactory results than the ultrasound examination.

[The place of postoperative angiography after vascular reconstruction].

In 284 patients after angioplasty of the aortoiliac vessels postoperative angiography discovered complications in 63 cases (22%), most frequently in case of prostheses at the bifurcation. Late thrombosis was the prime complication. In 221 patients with reconstructions in the femoropopliteal region complications were found in 24.