Proximal Femur Fracture and Vascular Injury in Adults-Case Report.

Vascular complications in the surgical treatment of hip fractures are rare. Depending on the arterial injury, severe intraoperative bleeding or a subacute hematoma formation with arterial pseudoaneurysm development can occur. In the literature, the more frequently described complications are large local hematomas after osteosynthesis with sliding hip screws.

Are diaphyseal clavicular fractures still treated traditionally in a non-surgical way?

Objective: To evaluate the decision of orthopedics surgeons regarding which cases they would indicate surgery or non-surgical treatment.

Methods: 20 images of radiographs with fracture in the of the collar bone (AO/OTA 15-B) in anteroposterior view were analyzed, and divided into four groups: group 1 - fracture type AO/OTA 15-B1 without displacement; group 2 - fracture type AO/OTA 15-B1 with displacement; group 3 - fracture type AO/OTA 15-B2; group 4 - fracture type AO/OTA 15-B3. The evaluator was requested to indicate the choice of treatment, surgical or non-surgical.

Where is the true location of the femoral piriform fossa?

Objective: To analyze knowledge of the anatomic location of the piriform fossa using a questionnaire with anatomic figures.

Materials And Methods: Participants taking AO Trauma Brasil courses were requested to complete a questionnaire containing a photograph of the superior surface and a photograph of the lateral surface of the femur and answer a question asking which of four numbered points corresponded to the piriform fossa.

Results: Just 4.

Objective assessment of plaster cast quality in pediatric distal forearm fractures: Is there an optimal index?

Background: Several so-called casting indices are available for objective evaluation of plaster cast quality. The present study sought to investigate four of these indices (gap index, padding index, Canterbury index, and three-point index) as compared to a reference standard (cast index) for evaluation of plaster cast quality after closed reduction of pediatric displaced distal forearm fractures.

Methods: Forty-three radiographs from patients with displaced distal forearm fractures requiring manipulation were reviewed.

Posterior dislocation of the sternoclavicular joint: report of two cases.

The authors report the cases of two young patients who had suffered a sporting accident with posterior traumatic dislocation of sternoclavicular joint. In one of the patients closed reduction was accomplished by keeping the limb in a sling. The second patient, after reduction was done, presented recurrence of the dislocation, thus requiring surgical treatment.