Identification and treatment of atypical acetabular fractures having an independent acetabular roof fragment: Three-column fractures.

Introduction: A unique type of both-column fracture of the acetabulum that also has an independent roof fragment seems to occur relatively often. It is challenging to diagnose, thus our ability to detect it and its frequency are not known. This led us to analyze a database of acetabular fractures to 1) determine the incidence of this type of fracture, 2) describe its radiological characteristics, 3) attempt to set out a specific treatment strategy.

Intramuscular venous malformations of the calf: Surgical treatment outcomes of 57 patients.

Objectives: To report the outcomes of surgical treatment of calf intramuscular venous malformations (IMVMs) on pain, functional limitation, and quality of life.

Methods: We retrospectively reviewed 57 consecutive patients who had surgery for IMVM of the posterior compartment of the leg between 2010 and 2015. Treatments were all done at a single institution.

Surgical Treatment of Venous Malformations of the Knee: Treatment Outcomes for 35 Patients.

Background: The place of open surgery in venous malformations (VMs) of knee joint is still discussed. The aim of this study was to evaluate the benefits of surgery in terms of pain, function, and quality of life.

Design: This was a retrospective observational study.

Standardized three dimensional computerised tomography scanner reconstructions increase the accuracy of acetabular fracture classification.

Purpose: Evaluate the role of four standardized 3D reconstruction views in the accurate diagnosis of acetabular fractures.

Materials And Methods: Thirty-five acetabular fracture cases were selected from a tertiary centre database. Fourteen reviewers with different experience level evaluated this set of images which were provided in axial 2D views and multiplanar reconstruction (MPR) without 3D views in the first two readings then the standardized 3D views were added for the subsequent two readings.

A Novel Technique of Ilio-Portal Venous Bypass to Relieve Symptoms of Pelvic Vein Congestion in a Patient with Inferior Vena Cava Agenesis.

A 37 year old man known to have inferior vena cava agenesis, presented to our center with severe symptoms of pelvic venous congestion. Surgical approach was attempted by creating a bypass between the right external iliac vein and the portal vein using an autogenous venous bypass (superficial femoral vein). Over a three year follow up, the bypass remained patent with complete resolution of symptoms.

Craniocervical arterial dissection: spectrum of imaging findings and differential diagnosis.

Craniocervical artery dissection is a potentially disabling yet probably underrecognized condition that often occurs in young and middle-aged adults. Accurate and prompt diagnosis of this condition is crucial because timely and appropriate therapy can significantly reduce the risk of stroke and long-term sequelae. Because of the great diversity in the clinical features of craniocervical artery dissection, imaging plays a primary role in its diagnosis.

Spontaneous dissection of branch renal artery- is conservative management safe and effective?

Purpose: We analyzed the long-term results of conservative management for spontaneous branch renal artery dissection.

Materials And Methods: In the last 6 years 8 patients were treated for acute spontaneous branch renal artery dissection at our department. The diagnosis was established by angiography, which showed primary branch artery dissection in all cases.

Cerebral venous thrombosis and multidetector CT angiography: tips and tricks.

Because of the great diversity of clinical features, its unforeseeable evolution, and a small proportion of cases that will worsen in the acute phase, cerebral venous thrombosis must be diagnosed as early as possible so that specific treatment can be started, typically transcatheter thrombolysis or systemic anticoagulation. Unenhanced computed tomography (CT) is usually the first imaging study performed on an emergency basis. Unenhanced CT allows detection of ischemic changes related to venous insufficiency and sometimes demonstrates a hyperattenuating thrombosed dural sinus or vein.

Totally laparoscopic assisted thoracic aorta endograft delivery by direct sheath placement into the aorta.

This report describes the treatment of a descending thoracic aortic aneurysm with an endograft introduced through the infrarenal aorta by using the laparoscopic technique. The indication for infrarenal aorta access was the existence of heavy calcifications and stenosis of the both iliac arteries. We report what we think to be the first totally laparoscopic assisted thoracic aorta endograft delivery by direct sheath placement into the aorta.