Background: Missed fractures in the emergency department (ED) are common and may lead to patient morbidity.
Aim: To determine the rate and nature of radiographic discrepancies between ED treating physicians, radiologists and trauma/orthopaedic surgeons and the clinical consequences of delayed diagnosis. A secondary outcome measurement is the timeframe in which most fractures were missed.
Purpose: We hypothesized that taping results in better short-term functional outcome and comparable redislocation rates.
Methods: In a prospective randomised clinical trial, 18 patients with a primary patellar dislocation ≥18 years old without accompanying fractures or previous surgery to the knee were included. After 1 week of dorsal splinting, they were randomized into two groups: taping and cylinder cast immobilization.
Ned Tijdschr Geneeskd
September 2010
A laparoscopic tubectomy in the lithotomy position was performed on a healthy 31-year-old woman, as treatment following an extra-uterine pregnancy. The operation proceeded without complications and took 60 minutes. However, on the third day following surgery the woman was diagnosed with compartment syndrome, which was treated with three-compartment fasciotomy.
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