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| http://dx.doi.org/10.1186/s40981-018-0177-y | DOI Listing |
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Pneumocephalus After Lumbar Epidural Steroid Injection: A Rare Complication With Spontaneous Resolution.
Cureus
November 2024
Internal Medicine, Icahn School of Medicine at Mount Sinai, Queens Hospital Center, New York, USA.
Pneumocephalus is a rare but potentially serious complication of spinal procedures, characterized by the presence of intracranial air. This report presents the case of a 40-year-old female who developed pneumocephalus following a lumbar epidural steroid injection. She presented to the emergency department with a persistent headache, blurred vision, and eye pain, which began shortly after the procedure.
View Article and Find Full Text PDFArthroscopic Reconstruction of the Acetabular Labrum Using an Autograft Hip Capsule.
JBJS Essent Surg Tech
December 2024
Sports Medicine Center, Department of Orthopaedics, Massachusetts General Hospital, Mass General Brigham, Boston, Massachusetts.
Background: Whereas uncomplicated labral tears with preserved fibers can be effectively treated with use of labral repair techniques, complex tears and hypoplastic labra require labral reconstruction. Standard reconstruction techniques feature grafted tissue that is added to existing, deficient tissue or that is utilized to replace a hypoplastic labrum entirely. However, such approaches utilizing allografts or remote autografts are limited because they often necessitate extensive debridement of the existing labrum to prepare a site for graft implantation, an approach that can damage and devascularize the chondrolabral junction.
View Article and Find Full Text PDFHand and Forearm Compartment Syndrome Secondary to Intravenous Infiltration.
J Orthop Case Rep
November 2024
McLaren Flint Hospital, 401 South Ballenger Hwy, Flint, MI 48532.
Introduction: Acute compartment syndrome (ACS) in the hand and forearm is an uncommon yet significant orthopedic crisis. The misplacement or migration of an intravenous (IV) catheter can cause fluid extravasation into interstitial tissues, which is a rare but known cause of ACS. Diagnosis of ACS is usually clinical, but this can be challenging in anesthetized or obtunded patients who are unable to communicate.
View Article and Find Full Text PDFPrehospital Trauma Compendium: Traumatic Pneumothorax Care: Position Statement and Resource Document of NAEMSP.
Prehosp Emerg Care
December 2024
LA County EMS Agency, Santa Fe Springs, California.
Article Synopsis
- EMS clinicians handle traumatic pneumothoraxes, including simple ones that are less severe and tension pneumothoraxes that can lead to serious complications like shock.
- The most common treatment for tension pneumothorax in EMS is needle thoracostomy, but its frequent misapplication and low success rates have raised concerns about its effectiveness.
- The National Association of EMS Physicians conducted a literature review to create evidence-based recommendations for managing traumatic pneumothoraxes, addressing the need for proper decompression techniques and clarifying procedures for open pneumothoraxes.
Removal of the Metaphyseal Screw From Tension Band Constructs After Hemiepiphysiodesis: High Rates of Physeal Tethering and Subsequent Implant Removal.
J Pediatr Orthop
October 2024
Department of Orthopaedics, University of Utah.
Background: Removal of the metaphyseal screw from tension band plate constructs after correction of angular deformity in patients treated with hemiepiphysiodesis has been suggested as an alternative to removing the plate and both screws. While this has the potential benefit of easier implant removal and reinsertion in the event of rebound, there is debate in the literature regarding the benefits and risks of leaving the epiphyseal screw and plate in place.
Methods: Patients treated with hemiepiphysiodesis at the distal femur and/or proximal tibia with tension band plates and screws who underwent subsequent removal of the metaphyseal screw after correction were included.
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