Differences in the treatment and evolution of acute coronary syndromes according to gender: what are the causes?

Aims And Objectives: The objectives of this study were to analyse the differences in the treatment and the evolution of acute coronary syndromes according to the gender of the patient and to determine the likely causes of these differences.

Background: Epidemiological studies confirm the differences in the course and treatment of acute coronary syndromes according to factors such as gender and age. The factors associated with the observed gender-based differences are not known.

Complete medial dislocation of the first cuneiform: a case report.

Isolated dislocation of the first cuneiform bone is an extremely rare lesion that can usually be diagnosed on plain radiography. Few cases of this injury have been previously described in the literature. The case presented here resulted from a torsion injury and was treated by means of closed reduction with the aid of pointed reduction forceps.

Intradural disc herniation and epidural gas: something more than a casual association?

Study Design: The case of a patient with an intradural disc herniation associated with gas in the spinal canal is presented.

Objective: To alert spine surgeons to this potential association.

Summary Of Background Data: This association was described previously in five patients, a fact that seems surprising given the relative rarity of both intraspinal gas and intradural herniations.

Posterior sternoclavicular dislocation. Report of two cases.

Posterior sternoclavicular dislocation is a relatively uncommon lesion, but must always be considered in the event of trauma to the scapulothoracic area in which initial radiology does not show signs of fracture. Its diagnosis and treatment must be carried out promptly because of the possible serious complications that may occur through the clavicle compressing nearby structures. The authors report two cases, which were diagnosed by CT-scan.

Chronic exertional compartment syndrome of the legs in adolescents.

We present our experience in the management and treatment of chronic exertional compartment syndrome (CECS) of the legs in 23 adolescents. Twenty-one patients were affected in the anteroexternal compartment, one in the deep posterior compartment, and one in both. Seventeen of the patients were in-line competitive skaters; the rest practiced soccer or athletics.

Transverse stress fracture of the patella in a child.

Transverse stress fracture of the patella in a child is an exceptional injury in childhood. Only one case has been previously reported. The present study reports a new case of a 12-year-old boy with anterior knee pain misdiagnosed for 5 months as Sinding-Larsen-Johansson disease who developed sudden anterior right knee pain and pop while running in a soccer match.

L5 root compression caused by degenerative spinal stenosis of the L1-L2 and L2-L3 spaces.

Study Design: A severe bilateral L5 root lesion associated with spinal stenosis at L1-L2 and L2-L3 is described.

Objective: To describe clinical findings and the difficulty in obtaining a correct diagnosis of L5 Root Compression.

Summary Of Background Data: The disorder reported in this study has not been reported previously.

Disc herniation with gas.

Summary Of Background Data: Intradiscal gas is associated with tumors, infection, trauma, therapeutic and diagnostic spinal procedures, deposit illnesses, and disc degeneration. The existence of gas within the spinal canal has been seen on 17 occasions, of which 13 were associated with discal hernias.

Methods: In this study, 19 additional patients with intraspinal gas corresponding to discal hernias are presented, six of whom required surgical treatment.