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Manubriosternal dislocation with spinal fracture： A rare cause for delayed haemothorax

Chinese Journal of Traumatology 2015年第4期18卷 245-248页

作者： Manish Kothari pramod saini Sunny Shethna Samir Dalvie Spine Room 1408. Hinduja Clinic PD Hinduja National Hospital & MRC Mahim Mumbai Maharashtra 400016 India

Type 2 manubriosternal dislocations with concomitant spinal fracture are rare and may be associated with thoracic visceral injuries. The complication of delayed haemothorax has not been reported yet. We report a case of a young male who suffered manubriosternal dislocation with chance type thoracic spine fracture due to fall of a tree branch over his back. The haemothorax presented late on day three. The possible injury mechanism is discussed along with review of literature. We conclude that a lateral chest radiograph is indicated in spinal fracture patients complaining of midsternal pain. Computerized axial tomography scan of chest with contrast is indicated to rule out visceral injuries and a chest radiograph should be repeated before the patient is discharged to look for delayed haemothorax.

关键词： Manubriosternal dislocation Spinal fractures Haemothorax

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Orthopaedic surgeon＇s nightmare： iatrogenic fractures of talus and medial malleolus following tibial nailing

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Chinese Journal of Traumatology 2013年第4期16卷 243-245页

作者： Sanjay Meena Vivek Trikha pramod saini Rakesh Kumar Buddhadev Chowdhary Department of Orthopaedics All India Institute of Medi-cal Sciences (AIIMS) Ansari Nagar New Delhi 110029India

Intramedullary interlocking nailing is the gold standard for treatment of tibial shaft fractures. The growing use of intramedullary nailing has resulted in an increased number of tibial nailing in daily clinical practice. Despite adequate surgeon experience, tibial nailing is not without complications if proper techniques are not followed. A case of iatrogenic talar neck and medial malleolus frac- tures during intramedullary nailing of tibia in a 24-year-old male is reported. It is believed to be caused by forceful hammering of insertion zig with foot dorsiflexed. To the best of our knowledge, no such case has been reported in the literature. It is possible to reduce the risk of this complication by adoption of preventive measures.

关键词： Tibial fracture Talus Fracture fixation, intramedullary

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Nonunion of forearm fracture： a rare instance in a toddler

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Chinese Journal of Traumatology 2012年第6期15卷 379-381页

作者： pramod saini Sanjay Meena Vishal Shekhawat Tanmay S Kishanpuria Department of Orthopaedics All India Institute of Medi-cal Sciences(AIIMS)Ansari NagarNew Delhi 110029India Department of Orthopaedics SMS Medical CollegeJaipurRajasthan 302004

When compared to adults, pediatric frac- tures unite readily and nonunion is quite rare. Nonunion is often associated with open fractures, operative interventions, infection, pediatric osteogenesis imperfecta and neurofibromatosis. There are only a few studies and reports mentioning nonunion following conservative ma- nagement of closed pediatric fractures. We report here a case of an eighteen-month-old child who developed non-union following treatment of fracture of both forearm bones with cast and was successfully treated with plating. To the best of our knowledge, this is the youngest reported case of nonunion following conservative management of closed diaphyseal pediatric fracture.

关键词： Forearm Fractures, bone Child

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