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Bilateral femoral neck fracture in pregnancy- outcome of conservative and operative treatment: a case report

May 10, 2019/in May- Dec 2019 | Volume 5 | Issue 2

Vol 5 | Issue 2 | May-Dec 2019 | page: 11-13 | Hemjit Das, Shyam Sunder. S DOI 10.13107/ti.2019.v05i01.092 Author: Hemjit Das [1], Shyam Sunder. S [1] [1] Department Of Orthopaedics, Assam Medical college and hospital, Dibrugarh, Assam, India-786002. India. Address of Correspondence Dr. Shyam Sunder. S, Department Of Orthopaedics, Assam Medical college and hospital, Dibrugarh, Assam, […]

Galeazzi fracture associated with an ipsilateral fracture of ulna diaphysis and olecrane. A rare lesional association. About a case and review of literature

May 10, 2019/in May- Dec 2019 | Volume 5 | Issue 2

Vol 5 | Issue 2 | May-Dec 2019 | page: 14-16 | Akloa Komlavi Ehlissou Kolima, Bakriga Batarabadja, Kombate, Ayouba Gamal, Akpoto Menssavi Yaovi, Dellanh Yaovi Yannick, Towoezim Tchaa Hodabalo, Abalo Anani Grégoirei DOI 10.13107/ti.2019.v05i01.094 Author: Akloa Komlavi Ehlissou Kolima [1], Bakriga Batarabadja [1], Kombate Noufanangue Kanfitine [1], Ayouba Gamal [1], Akpoto Menssavi Yaovi [1], […]

Bilateral femoral neck fracture in pregnancy- outcome of conservative and operative treatment: a case report

May 10, 2019/in May- Dec 2019 | Volume 5 | Issue 2

Galeazzi fracture associated with an ipsilateral fracture of ulna diaphysis and olecrane. A rare lesional association. About a case and review of literature

May 10, 2019/in May- Dec 2019 | Volume 5 | Issue 2

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Bilateral femoral neck fracture in pregnancy- outcome of conservative and operative treatment: a case report

May 10, 2019/in May- Dec 2019 | Volume 5 | Issue 2

Vol 5 | Issue 2 | May-Dec 2019 | page: 11-13 | Hemjit Das, Shyam Sunder. S

DOI 10.13107/ti.2019.v05i01.092

Author: Hemjit Das [1], Shyam Sunder. S [1]

[1] Department Of Orthopaedics, Assam Medical college and hospital, Dibrugarh, Assam, India-786002. India.

Address of Correspondence
Dr. Shyam Sunder. S,
Department Of Orthopaedics, Assam Medical college and hospital,
Dibrugarh, Assam, India-786002.
E-mail: shyam.arun90@gmail.com

Abstract

Introduction: Transient osteoporosis of pregnancy is usually benign in nature. Rarely serious complication like fragility fracture of neck of femur can occur. Usually idiopathic in nature and self-limiting. So far only 12 such cases and bilateral in only 2 patients have been reported in literature. Since, X-rays are usually avoided in pregnancy this condition is usually missed leading to late diagnosis.
Case report: A 26-year-old primigravida was referred to our institute on her 7th month of gestation with bilateral hip pain and limp. She developed bilateral hip pain on her 5th month of gestation which was progressive in nature. Her radiograph showed bilateral femoral neck fracture. To avoid radiation hazard to the fetus fracture fixation was delayed till caesarean section on her 38th week of gestation. Closed reduction and internal fixation with three CC screws was done for left femur neck fracture. Fixation was planned for right side fracture simultaneously but since the patient did not consent for bilateral surgery she was asked to review after one month for right femur neck fracture fixation. The patient who lost to follow-up showed up after 6 months walking comfortably. Radiological examination showed that in the nonoperated side the fracture united in Varus with shortening of 0.5 cm.
Conclusion: Musculoskeletal problems during pregnancy should not be overlooked. MRI should be used for early diagnosis whenever feasible. Fracture Neck of femur in pregnancy in-spite of delayed diagnosis and treatment has a better prognosis even with conservative treatment.
Keywords: transient osteoporosis, pregnancy, femoral neck fracture, spontaneous healing.

References

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How to Cite this article: Das H, Sunder Shyam. S. Bilateral femoral neck fracture in pregnancyoutcome of conservative and operative treatment: a case report. Trauma International May – Dec 2019: 5(2):11-13.

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Galeazzi fracture associated with an ipsilateral fracture of ulna diaphysis and olecrane. A rare lesional association. About a case and review of literature

May 10, 2019/in May- Dec 2019 | Volume 5 | Issue 2

DOI 10.13107/ti.2019.v05i01.094

Author: Akloa Komlavi Ehlissou Kolima [1], Bakriga Batarabadja [1], Kombate Noufanangue Kanfitine [1], Ayouba Gamal [1], Akpoto Menssavi Yaovi [1], Dellanh Yaovi Yannick [1], Towoezim Tchaa Hodabalo [1], Abalo Anani Grégoirei [1]

[1] Department of Orthopaedic and traumatology Surgery Teaching University Hospital Sylvanus Olympio. Lomé-Togo PO Box. 14148.

Address of Correspondence
Dr. Akloa Komlavi Ehlissou Kolima,
Department of Orthopaedic and traumatology Surgery Teaching University Hospital Sylvanus Olympio. Lomé-Togo PO Box. 14148
E-mail: akloakolima@yahoo.fr

Abstract

Introduction: Tripolar lesions of the thoracic limb are rare. We report a rare a Galéazzi fracture associated with an ipsilateral fracture of ulna and olecranon in a 45-year-old patient. Surgical management has been delayed due to limited resources of the patient.
Case presentation: It was a 45-year-old man admitted in our emergency after a fallen on bicycle. He presented a fracture of olecranon, shaft bone fracture of radius and ulnar, and distal radio-ulnar disjunction. The assessment at 18 months has found a consolidation of fractures. The elbow and wrist regained joint range, but we noted a limitation of prono-supination related to radioulnar synostosis. This limitation had no impact on the professional and sporting activities of the patient.
Conclusion: Apart the difficulties to describe mechanism responsible of this complex lesion, the functional prognosis of the limb depends on a correct diagnosis and adequate management. At the last follow-up, the patient was satisfied with the result obtained. Longer term follow-up will allow us to determine the issue of this complex lesion in this patient. For the moment patient is not complained so wejust wait and see.
Keywords: Galeazzi fracture, distal radioulnar disjunction, fractures, forearm, olecranon.

References

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4. Sang BK, Youn MH, Yi JW, Le JB, Lim BG. Shaft Fractures of Both Forearm Bones: The Outcomes of Surgical Treatment with Plating Only and Combined Plating and Intramedullary Nailing. Clinics in Orthopedic Surgery. 2015; 7(3): 282-290
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6. Asadollahi S, Shepherd D, Hau RC. Elbow Fracture-Dislocation Combined with Galeazzi Fracture in Adult: A Case Report and Literature Review. International Journal of Surgery Case Reports. 2013 ; 4: 748-52.
7. Abalo A, Akloa KK, Dellanh YY. Elbow Dislocation with Ipsilateral Galeazzi Fracture: A Case Report. Open Journal of Orthopedics. 2016; 6: 276-82.
8. Droll KP, Perna P, Potter J, Harniman E, Schemitsch EH, McKee MD. Outcomes Following Plate Fixation of Fractures of Both Bones of the Forearm in Adults. J Bone Joint Surg. 2007; 89(12): 2619-24.
9. Mikiéla A, Abiome R, Obiang Enguié AC, Mba Angoué JM, Diawara M. Treatment of diaphyseal fractures of the forearm in the adult by pinning of the ulna and plate of the radius (A prospective study of 27 cases). Tun Orth. 2015; l7 (1): 21-24.
10. Khemiri CH, Rebhi T, Hidoussi O, Maalla R, Kanoun ML, Ben Dali N. osteosynthesis diaphyseal fractures isolated of Ulna. Intramedullar nailing or screwed plate ?Tun orthop. 2012; 5: 56-60.
11. Abalo A, Dossim A, Assiogbo A, Walla A, Ouedraogo A. intramedullary fixation using kirschner wires for forarm fractures: a developing country perspectives. J Ortho Surg. 2007; 15: 19-22.
12. ogoua RD, Traore M, Kouamé M, Mambo M, Yépié A, Anoumou M. racking centromedullary bones of the forearm in adults. J Afr Chir Orthop Traumatol. 2018; 3 (1): 15-20.
13. Ikeda M, Fukushima Y, Kobayash Y, Oka Y. Comminuted fractures of the olecranon management by bone graft from the iliac crestand multiple tension-band wiring. The journal of bone and joint surgery. 2001; 83 (6): 885-88.
14. Reckling FW. Unstable fracture-dislocations of the forearm (Monteggia anGaleazzi lesions). J Bone Joint Surg Am. 1982; 64:857–63.
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How to Cite this article: Kolima AKE, Batarabadja B, Kombate NK, Gamal A, Yaovi AM, Yannick DY, Hodabalo TT, Grégoirei AA. | Galeazzi fracture associated with an ipsilateral fracture of ulnaire diaphysis and olecrane. A rare lesional association. About a case and review of literature. | Trauma International| May – Dec 2019; 5(2): 14-16 .

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Bilateral femoral neck fracture in pregnancy- outcome of conservative and operative treatment: a case report

Galeazzi fracture associated with an ipsilateral fracture of ulna diaphysis and olecrane. A rare lesional association. About a case and review of literature

Bilateral femoral neck fracture in pregnancy- outcome of conservative and operative treatment: a case report

Galeazzi fracture associated with an ipsilateral fracture of ulna diaphysis and olecrane. A rare lesional association. About a case and review of literature

Full Sized Blog Element (Big Preview Pic)

Bilateral femoral neck fracture in pregnancy- outcome of conservative and operative treatment: a case report

Author: Hemjit Das [1], Shyam Sunder. S [1]

Abstract

References

(Abstract)(Full Text HTML) (Download PDF)

Galeazzi fracture associated with an ipsilateral fracture of ulna diaphysis and olecrane. A rare lesional association. About a case and review of literature

Author: Akloa Komlavi Ehlissou Kolima [1], Bakriga Batarabadja [1], Kombate Noufanangue Kanfitine [1], Ayouba Gamal [1], Akpoto Menssavi Yaovi [1], Dellanh Yaovi Yannick [1], Towoezim Tchaa Hodabalo [1], Abalo Anani Grégoirei [1]

Abstract

References

(Abstract)(Full Text HTML) (Download PDF)

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