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Renal artery occlusion: surgical intervention
Inlury: the British Journal of Accident Surgery (19871 Vol. 18/No. 5
364
Renal artery occlusion: surgical intervention
Dorsal dislocation
The damage was at first overlooked among other injuries in the abdomen and elsewhere but adequate renal function returned after dialysis for 3 weeks. Biopsy at 4X hours showed infarction and necrosis but some bleeding occurred. Greenholz S. K.. Moore E. E.. Peterson N. E. and Moore G. E. (15%) Traumatic bilateral renal artery occlusion: successful outcome without surgical intervention. ./. Trmrrrnrr26.
The triquetrum was replaced by closed manipulation and after X weeks in plaster the patient returned to heavy rn~inu~ll work and had few complaints. Goldberg B. and Heller A. P. ( lY87) Dorsal dislocation ot the triquetrum with rotary s~jblux~lti~~n of the scaphoid. J. Htrnd .Srtrg. 12A. 119.
Y41.
Fracture and ischaemic necrosis of immature AI> iron railing fell on the hack of the wrist of a
THROMBOEMBOLISM Thrombosis
of the renal artery
Of the Y successful cases reported. 45 had occlusion of both arteries. Thirty-one (of Xi) unilateral occlusions were not relieved by surgical means. Spirnak J. P. and Resnick M. I_. (lYX7) Rcvascularisatio!1 of traumatic thrombosis of the renal artery. Surg. Gynrcof.
mwt.
164. 12.
of triquetrum
scaphoid boy age 5,s.
There was ;I fracture of the triquetral bone. Three months later this had healed but the previously normal looking scaphoid hone showed a proximal deticiencv with a dense margin. I.arson B., Light 7‘. R. and Ogden J. A. (IYX7) Fracture and ischaemic necrosis of the immature scaphoid. J. Har~rl Srwg. 12A, 122.
FRACTURES AND DISLOCATIONS Herbert screw for scaphoid fractures
HAND INJURIES Osteochondritis
dissecans of the lunate
The condition was found in a Ih-year-old previous known injury was ;I fracture of the before. The wrist became painful some time Viegas S. F. and Calhoun J. ii. (lYX7) dissecans of the lunate. J. Nutfd Swq. 12A.
girl whose only forearm 4, years after that. Osteochondritis 130.
Obscure wrist pain Movements of the carpus were studied Huoroscopically and recorded on tape; in some cases ~lrthrog~phy was also used. In 76 per cent of cases the anatomical abnormality wah demonstrated. Demonstrable abnormalities were usually instability, which was usually the result of injury rather than attrition. Hankins F. M., White S. J., Braunstein E. M. and Louis D. S. (1986) Dynamic radiographic evaluation of obscure wrist pain in the teenage patient. J. ~~~11~ Srtrg. llA, X05.
Traction in interphalangeai
joint fractures
The method is sound in principle but cumbersome in practice; it appeared to give good results and was based on skeletal traction applied by elastic bands to a large ring that was embedded in a splint on the forearm and allowed the line of pull to be moved round a wide arc. Schenck R. R. (1YXh) Dynamic traction and early passive movement for fractures of the proximal inte~halangeai joint. J. Hand Surg. IIA. 850.
Locking of metacarpophaiangeal joint A useful reminder that there are more than
Results were good or excellent in X0 per treated for fractures of different ages and technical difhculties were encountered. Ford D. J.. Khoury G.. Hadidi S. E. L., Burke F. D. (lY87) The Herbert screw for acaphoid. J. Bnrw Joint S’urg. 69B, 124.
Complications
of femoral neck fractures
Osteochondral
talus fractures
Four types of lesion occur: complete sepa~ti(~n of the fragment carried a worse prognosis than partial attachment or compression. Results were better if loose fragments were removed early. Pettine K. A. and Morrey B. F. (IYX7) Osteochondral fractures of the talus. J. Bone Joint Surg. 69B. 89.
Osteoehondritis
dissecans of the ankle
Most of 30 patients had mild symptoms and changes 20 years or more after the condition was (~ste~~arthritis was rare. In 2 cases the lesion was not the talus. Bauer M.. Jonsson K. and Linden B. (1987) dritis dissecans of the ankle. J. Bone Joint Stug.
Electromyographic
Three-part
Swg. llA,
X76.
radiological recognized. in the tibia, Osteochon-
698, 93.
Acute compartment syndrome in fracture of distal end of radius Twrt crisesof Colles’s fracture with this unusual c(~tnplicati~~t~. which came on after manipulation with analgesia, are reported. Shall J., Cohn B. T. and Froimson A. compartment syndrome of the forearm in fracture of the distal end of the radius. J. 68A. 1451.
changes after carpal tunnel release
Lunn P. G. and fractures of the
Twenty-five patients aged 15-X) years were followed up for at least 2 years. Five fractures failed to unite and Y heads showed signs of avascular necrosis. The results were worse in the 6 subcapital fractures than in the I9 elsewhere in the neck. Dedrick D. K., MacKenzie J. R. and Burney R. E. (1986) Complications of femoral neck fractures in young adults. f. Trrrrrmr 26, 932.
a few causes of this rather rare condition and that they are usually amenable to a surgical operation. Rankin E. A. and Uwagie-Ero S. (1986) Locking of the metacarpophalangeal joint. J. Hand S’urg. llA, 868.
Motor and sensory conduction was noticeably faster within two weeks. Measurable improvements in grip and pinch took up to Y months. Schurr D. G.. Blair W. F. and Bassett G. (1986) Electromyographic changes after carpal tunnel release. J. Hund
cent of patients severities. Some
fracture of proximal
local
intiltration
1. ( IYXh) Acute association with
Bone Joirlt Swg.
humerus
Fourteen were treated with tension-band wires and one with a buttress plate: the former was preferred when it was practicable. Hawkins R. J., Bell R. H. and Gurr K. (lY8h) The threepart fracture of the proximal part of the humerus. J. Bow J&t kg. 4SA. IdlO.
364
Renal artery occlusion: surgical intervention
Dorsal dislocation
The damage was at first overlooked among other injuries in the abdomen and elsewhere but adequate renal function returned after dialysis for 3 weeks. Biopsy at 4X hours showed infarction and necrosis but some bleeding occurred. Greenholz S. K.. Moore E. E.. Peterson N. E. and Moore G. E. (15%) Traumatic bilateral renal artery occlusion: successful outcome without surgical intervention. ./. Trmrrrnrr26.
The triquetrum was replaced by closed manipulation and after X weeks in plaster the patient returned to heavy rn~inu~ll work and had few complaints. Goldberg B. and Heller A. P. ( lY87) Dorsal dislocation ot the triquetrum with rotary s~jblux~lti~~n of the scaphoid. J. Htrnd .Srtrg. 12A. 119.
Y41.
Fracture and ischaemic necrosis of immature AI> iron railing fell on the hack of the wrist of a
THROMBOEMBOLISM Thrombosis
of the renal artery
Of the Y successful cases reported. 45 had occlusion of both arteries. Thirty-one (of Xi) unilateral occlusions were not relieved by surgical means. Spirnak J. P. and Resnick M. I_. (lYX7) Rcvascularisatio!1 of traumatic thrombosis of the renal artery. Surg. Gynrcof.
mwt.
164. 12.
of triquetrum
scaphoid boy age 5,s.
There was ;I fracture of the triquetral bone. Three months later this had healed but the previously normal looking scaphoid hone showed a proximal deticiencv with a dense margin. I.arson B., Light 7‘. R. and Ogden J. A. (IYX7) Fracture and ischaemic necrosis of the immature scaphoid. J. Har~rl Srwg. 12A, 122.
FRACTURES AND DISLOCATIONS Herbert screw for scaphoid fractures
HAND INJURIES Osteochondritis
dissecans of the lunate
The condition was found in a Ih-year-old previous known injury was ;I fracture of the before. The wrist became painful some time Viegas S. F. and Calhoun J. ii. (lYX7) dissecans of the lunate. J. Nutfd Swq. 12A.
girl whose only forearm 4, years after that. Osteochondritis 130.
Obscure wrist pain Movements of the carpus were studied Huoroscopically and recorded on tape; in some cases ~lrthrog~phy was also used. In 76 per cent of cases the anatomical abnormality wah demonstrated. Demonstrable abnormalities were usually instability, which was usually the result of injury rather than attrition. Hankins F. M., White S. J., Braunstein E. M. and Louis D. S. (1986) Dynamic radiographic evaluation of obscure wrist pain in the teenage patient. J. ~~~11~ Srtrg. llA, X05.
Traction in interphalangeai
joint fractures
The method is sound in principle but cumbersome in practice; it appeared to give good results and was based on skeletal traction applied by elastic bands to a large ring that was embedded in a splint on the forearm and allowed the line of pull to be moved round a wide arc. Schenck R. R. (1YXh) Dynamic traction and early passive movement for fractures of the proximal inte~halangeai joint. J. Hand Surg. IIA. 850.
Locking of metacarpophaiangeal joint A useful reminder that there are more than
Results were good or excellent in X0 per treated for fractures of different ages and technical difhculties were encountered. Ford D. J.. Khoury G.. Hadidi S. E. L., Burke F. D. (lY87) The Herbert screw for acaphoid. J. Bnrw Joint S’urg. 69B, 124.
Complications
of femoral neck fractures
Osteochondral
talus fractures
Four types of lesion occur: complete sepa~ti(~n of the fragment carried a worse prognosis than partial attachment or compression. Results were better if loose fragments were removed early. Pettine K. A. and Morrey B. F. (IYX7) Osteochondral fractures of the talus. J. Bone Joint Surg. 69B. 89.
Osteoehondritis
dissecans of the ankle
Most of 30 patients had mild symptoms and changes 20 years or more after the condition was (~ste~~arthritis was rare. In 2 cases the lesion was not the talus. Bauer M.. Jonsson K. and Linden B. (1987) dritis dissecans of the ankle. J. Bone Joint Stug.
Electromyographic
Three-part
Swg. llA,
X76.
radiological recognized. in the tibia, Osteochon-
698, 93.
Acute compartment syndrome in fracture of distal end of radius Twrt crisesof Colles’s fracture with this unusual c(~tnplicati~~t~. which came on after manipulation with analgesia, are reported. Shall J., Cohn B. T. and Froimson A. compartment syndrome of the forearm in fracture of the distal end of the radius. J. 68A. 1451.
changes after carpal tunnel release
Lunn P. G. and fractures of the
Twenty-five patients aged 15-X) years were followed up for at least 2 years. Five fractures failed to unite and Y heads showed signs of avascular necrosis. The results were worse in the 6 subcapital fractures than in the I9 elsewhere in the neck. Dedrick D. K., MacKenzie J. R. and Burney R. E. (1986) Complications of femoral neck fractures in young adults. f. Trrrrrmr 26, 932.
a few causes of this rather rare condition and that they are usually amenable to a surgical operation. Rankin E. A. and Uwagie-Ero S. (1986) Locking of the metacarpophalangeal joint. J. Hand S’urg. llA, 868.
Motor and sensory conduction was noticeably faster within two weeks. Measurable improvements in grip and pinch took up to Y months. Schurr D. G.. Blair W. F. and Bassett G. (1986) Electromyographic changes after carpal tunnel release. J. Hund
cent of patients severities. Some
fracture of proximal
local
intiltration
1. ( IYXh) Acute association with
Bone Joirlt Swg.
humerus
Fourteen were treated with tension-band wires and one with a buttress plate: the former was preferred when it was practicable. Hawkins R. J., Bell R. H. and Gurr K. (lY8h) The threepart fracture of the proximal part of the humerus. J. Bow J&t kg. 4SA. IdlO.