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Archive for August, 2011

Unusual Injuries: Dislocation of the ulnar nerve at the elbow in an elite wrestler

31 Aug, 11 | by Emma

A 17 year old wrestler injures his elbow in a fall. He experiences a sharp, shooting, electric-type pain around the medial epicondyle of his left elbow a week later while wrestling.

Clinical examination and investigation reveal no bony abnormality but ultrasonography confirms that the ulnar nerve has moved…

Seema Biswas
Editor-in-Chief

Dislocation of the ulnar nerve at the elbow in an elite wrestler

Unusual Injuries: A near miss – an uncommon injury following a common mechanism

24 Aug, 11 | by Emma

Xray findings are not always easy to interpret – especially of the hand and foot where injuries are easily missed. Specialist input might avert might avert complications of missed injuries and it is not unusual in A+E for what starts as the informal seeking of an opinion to lead to specialist intervention that profoundly alters the clinical management and outcome of an injured patient.

Seema Biswas
Editor-in-Chief

A near miss: an uncommon injury following a common mechanism

The consequences of missing appendicitis during pregnancy

17 Aug, 11 | by Emma

We say in our instructions to authors that there is no need to wait to come across a truly rare condition to write up as a case report. Here is the report a patient with acute appendicitis during pregnancy. We do, indeed, learn more from the discussion of common conditions that present in unusual circumstances and challenges in diagnosis and management that ensue.

Seema Biswas
Editor-in-Chief

The consequences of missing appendicitis during pregnancy

‘Quality and Safety in Medicine’ Series: Gastric ischaemia following a fall

3 Aug, 11 | by Emma

Having an open mind:
This case is of a gentleman with a series of unusual complications of a fall. The patient is managed by sequential teams of doctors of different specialisms and reflects, very much, the workings of the modern NHS. The presentation, alone, is unusual but the treatment at each stage and the response of the teams to each complication is of note. The final decision – urgent laparotomy -reveals all.

Seema Biswas
Editor-in-Chief

Gastric ischaemia following a fall

Video gamer’s DVT

1 Aug, 11 | by Dr Dean Jenkins

A man whose son recently died of a pulmonary embolus  has starting campaigning for increased awareness of the risks of deep vein thrombosis (DVT) from the inactivity brought on by playing computer games.

http://www.bbc.co.uk/news/uk-england-south-yorkshire-14350216

“After my research I saw there was no difference to Chris sitting at a desk on his Xbox and someone on a long-haul flight.

“Sitting still is literally the danger zone. Chris loved to play and would stay up all night.

“Millions of people worldwide are playing these games for hours, and there is a risk.”

See also: Wii knee revisited: meniscal injury from 10-pin bowling.

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