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Unusual Injuries

The case of Surfer’s Eye

28 Mar, 14 | by Kristy Ebanks

We have a very interesting image for you but, can you answer the questions below?

DP2

1. What does the image of the eye show?
2. What is your differential?
3. How would you make a diagnosis?

If you don’t know the answers or want to know more read “A Radical Treatment for Surfer’s Eye

Unusual Injuries: Cerebral laceration with stiletto

5 Oct, 11 | by Emma

A 43 year old woman is injured after being stamped on the head with a stiletto. After initial treatment for a laceration to the eyelid she returns a month later with diplopia and headaches. There was more to this injury…

Seema Biswas
Editor-in-Chief

An unexpected injury – cerebral laceration with stiletto

Unusual Injuries: An iliac bone stress fracture in a basketball player

21 Sep, 11 | by Emma

A basketball player complains of pain in the right iliac region at the end of the basketball season. Clinical examination and Xray confirms a stress fracture. The literature suggests that 6% of stress fractures occur in the pelvis.

Seema Biswas
Editor-in-Chief

An iliac bone stress fracture in a basketball player

Unusual Injuries: Ingested bony foreign body abutting thoracic aorta

14 Sep, 11 | by Emma

A 38 year old lady swallows a bone while eating lamb casserole. The bone lodges in the oesophagus 2mm from the aortic arch. Plain X-rays do not show the bone but the CT pictures are impressive…

Seema Biswas
Editor-in-Chief

Ingested bony foreign body abutting thoracic aorta

Unusual Injuries: Complete biceps tendon rupture resulting in radial head subluxation.

7 Sep, 11 | by Emma

A 48 year old gentleman lifts a heavy weight while working and tears the biceps tendon, subluxing the radial head. He loses the ability to pronate and supinate. Although, more common in children, this is a rare pattern of injury in adults. The authors describe investigation and management with some interesting images.

Seema Biswas
Editor-in-Chief

Complete biceps tendon rupture resulting in radial head subluxation.

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

Unusual Injuries: Locked bucket-handle tears of both medial and lateral menisci with simultaneous anterior cruciate and medial collateral ligaments injury

15 Jun, 11 | by Emma

The authors present a virtually unheard of case of BILATERAL (medial and lateral meniscus) locked bucket handles tears in the same knee. The patient had a signficant injury with associated ACL and MCL involvement; nonetheless, the finding of locked bucket handle tears is very unusual and the picture is amazing. It is unfortunate that both menisci were not repairable; nonetheless, the author’s describe how they managed this challenging injury…

Mark Hutchinson
Reviewer

Locked bucket-handle tears of both medial and lateral menisci with simultaneous anterior cruciate and medial collateral ligaments injury

Unusual Injuries: Traumatic hand amputation while wakeboarding

8 Jun, 11 | by Emma

We receive numerous reports of patients with unusual injuries with spectacular images and unexpected complications. Here is the first in a selection…

Amputation of a limb as a result of it being caught in a loop of rope is a well recognised hazard in heavy industry (eg. the deep-sea fishing industry). This case illustrates that it can also occur as a result of a sporting injury.

Traumatic amputations are rare in civilian practice and we need to look to the experience of the military for their management. An equally important lesson is that doctors should be concerned with injury prevention. This case should be publicised to water-sports enthusiasts who need to develop fail-safe methods of indicating when it is safe to start powerful machines.

Henry Guly
Reviewer

Traumatic hand amputation while wakeboarding

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