RESUMEN

Irreducible dorsal dislocations of the distal interphalangeal joints of the fingers are uncommon injuries. They are almost always the result of an athletic injury. Although usually open, these can be subtle, closed injuries. Proper diagnosis requires clinical awareness and mandatory roentgenograms of all interphalangeal joint injuries.

Asunto(s)

Traumatismos de los Dedos/diagnóstico por imagen , Luxaciones Articulares/diagnóstico por imagen , Adulto , Traumatismos de los Dedos/cirugía , Fútbol Americano/lesiones , Humanos , Luxaciones Articulares/cirugía , Masculino , Radiografía

RESUMEN

Exertional leg pain may be secondary to a variety of problems. A systematic approach to patients with such pain allows early, accurate diagnosis. Noninvasive techniques allow the differentiation between claudication due to vascular disease and that due to spinal stenosis.

RESUMEN

A case of open dislocation of the interphalangeal joint of the thumb is presented. The anatomy of the injury is discussed as well as treatment options. In the 26-year-old male patient reported, hyperextension and rotation of the distal phalanx resulted in volar plate avulsion and ulnar displacement of the flexor pollicis longus. At operation the volar plate, which was blocking reduction, was repositioned through a dorsal incision as the flexor tendon was replaced in its correct position. Recovery has resulted.

Asunto(s)

Luxaciones Articulares/diagnóstico , Pulgar/lesiones , Adulto , Humanos , Luxaciones Articulares/cirugía , Masculino , Pulgar/cirugía

RESUMEN

This article presents a case of fracture of the proximal tibial epiphysis. The diagnostic value of stress roentgenograms is discussed, featuring the use of tomography. Potential complications and treatment options also are discussed.