A 33-year-old man presented with penile pain, swelling and ecchymosis after striking his erect penis against his partner's perineum during intercourse. At the moment of injury, he recalled hearing a cracking sound with tearing sensation, followed by instant penile pain and immediate loss of erection. Physical examination revealed a flaccid, swollen and ecchymotic circumcised penis with a butter...

BACKGROUND The invention of the locking plate technology leads to alterations of treatment strategies at metaphyseal fracture sites with the concept of spontaneous remodeling of trabecular bone voids. Whereas trabecular regeneration has been proven in experimental animal studies, no histologic data exist on human fracture healing with special emphasis on bone voids. METHODS In order to qualif...

Summary A 3‐year‐old Thoroughbred mare found recumbent in the field was referred for further assessment with suspicion of a skull fracture. Neurological examination identified compulsive tight circling to left, and hypermetria all four limbs. The obtunded, mild head tilt right, absent menace response right eye decreased facial sensation on right. Standing computed tomographic revealed subtle de...

PURPOSE Ulnar-sided carpometacarpal injuries can be difficult to diagnose radiographically. We hypothesized that the resting position of the normal hand during lateral radiography provides a consistent relationship between the rays and that dorsal subluxation of the metacarpal base in fracture-dislocations increases the angle between the uninjured index and long metacarpals and the injured smal...

To cite: Chahal A, Gupta S, Das C. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2016215385 DESCRIPTION A 32-year-old man presented to our emergency department, with pain, swelling and a dorsal curvature in his penis. He had severe pain and lost tumescence with a snapping sound during vigorous sexual intercourse. On examination, he had a swelling with ecchymosis...

Myocardial Infarction-Ardlie et al. MDCBOURNAL 891 1959), a finding which we have confirmed in this study. This elevation could either wholly or partly account for the longer and heavier thrombi found in patients with myocardial infarction. We do not know whether the factor or factors responsible for the development of large thrombi were present before infarction or merely reflect the results o...

BACKGROUND Generally, scapula process fractures (coracoid and acromion) have been treated nonoperatively with favorable outcome, with the exception of widely displaced fractures. Very little has been published, however, regarding the operative management of such fractures and the literature that is available involves very few patients. Our hypothesis was that operative treatment of displaced ac...

A case of bacterial endocarditis due to a highly resistant strain of Streptococcus faecalis is described. Although some measure of control of infection was obtained by a combined course of fucidic acid and penicillin the condition relapsed immediately the drugs were discontinued. Finally, the intravenous administration of penicillin in doses of 100 mega units daily for 3 months in conjunction w...

We report a case of foreign body presence in the ethmoid sinus cavity with anterior skull base fracture and visual loss. A 42-year-old male had an uncertain history of trauma and a penetrating wound near the left medial canthus. Computed tomography imaging showed a 3.0-cm bottle cap penetrating into the anterior skull base. He underwent foreign body removal, canalicular repair, ethmoidectomy, a...