This article reports the use of elastic suture as an adjuvant in surgical wound closure caused by decompressive fasciotomy after compartment syndrome associated with a compound fracture of the tibia. Widely used in other medico-surgical specialties, this technique is unusual in orthopedics surgery, but the simplicity of the procedure and the successful outcome observed in this case allows for i...

We report a case of a 21 year old girl who presented with sudden onset of abdominal, back and bilateral leg pain, paralysis with unexpected collapse at home. Physical examination was suggestive of acute aortic occlusion. CTangiogram revealed multi-system thrombo-embolic shower. She proceeded to urgent aortic thrombectomy and fasciotomy of the bilateral lower limb. Further investigation revealed...

Key Points: • Complex suspensory injury includes a plethora of ligamentous and associated bony abnormalities. • Accurate diagnosis is confirmed with selective “sub-carpal” and “sub-tarsal” regional perineural analgesic techniques and elimination of distally located limb injuries. • Surgical management includes one or combination of fasciotomy, neurectomy, and bone marrow (stem cell) or other no...

We describe a case of well leg compartment syndrome following unilateral lithotomy position in a patient undergoing contralateral antegrade intramedullary femoral nailing. Following two-incision four compartment fasciotomy, the patient recovered with no residual defects. We dissuade use of the hemilithotomy position for antegrade femoral nailing procedures in favour of another previously descri...

A 3-year-old boy was admitted to the emergency department with right lower limb pain, edema, and livedoid discoloration that occurred immediately after intramuscular injection of benzathine penicillin. The patient was diagnosed with Nicolau syndrome, a rare complication of intramuscular injection presumed to be related to the inadvertent intravascular injection. It was first reported following ...

abstract traumatic rupture of the distal biceps tendon is rare. conservative treatment can result in reduced flexion and supination power with reduced function. this case report emphasizes the need for prompt surgical treatment and describes the possible complications of delayed surgical intervention.