We present a case of avulsion of a large fragment of the ischial tuberosity in an elderly lady, caused by an extreme abduction of the hip. To our knowledge such an injury has not yet been described in the elderly. The decision to operate was based on the reported experience with this injury in young individuals. We assumed that the same indications applied, while also taking into account the kn...

Marginal fractures of the medial tibial plateau have been reported in the literature as a secondary type of Segond fracture. Some reports described this entity in the setting of combined injuries such as root avulsions of the medial meniscus, complete disruption of the posterior cruciate ligament (PCL), partial tear of the anterior cruciate ligament (ACL), and tears of the medial meniscus and m...

This paper has investigated the hypothesis that spinal root avulsion (SRA) injury produces alterations in blood flow that contribute to avulsion injury induced pain-like behaviour in rodents. Photoplethysmography (PPG) is an established way of assessing blood flow in the central nervous system (CNS) and laser Doppler flowmetry (LDF) is the most widely used technique for measuring tissue perfusi...

351 A seven‐year‐old male patient with sudden onset loss of vision in the left eye immediately after blunt trauma to the left eye following a fall from stairs presented to us three days after the trauma. History of epistaxis was present, although there was no history of loss of consciousness, vomiting, or convulsions. On examination, the left eye had a subconjunctival hemorrhage. Orbital emphys...

Injury to the optic nerve leading to optic atrophy may be direct or indirect. Direct injury may result from laceration of the nerve fibres by a missile or sharp instrument penetrating the orbit, by a displaced fragment of bone in fracture of the optic canal, or by avulsion of the nerve at the globe. Indirect injury is well recognized in contusion injuries of the head, especially the brow, and i...

OBJECTIVE To estimate the risk of prolapse associated with levator avulsion injury among a urogynaecological clinic population. DESIGN Retrospective observational study. SETTING Tertiary urogynaecological unit. SAMPLE A total of 934 women seen for interview, examination using the pelvic organ prolapse quantification (POP-Q) staging system and imaging of the levator ani muscle by four-dime...

OBJECTIVE Levator avulsion is common after vaginal delivery and is strongly associated with prolapse and prolapse recurrence. The aim of this study was to compare assessment by digital palpation and two ultrasound methods, one using rendered volumes and the other multislice imaging, for the diagnosis of levator avulsion. METHODS We retrospectively analyzed randomly identified datasets of 266 ...