PURPOSE To identify occult pneumothorax with oblique chest X-ray (OCXR) in clinically suspected patients. METHODS In this retrospective study, we examined 1082 adult multitrauma patients who were admitted to our emergency service between January 2016 and January 2017. Clinical findings that suggest occult pneumothorax were rib fracture, flail chest, chest pain, subcutaneous emphysema, abrasio...

This review aims to answer the most common questions in routine surgical practice during the first 48 h of blunt chest trauma (BCT) management. Two authors identified relevant manuscripts published since January 1994 to January 2014. Using preferred reporting items for systematic reviews and meta-analyses statement, they focused on the surgical management of BCT, excluded both child and vascula...

The scapula is a somewhat mobile structure which, although fixed to the thoracic cage both by muscular and skeletal attachments, can change position with regards to the underlying chest wall [1]. The Scapulothoracic position is maintained by both muscles (serratus, rhomboids etc) and the clavicle which itself attaches laterally to the scapula (acromioclavicular joint) and medially to the chest ...

Brachial plexus injuries with intact yet flail limb presents with problems of persistent neuropathic pain and recurrent shoulder dislocations, that render the flail limb a damn nuisance. As treating surgeons, we are faced with the dilemma of offering treatment options, bearing in mind the patient's functional status and expectations. We present a case of a 55-year old housewife with complete br...

Between June 1991 and May 1996 we carried out arthrodesis on 15 patients with flail or partially flail wrists using an AO/ASIF dynamic compression plate (DCP) without a bone graft. The wrist was approached through the second extensor compartment. The minimum follow-up was for 24 months with a mean of 34.2 months. All 15 wrists fused without major complications at a mean of 11.9 weeks. Stabilisa...

Mitral valve prolapse (MVP) is defined as posterior displacement of all or part of MV leaflet(s) beyond MV annulus at least 2 mm into the left atrium (LA) during systole, with or without mitral leaflet thickening, but prolapsed leaflet(s) pointing towards apex in systole [1]. Mitral regurgitation (MR) is a common complication of MVP. Moreover, MVP with flail leaflet(s) is a severe form of MVP w...