Isolated scaphoid dislocations are extremely rare injuries and are commonly associated with significant ligamentous disruptions. A dorsiflexion-supination force upon the hand consists the commonest mechanism of injury. Different treatment options have been proposed for the management of this uncommon entity, ranging from conservative treatment with closed reduction and casting to a wide range o...

OBJECTIVE To describe the use of renal angiography in the detection of renal vascular injuries following percutaneous nephrolithotomy and to assess the efficacy of endovascular management of these complications. MATERIALS AND METHODS This was a retrospective review of 159 consecutive patients over a period of 12 years from 2005 to 2016 who presented with significant post nephrolithotomy hemor...

Prevention of percutaneous sharps injuries in perioperative settings remains a challenge. Occupational transmission of bloodborne pathogens, not only from patients to health care providers but also from health care providers to patients, is a significant concern. Legislation and position statements geared toward ensuring the safety of patients and health care workers have not resulted in signif...

Complex regional pain syndrome secondary to brachial plexus injury is often severe, debilitating and difficult to manage. Percuteneous radiofrequency sympathectomy is a relatively new technique, which has shown promising results in various chronic pain disorders. We present four consecutive patients with complex regional pain syndrome secondary to brachial plexus injury for more than 6 months d...

Percutaneous repair of the ruptured tendo Achillis has a low rate of failure and negligible complications with the wound, but the sural nerve may be damaged. We describe a new technique which minimises the risk of injury to this nerve. The repair is carried out using three midline stab incisions over the posterior aspect of the tendon. A No. 1 nylon suture on a 90 mm cutting needle approximates...

Posterolateral fractures of the tibial plateau are difficult to address. Malunion can lead early posttraumatic arthritis knee due instability and elevated joint reaction forces. Arthroscopically assisted percutaneous reduction facilitates visualization avoids open approaches either directly from posterolateral or lateral with optional extension via a epicondylus osteotomy. We describe illustrat...

We describe a case of posterior tracheal wall tear managed conservatively with a successful outcome. The presentation of a sudden increase in cuff volume and subcutaneous emphysema presents a challenging management problem requiring careful bronchoscopic and computed tomography delineation and isolation of the injury using a double lumen tube. This case also highlights the vulnerability of the ...

Background CMR is the imaging modality of choice to quantify myocardial injury in studies of cardioprotection. Remote ischemic conditioning (RIC), using transient limb ischemia and reperfusion, is a novel therapeutic intervention, which can protect the heart against acute ischemiareperfusion injury (IRI). Whether RIC can reduce myocardial infarct (MI) size, and improve myocardial salvage in ST-...

A case of hamate dislocation is presented. This is associated with subluxation of the fourth and fifth metacarpi bones with the hamate in a dorsal direction. No other capital or metacarpus injury was involved. The mechanism of injury was a direct crushing force. A close reduction was attempted successfully with percutaneous K-wire fixation. These were removed after 6 weeks and physiotherapy con...