BACKGROUND The stump impingement reflex is a subtle bounce to the knee thought to be caused by hamstring contraction when the knee is brought into extension and the torn ACL stump impinges between the distal femur and the tibial plateau. We have studied the diagnostic value of this sign. FINDINGS From Feb 2008-Feb 2009, we audited 30 patients who underwent urgent arthroscopy for acutely locke...

DOI: 10.1590/S1679-45082017AI3882 A 36-year-old woman with a sudden history of low back pain radiating into the right lower extremity. The physical examination revealed paraparesis, saddle anesthesia and urinary incontinence. Magnetic resonance imaging revealed lipoma of the filum terminale (hyperintense sign within the filum terminale) (Figure 1). The patient underwent surgery without delay wi...

Dexamethasone administration prior to tonsillectomy has been shown to reduce morbidity and is part of SIGN guideline 117. We conducted a three-cycle audit of 149 patients to ascertain how well guidelines were being met and introduce a sustainable method to improve compliance. A 3-month audit was conducted to ascertain how many tonsillectomy patients didn't receive pre-operative dexamethasone. E...

Introduction: Endometriosis is a chronic peritoneal disease that may progress as a deep infiltrating lesion involving the posterior compartment of the pelvis. Efforts to improve pre-operative knowledge of the location and extent of these lesions have resulted in the development of Transvaginal ultrasound (TVS) as the first-line imaging modality for extra-ovarian endometriosis. However, various ...

Spontaneous rupture of the kidney as a presenting sign of renal cell carcinoma (RCC) is a rare but potentially lethal condition.'-' We report a case of spontaneous rupture of RCC successfully treated by emergency transcatlheter arterial embolization (TAE) followed by radical nephrectomy. We also discuss the importance of pre-operative TAE as an emerency first aid.

Pneumatosis intestinalis is a radiographic finding that represents a spectrum of conditions ranging from benign disease to abdominal sepsis and death. Along with portal venous gas, it is generally considered an ominous sign prompting emergency operative intervention. We report a rare case showing that nonoperative therapy can be considered in a seriously ill patient with esophageal, gastric and...

This study evaluates the position of the long head of biceps tendon using ultrasound following simple tenotomy, in patients with arthroscopically repaired rotator cuff tears. In total, 52 patients with a mean age of 60.7 years (45 to 75) underwent arthroscopic repair of the rotator cuff and simple tenotomy of the long head of biceps tendon. At two years post-operatively, ultrasound re...

Background:Spleen is commonly injured in blunt abdominal trauma.Eachyear,an average of 25% admissions are for trauma[1].The incidence higher males (M/F:2:1) with a peak between 18 to 34 years old[2].In the last few management splenic injuries both adults and children has shifted towards conservative approach[3]. Materials methods:A hospital based prospective observational study was done 30 pati...

The monitoring system for the course of deforming gonarthrosis based on basis quantitative estimation main disease signs is suggested. Significance a sign evaluated in scores according to used clinical classification osteoarthrosis. There were 23 patients with gonarthrosis. Graphic imaging severity as well efficacy treatment Revealing characteristic types allows control and correct management d...

An older male with multiple medical comorbidities presented to the emergency room after 3 days of worsening right upper quadrant pain. The patient had an elevated white blood cell count and mildly elevated liver functions. Initial ultrasound was equivocal and further imaging with CT scan was obtained. The CT scan was read as suggestive of cholecystitis, however a hepatobiliary scintigraphy (HID...