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Glasgow Coma Scale) No focal neurological deficit No painful distracting injuries Both of these clinical decision rules have shown a good sensitivity in the range of 90% to 100% in several large prospective cross-sectional studies. In
Academic Department of Trauma and Orthopaedics, LGI, University of Leeds, UK
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NIHR Leeds Biomedical Research Center, Chapel Allerton Hospital, Leeds, UK
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-Camille includes four different types of fractures with different risks of neurologic lesions, types I and II being the most common (93%), types III and IV less common (7%) ( Fig. 3 ). 27 Isler also classified sacral fractures following the location criteria
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neurological injury. Diagnosis The knee dislocation may be associated with fractures, and plain radiographs should be supplemented with computed tomography (CT) where indicated. Magnetic resonance imaging (MRI) is indicated in all multi
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lesions in unstable fractures in the vertical plane or in transforaminal fractures of the sacral ala. The most frequent neurological injuries are to L4 and L5 roots, followed by the superior gluteal nerve. 1 , 2 Pelvic deformity causes important
School of Medicine, University of Belgrade, Serbia
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School of Medicine, University of Belgrade, Serbia
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useful in detecting the location of an injury, co-existing pathologies and neurological diseases when a nerve lesion is suspected. 42 , 43 Treatment Treatment of radial nerve palsy can be either non-operative or operative. Non
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Introduction Acute compartment syndrome (ACS) of the lower leg is a condition in which muscle intra-compartmental pressure (ICP) rises above a level which may cause irreversible muscle and nerve lesion ( 1 ). The development of muscle and
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It represents a continuum from asymptomatic superficial lesions, through to occult gastrointestinal bleeding causing anaemia and clinically significant overt gastrointestinal bleeding. 9 , 11 Endoscopic studies have identified that 74–100% of
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femoral neck or head. After evaluation of the limb position, a rapid neurovascular examination on this leg should be performed, including pulses, capillary refill and skin temperature. The neurological status of the limb should be assessed meticulously, as
