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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
Service de Chirurgie Orthopédique, Traumatologie et Chirurgie Réparatrice des Membres, Hôpital d’Instruction des Armées Percy, France
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concern polytraumatized patients, who usually require a period of critical care and have sustained various associated neurological and non-neurological lesions from the trauma. Furthermore, the degree of neurological recovery remains uncertain and
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-energy trauma, patients are often relatively young and polytraumatized. They require resuscitation while being investigated for life-threatening lesions. After the hemodynamic stabilization of the patient, one must assess the neurological function of an alert
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
Faculty of Medicine, University of Geneva, Switzerland
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Affidea Centre de Diagnostic Radiologique de Carouge CDRC, Geneva, Switzerland
Department of Surgical Sciences, Uppsala University, Sweden
Department of Neuroradiology, University Hospital Freiburg, Germany
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Medical Research Department, Artanim Foundation, Geneva, Switzerland
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). 15 Fig. 1 Apprehension may be related to a) central nervous system sequelae, b) peripheral neurological, muscular or capsular/ligamentous lesions consecutively to dislocation or c) mechanical instability as micro-movements. Reproduced from
Academic Orthopaedic Department, Papageorgiou General Hospital, Aristotle University Medical School, Thessaloniki, Greece
Centre of Orthopaedics and Regenerative Medicine (CORE) – Centre of Interdisciplinary Research and Innovation (CIRI) – Aristotle University Thessaloniki, Greece
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Gennimatas General Hospital, Cholargos, Athens, Greece
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tendinosis, partial and complete ruptures mean the best management remains inconclusive. Full gluteal tendon ruptures and partial tears that are non-responsive to conservative treatment may be surgically treated. Chronicity of the lesion, the neurologic
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Introduction Bone tumours are more common in children than in adults, being the vast majority benign. So, it is common for an orthopaedic surgeon to face his professional career with bone lesions in children that may raise doubts about whether
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Universitat Autónoma de Barcelona, Spain
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without neurological impairment. Diagnostic imaging Several imaging tests are available to diagnose spinal fracture in injured patients. Plain radiographs and CT scans are usually enough to evaluate stable lesions such as compression fractures or
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retraction of the muscle and the remnant of the tendon ( Fig. 6 ). Its origin is then either retraction, which may appear after some hours, or neurological lesions, which are noted after some weeks. 28 Fig. 5 a) Schema of a B2 rotator cuff lesion
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associated with consequent pathological fracture and neurological impairment which significantly worsen the patient’s quality of life as well as survival. Early recognition of unstable lesions is crucial in the treatment choice, but the evaluation of