We present the rare complication of an axillary artery injury associated with an anterior dislocation of the humerus and what we believe to be the first reported periosteal sleeve avulsion of the entire rotator cuff (SARC). We review the literature and discuss the cause of this unusual injury pattern.
A complete brachioradialis tendon rupture, as an isolated incident, is extremely rare. Consequently, there is little to no literature on how this can occur and how to treat it. We present the case of a 44-year-old male with a complete, closed brachioradialis tendon rupture following a waterskiing accident. The clinical, imagining and operative findings are outlined alongside management and final outcomes. Our case highlights the effectiveness of a combined surgical and staged physiotherapy approach, for the management of a complete, closed brachioradialis tendon rupture, in an otherwise healthy man.
The Outerbridge-Kashiwagi procedure, or ulnohumeral arthroplasty, was described in 1978 as a method of treating elbow arthritis by creating a fenestration in the olecranon fossa. This fenestration diminishes the likelihood of recurrent spurs in the olecranon fossa and coronoid fossa, without loss of structural bony strength. Arthroscopic techniques have now been developed to perform this procedure. We describe an efficient method of creating the fenestration between the olecranon fossa and coronoid fossa during an arthroscopic ulnohumeral arthroplasty, or Outerbridge-Kashiwagi procedure, that also reduces the amount of residual bone debris produced during the resection.
Abdominal pregnancy is a rare variant of ectopic pregnancy which occurs when the gestational sac is implanted outside the uterus, ovaries and fallopian tubes. It constitutes approximately 1% of ectopic pregnancies, 1 and has a reported incidence of one in 2200 to one in 10,200 of all pregnancies, and one in 6000 births. 2 While abdominal pregnancies may reach term the fetal mortality rate varies from 30% to 95% 3,4 and the maternal mortality rate can be as high as 20%. 2 The fetal abnormality rates range from 30% to 100%, most of which are secondary to oligohydramnios and a constricted extrauterine environment, such as lung hypoplasia and pressure related deformities. 2 Hence, with the high risk to the mother and the improbability of a normal, viable fetus, immediate termination and removal of the pregnancy is advisable. Although successful non-surgical management of abdominal pregnancy has been reported, 5 surgical management is usually required. While this is traditionally done via a laparotomy, there have been five cases of laparoscopic management of abdominal pregnancy reported in the English literature.We report the identification and laparoscopic management of an early primary abdominal pregnancy. To the best of our knowledge, this is the first report in Australia of an abdominal pregnancy managed laparoscopically.
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