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Mar 17, 2025Open Access
Background: Fractures of the long bones are becoming increasingly common in our environment, due to the upsurge in road accidents. In low- and middle-income countries such as Cameroon, where universal health coverage is still in its infancy, patients tend to orient their treatment choices according to their financial means. This study aimed to assess the functional outcome of patients with long bone fractures discharged against medical advice at the Yaounde Emergency Center. Methods: We conducte...
Feb 19, 2025Open Access
Introduction: The association of radiocarpal dislocation with enucleation of the semilunate remains a rare injury. It often occurs following violent trauma. Observation: A 25-year-old right-handed patient presented with open trauma to the left hand and wrist. His hand had been forcibly trapped by a car door. Examination revealed a linear wound on the dorsal surface of the hand and a wound on the anterior surface of the wrist. Active bleeding along the radial art...
Oct 28, 2024Open Access
Background: Grading intervertebral disc degeneration (IDD) is important in the evaluation of many degenerative conditions, including patients with low back pain, but data on the pathology in sub-Saharan Africa are limited. The objective of this study is to evaluate the contribution of the T2 turbo spin ultrasound sequence on low-field Magnetic Resonance Imaging (MRI) in the staging of lumbar disc desiccation in hospitals in Kinshasa. Methods: Single-center analy...
Jul 31, 2024Open Access
This study compared Inertial Measurement Unit (IMU) and Optical Motion Capture (OMC) systems in measuring peak ankle angles and Range of Motion (ROM) during Countermovement Jumps (CMJ) and Lateral Skater Jumps (LSJ). Data during these agility movements were analyzed and the ankle angles in pitch, roll, and yaw for the IMU were determined using algorithms which integrated gyroscope data, aligned it with foot flat reference, and fused it with accelerometer-derived inclination angles using a comple...
Jul 10, 2024Open Access
Background: Infections continue to pose a significant challenge in the management of open tibia fractures, and the role of antibiotics in irrigation fluid remains unclear. Objectives: This study aimed to compare the pre- and post-irrigation bacteria colony counts of open tibia fractures in two irrigation groups: Normal Saline Fluid (NSF) and Normal Saline with Gentamicin (NSG). Patients and Methods: Fifty patients with Gustillo-Anderson I and II open tibia fractures were randomly assigned to eit...
Jun 06, 2024Open Access
Background: Surgical management of patellofemoral instability involves various procedures, including tibial tubercle osteotomy (TTO), aimed at improving patellar tracking and reducing stress on the patellar articular cartilage. This study focuses on the long-term outcomes and patient satisfaction following TTO, particularly the Trillat procedure, performed as a standalone surgical intervention for patellofemoral instability. Methods: A retrospective analysis was conducted on patients who underwe...
Apr 17, 2024Open Access
Coracoid process fractures are unusual injuries especially in children. They are frequently associated with additional injuries of shoulder girdle. We report a rare case of fracture of the base of coracoid process associated with a fracture of distal end of the clavicle in an immature skeleton. The diagnosis was confirmed by CT-scan. The fractures were treated by open reduction and internal fixation. Functional outcomes were good. .
The clinical signs of coracoid fracture are not specific and f...
Dec 08, 2023Open Access
Introduction: Distal radius fractures are among the most frequent musculoskeletal injuries, accounting for over 17% of fractures treated in emergency care centers. The primary objective is to promote healing and restore the pre-injury level of functionality. Treatment generally involves two phases: initial care and definitive surgery, where volar locking plates are used to stabilize fractures, presenting a low risk of complications. Personalized rehabilitation plans are crucial in this context. ...
Oct 18, 2022Open Access
The isolated fracture of the posterior margin of the tibia is a rare lesion. Painful swelling at the back of the internal malleolus area remains the main clinical sign. The common experience proves that the fractures of the posterior malleolus occupy a significant proportion of the fractures of the bones of the ankle, isolated fractures of the posterior malleolus, nowadays called fractures of the posterior margin of the tibia are relatively rare. An X-ray of the ankle is sufficient to confirm th...
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