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This is a coronal CT scan of nose and paranasal sinuses showing fracture of posterior table of left frontal sinus with left frontal lobe pneumatocele and possible csf rhinorrhoea

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Thursday, March 03 2011 @ 02:49 pm IST
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Fracture posterior table of left frontal bone with csf leak | 41 comments | Create New Account
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- indications for surgery: - > 25% of posterior articular surface is involved; - fragment must have a tibial articular surface that is large enough to provide a stable wt bearing surface; - fracture is displaced more than 2 mm; - ankle fracture dislocation w/ posterior malleolar fracture; - posterior subluxation of talus; Preschool - even slightlest posterior subluxation of talus on articular surface of tibia is not acceptable; - if frx prevents reduction of fibula; - valgus tilt of talus in postreduction film may be a relative indication;
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Discussion: - trimalleolar fractures involve frx of the medial and lateral malleoli along w/ a frx of the posterior lip of tibial plafond; - frx fragment results from avulsion by the posterior tibiofibular ligament at its site of attachment to the tibia; - clinical results triamalleolar frxs are generally worse w/ larger fragments involving a larger portion of the tibial plafond; Research Proposal writing service
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