43 research outputs found
Surgical Treatment of an Unusual Ski Injury: Combined Tibial Fracture With Anterior Cruciate Ligament Avulsion and Segond Lesion
No full textBackground: Alpine skiing is considered to be a high-risk sport due to frequent knee injuries and lower limb fractures. The most common lower limb fracture is tibial shaft fracture, while the most common ligament injuries include anterior cruciate ligament (ACL) or medial collateral ligament tears. An injury rarely described in the literature is the association of a bony leg fracture with an ACL injury and Segond fracture. Indications: While the tibial fracture can be managed with intermedullary nailing and proximal ACL tears can be managed with primary repair, the combination of treatments including fixation of the Segond fracture is uncommon. Technique Description: We report combination treatment with nailing for the tibial fracture, primary repair for the ACL avulsion, and primary fixation of Segond fracture. Results: Simultaneous reduction and fixation of the fracture and stabilization of the knee with ACL and anterolateral ligament repair in a single stage resulted in an excellent outcome with complete healing of tibial fracture, ACL repair, and Segond fixation at final follow-up. Discussion/Conclusion: Even if combined leg fracture associated with ipsilateral ACL tear and Segond fracture is a very rare injury, the described technique based on 1-stage fixation of the 3 injuries is a viable option. This surgical technique can be considered a reparative treatment, with the goal of preserving the joint. Patient Consent Disclosure Statement: The author(s) attests that consent has been obtained from any patient(s) appearing in this publication. If the individual may be identifiable, the author(s) has included a statement of release or other written form of approval from the patient(s) with this submission for publication
Mallet fracture: перелом И.Ф. Буша, перелом W. Busch или перелом P. Segond?
No full textBackground. For several centuries, eponyms have been a convenient means of communication between clinicians. For some eponyms among modern surgeons, controversy over authors priority continues. There is still no consensus on the so-called mallet fracture. In domestic and foreign literature, there are several authors names for this fracture I.F. Bush fracture, W. Busch fracture, P. Segond fracture. The aim of the study is to collect the most reliable information about the history of the eponym of avulsion of the distal phalanx of the fingers at the site of attachment of the extensor tendon, the so-called mallet fracture, to determine and prove the priority of the true author of the eponym. Materials and Methods. A search for information was carried out in domestic and foreign publications, manuals on traumatology and orthopedics, periodicals, Internet resources (eLIBRARY, PubMed, Scholar Google). Results. The list of likely authors of mallet fracture includes three surgeons: Ivan F. Busch (17711843, Russia), Paul Ferdinand Segond (18511912, France), Karl David Wilhelm Busch (18261881, Germany). When analyzing primary sources, it was found that for the first time mallet fracture was described by the French surgeon Paul Ferdinand Segond in 1880. This fact was also recognized by the German surgeon W. Busch, who a year later published an article on this damage. In the well-known Guide to the Teaching of Surgery by Ivan F. Bush, published in the early 19th century, information about a fracture of the distal phalanx of the finger at the site of attachment of the extensor tendon was not found. Conclusion. Taking into account the publications known to date, mallet fracture should be called the Segond fracture.Актуальность. В течение нескольких столетий эпонимы являются удобным средством для общения врачей-клиницистов. По поводу некоторых эпонимов среди современных хирургов не утихают споры в отношении авторского приоритета. До сих пор нет консенсуса по так называемому mallet fracture (молоткообразный перелом). В отечественной и иностранной литературе встречаются несколько авторских названий этого перелома перелом И.Ф. Буша, перелом W. Busch, перелом P. Segond. Цель исследования собрать максимально достоверную информацию об истории возникновения эпонима отрывного перелома дистальной фаланги пальцев кисти в месте прикрепления сухожилия разгибателя, так называемого mallet fracture, определить и доказать приоритет истинного автора эпонима. Материал и методы. Проведен поиск информации в отечественных и иностранных базах данных (eLIBRARY, PubMed, Scholar Google), руководствах по травматологии и ортопедии, интернет-ресурсах. Результаты. В списке вероятных авторов mallet fracture оказались три хирурга: Иван Федорович Буш (17711843, Россия), Paul Ferdinand Segond (18511912, Франция), Karl David Wilhelm Busch (18261881, Германия). При анализе первоисточников установлено, что впервые mallet fracture был описан французским хирургом Paul Ferdinand Segond в 1880 г. Этот факт признавал и немецкий хирург W. Busch, который годом позже опубликовал статью, посвященную данному повреждению. В известном Руководстве к преподаванию хирургии Ивана Федоровича Буша, изданном в начале XIX века, сведений о переломе дистальной фаланги пальца кисти в месте прикрепления сухожилия разгибателя не обнаружено. Заключение. С учетом известных на сегодняшний день публикаций mallet fracture следует называть переломом Segond
Relectures de la Parabole de l´Enfant Prodigue chez André Gide et Autran Dourado
No full textTCC (Graduação) - Universidade Federal de Santa Catarina. Centro de Comunicação e Expressão. Curso Letras de Língua Estrangeira - Francês.Este trabalho tem por objetivo analisar a parábola do filho pródigo que é um tema universal da literatura, a partir de seu texto fundador e duas recorrências nos contextos francês e brasileiro. Para isso, analisaremos as seguintes narrativas: Le retour de l´enfant prodigue, de André Gide (1947), e “As voltas do filho pródigo,” na obra O risco do bordado de Autran Dourado, publicada em 1970. Adotando uma abordagem comparatista, estabeleceremos convergências e divergências entre as narrativas escolhidas, a partir do estudo das características literárias e das questões identitárias.Ce travail a pour but d´analyser la parabole de l´enfant prodigue qui est un thème universel de la littérature, à partir de son texte fondateur et de deux récurrences dans les contextes français et brésilien. Pour cela, nous analyserons les récits suivants : Le retour de l´enfant prodigue d´André Gide (1947) et “As voltas do filho pródigo” publié dans l'oeuvre O risco do bordado d´Autran Dourado (1970). Dans une appproche comparatiste, nous établirons des convergences et des divergences entre les récits choisis grâce à l´étude des caractéristiques littéraires et de la problématique identitaire
Un petit fragment osseux au niveau du tibia latéral : le sommet de l’iceberg
No full textLe cas décrit ici concerne l’imagerie d’une fracture de Segond associée à une rupture
du ligament croisé antérieur ainsi qu’à une lésion du ligament collatéral médial. La
présence d’une fracture de Segond sur les clichés radiographiques standard est un signe
indirect majeur de lésions ligamentaires et/ou méniscales sous-jacentes. L’IRM est la technique
de prédilection pour déterminer la gravité de ces lésions et mettre en place le traitement
adéquat
Un petit fragment osseux au niveau du tibia lat\ue9ral : le sommet de l'iceberg
No full textAbstract: Le cas d\ue9crit ici concerne l\u2019imagerie d\u2019une fracture de Segond associ\ue9e \ue0 une rupture du ligament crois\ue9 ant\ue9rieur ainsi qu\u2019\ue0 une l\ue9sion du ligament collat\ue9ral m\ue9dial. La pr\ue9sence d\u2019une fracture de Segond sur les clich\ue9s radiographiques standard est un signe indirect majeur de l\ue9sions ligamentaires et/ou m\ue9niscales sous-jacentes. L\u2019IRM est la technique de pr\ue9dilection pour d\ue9terminer la gravit\ue9 de ces l\ue9sions et mettre en place le traitement ad\ue9quat
Algorithmes bio-mimétiques pour la reconnaissance de formes et l'apprentissage
No full textDans cette thèse, nous appliquons deux algorithmes bio-mimétiques à la résolution d un problème de biologie marine : la détection de structures rétentives en eaux côtières. Nous confrontons ces deux méthodes, à savoir un algorithme à colonies de fourmis et la programmation génétique, avec des méthodes dites classiques (analyse physique, streamlines ) et mettons en évidence les difficultés de ces dernières à traiter ce problème, rendu difficile par la proximité des côtes induisant de fortes perturbations de courant. Pour pallier ce problème, nous proposons tout d abord une adaptation de l algorithme à colonies de fourmis tel que défini par Marco Dorigo, introduisant les notions de biais, de multiples colonies et d évaporation instantanée de la phéromone. Cette méthode se révèle performante et ses détections sont d une qualité satisfaisant les exigences des biologistes. Nous proposons ensuite une adaptation de la programmation génétique inspirée des travaux de Jason Daida sur la détection de crêtes de pressions sur la croûte glaciaire. Nous introduisons le concept de génération de filtres itératifs, technique permettant la prise en compte et la propagation d informations globales. Cette méthode se révèle, elle aussi performante, mais n est pas directement utilisable car elle ne permet pas d identifier les enveloppes des structures rétentives. Elle met plutôt en évidence des zones rétentives.In this thesis, we apply two bio-mimetic algorithms to solve a marine biology problem : retentive structures detection in coastal waters. We compare these two methods (an ant based algorithm and genetic programming) to classical methods (physical analysis, streamlines...) and we draw out their difficulties to solve this problem, made difficult by the proximity of the coast inducing strong stream perturbations. To solve this problem, we present an adaptation of the ant based algorithm defined by Marco Dorigo, introducing the notion of bias, several colonies and instantaneous pheromone evaporation. This method appears to be efficient and its detections are good enough to satisfy biologists. We also propose an adaptation of genetic programming inspired of the work of Jason Daida about detection of peaks of pressure. We introduce the concept of oterative filters generation which allows to take into account and propagate global informations. This method appears to be also very efficient, but is not directly usable because it is not able to detect the envelops of retentive structures, but it rather draws out retentive zones.CALAIS-BU Sciences (621932101) / SudocSudocFranceF
