Canadian Journal of Surgery articles from February 2008

Canadian Journal of Surgery archives from February 2008

Psychological distress and quality of life after orthopedic trauma: an observational study.(Survey)
February 1, 2008... Objective: Little is known about the clinical consequences of psychological morbidity associated with orthopedic trauma. The objective of our study was to investigate the extent of psychological symptoms that patients experience following...

Screening for abdominal aortic aneurysms in men: a Canadian perspective using Monte Carlo-based estimates.
February 1, 2008... Objective: Recently generated randomized screening trial data have provided good evidence in favour of routine screening for abdominal aortic aneurysm (AAA) to reduce AAA-related deaths in men aged 65 years and older. We developed an economic...

Posterior pedicle screw fixation with supplemental laminar hook fixation for the treatment of thoracolumbar burst fractures.
February 1, 2008... Surgical treatment of thoracolumbar burst fractures with posterior short-segment pedicle fixation usually provides excellent initial correction of kyphotic deformity, but a significant amount of correction can be lost afterwards. This study...

Editor's view.(Editorial)(Editorial)
February 1, 2008... I want to continue the theme of my last editorial, (1) focusing on trauma. I was recently able to attend the Brighton Workshop on Road Traffic Trauma in Low and Middle Income Countries. This workshop was held through the generosity of the...

Outpatient percutaneous flexor tenotomies for management of diabetic claw toe deformities with ulcers: a preliminary report.
February 1, 2008... Objective: To retrospectively review the outcomes of percutaneous flexor tenotomies of diabetic claw toes with ulcers or pending ulcers. Methods: We undertook a retrospective chart review between January 1999 and June 2005 to identify those...

Fibular fixation as an adjuvant to tibial intramedullary nailing in the treatment of combined distal third tibia and fibula fractures: a biomechanical investigation.
February 1, 2008... Objective: Distal third tibia fractures have classically been treated with standard plating, but intramedullary (IM) nailing has gained popularity. Owing to the lack of interference fit of the nail in the metaphyseal bone of the distal tibia,...

Point de vue du redacteur.(Editorial)(Editorial)
February 1, 2008... Je veux poursuivre dans la meme veine que mon dernier editorial1 qui portait sur les traumatismes. J'ai pu assister recemment a l'atelier de Brighton sur les traumatismes causes par les accidents de la route dans les pays a revenu faible et...

Recent experience with laparoscopic appendectomy in a Canadian teaching centre.
February 1, 2008... Objective: Laparoscopic appendectomy (LA) remains controversial in our city, in part because of results obtained early in the learning curve. In 1995, our centre reported that LA took 30 minutes longer and yet resulted in similar length of...

Surgical images: soft tissue necrotizing fasciitis of the abdominal wall.(Continuing Medical Education/Formation medicale continue)
February 1, 2008... An elderly woman in a vegetative state from previous head trauma was transferred from her nursing home to the emergency department for evaluation of a 5-day history of abdominal distention and fever. On examination, she was febrile to...

Acute resuscitation of the unstable adult trauma patient: bedside diagnosis and therapy.(Trauma and Critical Care/Traumatologie et soins critiques)
February 1, 2008... Traumatic injury remains the leading cause of potentially preventable death in Canadians under age 40 years. Although only a minority of patients present with hemodynamic instability, these patients have a significant chance of dying. The...

Canadian orthopedic surgeons and postfracture osteoporosis care: moving from persuasion toward facilitation.(Quill on Scalpel/Plume et scalpel)
February 1, 2008... Twenty years ago there was little effective care for osteoporosis, no proof that prevention of hip fracture was possible and no accurate way to readily measure bone density. Ten years ago, after improvements in these domains, fewer than 20% of...

Canadian Association of General Surgeons and American College of Surgeons Evidence-Based Reviews in Surgery. 24: fast-track programs in colonic surgery.(Evidence-Based Surgery/Chirurgie factuelle)
February 1, 2008... CAGS Evidence-Based Reviews in Surgery The term "evidence-based medicine" was first coined by Sackett and colleagues as "the conscientious, explicit and judicious use of currentbest evidence in making decisions about the care of individual...

Systemic illnesses unexpectedly presenting as acute appendicitis: case studies.(Brief Communication/Comunication abregee)
February 1, 2008... Case 1 A 37-year-old woman had a 2-month history of fatigue and debilitating dizziness. Her serum hemoglobin was 68 g/L, and her white blood cell count was 208 (109/L). Flow cytometry of a bone marrow aspirate revealed an acute myelogenous...

Inflammatory pseudotumour of the spleen: report of 2 cases and literature review.(Brief Communication/Communication abregee)
February 1, 2008... Splenic tumours are relatively rare and difficult to diagnose before surgery. Splenic neoplasms include hemangioma, lymphagioma, hamartoma, hemangiosarcoma, malignant lymphoma and metastatic carcinoma. Inflammatory pseudotumours of the spleen...

A sample of Canadian orthopedic surgeons expressed willingness to participate in osteoporosis management for fragility fracture patients.
February 1, 2008... Objective: The orthopedic community is in a unique position to initiate and provide osteoporosis care in fragility fracture patients to prevent future hip fractures in a high-risk population. The attitudes and intentions of Canadian orthopedic...

Luxation traumatique negligee de la rotule: a propos d'un cas.(Case Note/Note de cas)(hip dislocation case study)
February 1, 2008... Les auteurs rapportent un cas de luxation traumatique negligee de la rotule de decouverte tardive chez un adulte jeune. En l'absence de facteurs favorisants d'instabilite rotulienne, elle constitue un cas clinique exceptionnel. La reduction...

External carotid artery pseudoaneurysm in an immunocompromised patient.(Case Note/Note de cas)
February 1, 2008... Aneurysms of the extracranial carotid arteries are rare and are generally atherosclerotic in nature. In adults, infected or mycotic aneurysms are unusual and are most often due to systemic sepsis and bacteremia. The commonest infecting...

Kienbock's disease: an unusual cause of wrist pain in a 13-year-old girl.(Case Note/Note de cas)
February 1, 2008... Kienbock's disease is a condition that results in osteonecrosis and collapse of the lunate bone. The disease usually presents in adults between the ages of 20 and 40 years and is rare in children. (1) We report a case of this disorder in a...

Colon cancer presenting as an appendiceal abscess in a young patient.(Case Note/Note de cas)
February 1, 2008... The association between acute appendicitis and colonic carcinoma in the elderly is well known, but this is a rare entity in patients younger than 40 years of age. Colon cancer is found in only 3% of patients between the ages of 20 and 40 years....

Popliteal venous aneurysm and iliofemoral thrombosis.(Case Note/Note de cas)
February 1, 2008... Venous aneurysms are extremely rare, and most are incidental findings that have no major clinical significance. Popliteal venous aneurysms are an exception to this rule. Their presence is strongly associated with recurrent pulmonary embolism....

Posterior sternoclavicular joint dislocation.(Case Note/Note de cas)(Medical condition overview)
February 1, 2008... Traumatic sternoclavicular joint dislocation is an uncommon condition whose diagnosis is often missed. (1) The posterior version of this dislocation has been associated with multiple complications, including respiratory compromise, vascular...

PET/CT fusion technology: its role in managing recurrent, well-differentiated thyroid cancer.(Case Note/Note de cas)(Positron emission tomography)(computed tomography)
February 1, 2008... Although well-differentiated papillary and follicular thyroid cancers are treatable, 20% of patients have a recurrence associated with an 8% death rate. Earlier detection and effective management of local recurrence can improve the prognosis...

Inflammatory myofibroblastic tumour of the pancreas.(Case Note/Note de cas)
February 1, 2008... Inflammatory pseudotumour, or inflammatory myofibroblastic tumour (IMT), occurs in various organs, with the lung being the commonest anatomic site. (1) IMT is currently regarded as a neoplasm with a wide spectrum of biological behaviour. (1) We...

Aspergilloma in combination with adenocarcinoma of the lung.(Case Note/Note de cas)
February 1, 2008... Pulmonary aspergillosis occurs in parenchymal cavities or ectatic airways. Aspergillus is a ubiquitous dimorphic fungus. It rarely affects healthy people with an intact immune response, but those with preexisting structural lung disease, atopy,...

Secondary chondrosarcoma of the cuboid bone in a patient with multiple exostoses.(Case Note/Note de cas)
February 1, 2008... This report describes the occurrence of a secondary chrondrosarsoma in the cuboid bone, a most unusual location. All practitioners, especially residents and trainees, should be aware of this condition. Of interest is the increased risk of...

Penetrating cardiac injury: the nail gun, a potentially dangerous tool.(Case Note/Note de cas)
February 1, 2008... Penetrating injuries caused by nail guns most frequently involve the extremities. Injuries to other organs such as the head, lungs and aorta have been occasionally reported. (1,2) Cardiac penetrating trauma from a nail gun is rare, (3) and we...

Double cystic duct.(Case Note/Note de cas)
February 1, 2008... Variation in cystic duct anatomy is quite common. However, a double cystic duct is extremely rare; only 9 cases have been reported. With more than 500 000 laparoscopic cholecystectomies performed annually, surgeon awareness of the many possible...