[Irritation of the saphenous nerve as a cause of pain in the knee joint].
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Biomedical subjects
Publications and source records attributed to S Freising.
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Post-traumatic cholecystitis occurs mostly in young males 8-16 days after severe injury. Gallstones are of no importance in its pathogenesis. Circulatory shock causes severe damage to the small bowel and the liver, particles of the destroyed cells becoming endogenous toxins. Presumably an increased excretion of lysosomal proteases in the biliary duct takes place. This excretion reaches the gallbladder via the accessory ducts and may cause necrosis. Pain in the right upper quadrant, septic temperature and an increase of leucocytes, bilirubin and gamma-GT in the serum suggest this complication.
More and more distal fractures of the radius are treated surgically, thereby decreasing the treatment time and quickly restoring use of the arm. The rarely seen compound fractures of the radius and those involving circulation problems or loss of feeling in the hand will be treated as emergency cases. The most frequently used treatment is osteosynthesis using pins. In cases of Smith fracture, with young patients or corrective surgery the preferred method is osteosynthesis using metal plates. If, because of extensive fragmentation, a non-operative treatment would certainly lead to dislocation, or a secondary dislocation due to a non-operative treatment has already taken place, the surgical treatment should be discussed. Dislocated intraarticular fractures are increasingly being treated immediately surgically.
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