[Six pitfalls around the ankle sprains]

Ankle sprains are frequently encountered. They result most of the time in lesions of the lateral ligament complex. Nevertheless, in the context of an ankle sprains, more severe injuries including fracture of the lateral process of the talus, fracture of the base of the 5th metatarsal, tear of the medial ligament complex, lesion of the syndesmosis, sprain of the Chopart joint, and peroneal tendons luxation are potentially overlooked and, if treated inadequately, may be associated with poor functional outcome. The goal of the present paper is to make the emergency practitioner aware of these potential lesions, and to help him making the correct diagnosis in order to initiate the adequate treatment.

[Enhanced recovery after prosthetic surgery]

The enhanced recovery after surgery (ERAS) is a proven concept in many surgical disciplines since the early 2000s. Studies agree benefit in prosthetic surgery and it has been shown to lead to improved practices and results permitting a faster discharge to home with lesser morbidity and mortality. It implies a cohesion in the message delivery and the general practitioner plays a central role. The collection and analysis of the data is fundamental to continuously improve the protocol and thus the care of patients. These protocols are a step towards outpatient management in this kind of surgery.

Traumatic abdominal wall hernias: disruptions of the abdominal wall muscles associated to pelvic bone fractures illustrated by two case reports

BACKGROUND

Blunt abdominal traumas are often associated with intra-abdominal injuries and pelvic fractures. Traumatic abdominal wall hernias due to disruption of the abdominal wall muscles may be overlooked. Delayed diagnosis can lead to hernia related complications.

CASE PRESENTATION

We present two cases of high kinetic trauma with pelvic fractures and acute traumatic abdominal wall herniation. Both of these cases suffered from a delayed diagnosis and needed surgery to treat the symptomatic herniation.

CONCLUSION

Clinical reassessment and appropriate medical imaging are mandatory in patients with high kinetic abdominal blunt traumas and associated pelvic fracture, in order to prevent delayed diagnosis and possible complications.