1.Posterior Elbow Dislocation with Brachial Artery Thrombosis Treated Non-surgically: A Case Report
Lim SM ; Chua GG ; Asrul F ; Yazid M
Malaysian Orthopaedic Journal 2017;11(3):63-65
The brachial artery is rarely injured in closed posterior
dislocation of the elbow, unlike the high rate of vascular
injury seen after dislocation of the knee. Despite the
anatomical proximity of the brachial artery to the elbow
joint, most cases of brachial artery injury after dislocation of
the elbow are related to an associated fracture, an open injury
or high-energy trauma. A high index of suspicion should be
maintained as well as a thorough neurovascular examination
with regards this potentially disastrous complication. We
describe an unusual case of complete thrombosis of the
brachial artery presenting with a posterior elbow dislocation
following a fall (low energy trauma) that was treated nonoperatively.
At three months follow-up, patient had good
circulation over the affected limb, no complaints of ischemic
pain or cold intolerance, no signs of Volkmann's ischemic
contracture, and a range of motion that was comparable to
the contralateral limb.
2.Conjunctiva Granuloma, a Rare Presentation of Ocular Leptospirosis Presenting as Conjunctiva Granuloma: Case Series
Yeoh SY ; Anhar HS ; Chua SM ; Nor FAJ ; Raja NRO ; Azida JWAK
Medicine and Health 2018;13(1):272-278
Diagnosis of ocular leptospirosis is challenging and requires a high index of suspicion of previous leptospiral infection and good laboratory support. This case series focuses on two young females with unilateral conjunctiva granuloma. To the best of our knowledge, these are the first two cases of ocular leptospirosis with conjunctiva granuloma. The definitive diagnosis of ocular leptospirosis was based on laboratory studies in which conjunctival biopsies in these two cases showed positive leptospira DNA. Retrospectively, the history was suggestive as both patients had exposure to leptospira organism. In conclusion, a diagnosis of ocular leptospirosis requires a high clinical suspicion index supported by mandatory laboratory investigations.