Faculty of Medicine

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    The Collateral Ligaments and Posterolateral Corner: What Radiologists Should Know
    (Georg Thieme Verlag KG, 2016-02)
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    Gimber, Lana H
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    Hardy, Jolene C
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    Taljanovic, Mihra S
    Ligamentous and tendinous structures of the posterolateral corner of the knee provide important static and dynamic stability to the knee joint and act in conjunction with anterior and posterior cruciate ligaments. Injuries of these structures are not uncommon. Failure to treat posterolateral corner injuries leads to posterolateral instability of the knee and subsequently poor outcome of cruciate ligament reconstructions. Currently, MRI is the diagnostic modality of choice in the evaluation of posterolateral corner injuries of the knee. We review normal MR imaging anatomy of the complex anatomical structures of the posterolateral corner of the knee, their biomechanical function, injuries, and current treatment options.
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    Surgical Treatment of Acromioclavicular Dislocation Grade III or IV with thigh Rope System, a retrospective study on the Clinic of Traumatology-Skopje in the period of 2015 to 2018
    (Albanian Society for Trauma and Emergency Medicine, 2019)
    Vejseli, Valentin
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    Ilie, Mila
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    Introduction: Acromioclavicular (AC) dislocation is a common injury with incidence of 3 to 4 per 100 000 in the general population. It is more common in younger athletic patients. In 1984, Rockwood modified Tossy et al and Allman classification to include types IV, V, and VI and we use that classification. The aim of our study is to evaluate surgical treatment of AC dislocation grade III or IV with Tight Rope system and functional results. Materials and Methods: On the Clinic of Traumatology, Skopje in the period of 2015 to 2018 year were treated 32 patients with type III (14 patients) or IV AC dislocation (18 patients) with female to male ratio 0.45 (f:m=10:22). Inclusion criteria were applied to all patients. Three radiographic views were used: AP view, true axillary view and stress view of both sides of the AC joint and CC ligament. Surgical technique for thight rope technique was performed. Results: Dash (Disabilities of the Arm, Shoulder and Hand) and VAS (Visual Analogue Scale) scores were evaluated preoperatively and postoperatively. The DASH questionnaire was used as an indicator of the impact of an impairment on the level and type of disability. Conclusions: The technique proved to be effective in treating acute AC dislocations (Rockwood type III or IV) with a high degree of excellent and good functional results.
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    GREASE GUN ПОВРЕДИ НА ШЕПАТА
    (Македонско лекарско друштво = Macedonian Medical Association, 2012)
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    Љиљана Дамевска
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    Виктор Станков
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    Introduction. High pressure injection injuries of the hand are rare and occur in an average of 1 in 600 cases of hand trauma. Under the benign appearance of the injury at first sight, a future disability might be hidden. Morbidity is dependent mostly on the material injectted, followed by the amount of the injected fluid. The timely diagnosis and treatment are equally important factors since the risk for amputation increases as time increases with treatment delay. High pressure injection injuries of the hand are considered surgical emergency. Case report. A 46-year-old, right-hand dominant man, accidentally injured himself with a paint gun. He was admitted to the hospital more than 24 hours after the injury. At the moment of the clinical evaluation the finger was with compromised circulation. Under potentiated intravenous anesthesia with Tourniquet on 250mm/Hg decompressive incisions were performed and part of the nonviable tissue was removed. Despite all the effort the pathophysiology of the injury and the time passed between the injury and the treatment had played their roles. After few weeks of treatment the finger was in a condition in which the only solution of the problem was its amputation. After the amputation the patient managed to accomplish a very good rehabilitation of the hand. Conclusion. High pressure injection injuries of the hand despite all the measures taken have a high amputation rate. Thus, we can conclude that the most important issues are prevention, including protective equipment and a high level of precaution during work.
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    FREE REPLANTATION OF TOTAL AVULSED SCALP - A CASE REPORT
    (Macedonian Association of Anatomists, 2020)
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    Jovanovska K
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    Georgieva G
    We present the case of a 38-year-old female who came to our Clinic5hours after injury with scalp avulsion due to entanglement of head scarf in the motorized machinewith a good final result after which the patient can use a wig.During the treatment, hyperbaric oxygen therapy was applied, after which we had a dilemma about the benefits of using it.