Карточка-задание по английскому языку на тему «MEDICAL WRITING: CASE ABSTRACT_178»
«MEDICAL WRITING: CASE ABSTRACT_178»
·What is a medical case report?
·What parts does it include?
·What is an abstract?
Read the abstract of the medical case
Closed medial total subtalar
joint dislocation without ankle fracture: a case report
Total subtalar dislocation without
fracture of the ankle is a rare clinical entity; it is usually due to a
traumatic high-energy mechanism. Standard treatment is successful closed
reduction under general anesthesia followed by non-weight bearing and ankle
immobilization with a below-knee cast for 6 weeks.
We present the case of a
30-year-old Moroccan woman who was involved in a road traffic accident. She
subsequently received a radiological assessment that objectified a total
subtalar dislocation without fracture of her ankle. She was immediately
admitted to the operating theater where an immediate reduction was performed
under sedation, and immobilization in a plaster boot was adopted for 8 weeks.
The management of this traumatic lesion is discussed in the light of the
Medial subtalar dislocation is a
rare dislocation and is not commonly seen as a sports injury because it
requires transfer of a large amount of kinetic energy. The weaker talocalcaneal
and talonavicular ligaments often bear the brunt of the energy and are more
commonly disrupted, compared to the relatively stronger calcaneonavicular
ligament. Urgent reduction is important, and closed reduction under general
anesthesia is usually successful, often facilitated by keeping the knee in
flexion to relax the gastrocnemius muscle. Long-term sequelae include talar
avascular necrosis and osteochondral fracture, as well as chronic instability
Find in the abstract:
·Why is it important
·Needs to be reported
Answer the questions:
1.Is this the first report of this kind in the literature?
2.What are brief details of what the patient(s) presented with?
3.What the reader should learn from the case report?
4.What the clinical impact will be?
5.Is it an original case report of interest to a particular clinical
specialty of medicine?
6.Will it have a broader clinical impact across medicine?
7.Are any teaching points identified?
·Why abstract is the most important part for case
published in electronic databases?