Unprovoked animal attack injuries in the facial region are not frequent in the emergency departments of Venezuelan hospitals, especially bull attacks, so there are no established management protocols. Injuries to the auricular pavilions, whether lacerations, avulsions or partial amputations, are wounds that require a detailed evaluation to make appropriate decisions for their approach, especially when talking about animal attack wounds, which require a detailed evaluation, adequate irrigation an...

As we know that ankle fracture union has been compromised by persistent syndesmotic diastasis following mal-reduction and inappropriate internal fixation, both external rotation and shortening of the fibula have been identified as prominent features combined with mal-union of medial malleolus fractures. We present cases of medial malleolus mal-union with secondary talus lateral translation and syndesmotic incongruence. At the same time mal-union of the distal fibula was present....

A 30-year-old man, presented to our outpatient clinic with pain and a tender palpable mass at the middle phalanx of his right index finger (Figure 1a). He reported a recent increase in the size of the mass, and the pain was unremitting and related to touching or rubbing on. He denied any history of injury but he has a habit of chewing his right index finger for the past a few years when he got in nervous situations....