Search

The nutcracker syndrome refers to compression of the left renal vein between the aorta and the superior mesenteric artery. It may be asymptomatic for long period and constitute casual findings.To report a new case diagnosed by radiological exploration after an abdominal trauma. The diagnosis and treatment of nutcracker syndrome are discussed.A 32-year-old man was a victim of traffic accident causing leg and abdominal trauma. Three days after orthopedic surgery, he presented an isolated gross hematuria. Abdominal computed tomography showed that the left renal vein was compressed between the aorta and the superior mesenteric artery. The diagnosis of nutcracker syndrome was established. Surveillance was indicated with excellent evolution.The nutcracker syndrome is a rare entity. It may be asymptomatic. Its diagnosis is the privilege of medical imaging. Its treatment is controversial and should be discussed case by case.

We reviewed retrospectively 40 patients treated surgically for rupture of anterior cruciate ligament. The technique used was arthroscopy bone patellar tendon reconstruction. The mean age of patients was 27 years. The operative delay was 27.2 months in average. Functional and anatomic result was evaluated with a mean follow up of 24 months. 80% of patients were classified IKDC A or B. Sports activity was resumed after 6.6 months in average. Results depented meniscus lesions and operative delay. Reconstruction of anterior cruciate ligament with bone patellar tendon bone is a reliable technique. Operative delay should be as short as possible to prevent meniscus lesion and aggravation of laxity.