11/1851. Salter-Harris type III and IV epiphyseal fractures in the hand treated with tension-band wiring.We present tension-band wiring in the treatment of Salter-Harris types III and IV avulsion fractures in the hand. By placing a small-gauge wire through the insertion of the ligament into the fracture fragment, accurate reduction and stability, allowing early mobilization, are achieved, avoiding many of the pitfalls and complications of other methods of internal fixation. The technique is simple and adheres to important physiological and biomechanical principles.- - - - - - - - - - ranking = 1keywords = fracture (Clic here for more details about this article) |
12/1851. Results of the Bosworth method for unstable fractures of the distal clavicle.Eleven consecutive Neer's type II unstable fractures of the distal third of the clavicle were treated by open reduction and internal fixation, using a temporary Bosworth-type screw. In all cases, fracture healing occurred within 10 weeks. shoulder function was restored to the pre-injury level. A Bosworth-type screw fixation is a relatively easy and safe technique of open reduction and internal fixation of type II fractures of the distal third of the clavicle.- - - - - - - - - - ranking = 1.1666666666667keywords = fracture (Clic here for more details about this article) |
13/1851. Fractures of the posteromedial process of the talus. A report of two cases.The authors present two cases of fractures of posteromedial process of talus. One was treated conservatively and the other by excision. The appearances of the CT scans, the therapeutic options and the mechanisms of injury are discussed.- - - - - - - - - - ranking = 0.16666666666667keywords = fracture (Clic here for more details about this article) |
14/1851. erectile dysfunction due to a 'hidden' penis after pelvic trauma.We describe a twenty-six year old patient who presented us with a dorsally retracted 'hidden' penis, which was entrapped in scar tissue and prevesical fat, 20y after a pelvic fracture with symphysiolysis. Penile 'lengthening' was performed by V-Y plasty, removal of fatty tissue, dissection of the entrapped corpora cavernosa followed by ventral fixation.- - - - - - - - - - ranking = 0.16666666666667keywords = fracture (Clic here for more details about this article) |
15/1851. Distal disinsertion of the patellar ligament combined with avulsion fractures at the medial and lateral margins of the patella. A case report and an experimental study.A 12-year-old boy presented with a proximally retracted patella 5 months after an injury to the left knee. The clinical and radiographic features and the findings at operation led to the conclusion that the original lesion had been a distal disinsertion of the patellar ligament combined with avulsion fractures at the medial and lateral margins of the patella, produced by the medial and lateral longitudinal patellar retinacula. Loading experiments on amputation and cadaver specimens showed that these retinacula, apart from being tendons for the vastus medialis and the vastus lateralis, respectively, constitute a direct fibrous connection of considerable strength between the patella and the tibia and thus are capable of producing avulsion fractures.- - - - - - - - - - ranking = 1keywords = fracture (Clic here for more details about this article) |
16/1851. Fracture-dislocations of the sacrum. Report of three cases.The pattern of fracture-dislocation of the upper part of the sacrum is demonstrated in three patients. The fracture line followed the segmental form of the sacrum and was usually caused by a posterior force against the pelvis which had been locked by hip flexion and knee extension. Fractures of the lumbar transverse processes also occurred, presumably from avulsion by the quadratus lumborum muscle. The damage to the sacral plexus found in all three cases recovered after several months. Radiographs of the injury are difficult to obtain in severely injured patients but oblique views of the sacrum help to determine the extent of the forward dislocation.- - - - - - - - - - ranking = 0.33333333333333keywords = fracture (Clic here for more details about this article) |
17/1851. Radiologic case study. Fractures of the foot masquerading as ankle injuries.An ankle radiographic series frequently is obtained when a patient presents with an acute ankle and foot injury. Although many fractures are confined to the ankle and are readily apparent, fractures of the foot can mimic ankle injuries. It is important to differentiate these fractures of the foot from the more common ankle sprain. Most ankle sprains are treated with ice, compression, and elevation, followed by range-of-motion exercises and progressive weight bearing as tolerated. When foot fractures are not identified, however, lack of appropriate treatment can result in late complications. Concentration on key areas as described here will reduce the incidence of missed fractures of the foot in these patients.- - - - - - - - - - ranking = 0.83333333333333keywords = fracture (Clic here for more details about this article) |
18/1851. osteotomy for malunion of a talar neck fracture: a case report.A malunion of the talar neck after a Hawkins type II fracture/dislocation of the talar neck occurred in a 34-year-old man after nonoperative treatment. Rigid varus deformity of the forefoot was a source of severe pain and disability in this patient. We describe our surgical technique for osteotomy of the talar neck with insertion of a tricortical iliac crest bone graft to correct the deformity. At follow-up (56 months), the patient had consistent relief of pain and was employed at his preinjury job doing heavy labor. The score on the American Orthopaedic foot and Ankle Society Ankle-Hindfoot Scale improved from 11 points, preoperatively, to 85 points, postoperatively. Radiographs showed maintenance in the position of the osteotomy and no evidence of avascular necrosis in the talar body. Evidence of arthrosis of the talonavicular joint was apparent radiographically, but the patient did not complain of symptoms referable to this area.- - - - - - - - - - ranking = 0.84421870288267keywords = fracture, neck fracture, neck (Clic here for more details about this article) |
19/1851. Fracture-dislocation of the dorsal spine.A patient with fracture-dislocation of D9 on D8 had considerable posterolateral displacement. The neurologic injolvement of his left leg proved to be progressive. Treatment consisted of posterior decompression, exploration, open reduction and stabilization by means of Harrington rods, and fusion. All neurologic findings resolved completely. Final evaluation 18 months later showed a good and serviceable spine with no residual neurologic deficits. In my opinion, the treatment used in this case under given circumstances represented a reasonable modality of therapy.- - - - - - - - - - ranking = 0.16666666666667keywords = fracture (Clic here for more details about this article) |
20/1851. Percutaneous fixation of Maisonneuve and Maisonneuve-type fractures: a minimally invasive approach.We report five cases of Maisonneuve and Maisonneuve-type fractures which were treated with a single suprasyndesmotic percutaneous diastasis screw with good radiological and functional results. This is an effective and a minimally invasive procedure which we recommend.- - - - - - - - - - ranking = 0.83333333333333keywords = fracture (Clic here for more details about this article) |
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