1/17. Non-operative management of central fracture-dislocations of the hip.Thirty-eight patients with central fracture-dislocations, seen over a seven-year period and all treated non-operatively, were evaluated. A follow-up study was done on twenty-four patients; the remainder had either died or could not be located. Several techniques were used to maintain the reduction obtained by closed manipulation done under anesthesia. The superiority of the method of traction using pins in the distal and proximal lateral parts of the femur and the importance of prolonged traction were demonstrated.- - - - - - - - - - ranking = 1keywords = fracture (Clic here for more details about this article) |
2/17. Delayed fracture of the ceramic femoral head after trauma.There are various ways in which a total hip arthroplasty may fail catastrophically. Failure of the ceramic femoral head component is well known and described. It may fail because of trauma, but delayed fracture after trauma has not been described previously. This case report describes this phenomenon and postulates a possible mechanism for this failure.- - - - - - - - - - ranking = 1keywords = fracture (Clic here for more details about this article) |
3/17. Kirschner wires caused unexpected complications of femoral neck fracture.OBJECTIVE: To report a unique complication of the surgical treatment of femoral neck fractures. CLINICAL PRESENTATION AND INTERVENTION: A young adult presented with lower abdominal pain and bleeding per rectum caused by rectal transfixion by Kirschner wires (K wires). The wires were used to fix a fracture on the neck of the femur during the Iraqi occupation of kuwait. A plain X-ray showed an old united fracture of the neck of the left femur with coxa magna, mild coxa vara and mild secondary osteoarthritis of the left hip joint. Limited barium enema disclosed transfixion of the rectum by two radiopaque K wires in the pelvis with rectal track formation around them. The complication necessitated a laparotomy and a major dissection to remove the K wires. CONCLUSION: The K wire provided an immediate solution during a difficult period. However, since it is not normally used for this purpose, it caused subsequent complications that were resolved by laparotomy and a major dissection.- - - - - - - - - - ranking = 1.4keywords = fracture (Clic here for more details about this article) |
4/17. Traumatic dislocation of hip joint with fracture of shaft of femur on the same side.Four cases of traumatic dislocation of the hip joint with fracture of the shaft of femur on the same side, and one case of bilateral hip joint dislocation with a fracture of shaft of femur on one side are reported. Pitfalls in diagnosis and hazards of delayed treatment are emphasized. methods of treatment are outlined. Complications such as avascular necrosis of the head of the femur and sciatic nerve palsy are discussed. Avascular necrosis of the head of the femur is not inevitable even after reduction of the joint has been delayed for several days.- - - - - - - - - - ranking = 1.2keywords = fracture (Clic here for more details about this article) |
5/17. Open traumatic posterior dislocation of the hip. A case report.A case of open traumatic posterior dislocation of the hip is presented. The femoral head and neck were completely out of the skin and there were accompanying fractures of the acetabular floor, the ischial ramus and the greater trochanter. To our knowledge, such a case has not been reported previously and this, together with its interesting mechanism, has led us to report the case. It was followed for 18 months and roentgenographic and 99mtechnetium sulphur colloid scanning studies showed avascular necrosis and osteoarthritis.- - - - - - - - - - ranking = 0.2keywords = fracture (Clic here for more details about this article) |
6/17. Traumatic anterior dislocation of the hip joint with posterior acetabular wall fracture.The incidence of traumatic hip dislocation has increased in recent years as a result of high-energy trauma. Anterior hip dislocation forms less than 10-15% of all traumatic hip dislocations. Only a few case reports describe anterior dislocation along with acetabular fractures. The acetabular fracture involved the anterior wall or column in all such cases. We describe a rare case in which anterior superior dislocation of the hip was associated with a large fracture fragment of theposterior acetabular rim and adjacent wall.- - - - - - - - - - ranking = 1.4keywords = fracture (Clic here for more details about this article) |
7/17. Occult acetabular fracture in an elderly runner.STUDY DESIGN: Resident's case problem. BACKGROUND: A 79-year-old African American male runner sustained a left hip injury while jogging on a running track. Initial radiographs did not show any bony injuries and the patient was diagnosed with hip tendonitis. The patient was initially treated conservatively with medications and referred to a local physical therapy clinic for thermal modalities and therapeutic exercises. The patient failed to show any improvement despite a period of conservative treatment. The author examined the patient 6 months postinjury at a university physical therapy department. diagnosis: The author suspected the presence of a possible fracture and the patient was referred to an orthopaedic surgeon. Subsequent radiographic imaging studies including a CT scan revealed a supra-acetabular fracture. The patient underwent a total hip arthroplasty approximately 1 year after the initial injury and has since recovered well. DISCUSSION: It is not uncommon for runners or joggers to develop hip or pelvic pain, but there has been no prior report in the literature of the occurrence of an acetabular hip fracture while jogging. This resident's case problem illustrates the challenges of arriving at an accurate diagnosis in the presence of a rare fracture and the need for careful follow-up, especially among elderly individuals with cognitive deficits.- - - - - - - - - - ranking = 1.6keywords = fracture (Clic here for more details about this article) |
8/17. Traumatic anterior dislocation of the hip.A discussion is presented of traumatic anterior dislocation of the hip joint on the basis of three representative case reports. One patient had an iliac or pubic dislocation, the other two were obturator dislocations, including one with an associated femoral head fracture. All three patients were treated without surgery. After an average follow-up time of twenty-seven months, the results were excellent. Therapeutic guide-lines and recommendations are given for this infrequent type of injury.- - - - - - - - - - ranking = 0.2keywords = fracture (Clic here for more details about this article) |
9/17. Traumatic hip joint tamponade. Two cases with femoral head ischaemia.Two elderly patients had pain after hip trauma with no radiographic evidence of fracture. Computed tomography demonstrated capsular haematoma. Scintimetry revealed femoral head ischaemia. Intracapsular hip joint pressure in extension was 240 and 176 mm Hg, respectively, in neutral position and 280 and 360 mm Hg in internal rotation. The hip joints were aspirated for 8 ml and 5 ml of blood, respectively, leading to pain relief and regained radiotracer uptake in the femoral head. It is concluded that traumatic hip joint tamponade may cause femoral head ischaemia which may be reversed by aspiration.- - - - - - - - - - ranking = 0.2keywords = fracture (Clic here for more details about this article) |
10/17. Femoral head necrosis following traumatic hip joint tamponade. A case report.necrosis of the left femoral head developed after a bicycle accident with undislocated acetabular fracture. 11/2 years later a Moore hemiarthroplasty was performed. The cause of the condition was probably hip joint tamponade.- - - - - - - - - - ranking = 0.2keywords = fracture (Clic here for more details about this article) |
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