1/55. Pediatric elbow dislocation associated with a milch type I lateral condyle fracture of the humerus.A Milch Type I lateral condyle fracture associated with a posterior elbow dislocation is described in a pediatric patient. Previously, Milch Type I fractures were thought to be stable injuries due to maintenance of the lateral trochlear rim. Prompt recognition and treatment are essential to avoid complications of this injury and to ensure a good functional result.- - - - - - - - - - ranking = 1keywords = dislocation (Clic here for more details about this article) |
2/55. CT imaging and three-dimensional reconstructions of shoulders with anterior glenohumeral instability.Glenohumeral instability is a common occurrence following anterior dislocation of the shoulder joint, particularly in young men. The bony abnormalities encountered in patients with glenohumeral instability can be difficult to detect with conventional radiography, even with special views. The aim of our study was to evaluate the bony abnormalities associated with glenohumeral instability using CT imaging with 3-D reconstruction images. We scanned 11 patients with glenohumeral instability, one with bilateral symptoms; 10 were male, one female, and their ages ranged from 18-66 years. Contiguous 3 mm axial slices of the glenohumeral joint were taken at 2 mm intervals using a Siemens Somatom CT scanner. In the 12 shoulders imaged, we identified four main abnormalities. A humeral-head defect or Hill-Sachs deformity was seen in 83% cases, fractures of the anterior glenoid rim in 50%, periosteal new bone formation secondary to capsular stripping in 42%, and loose bone fragments in 25%. Manipulation of the 3-D images enabled the abnormalities to be well seen in all cases, giving a graphic visualization of the joint, and only two 3-D images were needed to demonstrate all the necessary information. We feel that CT is the imaging modality most likely to show all the bone abnormalities associated with glenohumeral instability. These bony changes may lead to the correct inference of soft tissue abnormalities making more invasive examinations such as arthrography unnecessary.- - - - - - - - - - ranking = 0.2keywords = dislocation (Clic here for more details about this article) |
3/55. wrist arthroscopy and dislocation of the radiocarpal joint without fracture.The authors report a rare case of dorsal dislocation of the radiocarpal joint without any bony lesion associated. The traumatic cause was a high energy motorbike accident. Fractures of the other limbs were associated. The authors report the clinical, radiological, and arthroscopic features. wrist arthroscopy showed a complete tear of all the extrinsic ligaments, a radial avulsion of the triangular fibrocartilage complex, and the integrity of the intracarpal ligaments, which guided the treatment. The dislocation was treated by closed reduction and radiocarpal pinning. The authors propose wrist arthroscopy in radiocarpal dislocation for diagnosis of soft tissue and cartilaginous lesions to guide the treatment (close or open).- - - - - - - - - - ranking = 1.4keywords = dislocation (Clic here for more details about this article) |
4/55. Bilateral posterior shoulder dislocation: the importance of the axillary radiographic view.Whilst posterior shoulder dislocation is rare, it remains a frequently missed diagnosis. In all patients with a history of seizure, electrocution or similar trauma, where external rotation of the shoulder is limited, we recommend that an axillary or modified axillary view be added to the standard two radiographic shoulder views as routine protocol, to avoid missing a posterior dislocation.- - - - - - - - - - ranking = 1.2keywords = dislocation (Clic here for more details about this article) |
5/55. Posteromedial dislocation of the elbow with associated intraarticular entrapment of the lateral epicondyle.Traumatic elbow dislocation is relatively common in adolescents. Most cases occur in a posterolateral direction. Elbow dislocation is often accompanied by fractures, most frequently of the medial epicondyle. The authors report a rare case of posteromedial elbow dislocation and associated fracture of the lateral humeral epicondyle trapped within the joint.- - - - - - - - - - ranking = 1.4keywords = dislocation (Clic here for more details about this article) |
6/55. Reconstructing an unstable medial elbow complicated by medial epicondyle non-union: case report.Reconstruction of the medial support system of the elbow joint was perfomed after dislocation in a 54-year-old man with pseudoarthrosis at the medial epicondyle of the humerus. The patient fell and dislocated the elbow. Although it was manually reduced, the medial side of the elbow remained extremely unstable. The medial epicondyle of the humerus had an old pseudoarthrosis and the bone fragment of the medial epicondyle was dislocated at the level of the humeroulrar joint. Because conservative therapy would result in an unstable medial side of the joint, an unique method for reconstruction of the medial support system of the elbow was performed. The tendon of the palmaris longus muscle was placed between the dislocated bone fragment of the medial epicondyle and it's original position of the humerus. A good result was obtained.- - - - - - - - - - ranking = 0.2keywords = dislocation (Clic here for more details about this article) |
7/55. Ipsilateral intercondylar distal humerus fracture and Monteggia fracture-dislocation in adults.We present two cases of ipsilateral Monteggia fracture-dislocations and intercondylar distal humerus fractures in adults. To our knowledge, this combination of injuries has not been described in skeletally mature individuals. Both patients were treated with rigid internal fixation of the bony injuries as well as early rehabilitation protocols. Despite the severity of the injuries, both patients had satisfactory results. Adherence to established internal fixation protocols is critical in the treatment of complex upper extremity injuries.- - - - - - - - - - ranking = 1keywords = dislocation (Clic here for more details about this article) |
8/55. Fractured lateral epicondyle with associated elbow dislocation.We describe a case series involving a very unusual injury in children, i.e. a Milch 1 fracture of the lateral condyle with an associated dislocation of the elbow. This fracture configuration is normally stable as the intact capitellotrochlear groove serves as a lateral buttress for the coronoid-olecranon ridge of the ulna. In this series, however, each patient had an associated dislocation. These injuries usually present as a clinical dislocation and if the elbow is manipulated before radiographic imaging, the fracture line can be difficult to see on the post-reduction films. We recommend that all patients with a dislocated elbow should have elbow stability assessed under general anaesthesia, because a missed lateral condylar injury can lead to abnormalities in carrying angle, epiphyseolysis or an unstable elbow.- - - - - - - - - - ranking = 1.4keywords = dislocation (Clic here for more details about this article) |
9/55. Failure of active extension after traumatic cubitus varus. A case report.In children cubitus varus is common after malunion of a supracondylar fracture of the humerus. Later problems such as tardy ulnar nerve palsy, snapping of the lateral triceps tendon or ulnar nerve and posterolateral rotatory instability are well documented. We present a case of anteromedial dislocation of the entire triceps tendon with loss of extensor power and describe the method of treatment.- - - - - - - - - - ranking = 0.2keywords = dislocation (Clic here for more details about this article) |
10/55. Posterior dislocation of the shoulder associated with fracture of the humeral anatomical neck with 11-year follow-up after early open reduction and internal fixation.BACKGROUND:. The combination of posterior dislocation and fracture of the anatomical neck represents an extremely rare injury. methods:. A patient with posterior dislocation of the shoulder and ipsilateral fracture of the humeral anatomical neck was treated with open reduction and internal fixation with two Kirschner wires. He was followed up for 11 years. RESULTS:. The functional results were excellent, and X-ray and MRI investigations revealed the absence of avascular necrosis of the humeral head. CONCLUSION:. Early and accurate open reduction with minimal osteosynthesis resulted in excellent function of the injured shoulder without avascular necrosis.- - - - - - - - - - ranking = 1.2keywords = dislocation (Clic here for more details about this article) |
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