1/32. Irreducible Galeazzi fracture-dislocation due to an avulsion fracture of the fovea of the ulna.We report a rare case of Galeazzi fracture-dislocation with an irreducible distal radioulnar joint. The cause of the irreducibility was entrapment of a fragment avulsed from the fovea of the ulna. The patient was successfully treated with open reduction and internal fixation of the radius, ulnar styloid process and avulsed fracture at the fovea of the ulna.- - - - - - - - - - ranking = 1keywords = fracture, open (Clic here for more details about this article) |
2/32. Irreducible acute anterior dislocation of the shoulder caused by interposed fragment of the anterior glenoid rim.Failure of manipulative reduction of acute anterior dislocation of the shoulder is extremely rare. A 55-year-old man dislocated his right shoulder when he fell heavily. Initial radiographs and computed tomographs demonstrated an anterior dislocation with fracture of the glenoid rim. Several attempts at closed reduction were unsuccessful. At the time of open reduction, the cause of failure was found to be interposition of a fragment of the anterior inferior glenoid rim in the joint. To prevent redislocation, the fragment was held in place by two Herbert mini bone screws after anatomic reduction, and the ruptured subscapularis was reattached to the lesser tuberosity. Two and a half months after surgery, the shoulder was stable with full range of motion. To the best of our knowledge, this is the first reported case of interposition of a fracture-fragment of the anterior inferior glenoid rim causing failure of reduction.- - - - - - - - - - ranking = 0.20062630410123keywords = fracture, open (Clic here for more details about this article) |
3/32. Synovial osteochondromatosis complicating pilon fracture of the tibia.A case of previously undiagnosed synovial osteochondromatosis complicating a tibial pilon fracture is presented. The entrapment of osteochondral bodies within the fracture margin prevented complete reduction of the fracture and necessitated surgical intervention.- - - - - - - - - - ranking = 0.69945198391143keywords = fracture (Clic here for more details about this article) |
4/32. Condylar hyperplasia associated to synovial chondromatosis of the temporomandibular joint: a case report.Condylar hyperplasia is a slowly developing malformation of the mandible, with elongation of the mandibular neck, that generally results in facial asymmetry. Synovial chondromatosis is a benign chronic disorder characterized by the formation of multiple small nodules of hyaline cartilage as a result of metaplasia of the synovial connective tissue. It affects mostly the large joints, particularly the knee, hip, elbow and ankle. The temporomandibular joint (TMJ) is rarely affected. The case of a 42-year-old male with a history of left preauricular pain and swelling and deviation of the mandible to the left upon opening the mouth is presented. Computed tomography disclosed hyperplasia of the left condyle with loose radiopaque bodies within the joint cavity. The left TMJ was subject to open surgery, which included resection of four loose bodies and a remodeling condylectomy. The histopathological study confirmed the diagnosis of condylar hyperplasia and chondromatosis of the left TMJ.- - - - - - - - - - ranking = 0.0015657602530637keywords = open (Clic here for more details about this article) |
5/32. Arthroscopic removal of nodules of synovial chondromatosis of the temporomandibular joint.In this report we describe a new method for removing nodules of TMJ synovial chondromatosis using arthroscopic surgery instead of open surgery. We used two steps during arthroscopy. In the first, we lavaged the cavity with sterile saline. In the next step, the second cannula was replaced with ethmoid forceps. Under arthroscopic guidance through the first cannula, all loose bodies were removed using the forceps. Since the loose bodies are not fragmented during this procedure, the time needed for removal is shortened. Based on this experience, we suggest the use of ethmoid forceps should be considered as an alternative procedure when nodules are unable to pass through the cannula by lavage with sterile saline.- - - - - - - - - - ranking = 0.00078288012653186keywords = open (Clic here for more details about this article) |
6/32. Arthroscopic removal of a loose body osteophyte fragment after superior patellar dislocation with locked osteophytes.The authors report the case of a loose body from a fractured osteophyte after a superiorly dislocated patella with locked osteophytes. Few cases of superiorly dislocated patellae have been reported in the literature and no cases of osteophyte fracture fragments after locked osteophytes with subsequent arthroscopic loose body removal have been reported. The loose body was removed and the distal pole of the patella was debrided arthroscopically. This patient and the majority of previously reported cases, herein reviewed, had patella alta with pre-existing patellofemoral arthrosis. Patella alta in the face of patellofemoral arthrosis should be considered a risk factor for loose body formation. Therefore, recurrent superior patellar dislocation and locking osteophytes may be a relative indication for pre-emptive arthroscopic debridement of locked osteophytes.- - - - - - - - - - ranking = 0.19984342397469keywords = fracture (Clic here for more details about this article) |
7/32. Arthroscopic resection of an extra-articular tenosynovial giant cell tumor from the ankle region.This report describes the case of a 31-year-old man with a tenosynovial giant cell tumor in the left ankle region. The tumor developed over a period of 5 months. A conservatively treated fracture of the leg in the patient's history was important. The presurgical magnetic resonance imaging (MRI) examination allowed a specific diagnosis and the exclusion of infiltrative properties of the tumor. The tumor was excised using an exclusively arthroscopic technique. The procedure included treatment of intra-articular pathologies and the removal of 2 loose bodies. The excision was complete and no recurrence or complication was seen in 5 months' follow-up. In view of the possible recurrence (in about 50% of patients) and the unknown development of malignant tumors, arthroscopic excision can be advantageous. This procedure includes small scars and lower risks of infection and necrosis. Therefore, arthroscopic treatment of soft tissue tumors near the ankle joint may by an alternative to open excision.- - - - - - - - - - ranking = 0.10070459211388keywords = fracture, open (Clic here for more details about this article) |
8/32. Irreducible palmar dislocation of the proximal interphalangeal joint caused by a fracture fragment: a case report.We present a case of irreducible palmar dislocation of the proximal interphalangeal joint of the little finger caused by entrapment of a fracture fragment attached to the collateral ligament. The bony fragment was trapped between the radial condyle of the proximal phalanx and the volar plate. Reduction was easily accomplished by hooking out the fragment.- - - - - - - - - - ranking = 0.49960855993673keywords = fracture (Clic here for more details about this article) |
9/32. Secondary osteochondromatosis in the subacromial bursa: a report of two cases and review of the literature.osteochondromatosis is classified into primary and secondary lesions; primary osteochondromatosis is a tumor-like lesion, whereas secondary lesions are due to such joint or bursal disorders as osteoarthritis and osteochondral fractures. There is no clinical distinction between these two conditions. Only the pathological findings of loose bodies and synovium can clearly distinguish between them. In this report, we present two patients with secondary osteochondromatosis in the subacromial bursa. Both had shoulder pain and were treated surgically. We discuss methods of differentiating between primary and secondary lesions and elucidate the pathogenesis of osteochondromatosis in the subacromial bursa by analyzing findings for 17 shoulders with this condition reported in the literature. We also present two more cases. We reviewed the 12 cases of osteochondromatosis in the literature for histopathological findings of loose bodies and the presence or absence of acromial osteophytes. Our findings suggest that osteochondromatosis of the subacromial bursa is secondary in most cases, and that osteocartilaginous fragments from acromial osteophytes can be shed into the subacromial bursa and grow into loose bodies.- - - - - - - - - - ranking = 0.099921711987347keywords = fracture (Clic here for more details about this article) |
10/32. Arthroscopic treatment of an avulsion fracture of the ligamentum teres of the hip in an 18-year-old horse rider.We present the case of an 18-year-old horse rider with an avulsion fracture of the ligamentum teres causing persistent hip pain and locking for 2 years. The patient had no history of major trauma; however, repeated minor hyperabduction injuries occurred. We were able to successfully treat this patient by arthroscopic removal of the bony fragments and two loose bodies and partial resection of the ligamentum teres.- - - - - - - - - - ranking = 0.49960855993673keywords = fracture (Clic here for more details about this article) |
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