1/163. 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 = dislocation (Clic here for more details about this article) |
2/163. Dynamic axial carpal instability: a case report.The concept of distal carpal row dissociation is not new. It has occurred secondary to high-energy crush or blast injuries, with resultant axial dislocations of both carpal rows and metacarpals. Axial carpal sprains without disruption or dynamic axial carpal instability have not been previously described. The evaluation of this new type of carpal instability with radiographs, tomography, arthrography, and magnetic resonance imaging failed to demonstrate its etiology. Arthroscopic evaluation of the midcarpal and radiocarpal joints demonstrated a dynamic axial carpal instability with incompetence of the capitohamate and scapholunate ligaments. Stabilization of the axial instability by capitohamate arthrodesis relieved the chronic wrist pain.- - - - - - - - - - ranking = 0.2keywords = dislocation (Clic here for more details about this article) |
3/163. Missed isolated volar dislocation of distal radio-ulnar joint: a case report.We report a case of isolated volar dislocation of the distal radio-ulnar joint in a young man who injured his left wrist while playing rugby. Initially, this injury was missed in the emergency department; however, a true lateral view radiograph later revealed volar dislocation of the distal radio-ulnar joint. The dislocation was subsequently reduced under general anesthesia with a good end result. The importance of thorough clinical examination and a true lateral view radiograph of the wrist is stressed.- - - - - - - - - - ranking = 1.4keywords = dislocation (Clic here for more details about this article) |
4/163. Complete dislocation of the trapezium. Case report.A 24-year-old woman presented with complete, closed dislocation of the trapezium after a skiing accident. Treatment by closed reduction and fixation with a Kirschner wire gave an excellent clinical result with early return to full function. There were no radiological signs of arthrosis or avascular necrosis at 2 years follow-up.- - - - - - - - - - ranking = 1keywords = dislocation (Clic here for more details about this article) |
5/163. 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) |
6/163. Volar dislocation of the capitate.In this report we describe a case of volar dislocation of the capitate associated with dislocation of the ulnar side of the carpometacarpal joint. Forced dorsiflexion of the wrist caused the rotation and volar displacement of the proximal portion of the capitate. Dislocation of the capitate is rare and may be seen in more complex injuries. An awareness of this type of injury may contribute to prompt diagnosis and treatment.- - - - - - - - - - ranking = 1.2keywords = dislocation (Clic here for more details about this article) |
7/163. Traumatic dislocation of trapezium: case report and review of the literature.A complete dislocation of the trapezium from its fossa is rare. We present a case of a 36-year-old man with a complete ulnar and volar dislocation of the trapezium. The trapezium was reduced with manual manipulation and was held in anatomic position by using multiple Kirschner wires. The patient's clinical course is reviewed and similar cases from the literature are discussed.- - - - - - - - - - ranking = 1.2keywords = dislocation (Clic here for more details about this article) |
8/163. Ulnar translocation instability of the carpus after a dorsal radiocarpal dislocation: a case report.An unusual case of ulnar translocation of the carpus after a radiocarpal dislocation is described. Persistent instability was noted despite attempted reattachment of the avulsed palmar capsuloligamentous structures. A successful outcome occurred after radiolunate arthrodesis and external fixation of the wrist.- - - - - - - - - - ranking = 1keywords = dislocation (Clic here for more details about this article) |
9/163. A trans STT, trans capitate perilunate dislocation of the carpus. A case report.We report a case of carpal injury not previously described, associating three lesions of the carpus secondary to a hyperextension mechanism: fracture of the capitate, scapho-trapezio-trapezoid sprain and lunotriquetral ligament rupture. The patient was operated by percutaneous pinning after closed reduction. The capitate fracture was not fixed. At follow-up, the patient had no restriction of his everyday activities and was very satisfied.- - - - - - - - - - ranking = 0.8keywords = dislocation (Clic here for more details about this article) |
10/163. Acute injuries of the distal radioulnar joint.Distal radioulnar joint injuries can occur in isolation or in association with distal radius fractures, Galeazzi fractures, Essex-Lopresti injuries, and both-bone forearm fractures. The authors have classified DRUJ/TFCC injuries into stable, partially unstable (subluxation), and unstable (dislocation) patterns based on the injured structures and clinical findings. Clinical findings and plain radiographs are usually sufficient to diagnose the lesion, but axial CT scans are pathognomonic. Diagnostic arthroscopy is the next test of choice to visualize stable and partially unstable lesions. Stable injuries of the DRUJ/TFCC unresponsive to conservative measures require arthroscopic debridement of the TFCC tear, along with ulnar shortening if there is ulnar-positive variance. Partially unstable injuries, on the other hand, are treated with direct arthroscopic or open repair of the TFCC tear, once again, along with ulnar shortening if ulnar-positive variance is present. Unstable injuries include simple and complex DRUJ dislocations. A simple DRUJ dislocation is easily reducible but may be stable or unstable. In complex dislocation, reduction is not possible because there is soft tissue interposition or a significant tear. After the associated injury is dealt with, treatment for complex injuries requires exploration of the DRUJ, extraction of the interposed tissue, repair of the soft tissues, and open reduction and internal fixation of the ulnar styloid fracture (if present and displaced). The early recognition and appropriate treatment of an acute DRUJ injury are critical to avoid progression to a chronic DRUJ disorder, the treatment of which is much more difficult and much less satisfying.- - - - - - - - - - ranking = 0.8keywords = dislocation (Clic here for more details about this article) |
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