Cases reported "Fractures, Closed"

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11/17. Subcapital fracture of neck of femur with complete posterior dislocation of the hip.

    A rare case of a posterior fracture-dislocation of the hip joint with an ipsilateral subcapital fracture in a young woman is presented. The isolated femoral head was displaced in the subcutaneous area in the buttock. A possible explanatory mechanism of dual injury is that the posterior fracture-dislocation occurred first and then a lateral blow to the buttock caused the subcapital fracture. The missing fragment of the femoral head, in two parts, was located and replaced with a prosthesis before the hip was reduced. An extensive search in the literature failed to reveal a similar case.
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ranking = 1
keywords = neck
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12/17. Intrathoracic displacement of the humeral head with fracture of the surgical neck.

    Intrathoracic displacement of the humeral head occurred in a man in association with fracture of the surgical neck of the humerus. This report describes the mechanism of the injury and a method of operative exposure.
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ranking = 1.25
keywords = neck
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13/17. Talar neck fracture with talar head dislocation and intact ankle and subtalar joints: a case report.

    The authors describe a rare case of fracture of the neck of the talus associated with talonavicular dislocation but no disruption of the ankle and subtalar joints. The fracture united after open reduction and internal fixation. The head of the talus revealed avascular necrosis but the body did not. A literature review retrieved one previous report of a similar injury, but it was open and became infected. The unique features of this injury pattern and its specific complication, isolated avascular necrosis of the talar head, are discussed.
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ranking = 1.25
keywords = neck
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14/17. Treatment of difficult fractures and nonunions of the humerus and elbow with a modified Kuntscher nail.

    A series of fourteen difficult fractures and nonunions of the humerus and elbow have been treated over a period of twenty-eight years with a modified Kuntscher Nail. A total of twenty-six operative attempts had been previously made in this group of fourteen patients. One patient had eight failed surgeries prior to treatment. Slots were placed along the spine of the nail for transfixion with screws. In two instances additional modification of the Kuntscher nail was made by attaching a plate to the end of the nail for fixation to the ulna after retrograde insertion into the humerus. One such device was used to fuse the elbow. The other was used to stabilize a low nonunion in which the elbow was already fused. Union was obtained in nine cases with failure in five. Four of the failures united with one additional surgery. The one failed case had a surgical neck fracture which was eventually treated with a Neer prosthesis. The method described may not be superior to other methods; however, it can be successful in obtaining union in difficult elbow and humerus fractures or nonunions resulting from multiple failed prior procedures.
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ranking = 0.25
keywords = neck
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15/17. Fracture of the humerus in ball throwers. A consequence of idiopathic juvenile osteoporosis in a female handball player?

    We report a case of a spontaneous humeral shaft fracture sustained during pitching by a 22-year-old previously healthy female European team handball player. The fracture was treated by closed reposition followed by immobilization in a hanging cast. The fracture healed uneventfully, and normal function and range of motion were reached within 6 months. Between 1 and 2 years after the fracture, bone mineral measurements showed a decreased bone mass (1.43-2.56 SD below mean values of normal women) at all measuring sites; proximal tibia bilaterally (bone mineral content (right) = 2.68 g/cm, bone mineral content (left) = 2.79 g/cm), lumbar spine (bone mineral density (L2-4) = 0.814 g/cm2), and right hip (bone mineral density (neck) = 0.697 g/cm2, bone mineral density (Ward's) = 0.626 g/cm2). A thorough endocrinological examination indicated that a state of bone loss existed, but no specific endocrine disease was found. The unusual fracture presented must be considered the result of the torsional forces transmitted to a severely osteoporotic bone.
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ranking = 0.25
keywords = neck
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16/17. Complex fracture of the radial neck in a child: an unusual case.

    A rare elbow fracture pattern involving the radial neck, olecranon, and medial epicondyle is described in a pediatric patient. Medial and lateral fixation was necessary to control the three planes of instability. Commonly, radial neck fractures with an associated elbow injury (olecranon or medial epicondyle) are stable with lateral fixation alone.
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ranking = 1.5
keywords = neck
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17/17. axillary artery injury in closed fracture of the humeral neck.

    A case of atherosclerotic axillary artery rupture in closed fracture of the proximal part of the humerus is described. It demonstrates a possible serious arterial injury in elderly persons even in case the fracture of the humeral neck is not dislocated. If there are signs of disturbed circulation in these injuries, angiography is indicated irrespective of the type of fracture and mechanism of injury.
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ranking = 1.25
keywords = neck
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