scholarly journals Repeat posterior wall acetabular fracture-dislocation: High-energy trauma as a ‘second hit phenomenon’

2019 ◽  
Vol 22 ◽  
pp. 100215
Author(s):  
Burton D. Dunlap ◽  
Ryan T. Voskuil ◽  
Brandon Cincere ◽  
Peter J. Nowotarski
Keyword(s):  
Acetabular Fracture ◽  
Posterior Wall ◽  
High Energy ◽  
Fracture Dislocation ◽  
High Energy Trauma ◽  
Second Hit

Intra-articular Transcalcaneal Fracture-Dislocation Associated With Ipsilateral Transtalar Fracture: A Report of a Rare Combination

2020 ◽  
Vol 13 (4) ◽  
pp. 335-340
Author(s):  
Danilo Ryuko Cândido Nishikawa ◽  
Bruno Rodrigues de Miranda ◽  
Fernando Aires Duarte ◽  
Guilherme Honda Saito ◽  
Rogério Carneiro Bitar ◽  
...  
Keyword(s):  
Case Report ◽  
High Energy ◽  
Fracture Dislocation ◽  
Calcaneal Fractures ◽  
Short Term ◽  
High Energy Trauma ◽  
Rare Combination ◽  
Severe Bone Loss ◽  
Neck Fracture

The association of ipsilateral talar and calcaneal fractures is an uncommon combination and is typically the result of a high-energy trauma. It is often associated with comminution, marked fracture displacement, and soft-tissue compromise. Obtaining satisfactory clinical and radiographic results is very challenging. Residual deformities, multiple procedures, and limitations are usually the norm. Therefore, studies have suggested that primary arthrodesis may represent the best option of surgical treatment. In this study, we report a case of a 30-year-old male patient with a rare combination of a highly comminuted transcalcaneal fracture-dislocation associated with a talar neck fracture successfully treated with open reduction and internal fixation (ORIF) with an 18-month follow-up. This case demonstrates that even when there are associated fractures of the talus and calcaneus with severe bone loss, ORIF may provide satisfactory outcomes in the short-term postoperative period. Levels of Evidence: Level V: Case report

scholarly journals Non-traumatic bilateral comminated acetabular fracture

2021 ◽  
Author(s):  
Abdullah A. Alsaeed ◽  
Abdullah Y. Alsaeed
Keyword(s):  
Vitamin D ◽  
High Risk ◽  
Acetabular Fracture ◽  
Pathological Fracture ◽  
High Energy ◽  
High Energy Trauma

High-energy trauma has been confirmed as a cause of bilateral acetabular fracture. However, there are few reports on nontraumatic bilateral acetabular fracture. We report a case of bilateral acetabular fracture that occurred acutely with no preceding trauma in a 50-year-old man with osteoporosis. The case shows the significance of regular annual calcium and vitamin D screening of patients at a high risk of pathological fracture.

Cases of Missed Posterior Fracture-Dislocation of the Shoulder

2020 ◽  
Author(s):  
Morteza Nakhaei Amroodi ◽  
Farzad Amouzadeh Omrani ◽  
Naser Ghanbari ◽  
Melika Alaedini
Keyword(s):  
Young Adults ◽  
Proximal Humerus Fracture ◽  
Proximal Humerus ◽  
Rare Condition ◽  
High Energy ◽  
Posterior Dislocation ◽  
Humerus Fracture ◽  
Fracture Dislocation ◽  
High Energy Trauma ◽  
X Ray

Proximal humerus fracture-dislocation is a rare condition that occurs mostly in young adults due to high energy trauma and about 60-79 percent of misdiagnosis is occurred in the first diagnosis. In this article, we present two patients with proximal humerus fracture-posterior dislocation the fractures of whom were diagnosed, but after the radiographic studies including x-ray and computer tomography (CT) scan, the posterior dislocation was misdiagnosed. In addition, complications, management, and avoidance of this misdiagnosis were discussed.

scholarly journals High-Energy Transsyndesmotic Ankle Fracture Dislocation: A Case Report and Systematic Literature Review

2018 ◽  
Vol 2018 ◽  
pp. 1-8 ◽  
Author(s):  
Yinshuan Deng ◽  
Chenhui Dong ◽  
Xiaojie Yang ◽  
Rui Liu ◽  
Feiyi Hou ◽  
...  
Keyword(s):  
Systematic Review ◽  
Case Report ◽  
Literature Review ◽  
Ankle Fracture ◽  
Clinical Case ◽  
High Energy ◽  
Fracture Dislocation ◽  
High Energy Trauma ◽  
Ovid Medline ◽  
Type Of Injury

High-energy trauma can cause transsyndesmotic ankle fracture dislocation. These fractures are quite rare. Here we present a clinical case of a male patient with this type of injury. A systematic review of PubMed, Ovid MEDLINE, and Embase electronic databases revealed only two prior publications on a similar topic. We discuss the typical clinical features of these injuries, the treatment of high-energy trauma which can cause transsyndesmotic ankle fracture dislocation, and its prognosis.

scholarly journals Literature Review and Clinical Presentation of Bilateral Acetabular Fractures Secondary to Seizure Attacks

2012 ◽  
Vol 2012 ◽  
pp. 1-4 ◽  
Author(s):  
Alexandre H. Nehme ◽  
Jihad F. Matta ◽  
Alaa G. Boughannam ◽  
Fouad C. Jabbour ◽  
Joseph Imad ◽  
...  
Keyword(s):  
Acetabular Fracture ◽  
Clinical Presentation ◽  
Delayed Diagnosis ◽  
High Energy ◽  
Fracture Dislocation ◽  
Acetabular Fractures ◽  
Seizure Attack ◽  
Direct Trauma ◽  
External Trauma ◽  
Seizure Attacks

Central acetabular fracture dislocation is usually caused by high-energy external trauma. However, 26 cases that occurred as a result of a seizure attack appeared in the literature from 1970 to 2007, with the seizure attacks themselves caused by many different factors. In this setting, the central acetabular fracture not caused by direct trauma might initially remain unnoticed leading to a delayed diagnosis. In some cases, this may lead to death as a result of massive blood loss. We here present a case of bilateral central acetabular fracture dislocation as a result of a seizure attack.

Management and Outcome of Transepiphyseal Femoral Neck Fracture-Dislocation with a Transverse Posterior Wall Acetabular Fracture

2018 ◽  
Vol 8 (3) ◽  
pp. e64-e64 ◽  
Author(s):  
M. Kareem Shaath ◽  
Harsh Shah ◽  
Mark R. Adams ◽  
Michael S. Sirkin ◽  
Mark C. Reilly
Keyword(s):  
Femoral Neck ◽  
Femoral Neck Fracture ◽  
Acetabular Fracture ◽  
Posterior Wall ◽  
Fracture Dislocation ◽  
Neck Fracture

scholarly journals High- Versus Low-Energy Acetabular Fracture Outcomes in the Geriatric Population

2020 ◽  
Vol 11 ◽  
pp. 215145932093954 ◽  
Author(s):  
Alexa Cecil ◽  
Jonathan W. Yu ◽  
Viviana A. Rodriguez ◽  
Adam Sima ◽  
Jesse Torbert ◽  
...  
Keyword(s):  
Older Adults ◽  
Acetabular Fracture ◽  
Hip Dislocation ◽  
Posterior Wall ◽  
High Energy ◽  
Low Energy ◽  
Acetabular Fractures ◽  
Heterotopic Bone ◽  
Geriatric Population ◽  
Energy Group

Introduction: High-energy mechanisms of acetabular fracture in the geriatric population are becoming increasingly common as older adults remain active later in life. This study compared outcomes for high- versus low-energy acetabular fractures in older adults. Materials and Methods: We studied outcomes of 22 older adults with acetabular fracture who were treated at a level-I trauma center over a 4-year period. Fourteen patients were categorized as low-energy mechanism of injury, and 8 were identified as a high-energy mechanism. We analyzed patient demographics with univariate logistic regressions performed to assess differences in high- and low-energy group as well as patient characteristics compared with surgical outcomes. Results: Most high-energy mechanisms were caused by motor vehicle collision (n = 4, 50.0%), with most having posterior wall fractures (50.0%). Among patient characteristics, the mechanism of injury, hip dislocation, fracture types, and fracture gap had the largest differences between energy groups effect size (ES: 2.45, 1.43, 1.36, and 0.83, respectively). The high-energy group was more likely to require surgery (odds ratio [OR] = 2.80, 95% CI: 0.26-30.70), develop heterotopic bone (OR = 4.33, 95% CI: 0.33-57.65), develop arthritis (OR = 3.60, 95% CI: 0.45-28.56), and had longer time to surgery (mean = 4.8 days, standard deviation [SD] = 5.8 days) compared to low-energy group (mean = 2.5 days, SD = 2.3 days). Discussion: The results of this case series confirm previous findings that patients with high-energy acetabular fractures are predominantly male, younger, and have fewer comorbidities than those who sustained low-energy fractures. Our results demonstrate that the majority of the high-energy fracture patients also suffered a concurrent hip dislocation with posterior wall fracture and experienced a longer time to surgery than the low-energy group. Conclusion: Geriatric patients who sustained high-energy acetabular fractures tend to have higher overall rates of complications, including infection, traumatic arthritis, and heterotopic bone formation when compared with patients with a low-energy fracture mechanism.

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