Traumatic Luxation of the Elbow in 31 Dogs

1999 ◽  
Vol 12 (01) ◽  
pp. 33-39 ◽  
Author(s):  
P. Wolvekamp ◽  
B.P. Meij ◽  
L.F.H. Theijse ◽  
H. A. W. Hazewinkel ◽  
I.G.F. Schaeffer
Keyword(s):  
Medical Records ◽  
Closed Reduction ◽  
Elbow Joint ◽  
Open Reduction ◽  
Clinical Results ◽  
Monteggia Fracture ◽  
Ligament Repair ◽  
Elbow Luxation ◽  
Methods Of Treatment

SummaryThe medical records of 31 dogs with traumatic luxation of the elbow joint were reviewed. The patients were referred to the Faculty of Veterinary Medicine of the Utrecht University during the period from 1984 to 1996. Nineteen dogs with an acute lateral luxation were treated by closed reduction. One dog with an acute bilateral luxation and two dogs with chronic elbow luxation were treated by open reduction. In four dogs the collateral ligaments were sutured on one side following closed reduction and in one dog following open reduction.Five dogs had a Monteggia fracture. One was treated by closed reduction and external coaptation and 4 by open reduction with osteosynthesis. Excellent or good results were achieved in eight of the 19 dogs (47%) treated by closed reduction, in 1 of 3 (33%) treated by open reduction and in three of five (60%) treated for a Monteggia fracture. The quite disappointing results of the closed reduction appeared to be largely due to the instability remaining after the reduction in seven of the 19 elbow joints (41%).Collateral ligament repair was performed in three dogs immediately following closed reduction and the clinical result was excellent in all three. When the elbow joint is unstable after reduction of a traumatic luxation, it should be stabilized surgically.Traumatic cubital luxation is an emergency which occurs infrequently in dogs. The methods of treatment used in 31 dogs are reviewed and the long-term clinical results are evaluated. Good results can be expected for acute closed reduction, provided that stability is improved surgically if the elbow is unstable after reduction. Monteggia fractures should always be treated by open reduction.

scholarly journals In Dogs With Traumatic Elbow Luxation, Does Treatment Using Closed Reduction and Conservative Management Have a Better Prognosis Than Those Treated With Open Reduction and Surgery?

2017 ◽  
Vol 2 (4) ◽  
Author(s):  
Barnaby Luke Dean
Keyword(s):  
Conservative Management ◽  
Closed Reduction ◽  
Open Reduction ◽  
Surgical Intervention ◽  
Treatment Method ◽  
Bottom Line ◽  
Elbow Luxation ◽  
Long Term Prognosis

<p><strong>Clinical bottom line:</strong></p><p>In the available literature, cases of traumatic elbow luxation managed by closed reduction appear to have a better long-term prognosis  than cases managed by open reduction and surgical stabilisation. That being said, it is important to consider that the poorer outcome in surgically-managed cases could reflect the severity or chronicity of the injury rather than the treatment method itself, or indeed could reflect a combination of the two.</p><p>Closed reduction of traumatic canine elbow luxation should be attempted in all cases as soon as possible as this is associated with a better prognosis. Should closed reduction not be possible, or should the elbow remain unstable or reluxate following closed reduction, surgical intervention is indicated. Joint immobilisation is recommended with either a Robert Jones bandage or splinted bandage for two-to-four weeks following treatment.</p>

Long-Term Evaluation of Bennett’s Fracture

1994 ◽  
Vol 19 (3) ◽  
pp. 373-377 ◽  
Author(s):  
E. J. F. TIMMENGA ◽  
T. J. BLOKHUIS ◽  
M. MAAS ◽  
E. L. F. B. RAAIJMAKERS
Keyword(s):  
Closed Reduction ◽  
Open Reduction ◽  
Bennett’S Fracture ◽  
Wire Fixation ◽  
Term Evaluation ◽  
Restricted Mobility ◽  
Almost All

18 patients with Bennett’s fracture were evaluated after a mean follow-up period of 10.7 years. Treatment consisted of closed reduction and K-wire fixation in seven cases and open reduction with osteosynthesis in 11 cases. Overall, symptoms were few and restricted mobility of the thumb could not be demonstrated. The strength of the affected hand was decreased in all patients regardless of the type of treatment. Osteoarthritis was found to correlate with the quality of reduction of the fracture, but had developed in almost all cases even after exact reduction. Exact reduction, either by the open or closed method, should be the aim of treatment of Bennett’s fracture.

Long-Term Clinical and Radiographic Outcomes After Open Reduction for Missed Monteggia Fracture-Dislocations in Children

2009 ◽  
Vol 91 (6) ◽  
pp. 1394-1404 ◽  
Author(s):  
Koichi Nakamura ◽  
Kazuhiko Hirachi ◽  
Shigeharu Uchiyama ◽  
Masatoshi Takahara ◽  
Akio Minami ◽  
...  
Keyword(s):  
Open Reduction ◽  
Monteggia Fracture ◽  
Radiographic Outcomes ◽  
Fracture Dislocations ◽  
Missed Monteggia

Dislocations of the hip and femoral head fractures

2011 ◽  
Author(s):  
A. Pohl
Keyword(s):  
Femoral Head ◽  
Surgical Approach ◽  
Early Treatment ◽  
Closed Reduction ◽  
Open Reduction ◽  
Injury Pattern ◽  
General Anaesthetic ◽  
Associated Injuries ◽  
Imaging Studies

♦ Most injuries are high violence, so look for associated injuries♦ Immediate closed reduction usually best under general anaesthetic♦ Do not proceed to open reduction without appropriate imaging studies♦ Surgical approach depends on injury pattern♦ Some long term complications can be minimized/avoided by appropriate early treatment (e.g. avascular necrosis).

Long-term clinical results in patients treated for recurrent posterolateral elbow joint instability using an ipsilateral triceps tendon graft

2017 ◽  
Vol 26 (6) ◽  
pp. 1052-1057
Author(s):  
Christian Kastenskov ◽  
Jeppe Vejlgaard Rasmussen ◽  
Janne Ovesen ◽  
Bo Sanderhoff Olsen
Keyword(s):  
Elbow Joint ◽  
Joint Instability ◽  
Clinical Results ◽  
Tendon Graft ◽  
Triceps Tendon

CLINICAL RESULTS OF ARTHROLYSIS USING POSTERO-LATERAL APPROACH FOR POST-TRAUMATIC CONTRACTURE OF THE ELBOW JOINT

Hand Surgery ◽  
2003 ◽  
Vol 08 (02) ◽  
pp. 163-172 ◽  
Author(s):  
Kengo Yamamoto ◽  
Takaaki Shishido ◽  
Toshinori Masaoka ◽  
Atsuhiro Imakiire
Keyword(s):  
Muscle Strength ◽  
Muscle Atrophy ◽  
Elbow Joint ◽  
Clinical Results ◽  
Lateral Approach ◽  
Anterior Capsule ◽  
Post Traumatic ◽  
Postoperative Problems ◽  
Postoperative Observation

We evaluated clinical results and postoperative problems associated with arthrolysis for post-traumatic contracture of the elbow joint. Arthrolysis was carried out in 47 elbows in 46 patients. Age at the time of arthroplasty ranged from 12 to 64 years (average 33 years). The period from time of injury to arthrolysis ranged from six months to six years (average 16 months). It was notable that scarring of the anterior capsule was pronounced in cases of long-term contracture. No apparent differences were observed in causes or age at operation, but the duration of preoperative symptoms and period of postoperative external fixation tended to affect the outcome. We conclude that arthrolysis is indicated irrespective of preoperative range of motion (ROM) and age, and that the surgery should be carried out before degeneration of cartilage and muscle atrophy progress. It was considered that long-term postoperative observation is also necessary, because in some cases there was postoperative progression of joint deformities, while in others there was decreased muscle strength after surgery.

Klinische Langzeitergebnisse der perkutanen transluminalen Angioplastie bei Patienten mit peripherer arterieller Verschlusskrankheit

VASA ◽  
2002 ◽  
Vol 31 (1) ◽  
pp. 36-42 ◽  
Author(s):  
. Bucek ◽  
Hudak ◽  
Schnürer ◽  
Ahmadi ◽  
Wolfram ◽  
...  
Keyword(s):  
Success Rate ◽  
Clinical Stage ◽  
Ankle Brachial Index ◽  
Clinical Situation ◽  
Clinical Results ◽  
Transluminal Angioplasty ◽  
Term Outcome ◽  
Long Term Outcome

Background: We investigated the long-term clinical results of percutaneous transluminal angioplasty (PTA) in patients with peripheral arterial occlusive disease (PAOD) and the influence of different parameters on the primary success rate, the rate of complications and the long-term outcome. Patients and methods: We reviewed clinical and hemodynamic follow-up data of 166 consecutive patients treated with PTA in 1987 in our department. Results: PTA improved the clinical situation in 79.4% of patients with iliac lesions and in 88.3% of patients with femoro-popliteal lesions. The clinical stage and ankle brachial index (ABI) post-interventional could be improved significantly (each P < 0,001), the same results were observed at the end of follow-up (each P < 0,001). Major complications occurred in 11 patients (6.6%). The rate of primary clinical long-term success for suprainguinal lesions was 55% and 38% after 5 and 10 years (femoro-popliteal 44% and 33%), respectively, the corresponding data for secondary clinical long-term success were 63% and 56% (60% and 55%). Older age (P = 0,017) and lower ABI pre-interventional (P = 0,019) significantly deteriorated primary clinical long-term success for suprainguinal lesions, while no factor could be identified influencing the outcome of femoro-popliteal lesions significantly. Conclusion: Besides an acceptable success rate with a low rate of severe complications, our results demonstrate favourable long-term clinical results of PTA in patients with PAOD.

Open Reduction for Dorsal Dislocation of Second to Fifth Carpometacarpal Joints: A Case Report

2020 ◽  
Author(s):  
Hiroo Kimura ◽  
Akira Toga ◽  
Taku Suzuki ◽  
Takuji Iwamoto
Keyword(s):  
Closed Reduction ◽  
Open Reduction ◽  
Delayed Diagnosis ◽  
Preoperative Assessment ◽  
Radiographic Examination ◽  
Clinical Images ◽  
Left Hand ◽  
Carpometacarpal Joints ◽  
Joint Deformity ◽  
Poor Outcomes

Abstract Background Fracture-dislocations of all four ulnar (second to fifth) carpometacarpal (CMC) joints are rare hand injuries and frequently overlooked or missed. These injuries can be treated conservatively when closed reduction is successfully achieved, though they are sometimes irreducible and unstable. Case Description We report the case of a 17-year-old boy involved in a vehicular accident. Clinical images showed dorsal dislocation of all four ulnar CMC joints of the left hand associated with a fracture of the base of the fourth metacarpal. Although closed reduction was attempted immediately, the affected joints remained unstable and easily redislocated. Therefore, we performed open reduction and percutaneous fixation of all ulnar CMCs. He showed excellent recovery after 1 year postoperatively, reported no pain, and demonstrated complete grip strength and range of motion of the affected wrist and fingers. Literature Review Accurate clinical diagnosis of this lesion is difficult because of polytrauma, severe swelling masking the dislocated CMC joint deformity, and overlapping of adjacent metacarpals and carpal bones on radiographic examination. As for the treatment strategy, it has yet to obtain a consensus. Some reports value open reduction to guarantee anatomical reduction, and it is definitely needed in the patients with interposed tissues to be removed or with subacute and chronic injuries. Clinical Relevance Delayed diagnosis or treatment could lead to poor outcomes. Therefore, surgeons must be aware that precise preoperative assessment is critical, and anatomical open reduction of interposed bony fragments, like our case, may be required even in an acute phase.

СОХРАНЕНИЕ ПРИВЕРЖЕННОСТИ К ТЕРАПИИ КАК ГАРАНТИЯ ЭФФЕКТИВНОСТИ СЛИТ

2019 ◽  
Author(s):  
K.S. Pavlova ◽  
D.S. Mdinaradze
Keyword(s):  
Allergic Diseases ◽  
Atopic Asthma ◽  
National Guidelines ◽  
Allergen Specific Immunotherapy ◽  
Dose Dependent ◽  
Methods Of Treatment ◽  
Choice Of Therapy ◽  
Dose Dependent Effect ◽  
Reduced Adherence

По данным ВОЗ, рекомендации врача выполняют не более 50 пациентов. В конечном итоге это приводит к снижению или отсутствию эффекта от назначаемого лечения. В связи с этим во всех последних международных и национальных руководствах говорится о необходимости учета предпочтений пациента при выборе терапии. Аллерген-специфическая иммунотерапия (АСИТ) является одним из основных методов лечения аллергических заболеваний, таких как аллергический ринит, конъюнктивит и атопическая бронхиальная астма, обладает болезнь-модифицирующими свойствами и долгосрочным эффектом после окончания лечения. АСИТ относится к профилактическому и продолжительному методу (рекомендовано на протяжении не менее 3 лет), что часто является причиной снижения приверженности к терапии. В различных исследованиях подтвержден зависимый от дозы аллергена эффект АСИТ, а следовательно, изменение режимов или сокращение сроков терапии могут влиять на конечный результат. При недостаточной эффективности АСИТ необходимо в первую очередь рассматривать вероятность низкого комплаенса. Сублингвальная АСИТ (СЛИТ) требует от пациента высокой вовлеченности в процесс лечения. Задачей врача в данном случае становится повышение терапевтического сотрудничества как одного из важнейших факторов обеспечения эффективности СЛИТ. Основными способами в данном случае являются улучшение понимания пациентом цели терапии и регулярный контроль со стороны врача.According to WHO at last 50 of the patient dont follow doctors recommendations. Ultimately, this leads to a decrease or absence of the treatment effect. In this regard, all the latest international and national guidelines mention the need to take into account the patients preferences in the choice of therapy. Allergen-specific immunotherapy (AIT) is one of the main methods of treatment of allergic diseases such as allergic rhinitis, allergic conjunctivitis and atopic asthma, and has disease modifying properties and the long-term efficacy after stop treatment. AIT refers to a preventive and long-term method (recommended for at least 3 years), that is often the cause of reduced adherence to therapy. Various studies have confirmed the dose-dependent effect of AIT, and, consequently, changes in regimens or shortening of therapy may affect the end result. In case of insufficient effectiveness of AIT, the probability of low compliance should be considered first of all. Sublingual AIT (SLIT) requires the patient to be highly involved in the treatment process. The task of the doctor in this case is increasing therapeutic cooperation, as one of the most important factors to ensure the effectiveness of SLIT. The main methods in this case are to improve the patients understanding of the purpose of the therapy and regular monitoring by the doctor.

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