AN UNUSUAL FRACTURE-DISLOCATION OF THE TRAPEZIOMETACARPAL JOINT OF THE THUMB: A CASE REPORT

Hand Surgery ◽  
2010 ◽  
Vol 15 (01) ◽  
pp. 57-60 ◽  
Author(s):  
Yasuhiro Narushima ◽  
Akira Hara ◽  
Koichi Kusunose
Keyword(s):  
Case Report ◽  
Fracture Pattern ◽  
Fracture Dislocation ◽  
Trapeziometacarpal Joint ◽  
Bennett’S Fracture ◽  
Joint Fractures ◽  
Treatment Considerations

Reports describing trapeziometacarpal joint fractures of the thumb have discussed Bennett's fracture or Rolando's fracture primarily. We report a patient with an unusual fracture which could not be classified as a Bennett's-type or Rolando's-type injury. The aetiology of the fracture pattern is proposed and treatment considerations are discussed.

scholarly journals A case report of femoral head fracture with osteochondral lesion treated by osteosynthesis and biomimetic scaffold: 2-year clinical and radiological follow-up

2021 ◽  
Vol 8 (1) ◽  
Author(s):  
Alessandro Casiraghi ◽  
Claudio Galante ◽  
Marco Domenicucci ◽  
Stefano Cattaneo ◽  
Andrea Achille Spreafico ◽  
...  
Keyword(s):  
Case Report ◽  
Femoral Head ◽  
Articular Surface ◽  
Osteochondral Lesion ◽  
Hip Dislocation ◽  
Fracture Dislocation ◽  
Osteochondral Lesions ◽  
Femoral Head Fracture ◽  
Osteochondral Scaffold

AbstractThe aim of the present study was to present clinical and radiological outcome of a hip fracture-dislocation of the femoral head treated with biomimetic osteochondral scaffold.An 18-year-old male was admitted to the hospital after a motorcycle-accident. He presented with an obturator hip dislocation with a type IVA femoral head fracture according to Brumback classification system. The patient underwent surgery 5 days after accident. The largest osteochondral fragment was reduced and stabilized with 2 screws, and the small fragments were removed. The residual osteochondral area was replaced by a biomimetic nanostructured osteochondral scaffold. At 1-year follow-up the patient did not complain of hip pain and could walk without limp. At 2-year follow-up he was able to run with no pain and he returned to practice sports. Repeated radiographs and magnetic resonance imaging studies of the hip showed no signs of osteoarthritis or evidence of avascular necrosis. A hyaline-like signal on the surface of the scaffold was observed with restoration of the articular surface and progressive decrease of the subchondral edema.The results of the present study showed that the biomimetic nanostructured osteochondral scaffold could be a promising and safe option for the treatment of traumatic osteochondral lesions of the femoral head.Study Design: Case report.

scholarly journals A Case Report of Plantar Fracture-Dislocation of the Tarsal Navicular.

2002 ◽  
Vol 51 (4) ◽  
pp. 817-822
Author(s):  
Noriaki Miyata ◽  
Hirofumi Inoue ◽  
Naoko Shibata ◽  
Kenichi Kidera ◽  
Michinori Yamashita ◽  
...  
Keyword(s):  
Case Report ◽  
Fracture Dislocation

Open anterior fracture dislocation of the hip: a case report and review of literature

2005 ◽  
Vol 125 (8) ◽  
pp. 550-554 ◽  
Author(s):  
U. K. Sadhoo ◽  
G. S. Tucker ◽  
Aditya V. Maheshwari ◽  
A. Kaul
Keyword(s):  
Case Report ◽  
Fracture Dislocation ◽  
Review Of Literature ◽  
Dislocation Of The Hip

Fracture-dislocation of the sacroiliac joint with severely unstable fractures of the pelvis and femur in a 16-month-old patient: a case report

2015 ◽  
Vol 20 (6) ◽  
pp. 1127-1131 ◽  
Author(s):  
Qiang Shi ◽  
Weiping Wu ◽  
Juan Han ◽  
Shuangwu Dai ◽  
Wei Tan ◽  
...  
Keyword(s):  
Case Report ◽  
Sacroiliac Joint ◽  
Fracture Dislocation ◽  
Unstable Fractures

Aggressive periodontitis of the primary dentition associated with idiopathic immune deficiency: case report and treatment considerations

2005 ◽  
Vol 29 (1) ◽  
pp. 27-31 ◽  
Author(s):  
Enrique Bimstein ◽  
Michael McIlwain ◽  
Joseph Katz ◽  
Greg Jerrell ◽  
Robert Primosch
Keyword(s):  
Immune Deficiency ◽  
Case Report ◽  
Primary Teeth ◽  
Aggressive Periodontitis ◽  
Primary Dentition ◽  
Permanent Teeth ◽  
Gingival Inflammation ◽  
Adequate Treatment ◽  
Treatment Considerations ◽  
Topical Applications

The present case, of a child with an idiopathic immune deficiency and aggressive periodontitis in the primary dentition, serves as an example for the treatment considerations in these cases. Extraction of all the primary teeth proved to be the most adequate treatment. It allowed the child to eat properly and prevented unwanted infections that could endanger the life of the child. The newly erupted permanent teeth have been subjected to careful oral hygiene, clorhexidine topical applications, and have mild gingival inflammation and no attachment loss.

The Conservative Management of Bennett’s Fracture-Dislocation: A 26-Year Follow-Up

1990 ◽  
Vol 15 (3) ◽  
pp. 291-294
Author(s):  
P. J. LIVESLEY
Keyword(s):  
Conservative Management ◽  
Fracture Dislocation ◽  
Range Of Movement ◽  
Term Outcome ◽  
Long Term Outcome ◽  
The Poor ◽  
Bennett’S Fracture ◽  
Hand Radiographs

Seventeen patients who had suffered a Bennett’s fracture-dislocation have been reviewed with an average follow up of 26 years. All were treated conservatively. At review, only seven patients had symptoms, but all had a decreased range of movement and grip strength. Twelve had a characteristic deformity in the hand. Radiographs showed persistent subluxation of the first carpo-metacarpal joint and marked degenerative changes. We suggest that, in the light of the poor long-term outcome, this injury should not be managed conservatively but by some operative means.

scholarly journals Comminuted Patella Fracture in Elderly Patients: A Systematic Review and Case Report

2017 ◽  
Vol 8 (3) ◽  
pp. 135-144 ◽  
Author(s):  
Brent Matthews ◽  
Kaushik Hazratwala ◽  
Sergio Barroso-Rosa
Keyword(s):  
Case Report ◽  
Elderly Patients ◽  
Treatment Options ◽  
The Elderly ◽  
Fracture Pattern ◽  
Patella Fracture ◽  
Level Of Evidence ◽  
Fixation Failure ◽  
Number Of Patients ◽  
Mesh Augmentation

Objectives: To review comminuted patella fracture in the elderly patients and examine the surgical options to avoid complications such as fixation failure and poor functional outcome. To provide an example of mesh augmentation in comminuted patella fracture in the elderly patients. Data Sources: A literature review was conducted by the authors independently using Ovid, Medline, Cochrane, PubMed, and Clinical Key in English. We aimed to review data on patients older than 65 with comminuted patella fracture. Search conducted between July and December 2015. Study Selection: Search terms included patella fracture, elderly, and fixation failure. Abstracts were included if they were a case report, cohort series, or randomized control trial. Further inclusion criteria were that they were available in full text and included patient age(s), operative details, follow-up, and outcome discussion. Data Extraction: Each study was assessed according to its level of evidence, number of patients, age of patients, fracture patterns described, complications of treatment, and results summarized. Data Synthesis: Paucity of data and heterogeneity of studies limited statistical analysis. Data are presented as a review table with the key points summarized. Conclusion: In patella fracture, age >65 years and comminuted fracture pattern are predictors of increased fixation failure and postoperative stiffness, warranting special consideration. There is a trend toward improved functional outcomes when augmented fixation using mesh or plates is used in this group. Further level 1 studies are required to compare and validate new treatment options and compared them to standard surgical technique of tension band wire construct.

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