scholarly journals Atraumatic Anterior Dislocation of the Hip Joint

2015 ◽  
Vol 2015 ◽  
pp. 1-5
Author(s):  
Tadahiko Ohtsuru ◽  
Yasuyuki Morita ◽  
Yasuaki Murata ◽  
Junya Itou ◽  
Yuji Morita ◽  
...  
Keyword(s):  
Hip Joint ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Sagittal Plane ◽  
Imaging System ◽  
High Energy ◽  
Developmental Dysplasia ◽  
Anterior Dislocation ◽  
Dislocation Mechanism ◽  
Dislocation Of The Hip

Dislocation of the hip joint in adults is usually caused by high-energy trauma such as road traffic accidents or falls from heights. Posterior dislocation is observed in most cases. However, atraumatic anterior dislocation of the hip joint is extremely rare. We present a case of atraumatic anterior dislocation of the hip joint that was induced by an activity of daily living. The possible causes of this dislocation were anterior capsule insufficiency due to developmental dysplasia of the hip, posterior pelvic tilt following thoracolumbar kyphosis due to vertebral fracture, and acetabular anterior coverage changes by postural factor. Acetabular anterior coverage changes in the sagittal plane were measured using a tomosynthesis imaging system. This system was useful for elucidation of the dislocation mechanism in the present case.

scholarly journals Open anterolateral fracture dislocation of ankle joint: a rare case report

2018 ◽  
Vol 5 (1) ◽  
pp. 192
Author(s):  
Prasanna Anaberu ◽  
R. Prathik ◽  
R. Manish
Keyword(s):  
Ankle Joint ◽  
Fracture Fixation ◽  
Road Traffic ◽  
Emergency Operation ◽  
High Energy ◽  
Fracture Dislocation ◽  
Anterior Dislocation ◽  
Malleolar Fracture ◽  
Rare Injury ◽  
Wound Debridement

<p class="abstract">Anterior ankle dislocation with associated compound bi-malleolar fracture is a rare injury. Ankle fracture dislocations most frequently occurs in young males caused by high energy trauma. The direction of the joint dislocation is determined by the position of the foot and the direction of the force being applied. A middle aged male presented to us with history of road traffic accident and was diagnosed to have anterior dislocation of right ankle joint with compound bi-malleolar fracture. Patient was taken to emergency operation theatre for wound debridement and immediate ankle reduction done under sedation. Due to wound contamination fracture fixation was delayed, once the wound healed bi-malleolar fracture fixation was done.</p>

scholarly journals Bilateral traumatic anterior dislocation of the hip joint.

1997 ◽  
Vol 14 (6) ◽  
pp. 391-391 ◽  
Author(s):  
R J Sneath ◽  
N P Morgan
Keyword(s):  
Hip Joint ◽  
Anterior Dislocation ◽  
Dislocation Of The Hip

Recurrent anterior dislocation of the hip joint--a case report

2000 ◽  
Vol 71 (4) ◽  
pp. 422-424 ◽  
Author(s):  
Takashi Shigenobu ◽  
Yuji Yasunaga ◽  
Osamu Omoto ◽  
Yoshikazu Ikuta ◽  
Kenji Kido
Keyword(s):  
Case Report ◽  
Hip Joint ◽  
Anterior Dislocation ◽  
Dislocation Of The Hip ◽  
Recurrent Anterior Dislocation

Usefulness of Measuring Acetabular Anterior Coverage Using a Tomosynthesis Imaging System

2017 ◽  
Vol 27 (1) ◽  
pp. 87-91
Author(s):  
Tadahiko Ohtsuru ◽  
Yasuyuki Morita ◽  
Yuhei Horiuchi ◽  
Yasuaki Murata ◽  
Shuji Shimamoto ◽  
...  
Keyword(s):  
Anterior Margin ◽  
Sagittal Plane ◽  
Imaging System ◽  
Early Stage ◽  
Intraclass Correlation ◽  
Standing Position ◽  
Developmental Dysplasia ◽  
Strong Positive Correlation ◽  
Effective Doses ◽  
Dysplasia Of The Hip

Purpose The purpose of this study was to compare the usefulness of measuring acetabular anterior coverage by tomosynthesis and false profile (FP) radiography. Methods 70 hips in 35 patients who were diagnosed with early stage osteoarthritis of the hip, and 60 hips from 30 healthy volunteers were analysed. Plain FP radiographs were taken, and vertical-centre-anterior margin (FP-VCA) angles were measured. Acetabular anterior coverage was measured in the natural standing position using a tomosynthesis imaging system in the sagittal plane. As with FP radiography, we measured vertical-centre-anterior margin (TS-VCA) angles. Results The median values of the FP-VCA angle, and TS-VCA angle were 43.8°, 54.4°, respectively. The TS-VCA angle was significantly larger than the FP-VCA angle. For FP radiographs, the intraobserver intraclass correlation coefficient (ICC) was 0.68, and the interobserver ICC was 0.79. For tomosynthesis sagittal images, the intraobserver ICC was 0.85, and the interobserver ICC was 0.92. There was a strong positive correlation between the TS-VCA angle and the FP-VCA angle. When the FP-VCA angle was 25°, the TS-VCA angle was 35° in regression analysis. Conclusions Measuring acetabular anterior coverage using sagittal plane tomosynthesis correlates well with FP radiography. Regardless of the presence of acetabular deformities, tomosynthesis demonstrated high reproducibility, simple posture setting, low effective doses, and high versatility. A cut-off value of 35° was useful for the detection of developmental dysplasia of the hip joint using the TS-VCA angle.

A new sign in anterior dislocation of the hip joint

Injury ◽  
1984 ◽  
Vol 16 (1) ◽  
pp. 51-52 ◽  
Author(s):  
S.J. King ◽  
W.A. Seale ◽  
K. Ametewee
Keyword(s):  
Hip Joint ◽  
Anterior Dislocation ◽  
Dislocation Of The Hip

scholarly journals Trampolines injuries are bouncing back

2021 ◽  
Vol 2 (2) ◽  
pp. 86-92
Author(s):  
Yahya Ibrahim ◽  
Sumon Huq ◽  
Kanatheepan Shanmuganathan ◽  
Helen Gille ◽  
Pranai Buddhdev
Keyword(s):  
Traffic Accidents ◽  
Road Traffic ◽  
Treatment Options ◽  
High Energy ◽  
Home Exercise ◽  
Mechanism Of Injury ◽  
High Energy Trauma ◽  
Paediatric Trauma ◽  
Parametric Data ◽  
Number Of Patients

Aims This observational study examines the effect of the COVID-19 pandemic upon the paediatric trauma burden of a district general hospital. We aim to compare the nature and volume of the paediatric trauma during the first 2020 UK lockdown period with the same period in 2019. Methods Prospective data was collected from 23 March 2020 to 14 June 2020 and compared with retrospective data collected from 23 March 2019 to 14 June 2019. Patient demographics, mechanism of injury, nature of the injury, and details of any surgery were tabulated and statistically analyzed using the independent-samples t-test for normally distributed data and the Mann-Whitney-U test for non-parametric data. Additionally, patients were contacted by telephone to further explore the mechanism of injury where required, to gain some qualitative insight into the risk factors for injury. Results The 2020 lockdown resulted in 30% fewer paediatric trauma presentations (441 vs 306), but no significant change in the number of patients requiring surgery (47 vs 51; p = 0.686). Trampolining injuries increased in absolute numbers by 168% (p < 0.001), almost four times more common when considered as percentage of all injuries observed in 2020 vs 2019. There was a decrease in high energy trauma from road traffic accidents and falls from height (21.5% decrease, p < 0.001). Despite a shift towards more conservative treatment options, trampolining injuries continued to require surgery in similar proportions (19.4 vs 20%; p = 0.708). Qualitative investigation revealed that the most common risk factor for trampolining injury was concurrent usage, especially with an older child. Conclusion COVID-19 lockdown has resulted in a decrease in paediatric orthopaedic presentations and high energy trauma. However, due to a marked increase in home trampolining injuries, and their unchanged requirement for surgery, there has been no change in the requirement for surgery during the lockdown period. As home exercise becomes more prevalent, a duty of public health falls upon clinicians to advise parents against trampoline usage. Cite this article: Bone Jt Open 2021;2(2):86–92.

Impact of Coronavirus Disease-2019 on Orthopedic and Trauma Cases at Sina Hospital, Tehran, Iran: An Experience from High Trauma Center

2020 ◽  
Author(s):  
Seyyed Hossein Shafiei ◽  
Mohammad Hossein Abootalebi ◽  
Yusof Fallah ◽  
Babak Siavash ◽  
Mohammadreza Golbakhsh
Keyword(s):  
Traffic Accidents ◽  
Road Traffic ◽  
Demographic Data ◽  
High Energy ◽  
Limb Injuries ◽  
The World ◽  
Before And After ◽  
Total Data ◽  
Mechanism Of Trauma ◽  
The Impact

Background: The recent outbreak of the coronavirus disease-2019 (COVID-19) in China has rapidly spread throughout the world and significantly affected orthopedic and trauma cases all over the world. This study aims to evaluate the impact of the COVID-19 pandemic on orthopedic and trauma cases at Sina Hospital, Tehran, Iran. Methods: The study was conducted using the database of Orthopedics Department at Sina Hospital. It consisted of data before four and after four months of the COVID-19 outbreak. The demographic data of the patients with orthopedic problems and trauma, including sex, age, and type and mechanism of trauma was studied. Results: In total, data of 1033 patients was studied, including 597 and 436 patients before and after the COVID-19 outbreak, respectively. In this period of time, the potion of patients with laceration and upper limb injuries increased significantly (P = 0.007 and P = 0.002, respectively). Additionally, the proportion of low energy trauma and high energy trauma respectively increased and decreased (P = 0.055). Conclusion: Because of the outbreak and consequent lockdown in many countries, cases of orthopedics and trauma very significantly reduced. This resulted in less workload on orthopedic surgeons and residents during the COVID-19 pandemic. Decreases in trauma cases and road traffic accidents were also reported by most centers around world.

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