Fracture of the Entire Posterior Process of Talus Associated with Subtalar Dislocation: A Case Report

1996 ◽  
Vol 17 (4) ◽  
pp. 226-229 ◽  
Author(s):  
Yeung-Jen Chen ◽  
Robert Wen-Wei Hsu ◽  
Hsin-Nung Shih ◽  
Tsung-Jen Huang
Keyword(s):  
Case Report ◽  
Closed Reduction ◽  
Subtalar Joint ◽  
Traffic Accident ◽  
Talus Fracture ◽  
Posterior Portion ◽  
Subtalar Dislocation ◽  
Posterior Process ◽  
And Inversion

This is a case report of a 52-year-old woman who sustained a medial subtalar dislocation with fracture of the posterior process of the talus in a traffic accident. After closed reduction of the subtalar dislocation, tomography demonstrated that the talus fracture involved the entire posterior process and the posterior portion of the talar body. The fracture of the talus was treated with an open reduction and miniscrew fixation. At follow-up examination 32 months later, the functional and radiographic results were graded as good. The proposed mechanism of this case was a forced plantarflexion and inversion acting simultaneously on the subtalar joint. This was different from an isolated medial subtalar dislocation, which was caused by an inversion.

Fracture-dislocation of the talus in the pediatric patient. An unusual injury

1991 ◽  
Vol 81 (9) ◽  
pp. 495-498 ◽  
Author(s):  
JM Stutz ◽  
JM Karlin ◽  
N Daly
Keyword(s):  
Pediatric Patient ◽  
Closed Reduction ◽  
Subtalar Joint ◽  
Fracture Dislocation ◽  
Joint Dislocation ◽  
Subtalar Dislocation ◽  
Posterior Process ◽  
Fracture Dislocations ◽  
Unusual Injury

Subtalar fracture-dislocations in children are unusual, perhaps because of the greater elasticity of bone in children. The authors have presented a case of medial subtalar dislocation in a 13-year-old boy, accompanied by a rare fracture of the entire posterior process of the talus. This particular fracture has not been previously reported in association with a subtalar joint dislocation, nor has it been reported in a child. The patient was treated successfully by closed reduction of both the dislocation and the fractures.

Ameloblastic fibroma in the midline of mandible: a case report

2000 ◽  
Vol 24 (4) ◽  
pp. 321-327 ◽  
Author(s):  
P. Mohapatra ◽  
A. Choudhury ◽  
H. Parkash
Keyword(s):  
Case Report ◽  
Dental Arch ◽  
Radical Excision ◽  
Posterior Portion ◽  
Present Case Report ◽  
Ameloblastic Fibroma ◽  
Therapeutic Procedures ◽  
In The Beginning ◽  
Made In

The ameloblastic fibroma (AF) is a rare benign mixed odontogenic tumor. It is composed of both epithelial and mesenchymal elements, but lacks of any calcified dental structures. Most of these tumors occur in the mandible and appears preferentially in the posterior portion of the dental arch with molar area predominates over premolar area. It is important to differentiate the lesion from ameloblastoma, since unlike the latter, it does not exhibit a locally invasive growth pattern. It is a well-circumscribed lesion and does not require the radical excision that may be necessary to effect cure with ameloblastoma. The present case report describes a 15-year-old patient with an ameloblastic fibroma in the symphysis of the mandible, a rare reported site. In the beginning of the article an extensive review of the previously published literature on ameloblastic fibroma has been made. In the later part, the diagnosis, differential diagnosis, histology and therapeutic procedures and postoperative follow up of the present case have been described.

Snowboarder's Talus Fracture

2005 ◽  
Vol 33 (6) ◽  
pp. 871-880 ◽  
Author(s):  
Victor Valderrabano ◽  
Thomas Perren ◽  
Christian Ryf ◽  
Paavo Rillmann ◽  
Beat Hintermann
Keyword(s):  
Surgical Treatment ◽  
Subtalar Joint ◽  
External Rotation ◽  
Sport Activity ◽  
Treatment Algorithm ◽  
Activity Level ◽  
Talus Fracture ◽  
Level Of Evidence ◽  
Lateral Process

Background Fracture of the lateral process of the talus is a typical snowboarding injury. Basic data are limited, particularly with respect to treatment and outcome. Hypothesis As the axial-loaded dorsiflexed foot becomes externally rotated and/or everted, fracture of the lateral process of the talus occurs. Primary surgical treatment may improve the outcome of this injury, reducing the risk of secondary subtalar joint osteoarthritis. Study Design Cohort study; Level of evidence, 2. Methods We recorded details of the treatment and evaluation of 20 patients (8 female and 12 male; age at trauma, 29 years [range, 17-48 years]) who sustained a lateral process of the talus fracture while snowboarding. The injury pathomechanism was documented. The patients were treated either nonsurgically or surgically based on a fracture-type treatment algorithm. The evaluation at most recent follow-up (mean, 42 months [range, 26-53 months]) included clinical and functional examination, follow-up of sport activity, and radiological assessment (radiograph, computed tomography scan). Results The injury mechanism included axial impact (100%), dorsiflexion (95%), external rotation (80%), and eversion (45%). Using the American Orthopaedic Foot and Ankle Society hindfoot score, the patients obtained a mean of 93 points; the surgically treated group (n = 14) scored higher (97 points) than did the nonoperative group (n = 6; 85 points) (P <. 05). Degenerative disease of the subtalar joint was found in 3 patients (15%; operative, 1 patient; nonoperative, 2 patients). All but 4 (20%, all after nonsurgical treatment) patients reached the same sport activity level as before injury. Conclusion The snowboarding-related lateral process of the talus fracture represents a complex hindfoot injury. In type II fractures, primary surgical treatment has led to achieving better outcomes, reducing sequelae, and allowing patients to regain the same sports activity level as before injury.

Conservative treatment of closed subtalar dislocation: A case report and 2years follow-up

The Foot ◽  
2013 ◽  
Vol 23 (2-3) ◽  
pp. 107-110 ◽  
Author(s):  
A. Gantsos ◽  
D. Giotis ◽  
D.K. Giannoulis ◽  
H.S. Vasiliadis ◽  
N. Georgakopoulos ◽  
...  
Keyword(s):  
Case Report ◽  
Conservative Treatment ◽  
Subtalar Dislocation

scholarly journals Electro-acupuncture Improved the Outcome of the Patient with Severe Traumatic Brain Injury: A Case Report.

2020 ◽  
pp. 1-4
Keyword(s):  
Traumatic Brain Injury ◽  
Case Report ◽  
Brain Injury ◽  
Severe Traumatic Brain Injury ◽  
Traffic Accident ◽  
Vital Signs ◽  
Consciousness Disturbance ◽  
Strong Stimulation

Abstract This case report demonstrated that electro-acupuncture treatment has improved the outcome of an adolescent with severe traumatic brain injury due to a traffic accident. The patient had a bilateral frontal hematoma, subdural hematoma, subarachnoid hemorrhage, stem hematoma and diffuse parenchymal swelling with the initial Glasgow Coma Scale score of E1V1M1. Daily electro-acupuncture therapy was prescribed with strong stimulation at GV 26 (Shuigou), PC6 (Neiguan) and EX-UE11(Shixuan) when the vital signs of the patient became stable. The patient had a full recovery of the consciousness in 30 days. The follow-up observation found that he has also restored the motor and speech functions. This result suggested a potential role of electro-acupuncture in the treatment of consciousness disturbance for patient with traumatic brain injury.

scholarly journals Isolated Medial Subtalar Joint Dislocation during Soccer (Football) Game: A Case Report and Review of the Literature

2021 ◽  
Vol 8 (2) ◽  
Author(s):  
Fekhaoui MR ◽  
◽  
Bassir R A ◽  
Mekkaoui J ◽  
Boufettal M ◽  
...  
Keyword(s):  
Range Of Motion ◽  
Closed Reduction ◽  
Subtalar Joint ◽  
Full Range ◽  
Joint Stiffness ◽  
Young Male ◽  
High Energy ◽  
Joint Dislocation ◽  
Subtalar Dislocation ◽  
First Choice

Ankles injuries are common in sports such as football and soccer and one of the most serious and most rare is the subtalar dislocation. This injury is rare, touches young male patients and usually associated to fractures of the talus, the malleoli or the fifth metatarsal. Usually, this injury occurs in high-energy trauma, but it is very rare in sports injuries. Here we present the case of a 36-year-old male with an isolated Medial Subtalar Joint Dislocation after a severe tackle in a football (soccer) game. We performed a closed reduction under general anesthesia, and then a short-leg cast was applied for 4 weeks, followed by active and passive range of motion. At one-year follow up from trauma, the patient had a pain-free ankle with active full range of motion. For isolated medial subtalar dislocation occurring during sports activities, the first choice is the conservative treatment: Immediate closed reduction needs to be achieved followed by a short immobilization. Active/passive range of motion need to be started early to avoid joint stiffness.

OSTEOCHONDROMA PREVENTING CLOSED REDUCTION OF A PROXIMAL INTERPHALANGEAL DISLOCATION OF THE LITTLE FINGER

Hand Surgery ◽  
1998 ◽  
Vol 03 (02) ◽  
pp. 297-302
Author(s):  
K. Horiuchi ◽  
K. Yamauchi ◽  
M. Tanaka
Keyword(s):  
Case Report ◽  
Closed Reduction ◽  
Proximal Phalanx ◽  
Complete Recovery ◽  
Daily Activities ◽  
Joint Function ◽  
Collateral Ligament ◽  
Pip Joint ◽  
Little Finger

We present a case of a 21-year-old male patient who developed an osteochondroma at the neck of the proximal phalanx of the left little finger, which interfered with reduction of a dorsally dislocated PIP joint. This is the first such case report in the literature. At the time of surgery, we excised the osteochondroma and reconstructed the collateral ligament that produced locking of the PIP joint. This treatment brought a quick and essentially complete recovery of the PIP joint function. At 3 years follow-up in the affected digit, the patient has no limitations in daily activities.

Staged Reconstruction for Acute Charcot's Subtalar Joint Dislocation

2016 ◽  
Vol 106 (6) ◽  
pp. 445-448 ◽  
Author(s):  
Spencer Monaco ◽  
Patrick Burns ◽  
Alissa Toth
Keyword(s):  
Case Report ◽  
External Fixation ◽  
Limb Salvage ◽  
Subtalar Joint ◽  
Chronic Phase ◽  
Surgical Correction ◽  
Conservative Care ◽  
Joint Dislocation ◽  
Staged Reconstruction

Charcot's neuroarthropathy can have devastating consequences if left untreated or misdiagnosed. With progression of the disease from the acute to the chronic phase, substantial deformity and instability may result, leading to ulceration and a nonfunctional limb. The purpose of this case report is to present a staged reconstruction for active Charcot's neuroarthropathy involving the subtalar joint with complete dislocation that resulted in limb salvage and maintenance of limb function at 1-year follow-up. Although for many patients the mainstay of treatment for early Charcot's neuroarthropathy is conservative care with off-loading, early surgical correction that includes external fixation followed by definitive arthrodesis for select patients may be warranted.

Lateral subtalar dislocation. A literature review and unusual case report

1992 ◽  
Vol 82 (3) ◽  
pp. 162-166 ◽  
Author(s):  
CL Sands ◽  
N Daly ◽  
JM Karlin ◽  
BL Scurran
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Subtalar Joint ◽  
Unusual Case ◽  
Long Term Results ◽  
Review Of The Literature ◽  
Joint Dislocation ◽  
Subtalar Dislocation ◽  
Unusual Case Report

An unusual case of suspected lateral subtalar joint dislocation was reported. A review of the literature found that medial dislocations were reported four times more frequently than lateral dislocations. Half of the cases of subtalar dislocation reviewed here described associated fractures, the incidence of which was higher in lateral dislocations. In both types of dislocations examined, almost half were reduced nonoperatively. In most cases, long-term results of repair of these injuries were considered favorable.

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