Missed Posterior Fracture-Dislocation of the Humeral Head. A Case Report with a Fifteen-Year Follow-up After Delayed Open Reduction and Internal Fixation*

1999 ◽  
Vol 81 (5) ◽  
pp. 708-10 ◽  
Author(s):  
T. KENNETH KAAR ◽  
MICHAEL A. WIRTH ◽  
CHARLES A. ROCKWOOD
Keyword(s):  
Case Report ◽  
Internal Fixation ◽  
Humeral Head ◽  
Open Reduction ◽  
Fracture Dislocation

scholarly journals Nascent Malunion of an Isolated Intraarticular Fracture of the Ulnar Head

2019 ◽  
Vol 09 (03) ◽  
pp. 240-243
Author(s):  
Frank Nienstedt ◽  
Markus Mariacher ◽  
Günther Stuflesser ◽  
Wilhelm Berger
Keyword(s):  
Internal Fixation ◽  
Open Reduction ◽  
Excellent Result ◽  
Corrective Osteotomy ◽  
Fracture Dislocation ◽  
Intraarticular Fracture ◽  
Ulnar Head ◽  
Ulnar Styloid Fracture ◽  
Palmar Approach

Abstract Background Isolated fractures of the ulnar head are rare. Only few cases have been reported in literature. Case Description We report a case of a 16-year-old student who was treated for an ulnar styloid fracture conservatively. An associated displaced intraarticular fracture of the ulnar head has been overlooked. He presented late in our clinic with a symptomatic nascent malunion of the ulnar head fracture. A corrective osteotomy by a palmar approach was performed. Fixation by screws was used with an excellent result at 7-year follow-up. Literature Review The rare cases of isolated ulnar head fractures reported in literature were treated by open reduction and internal fixation only in case of fracture dislocation. Clinical Relevance The authors highlight the fact that even a nascent malunion of an isolated intraarticular fracture of the ulnar head may be treated successfully by open reduction and internal fixation.

Results of Treatment of Chronic Dorsal Fracture-Dislocations of the Proximal Interphalangeal Joints of the Fingers

1998 ◽  
Vol 23 (6) ◽  
pp. 798-801 ◽  
Author(s):  
O. ISHIDA ◽  
Y. IKUTA
Keyword(s):  
Articular Cartilage ◽  
Internal Fixation ◽  
Open Reduction ◽  
Proximal Interphalangeal Joint ◽  
Interphalangeal Joint ◽  
Fracture Dislocation ◽  
Results Of Treatment ◽  
Palmar Plate ◽  
Fracture Dislocations

We reviewed 20 cases of chronic dorsal fracture-dislocation of the proximal interphalangeal joint, with a mean follow-up period of 74 months. In patients without comminuted palmar fragments, open reduction and internal fixation or osteotomy of the malunited fragment provided good results. In treating patients with damaged articular cartilage or with comminuted palmar fragments by palmar plate arthroplasty, poor results were obtained because of secondary osteoarthritic changes.

scholarly journals Posttraumatic Pseudoarthrosis of a Clavicle Fracture in an 11-Year-Old Girl: A Case Report and Analysis

2020 ◽  
Vol 2020 ◽  
pp. 1-5
Author(s):  
Marco Odorizzi ◽  
Maurice FitzGerald ◽  
Jorge Gonzalez ◽  
Dario Giunchi ◽  
Flurim Hamitaga ◽  
...  
Keyword(s):  
Case Report ◽  
Conservative Treatment ◽  
Internal Fixation ◽  
Open Reduction ◽  
Iliac Crest ◽  
Clavicle Fracture ◽  
Paediatric Population ◽  
Iliac Crest Bone Graft ◽  
The Right

Clavicular fractures are some of the most common bone injuries in the paediatric population, yet the rates of nonunion are very low under 18 years. To the best of our knowledge, posttraumatic nonunion of the clavicle in a paediatric population is rarely reported. We report the case of an 11-year-old girl who presented with a nondislocated fracture of the midshaft to the proximal third of the right clavicle. Initial conservative treatment by sling immobilization demonstrated radiologically confirmed healing at 3 months. However, at 1-year follow-up, she presented with painful nonunion. Diagnostic MRI and CT exams confirmed a pseudoarthrosis, requiring elective open reduction and internal fixation with the aid of an ipsilateral iliac crest bone graft.

scholarly journals Fracture Dislocation of Shoulder

2014 ◽  
Vol 3 (2) ◽  
pp. 44-45
Author(s):  
Hemanta Kumar Manandhar ◽  
Pramod Devkota ◽  
Padam Bahadur Khadka ◽  
Chakra Raj Randey
Keyword(s):  
Internal Fixation ◽  
Range Of Motion ◽  
Shoulder Dislocation ◽  
Open Reduction ◽  
Proximal Humerus Fracture ◽  
Proximal Humerus ◽  
Humerus Fracture ◽  
Fracture Dislocation ◽  
Good Range

Simultaneous dislocation of shoulder with fracture of the ipsilateral humerus is extremely rare and very little reported in the literature. We report a case of forty three year old man who got right shoulder dislocation with proximal humerus fracture. The patient was treated with open reduction and internal fixation by three 4.5mm screws. The operation went uneventful and has good range of motion of the shoulder after six months of follow up. DOI: http://dx.doi.org/10.3126/noaj.v3i2.9529   NOAJ July-December 2013, Vol 3, Issue 2, 44-45

A Stepwise Approach to Management of Open Radiocarpal Fracture-Dislocations: A Case Report

2017 ◽  
Vol 22 (03) ◽  
pp. 366-370 ◽  
Author(s):  
Colin Yi-Loong Woon ◽  
Taizoon Baxamusa
Keyword(s):  
Case Report ◽  
Internal Fixation ◽  
Open Reduction ◽  
Fracture Dislocation ◽  
Unique Case ◽  
Stepwise Approach ◽  
Second Stage ◽  
Fracture Dislocations ◽  
Manual Pressure ◽  
Operating Room Staff

Radiocarpal dislocations are uncommon and occur after significant trauma. We describe a unique case of open radiocarpal fracture-dislocation presenting with progressive neurovascular compromise. Staged management was necessary. As a first stage, emergent provisional bedside reduction in the emergency room with manual pressure through the open wounds was performed. The second stage then involved formal open reduction and internal fixation as soon as operating room staff and resources became available.

scholarly journals Trapezium and Bennett Fracture – A Rare Base Thumb Fracture Pattern:A Case Report

2021 ◽  
Vol 11 (5) ◽  
Author(s):  
Gabriel Pina ◽  
Maria Rita Vaz ◽  
Ana Vaz ◽  
Ana Abrantes ◽  
Luís Machado
Keyword(s):  
Case Report ◽  
Internal Fixation ◽  
Open Reduction ◽  
Hand Surgery ◽  
Clinical Results ◽  
Fracture Dislocation ◽  
Mobility Limitations ◽  
Anterior Oblique Ligament ◽  
Trapezium Fracture ◽  
Bennett Fracture

Introduction: Trapezium fracture is a rare entity whose treatment is controversial. The reported cases range from conservative treatment to surgical treatment with good reported results. Case Report: This paper reports a clinical case of trapezium-metacarpal fracture-dislocation associated with trapezius fracture and Bennett fracture, surgically treated with excellent functional and radiological results. The patient underwent open reduction and internal fixation with two screws, excision of fragments, and reinsertion of the anterior oblique ligament. At the year of follow-up, the patient presented no mobility limitations and recovered grip strength. Conclusion: This case study allows us to conclude that open reduction and internal fixation with screws of the dorsal trapezium ridge fractures with ligament repair of the anterior oblique ligament is a valid treatment with the reproduction of good clinical results. Keywords: Hand surgery, internal fixation, trapezium fracture.

Fivefold Fracture in a Perilunate Fracture Dislocation Involving Scaphoid, Capitate, Hamate, Triquetrum and Lunate: A Case Report

2020 ◽  
Vol 25 (01) ◽  
pp. 119-122
Author(s):  
Cedric E. Boesch ◽  
Gabriel Dejdovic ◽  
Kevin Beutler ◽  
Adrien Daigeler ◽  
Fabian Medved
Keyword(s):  
Case Report ◽  
Internal Fixation ◽  
Open Reduction ◽  
Fracture Dislocation ◽  
Scapholunate Ligament ◽  
Left Wrist ◽  
Perilunate Dislocation ◽  
Perilunate Fracture Dislocation

This case report presents a very rare fracture combination in a perilunate dislocation including the scaphoid, capitate, hamate and triquetrum and the cornu anterior of the lunate, with an intact scapholunate ligament in a left wrist. An open reduction and internal fixation of the scaphoid, capitate, hamate and triquetrum was performed.

scholarly journals A Case Report of an Isolated Dislocation of the Scaphoid in a Lesser Arc Injury and a Review of the Literature

2018 ◽  
Vol 2018 ◽  
pp. 1-3
Author(s):  
Ryan Sefcik ◽  
Kyle Andrews ◽  
Jacob Stirton ◽  
Justin Lea ◽  
Mina Tanios ◽  
...  
Keyword(s):  
Case Report ◽  
Internal Fixation ◽  
Closed Reduction ◽  
Open Reduction ◽  
Treatment Options ◽  
Review Of The Literature ◽  
K Wires

Isolated dislocations of the scaphoid are extremely uncommon injuries and are often associated with significant ligamentous failures. Since scaphoid dislocations typically present with associated carpal fractures, few cases of isolated dislocations of the scaphoid exist in the literature. The proposed treatment options in the literature range from closed reduction and casting to open reduction and internal fixation. We present the case of a 41-year-old male with an isolated scaphoid dislocation in whom open reduction and internal fixation was performed with K-wires. At five months follow-up, the patient had returned to work and all desired activities.

scholarly journals Fracture Dislocation of the Anatomical Neck of the Proximal Humerus: Case Report and Literature Review

2020 ◽  
pp. 108-117
Author(s):  
Joseph Maalouly ◽  
Dany Khalil Aouad ◽  
Antonios Tawk ◽  
Georges El Rassi
Keyword(s):  
Case Report ◽  
Humeral Head ◽  
Fracture Dislocation ◽  
Anterior Dislocation ◽  
Neck Fracture ◽  
Bony Fragment ◽  
The Right ◽  
Displaced Fracture ◽  
Evidence Based Guidelines

Fractures of the anatomical neck of the humerus are an extremely rare pathological entity in the field of orthopedic surgery. One of the most feared complications associated with anatomical neck fracture of the humerus is avascular necrosis (AVN). The literature does not contain clear, evidence-based guidelines for the surgical management. This case report highlights the case of a 33-year-old male patient who presented with anatomical neck humerus fracture dislocation after a snowboarding accident. Computed tomography showed a comminuted displaced fracture involving the right humeral neck associated with anterior dislocation of the right shoulder. A small bony fragment adjacent to the glenoid posteriorly was also revealed. The patient was treated with open reduction and internal fixation (ORIF). After 3 years of follow-up, the patient is fully recovered with a normal range of motion of his right shoulder joint. The patient did not show any signs of AVN of the humeral head throughout the course of the 3-year follow-up. Anatomical neck fractures of the humerus are uncommon injuries in the literature. Due to the poor vascularization and the absence of attachment to soft tissue, there is a significantly high risk of AVN associated with fractures of the anatomical neck of the humerus. The patient presented in our report was treated with ORIF since it allows preservation of the humeral head.

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