scholarly journals GREATER TROCHANTERIC FRACTURE IN STABLE INTERTROCHENTRIC FRACTURE

2021 ◽  
Vol 9 (08) ◽  
pp. 306-309
Author(s):  
Ahmed Alsarhani
Keyword(s):  
Case Report ◽  
Femur Fracture ◽  
Trochanteric Fracture ◽  
Fracture Pattern ◽  
High Morbidity ◽  
Greater Trochanter ◽  
Best Management ◽  
Femur Fractures ◽  
History Of ◽  
Hip Screw

Background : stable intertrochentric femur with displaced greater trochanter is uncommon fracture pattern . intertrochentric femur fractures are associated with high morbidity and mortality , affecting both genders ,with different complexity Case report in our case report we have 75 years old male patient with history of fall sustained intertrochentric femur fracture with displaced greater trochenter treated with fixation of both fracture element Using dynamic hip screw (DHS) with trochentric stabilizing plate (TSP) in addition to tension band fixing the greater trochenter Discussion : different pattern of intertrochentric femur fracture require thorough planing for optimum management .intertrochentric femur fracture with displaced greater trochanter need further research to identify the best management option specially regard of functionality.

scholarly journals Thoracic spine teardrop fracture – A case report

2021 ◽  
Vol 0 ◽  
pp. 1-4
Author(s):  
Isam S Moghamis ◽  
Waleed Asad ◽  
Tarek Taha ◽  
Marcus O Head ◽  
Abduljabbar Alhammoud
Keyword(s):  
Case Report ◽  
Thoracic Spine ◽  
Road Traffic ◽  
Pedicle Screw Fixation ◽  
Fracture Pattern ◽  
High Morbidity ◽  
Inferior Angle ◽  
Angle Fracture ◽  
Teardrop Fracture

This is a case report of a young man who suffered from an anterior inferior angle fracture (teardrop) of the thoracic spine at the dorsal spine third vertebra (D3). It was due to a road traffic accident and led to paraplegia and hypoesthesia below D7 dermatome. The patient was treated with decompression and posterior stabilization using pedicle screw fixation followed by physiotherapy. Teardrop fracture is a type of cervical fracture that is associated with high morbidity and mortality due to its instability, with no reported similar fracture pattern at the thoracic spine level. This is a unique case of a thoracic teardrop fracture that was treated surgically with a posterior approach, a good clinical outcome, and 18 months follow-up.

scholarly journals Morscher’s osteotomy in posttraumatic sequale of hip in adolescent using dynamic hip screw: case report

2017 ◽  
Vol 3 (2) ◽  
pp. 318
Author(s):  
Gaurav Garg ◽  
Ratan Dayma ◽  
Rakesh Meena
Keyword(s):  
Case Report ◽  
Femoral Neck ◽  
Hip Dysplasia ◽  
Epiphyseal Plate ◽  
Dynamic Hip Screw ◽  
Greater Trochanter ◽  
Upward Migration ◽  
Short Limb ◽  
Early Results ◽  
Hip Screw

<p class="abstract">Premature closure of proximal femoral epiphyseal plate can be a complication of hip dysplasia, Perthe’s disease, trauma or septic arthritis of hip. It may eventually result in Coxavara and shortening of femoral neck and upward migration of greater trochanter. Morscher’s osteotomy is an intertrochanteric osteotomy that can create valgusization with lengthening of femoral neck, correction of high riding greater trochanter and compensates for short limb length as a single stage procedure. The purpose of this case report is to evaluate early results of Morscher’s osteotomy fixed using paediatric dynamic hip screw in adolescence<span lang="EN-IN">.</span></p>

scholarly journals X-Bolt unforeseen placement complication: case report

2017 ◽  
Vol 99 (8) ◽  
pp. e227-e229
Author(s):  
AD Clarke ◽  
JBT Herron ◽  
JL McVie
Keyword(s):  
Clinical Trial ◽  
Case Report ◽  
Gold Standard ◽  
The Novel ◽  
Sliding Hip Screw ◽  
Neck Of Femur ◽  
Femur Fractures ◽  
The World ◽  
Hip Screw ◽  
Hip Trauma

With the introduction of the World Hip Trauma Evaluation Four clinical trial, fixation of pertrochanteric neck of femur fractures is becoming a hot topic. In this trial, the novel X-Bolt expanding bolt implant is being compared with the current gold standard of a sliding hip screw. We present a previously undescribed complication when inserting the bolt into the femoral head, where the expandable wings penetrate the femoral neck due to misplacement of the bone crusher or the X-Bolt prosthesis. This unforeseen complication required the introduction of several additional corrective intraoperative steps.

scholarly journals Ruptured intracranial dermoid cyst: a case report

2012 ◽  
Vol 2 (3) ◽  
pp. 232-235
Author(s):  
Ajla Rahimić Čatić ◽  
Maida Nikšić ◽  
Zlata Kadenić
Keyword(s):  
Case Report ◽  
Dermoid Cyst ◽  
Vital Signs ◽  
Diagnostic Methods ◽  
Pathological Examination ◽  
High Morbidity ◽  
Loss Of Consciousness ◽  
History Of ◽  
Magnetic Resonance Imaging Mri ◽  
Chemical Meningitis

Intracranial dermoid cysts are congenital, usually nonmalignant lesions with an incidence of 0.5% of all intracranial tumors. They tend to occur in the midline sellar, parasellar, or frontonasal regions. Although theirnature is benign, dermoid cysts have a high morbidity and mortality risk, especially when rupture occurs. A 40 year old woman presented with head injury after she experienced sudden loss of consciousness. She hada history of headache, loss of consciousness; her past medical history was not remarkable. The patient had no complaints of nausea, vomiting, or seizures. Vital signs were stable, neurologic defi cit was not identifi ed.Computed tomography (CT) and magnetic resonance imaging (MRI) showed right temporobasal zone with fat droplets within right fi ssure Sylvii and interhemispheric fi ssure indicating a rupture of a dermoid cyst. Craniotomy and cyst resection were done, and diagnosis was confirmed with pathological examination following surgery. After surgery the patient did not recover. Cerebral ischemia from chemical meningitis was fatal forour patient. Headache as a symptom has many causes. It is rarely due to chemical meningitis arising from a ruptured dermoid cyst. This case report illustrated the importance of investigating a cause of the headache,CT and MRI being diagnostic methods. In this way, mortality as well as morbidity from complications such as chemical arachnoiditis can be significantly reduced if imaging is done early in these patients.

Atypical Femur Fracture in the Setting of Long-Term Bisphosphonate use for Osteogenesis Imperfecta: A Case Report

2022 ◽  
Vol 5 (1) ◽  
pp. 01-09
Author(s):  
Parker J. Prusick ◽  
Steven D. Jones Jr. ◽  
Jesse Roberts ◽  
Nathan Donaldson
Keyword(s):  
Case Report ◽  
Osteogenesis Imperfecta ◽  
Femur Fracture ◽  
Mineral Density ◽  
Mineral Research ◽  
Femur Fractures ◽  
Atypical Femur Fractures ◽  
Impending Fracture

Bisphosphonate (BP) therapy for moderate to severe osteogenesis imperfecta (OI) has become a mainstay of treatment in the last three decades. Given the significant improvements in bone mineral density and theoretical reductions in fracture risk, many patients are treated with bisphosphonates for prolonged periods of time. There currently lacks consensus in the optimal duration of BP therapy for patients with OI, and patients are often treated on a case-by-case basis. Long-term BP therapy has been associated with atypical femur fractures in adult patients treated for osteoporosis. The American Society for Bone and Mineral Research concluded that the median duration of BP therapy in patients with atypical femur fractures was 7 years. The role of long-term BP therapy in OI patients with atypical femur fractures remains unclear. Here, a case report is presented of an adolescent patient with type V OI that sustained a subtrochanteric femur fracture with features of an atypical pattern following treatment with intravenous pamidronate for 10.5 years. At the time of injury, the contralateral femur was also found to have atypical features suggestive of an impending fracture. The completed fracture was treated with closed reduction and cephalomedullary nail fixation. The impending fracture was prophylactically stabilized using the same technique. Prior to the injury, limb-length radiographs obtained to evaluate lower extremity alignment demonstrated features of an impending fracture but went unnoticed. Further studies are needed to clarify the role of long-term BP therapy in patients with OI suffering from atypical femur fractures.

scholarly journals Delayed Birth-Related Femur Fracture after Cesarean Section: A Case Report

2018 ◽  
Vol 08 (03) ◽  
pp. e158-e160 ◽  
Author(s):  
Yuji Kanai ◽  
Yoshinobu Honda ◽  
Tsuyoshi Honda ◽  
Minoru Sanpei
Keyword(s):  
Case Report ◽  
Cesarean Section ◽  
Physical Examination ◽  
Femur Fracture ◽  
Delayed Diagnosis ◽  
Breech Presentation ◽  
Plaster Cast ◽  
Birth Trauma ◽  
Plain Radiography ◽  
Femur Fractures

Background Birth-related femur fractures are rare. They have been reported following difficult delivery and are commonly diagnosed immediately after birth or on the following day. However, some birth-related femur fractures are diagnosed several days after birth. Mechanisms underlying the development of delayed femur fracture are incompletely understood. Case We report the case of a girl diagnosed with a left spiral femur fracture with associated edema and hypoesthesia on postpartum day 9. A nondisplacement femur fracture was identified on plain radiography at birth after cesarean section; however, it was undiagnosed due to the lack of symptoms. She was treated with plaster cast fixation; the physical examination at age 1 was normal. Herein, the diagnosis of birth-related femur fracture according to plain radiography findings suggests that the symptoms related to birth trauma develop several days after birth. Conclusion Birth-related fracture should be considered in all neonatal femur fracture cases and in patients with no symptoms at birth. Neonates delivered in the breech presentation by cesarean section should be carefully monitored after birth. The findings of the present case further our understanding of the pathogenic mechanisms underlying delayed diagnosis of birth-related femur fracture.

scholarly journals Distal Femoral Replacement Following an Intraoperative Periprosthetic Fracture in a Patient with Prior Bone Mulch ACL Reconstruction

2019 ◽  
Vol 2019 ◽  
pp. 1-5 ◽  
Author(s):  
Anthony Gemayel ◽  
Matthew J. Yousif ◽  
William Padget ◽  
Joseph Finch
Keyword(s):  
Acl Reconstruction ◽  
Distal Femur ◽  
Femur Fracture ◽  
Primary Total Knee Arthroplasty ◽  
Femoral Fractures ◽  
Femur Fractures ◽  
History Of ◽  
Total Knee ◽  
Primary Total Knee ◽  
Distal Femoral Replacement

Periprosthetic distal femur fractures can be treated nonoperatively, with open reduction and internal fixation or with more constrained prostheses. Distal femoral replacement is typically a last resort treatment option for comminuted periprosthetic or osteoporotic distal femoral fractures in patients with poor bone stock or resistant nonunions. We report the case of a 54-year-old female with a remote history of bone mulch ACL reconstruction who sustained an intraoperative comminuted bicondylar distal femur fracture during a primary total knee arthroplasty. This patient was treated with a distal femoral replacement and successfully returned to her preoperative function.

scholarly journals Concomitant Anterior Shoulder Dislocation and Ipsilateral Humeral Pallet Fracture in the Athlete: Case Report and Review of the Literature

2020 ◽  
Vol 3 (2) ◽  
pp. 74-78
Author(s):  
Naoufal Elghoul ◽  
Ismail Elantri ◽  
Amine Elghazoui ◽  
Mohammed Benchakroun ◽  
Abdeloihab Jaafar
Keyword(s):  
Case Report ◽  
Shoulder Dislocation ◽  
Humeral Fracture ◽  
Anterior Shoulder Dislocation ◽  
Review Of The Literature ◽  
Best Management ◽  
Good Outcome ◽  
History Of ◽  
Surgery First ◽  
The Right

To the best of our knowledge, the case presented here is among the rare cases of simultaneous shoulder dislocation and ipsilateral pallet humeral fracture, and we discuss its mechanism and best management. We report a case of a 26-year-old male patient with a history of dislocation of the right shoulder 2 months prior to trauma, managed conservatively with a good outcome. The patient fell from a height of 2 m, which caused concomitant shoulder dislocation and ipsilateral humeral fracture, prompting him to undergo surgery. First, the shoulder dislocation was reduced, and second, a V-shaped olecranon osteotomy was performed. The fracture was then fixed using two compressing plates followed by adequate rehabilitation, which led to a good outcome. This rare combination, if it occurs, requires urgent management to save the functional prognosis of the limb.

scholarly journals Repair of supracondylar femur fracture in a Lhasa Apso dog by cross pinning technique: A case report

2020 ◽  
Vol 1 (2) ◽  
pp. 140-143
Author(s):  
M. Raghunath ◽  
P. Vidya Sagar ◽  
P. Ravi Kumar ◽  
B. Sailaja ◽  
V. S. C. Bose
Keyword(s):  
Case Report ◽  
Hind Limb ◽  
Femur Fracture ◽  
Weight Bearing ◽  
Supracondylar Fracture ◽  
Implant Failure ◽  
History Of ◽  
K Wires ◽  
The Right ◽  
Radiographic Union

Abstract: A three-year-old Lhasa apso was presented with a history of fall from a height resulting in limping of the right hind limb. It was radiographically diagnosed as a complete, transverse, displaced supracondylar fracture of the femur. The fractured fragments were reduced and stabilized by cross pinning technique using k-wires, and the weight-bearing was seen from 3rd post-operative day. On the seventh post-operative day, the same animal was presented with limping on the same limb due to sudden fall from a height again. Radiographically it was confirmed as catastrophic implant failure with collapsed fragments. In surgery, the migrated pins were removed and the fragments were restabilized by cross pinning using k-wires. Post-operative application of robertjones bandage and regular physiotherapy was provided. The animal showed complete weight-bearing from 10th post-operative day, and the full radiographic union was observed on 35th post-operative day. Keywords: supracondylar fracture, k-wires, robertjones bandage, cross pinning technique

scholarly journals Fixation of AO-OTA 31-A1 and A2 trochanteric femur fractures using a sliding hip screw system: can we trust a two-hole side plate construct? A review of the literature

2020 ◽  
Vol 5 (2) ◽  
pp. 118-125
Author(s):  
Faustine Vallon ◽  
Axel Gamulin
Keyword(s):  
Blood Loss ◽  
Minimally Invasive ◽  
Operative Time ◽  
Trochanteric Fracture ◽  
Dynamic Hip Screw ◽  
Surgical Trauma ◽  
Sliding Hip Screw ◽  
Side Plate ◽  
Femur Fractures ◽  
Hip Screw

Trochanteric femur fractures are frequently fixed with a four-hole side plate sliding hip screw device, but in recent decades two-hole side plates have been used in an attempt to minimize operative time, surgical dissection, blood loss and post-operative pain. The aim of this review was to determine whether two-hole sliding hip screw constructs are an acceptable option for fixation of AO-OTA 31-A1 and A2 trochanteric femur fractures. An electronic MEDLINE® database search was performed using PubMed®, and articles were included in this review if they were reporting historical, biomechanical, clinical or outcome data on trochanteric fracture fixation using a two-hole sliding hip screw device. A two-hole dynamic hip screw with a minimally invasive muscle-splitting approach is recommended for fixation of AO-OTA 31-A1 simple trochanteric fractures; this implant is biomechanically safe, and allows the use of a minimally invasive muscle-splitting approach which potentially provides better clinical outcome, such as decreased surgical trauma, shorter operative time, less blood loss, decreased analgesics use, and shorter incision length. As the majority of reviewed publications relate to the dynamic hip screw, it is not clear whether the above recommendations can be extended to any other sliding hip screw device. An intramedullary device is recommended for all other extra-capsular proximal femoral fractures. Cite this article: EFORT Open Rev 2020;5:118-125. DOI: 10.1302/2058-5241.5.190020

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