scholarly journals Unilateral Lumbosacral Dislocation: Case Report and a Comprehensive Review

2012 ◽  
Vol 6 (1) ◽  
pp. 473-477 ◽  
Author(s):  
Theodoros B Grivas ◽  
Stamatios A Papadakis ◽  
Vassiliki Katsiva ◽  
George Koufopoulos ◽  
Vassilios Mouzakis
Keyword(s):  
Open Reduction ◽  
English Literature ◽  
Posterior Instrumentation ◽  
Fracture Dislocation ◽  
Lumbosacral Junction ◽  
Rare Injury ◽  
Unusual Condition ◽  
Post Traumatic ◽  
Lumbosacral Dislocation

Lumbosacral fracture-dislocation is a rare occurrence. There are more than 73 cases reported in the English literature. We report on the imaging findings and surgical treatment in a patient suffered of unilateral traumatic L5-S1 dislocation associated with severe disruption of the posterior ligamentous complex. The patient underwent open reduction and stabilization of L4-S1 vertebrae with posterior instrumentation system. Open reduction and internal fixation was mandatory as post-traumatic ligamentous insufficiency would lead to abnormal motion. Operative treatment managed to produce a solid arthrodesis and restore stability of the lumbosacral junction. Follow-up revealed excellent results. This study reports a rare injury of the lumbosacral junction, and the literature concerning this unusual condition is extensively reviewed.

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.

Lumboiliac fixation in lumbosacral dislocation and associated injuries of the pelvis and lumbosacral junction: a long‐term radiological and clinical follow‐up

Injury ◽  
2016 ◽  
Vol 47 ◽  
pp. S44-S48 ◽  
Author(s):  
Federico De Iure ◽  
Michele Cappuccio ◽  
Matteo Palmisani ◽  
Raffaele Pascarella ◽  
Matteo Commessatti
Keyword(s):  
Associated Injuries ◽  
Lumbosacral Junction ◽  
Lumbosacral Dislocation

scholarly journals Delayed Peroneal Neuropathy After Bosworth Fracture Dislocation of the Ankle

2021 ◽  
Vol 111 (4) ◽  
Author(s):  
Sung Hoon Choi ◽  
Jeong Min Hur ◽  
Kyu-Tae Hwang
Keyword(s):  
Soft Tissue ◽  
Internal Fixation ◽  
Closed Reduction ◽  
Open Reduction ◽  
Fracture Dislocation ◽  
Tibial Tubercle ◽  
Proximal Fragment ◽  
Rare Injury ◽  
Soft Tissue Swelling ◽  
Severe Soft Tissue

The Bosworth ankle fracture-dislocation is a rare injury and is often irreducible because of an entrapped proximal fragment of the fibula behind the posterior tibial tubercle. Repeated closed reduction or delayed open reduction may result in several complications. Thus, early open reduction and internal fixation enable a better outcome by minimizing soft-tissue damage. We report on a 27-year-old man who underwent open reduction and internal fixation after multiple attempts at failed closed reduction, complicated by severe soft-tissue swelling, rhabdomyolysis, and delayed peroneal nerve palsy around the ankle.

Fractures and Fracture Dislocations of the Midfoot: Occurrence, Causes and Long-term Results

2001 ◽  
Vol 22 (5) ◽  
pp. 392-398 ◽  
Author(s):  
Martinus Richter ◽  
Burkhard Wippermann ◽  
Christian Krettek ◽  
Hanns Eberhard Schratt ◽  
Tobias Hufner ◽  
...  
Keyword(s):  
Open Reduction ◽  
Traffic Accidents ◽  
Fracture Dislocation ◽  
Long Term Results ◽  
Treatment Optimization ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Fracture Dislocations

Etiology and outcome of 155 patients with midfoot fractures between 1972 and 1997 were analyzed to create a basis for treatment optimization. Cause of injuries were traffic accidents (72.2%), falls (11.6%), blunt injuries (7.7%) and others (5.8%). Isolated midfoot fractures (I) were found in 55 (35.5%) cases, Lisfranc fracture dislocations (L) in 49 (31.2%), Chopart-Lisfranc fracture dislocations (CL) in 26 (16.8%) and Chopart fracture dislocations (C) in 25 (16%). One hundred and forty eight (95%) of the midfoot fractures were treated operatively; 30 with closed reduction, 115 with open reduction, 3 patients had a primary amputation. Seven (5%) patients were treated non-operatively. Ninety seven (63%) patients had follow-up at an average of 9 (1.3–25, median 8.5) years. The average scores of the entire follow-up group were as follows: AOFAS – sum of all four sections (AOFAS-ET): 296, AOFAS-Midfoot (AOFAS-M): 71, Hannover Scoring System (HSS): 65, and Hannover Questionnaire (Q): 63. Regarding age, gender, cause, time from injury to treatment and method of treatment no score differences were noted (t-test: p > 0.05). L, C or I showed similar scores and CL significantly lower scores (AOFAS-ET, AOFAS-M, HSS, Q). The highest scores in all groups were achieved in those fractures treated with early open reduction and operative fixation. Midfoot fractures, particularly fracture dislocation injuries, effect the function of the entire foot in the long-term outcome. But even in these complex injuries, an early anatomic (open) reduction and stable (internal) fixation can minimize the percentage of long-term impairment.

Isolated Dislocation of the Tarsal Navicular: A Case Report

Foot & Ankle ◽  
1988 ◽  
Vol 9 (3) ◽  
pp. 146-149 ◽  
Author(s):  
Mini N. Pathria ◽  
Alex Rosenstein ◽  
Ann G. Bjorkengren ◽  
David Gershuni ◽  
Donald Resnick
Keyword(s):  
Case Report ◽  
Open Reduction ◽  
English Literature ◽  
Ischemic Necrosis ◽  
Rare Injury

Isolated dislocation of the tarsal navicular is a rare injury that is not mentioned in standard orthopedic textbooks and described only once in the English literature. Because of the rarity of this condition, the best means of treatment has not been established. A patient with this unusual dislocation was recently diagnosed and treated. Open reduction was eventually required, which was followed by the development of ischemic necrosis of the navicular.

scholarly journals Traumatic atlantoaxial rotatory subluxation in adults – A case report and literature review

2020 ◽  
Vol 11 ◽  
pp. 376
Author(s):  
Hugo Layard Horsfall ◽  
Aref-Ali Gharooni ◽  
Alaa Al-Mousa ◽  
Anan Shtaya ◽  
Erlick Pereira
Keyword(s):  
Neck Pain ◽  
Internal Fixation ◽  
Open Reduction ◽  
Motor Vehicle ◽  
English Literature ◽  
Open Reduction Internal Fixation ◽  
Vehicle Accidents ◽  
Pediatric Populations ◽  
Rotatory Subluxation ◽  
Post Traumatic

Background: Traumatic atlantoaxial rotatory subluxation (AARS) is extremely rare in adult versus pediatric populations. Patients usually present with post-traumatic neck pain and torticollis. Surgical management aims at reducing the deformity and stabilizing the spine utilizing external orthotics, and/or internal reduction/fixation. Methods: A 65-year-old female fell downstairs at home. She complained of neck pain with right-sided tenderness and torticollis. The radiographic studies and CT scan demonstrated AARS. This led to an emergent open reduction with internal fixation at the C1-C2 level. Results: We identified 25 similar cases of AARS in the English literature. Patients averaged 28.7 years of age and mostly sustained motor vehicle accidents largely treated with traction/orthotics; only six patients required surgical open reduction/internal fixation. Conclusion: In this case, the patient’s C1-C2 deformity required open reduction/internal fixation rather than bracing alone.

Bilateral Scaphocapitate Fracture Syndrome: A Case Report with Long-Term Follow up

2019 ◽  
Vol 24 (02) ◽  
pp. 243-246
Author(s):  
Ahmadreza Afshar ◽  
Ali Tabrizi
Keyword(s):  
Bone Fracture ◽  
Open Reduction ◽  
Functional Results ◽  
Fracture Dislocation ◽  
Carpal Bone ◽  
Orthopedic Surgeons ◽  
Long Term Follow Up ◽  
Scaphocapitate Fracture Syndrome

Carpal bone fracture-dislocation is an uncommon wrist injury. Regarding limited prevalence of such injury, most of orthopedic surgeons have low experience in treatment and handling of these fractures and dislocations. A 25-year-old male worker with an uncommon carpal bone fracture-dislocation, namely bilateral scaphocapitate fracture syndrome, was described. Volar and dorsal approaches were used for reduction and fixation; complete stabilization was achieved after open reduction and fixation using Herbert screws into scaphoid and capitate. A 5-year follow-up showed satisfactory functional and radiographic results. In the case of scaphocapitate fracture syndrome open reduction and internal fixation by compression screws (rather than inserting multiple pins) leads to complete union in scaphoid and capitate. Restoration of normal anatomy in carpus bones can result in long-term satisfactory functional results while preventing possible complications.

Isolated Dislocation of all Five Carpometacarpal Joints

1995 ◽  
Vol 20 (5) ◽  
pp. 606-608 ◽  
Author(s):  
M. YILDIZ ◽  
C. BAKİ ◽  
M. ŞENER
Keyword(s):  
Internal Fixation ◽  
Open Reduction ◽  
English Literature ◽  
Fracture Dislocation ◽  
Carpometacarpal Joints

Fracture-dislocation of all five carpometacarpal joints is extremely rare, only ten cases having been reported since 1873. A case of isolated dislocation of all five carpometacarpal joints is presented. A good result was obtained 1 year after open reduction and internal fixation. This case is the only isolated dislocation of all five carpometacarpal joints in the English literature.

scholarly journals Proximal humerus fracture–dislocation managed by mini-open reduction and percutaneous screw fixation

2018 ◽  
Vol 11 (5) ◽  
pp. 353-358
Author(s):  
NA Johnson ◽  
R Pandey
Keyword(s):  
Open Reduction ◽  
Proximal Humeral Fracture ◽  
Soft Tissues ◽  
Humeral Fracture ◽  
Fracture Dislocation ◽  
Oxford Shoulder Score ◽  
Fracture Dislocations ◽  
Mini Open ◽  
Shoulder Score

BackgroundWe describe a minimally open reduction and percutaneous fixation technique for three- and four-part proximal humeral fracture–dislocations which preserves soft tissues.MethodsEleven consecutive patients with three-and four-part proximal humeral fracture–dislocations (eight anterior, three posterior dislocations) were treated this way. The dislocation is reduced using a mini-open deltopectoral approach with a horizontal split in subscapularis. Fracture fragments are fixed with percutaneous screws. Constant and Oxford Shoulder Score were collected prospectively.ResultsMean age was 51 years (range 32–65). Mean follow-up was 36 months (range 24–72 months). At last follow-up mean Constant score was 75 (range 64–86) compared to 88 (range 85–92) for the uninjured shoulder. Mean Oxford shoulder score was 41 (range 34–46). One patient developed avascular necrosis. Screw back out was seen in three patients. These were removed under local anaesthesia. There were no screw penetrations of articular surface. One patient suffered a radial nerve neuropraxia which resolved.ConclusionThese results are promising and comparable to published literature with other means of fixation for this complex problem. Due to minimal soft tissue dissection the complications rate is low.

Sign in / Sign up

Export Citation Format

Share Document