scholarly journals Isolated Dorsal Dislocation of the Lunate

2012 ◽  
Vol 6 (1) ◽  
pp. 531-534 ◽  
Author(s):  
NA Siddiqui ◽  
SP Sarkar

Lunate dislocations are well described in the volar direction as part of the perilunate dislocation, sometimes together with fractures of the other carpal bones or distal radius, as described by the anatomical studies of Mayfield [1]. It is a result of disruption of the complex inter-carpal and radiocarpal ligaments that hold the well conforming carpus in their normal position. Given the strength of these structures a significant trauma is required to cause them to fail. However, we present a case of a patient who not only presented with relatively trivial trauma that resulted in a lunate dislocation, but it was also in the dorsal direction and not associated with any fracture or neurological compromise. In addition, she presented several days after her injury. We treated her with closed manipulation and percutaneous K-wire fixation followed by a short period of immobilisation in a Plaster-of-Paris cast, with rapid return to full duties at work. As many volar lunate dislocations may be missed at presentation, we suggest that in patients with relatively trivial trauma there should also be a suspicion of the lunate dislocating dorsally, which may be treated successfully without the aggressive open surgery usually required in volar perilunate dislocations.

Author(s):  
David Warwick ◽  
Roderick Dunn ◽  
Erman Melikyan ◽  
Jane Vadher

Bone and joint injuries—wrist and forearm 100Forearm fractures 102Ulnar corner injuries 106Fractures of the distal radius in adults 108Fractures of the distal radius in children 118Fractures of the scaphoid 120Fractures of the other carpal bones 127Carpal ligament rupture and dislocations ...


Author(s):  
Hongje Kang

The midcarpal instability is the state with instability between the proximal and distal carpal rows, without dissociation between carpal bones. It can be divided into the intrinsic one that is caused by ligament hyperlaxity, and extrinsic one that is caused secondarily by the malunion of distal radius. The pathophysiology of the intrinsic one is still unknown, and the treatment is also controversial. On the other hand, the extrinsic one can be treated by corrective osteotomy of the radial malunion. This review investigated the comprehension, definition, classification, symptoms, diagnosis, and treatment of the midcarpal instability.


1923 ◽  
Vol 19 (5) ◽  
pp. 37-53
Author(s):  
N. V. Sokolov

The Аlехаndеr-Adam's surgery, which has gained wide rights of citizenship in modern gynecological practice, has its own history, the main stages of which I will allow myself to dwell upon. Its first author must be considered the French surgeon Alqui, who, having noticed the important role of the round uterine ligaments in the normal position of the uterus, on the one hand, and their relaxation and lengthening at displacement of this organ to the bottom, on the other hand, proposed to find the round ligament in the external inguinal ring through a small cut, to stick it out by 10 cm or more, to stitch it with ligature and fix it in the lower corner of the wound.


2018 ◽  
Author(s):  
M Svanholt ◽  
P Svanholt ◽  
Inger Kjær

The purpose of this paper is to demonstrate 4 cases with bi-lateral ectopic mandibular canines and to demonstrate in each case which one of the two canines erupted to a normal position in the dental arch. The canines are observed from Orthopantomograms from 4 children (aged 8-13 years of age) in the mixed dentitions stages. Of these children 2 were males and 2 were females. From each child there was between 3-5 Orthopantomograms. These were observed over 3-4 years period. In each of the 4 cases with bi-lateral ectopia of the mandibular canines the one mandibular canine erupted into a normal position, while the other one declined into a horizontal position during the mixed dentition period. These 4 cases demonstrated that the inclination of the canines were important to observe and diagnose from the initial stage (first ortopantomogram). The cases presented, demonstrated that the unsuccessfully erupted canines ending in a horizontal position, were the canines which inclined slightly more that the contra lateral canine already from the initial stage.


1953 ◽  
Vol 44 (4) ◽  
pp. 627-640 ◽  
Author(s):  
K. S. Hocking ◽  
H. C. M. Parr ◽  
D. Yeo ◽  
D. Anstey

Attempts have been made to eradicate the tsetse flies G. morsitans and G. swynnertoni from two blocks of savannah woodland situated in the Central Province of Tanganyika.The insecticides were applied from aircraft. Coarse aerosols were used, with mass median diameters of approximately 90 microns; droplet diameters varied from 4 microns to 250 microns approximately.Eight applications of insecticides were made at intervals of two weeks. Each application was carried out at a nominal dosage of 0·25 gallons per acre, which was equivalent to 0·20 1b. per acre of the p, p'isomer of DDT or 0·03 lb. per acre of the γ isomer of BHC.In the area treated with DDT it is possible that both species of flies were eradicated for a short period, but small populations were re-established there by immigrant flies. In the other block the reduction was not so great, but it is not considered that this was due to a lesser effectiveness of the BHC, but to a combination of circumstances that led to less effective applications.Some general observations are made upon the use of aircraft for this sort of work, particularly in connection with the effect of meteorological conditions.


2003 ◽  
Vol 28 (6) ◽  
pp. 568-570 ◽  
Author(s):  
S. GANGOPADHYAY ◽  
G. PACKER

A retrospective review of 24 patients with dorsal incisions for open reduction and internal fixation of Frykman VII/VIII distal radius fractures using a dorsal plate was performed. Half of them had a longitudinal incision while the other half had a T-shaped incision. No difference in the healing properties or wound morbidity could be demonstrated between the two groups. However, the T incision provided improved exposure of the distal radius and patient satisfaction with its cosmetic result was superior. The horizontal limb was well camouflaged within the transverse skin crease on the dorsal aspect of the wrist. The vertical limb did not extend into the dorsum of the hand and could, therefore, be hidden by appropriate clothing.


2013 ◽  
Vol 26 (4) ◽  
pp. 248
Author(s):  
Ki-Chan An ◽  
Gyu-Min Kong ◽  
Jang-Seok Choi ◽  
Hi-Chul Gwak ◽  
Joo-Yong Kim ◽  
...  

2015 ◽  
Vol 2015 ◽  
pp. 1-3 ◽  
Author(s):  
Tohru Ohnuma ◽  
Heii Arai

Shared psychotic disorder, characterized by shared delusion among two or more subjects (termed “Folie à deux,” “trois,” etc.), is often associated with strong religious beliefs or social isolation, factors creating strong psychological sympathy. Recently, we treated a rare familial case of “Folie à quatre” in central Tokyo without such influences. The proband was a schizophrenia patient and younger brother within monozygotic twins. Positive symptoms were “transmitted” to remaining family members, his elder brother, mother, and father father, in a relatively short period of three months. Although the pathophysiology of these positive symptoms (delusions and hallucinations) remains unclear, the transmission pattern suggests the primacy of social and environmental factors (and/or their interaction), while genetics appeared less influential in this “Folie à famille.” Although undiagnosed psychoses in the whole family cannot be excluded, they did not share the other negative schizophrenia symptoms of the proband. A strong familial connection appeared to be the most important factor for the common delusion and hallucination.


2012 ◽  
Vol 2012 ◽  
pp. 1-12 ◽  
Author(s):  
Reginaldo José Donatelli

The Picini tribe comprises 25 Old World woodpecker species grouped into seven genera that are widely distributed in Asia and include several representatives from the Eurasian region. Given the absence of detailed anatomical studies of Picini in the literature, the purposes of this study were to describe the jaw musculature of 14 species of Picini in detail and to compare the musculature patterns of these species. The results of this analysis indicate the following: (1) there is a clear association between theventralis lateralisanddorsalis lateralismuscles through fleshy fibers that are connected in all species, (2) the jaw musculature of the genusPicusdiffers from that of other Picini genera in terms of the poor development of the protractor muscle system of the quadrate (M. protractor quadratiandM. protractor pterygoidei), (3) generally, theM. pseudotemporalis superficialisoriginates in the ventrocaudal region of the laterosphenoid (the lower part of the orbit), with the only noteworthy exception being an origin in the upper part of the orbit inDinopium javanense, and (4) theprotractor pterygoideimuscle is more developed inBlythipicus rubiginosus, Dinopium rafflesii,andD. javanensethan in the other species.


Pragmatics ◽  
2019 ◽  
Vol 29 (1) ◽  
pp. 57-82
Author(s):  
Saeko Machi

Abstract This study examines cross-speaker repetition in triadic conversations in the Japanese language. For the analysis, three sets of triadic conversations between close friends taken from a TV talk show are used. The results reveal that repetition in triadic conversations performs distinctive functions that are not observed in dyadic conversations: repetition often takes place between only two participants of the triad and allows the two to team up and strengthen their bond exclusively (teaming repetition), or even playfully tease the third participant (teasing repetition). Repetition is also shared between the three participants. In such cases, it allows the participants to create an instant bond by joking or referring to shared circumstances (immediate threefold repetition), or to gradually establish rapport by connecting their utterances and co-constructing a story (repetition relay). All these types of repetition express the participants’ points of view and contribute efficiently to their relationships that shift from moment to moment. The study further demonstrates cases in which one participant makes good use of various repetition types in a short period of time and efficiently allocates thoughts and feelings to the other two participants. The study concludes that repetition plays a significant role in Japanese conversation, helping speakers to converse smoothly and manage the dynamic relationships efficiently.


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