scholarly journals Operative repair of a chronic,ulnar proximal interphalangeal dislocation of the little finger with an excellent functional result

2002 ◽  
Vol 10 (01) ◽  
Author(s):  
Michael W Neumeister
2000 ◽  
Vol 25 (2) ◽  
pp. 188-192 ◽  
Author(s):  
B. BICKERT ◽  
M. SAUERBIER ◽  
G. GERMANN

A retrospective study was done to assess the outcome after repair of completely ruptured scapholunate interosseous ligaments using the Mitek™ Mini G2 bone anchor. From 1994 to 1996. 12 patients underwent scapholunate ligament repair using the bone anchor. A follow-up assessment was done at a mean of 19 months postoperatively and revealed excellent or good results in eight patients, satisfactory in two, and poor in two patients, one of whom had developed lunate necrosis. One patient with an excellent functional result demonstrated recurrent dissociation of the scapholunate gap radiographically. The technique described proved to be simpler than conventional procedures in our hands, and yields similar functional results.


2020 ◽  
Vol 148 (9-10) ◽  
pp. 554-559
Author(s):  
Maksim Kovacevic ◽  
Marijana Kovacevic ◽  
Sanja Maric ◽  
Nenad Lalovic ◽  
Milivoje Dostic ◽  
...  

Introduction/Objective. Tarsal dislocations are rare injuries. Usually, they are caused by high-energy trauma. Depending on the type of dislocation, surgical treatment or closed reduction is used. In this study, 13 patients are presented with the aim to analyze the type of feet dislocations, their treatment, and outcome. Methods. Tarsal dislocation cases treated in the University Hospital in Foca were analyzed during the period 2009?2016. All the cases were clinically and radiographically examined and monitored on control examinations at least three years. The mobility of joints was measured and pain existence was estimated by visual analogue scale. Results. All 13 patients with tarsal dislocation were male. Four patients were treated surgically (two patients with tarsometatarsal and one with cuboid and navicular dislocation) and other patients had non-surgical treatment. In 10 patients, an excellent functional result has been achieved and in two patients with tarsometatarsal dislocation a good functional result. In one patient with cuboidal dislocation satisfactory functional result has been achieved. Conclusion. Out of the 13 reviewed patients with tarsal dislocations, functional results were rated as excellent in 10 dislocations, good in two, and satisfactory in one. Diagnosis and treatment of foot dislocations are demanding, but a favorable functional outcome can be expected with an adequate treatment of these injuries.


1973 ◽  
Vol 82 (5) ◽  
pp. 637-642 ◽  
Author(s):  
Burton F. Jaffe

Three rare laryngeal lesions were seen in one year at Children's Hospital Medical Center in Boston. Case 1 is a subglottic mass that is a diagnostic problem since various pathologists have differing opinions ranging from a benign to a malignant tumor. The tumor mass was totally removed as a biopsy and to avoid a tracheotomy. Clinical management is now conservative and awaits both a definite pathologic diagnosis as well as a definite clinical course. Case 2 is an isolated lymphangioma of the larynx unrelated to a cervical cystic hygroma. The edematous arytenoid prominences and aryepiglottic folds were removed with an excellent functional result. Case 3 is a bilateral vocal cord adhesion following four days of endotracheal intubation. An inappropriate diagnosis of bilateral vocal cord abductor paralysis was made earlier and corrected on a later microscopic examination of the larynx. Simple division of the posterior adhesion gave an excellent functional result. Suspension laryngoscopy with microscopic examination of the larynx was important in all three cases both from a diagnostic and a therapeutic viewpoint.


2017 ◽  
Vol 74 (1) ◽  
pp. 51-53
Author(s):  
Marko Mladenovic ◽  
Ivan Micic ◽  
Predrag Stojiljkovic ◽  
Sasa Milenkovic ◽  
Desimir Mladenovic

Background/Aim. Fitmore? hip stem belongs to the group of short stem prostheses with the metaphysar stabilization, with its shape and form that protects the bone mass in the greater trochanter region and the distal part of the femur. The aim of this paper was to present the early postoperative results in patients with implanted Fitmore? hip stem and point out some of the advantages. Methods. A series of 10 patients with implanted Fitmore? hip stem, was included in this study. The average age of the patients was 54.5 (48?65) years. There were 5 women and 5 men. The total monitoring time was 16 months. To rate the condition of the hip joint we used The Western Ontario and Mc Master Universities Arthritis Index (WOMAC) score. We also monitored the degree of hip pain, hip flexion, heterotopic ossification and indentation in the stem of the prosthesis. Results. After 12 months of monitoring 9 (90%) of the patients had no pain in the thigh region, and only 1 (10%) experienced mild pain. The hip flexion rose from the average 89? to postoperative 114?. WOMAC score rose as well, from 49 to 94 average points. Indentation in the stem was registered 3 months after the operation in 2 (20%) of the patients ? in one of the patients the indentation was 3 mm and in the other patient 5 mm. After the 16-month monitoring, the results were excellent. The monitoring period was short though it should be continued and the results should be presented after 5 and then after 10 years. Conclusion. Early results of the implantation Fitmore stem showed good bone ingrowth with excellent functional result.


Foot & Ankle ◽  
1982 ◽  
Vol 3 (1) ◽  
pp. 50-52 ◽  
Author(s):  
Michael E. Kliman ◽  
Victor L. Fornasier ◽  
David E. Hastings

The authors present a case of a parosteal osteosarcoma of the fourth metatarsal in a 19-year-old male. This location has never been previously reported. The periosteal new bone formation without bone destruction must be differentiated from foreign body reaction and stress fractures. En bloc resection of the fourth and fifth rays was done. There has been no evidence of recurrence to date, 1 year and 10 months following the surgery. There has been an excellent functional result.


Author(s):  
Монастырев ◽  
Vasiliy Monastyrev ◽  
Куклин ◽  
Igor Kuklin ◽  
Пономаренко ◽  
...  

Heel tendon injuries is the most common trauma of tendomuscular apparatus. Old ruptures of heel tendon occur in 58 % of cases in humans. The aim of the research was to estimate the effectiveness of treatment of the patients with old ruptures of heel tendon with Myerson type III defects who had tendon reconstruction on Chernavsky and short plaster splint immobilization of lower extremity for 4 weeks. We operated 10 patients using reconstruction on Chernavsky in our clinic from 2012 to 2014 (average age – 47,6 ± 12,0 years, 8 males and 2 females). All patients had old ruptures of heel tendon. Average time from the moment of trauma till the operation was 112,6 ± 80,4 days. Diastasis between the ends of tendon was 5,8 ± 0,7 cm that corresponds to Myerson type III. Average term of staying at hospital was 10 ± 2 days. We didn’t register any complications in postoperative period. Term of plaster immobilization of the operated extremity was 4 weeks. AOFAS score was 34,2 ± 6,8 points at the control examination in 1,5 months that corresponds to bad functional result. We registered good functional results (88,6 ± 3,5 points) in 3 months. In 6 months, functional results were 95,9 ± 1,6 points. In 12 months after the operation average score was 97,9 ± 2,1 points that corresponds to excellent functional result. Using heel tendon reconstruction on Chernavsky at the Myerson type III defects in combination with short plaster immobilization and early activization of patients allows to decrease term of rehabilitation of patients after the operation.


1993 ◽  
Vol 18 (2) ◽  
pp. 230-233 ◽  
Author(s):  
P. VIDAL ◽  
M. G. DICKSON

A patient who suffered a traumatic avulsion of the distal phalanx of the right index finger is described. Following simple wound toilet and closure, the distal phalanx regenerated to give an excellent functional result.


1984 ◽  
Vol 61 (1) ◽  
pp. 191-192 ◽  
Author(s):  
Baird S. Grimson ◽  
Mark J. Ross ◽  
George Tyson

✓ An excellent functional result was obtained after microsuture of a trochlear nerve which was inadvertently divided during the course of a craniotomy. Successful intracranial suture of this nerve has not previously been reported. Ophthalmoscopic detection of excyclotorsion of the eye on the side of the trochlear nerve palsy is discussed, along with its value in the differential diagnosis of acquired vertical diplopia.


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