Lisfranc's fracture-dislocation. A review of the literature and case reports

1991 ◽  
Vol 81 (10) ◽  
pp. 531-539 ◽  
Author(s):  
JD Kaplan ◽  
JM Karlin ◽  
BL Scurran ◽  
N Daly
Keyword(s):  
Literature Review ◽  
Case Reports ◽  
Fracture Dislocation ◽  
Radiographic Evaluation ◽  
Review Of The Literature ◽  
Rare Injury ◽  
Fracture Dislocations ◽  
Delay In Treatment

The authors present an in-depth discussion of Lisfranc's fracture-dislocations, including classifications, mechanisms of injury, radiographic evaluation, and a literature review. Four cases are presented for review. Lisfranc's fracture-dislocation is a rare injury that can lead to prolonged disability if undiagnosed or if there is a delay in treatment.

scholarly journals Coronal Hamate Fracture Associated With Carpometacarpal Dislocations of All of the Fingers: Review of the Literature and Case Report

Hand ◽  
2016 ◽  
Vol 12 (5) ◽  
pp. NP51-NP54 ◽  
Author(s):  
Joseph A. Gil ◽  
Avi D. Goodman ◽  
Adam Starr
Keyword(s):  
Case Report ◽  
Clinical Presentation ◽  
Relevant Literature ◽  
High Energy ◽  
Fracture Dislocation ◽  
Review Of The Literature ◽  
Rare Injury ◽  
Fracture Dislocations ◽  
Hamate Fracture

Background: Dislocation of all 5 carpometacarpal (CMC) joints of a single hand is a rare injury. Methods: The literature regarding CMC fracture-dislocations was reviewed and a case was presented. Results: The relevant literature was consolidated to clinically relevant categories including ‘Clinical Presentation and Diagnosis,’ ‘Management of CMC Fracture Dislocation and Hamate Fractures,’ and ‘Outcomes.’ Conclusions: The mechanism associated with this injury is often high energy that causes multiple simultaneous life- or limb-threatening injuries that could distract the examiner from identifying this injury. The case we present involves an axial dislocation of the carpus that resulted in dorsal dislocations of all CMC joints, dislocation of the hamate-capitate articulation, as well as fractures of the first metacarpal and the hamate.

scholarly journals Nonoperative Treatment of Ulnar Carpometacarpal Fracture–Dislocations

2019 ◽  
Vol 09 (02) ◽  
pp. 160-163
Author(s):  
Isidro Jiménez ◽  
Juan Sánchez-Hernández ◽  
Dimosthenis Kiimetoglou
Keyword(s):  
Closed Reduction ◽  
Case Reports ◽  
Nonoperative Treatment ◽  
Fracture Dislocation ◽  
Joint Stability ◽  
Joint Dislocations ◽  
Secondary Dislocation ◽  
Fracture Dislocations ◽  
Cmc Joint

Abstract Background Ulnar carpometacarpal (CMC) joint dislocations and fracture–dislocations are uncommon injuries that are often overlooked. Most authors advocate surgical stabilization in order to prevent a secondary dislocation assuming that these injuries are inherently unstable. Case Description This is a series of eight ulnar CMC joint dislocations and fracture–dislocations treated by closed reduction and splint immobilization after assessing the joint stability. Mean follow-up was 30.2 months, and minimum follow-up was 12 months. Satisfactory results were obtained in range of motion, grip strength, pain, DASH (Disabilities of the Arm, Shoulder and Hand) questionnaire, and time to return to working activities. In the same period, the closed reduction and cast failed two (20%) cases that were referred for surgery. Literature Review There is little published literature on the nonoperative treatment of these injuries. Most of them are isolated case reports, whereas the largest series reports four cases. All of them have reported satisfactory results. Clinical Relevance Based on our results, we believe that if the diagnosis of an ulnar CMC joint dislocation or fracture–dislocation is early accomplished and a concentric and stable reduction is initially achieved, the nonoperative treatment may be a successful option to take into account but requiring a close follow-up for the first week.

scholarly journals Hereditary haemorrhagic telangiectasia and pregnancy: a review of the literature

2020 ◽  
Vol 15 (1) ◽  
Author(s):  
Olivier Dupuis ◽  
Laura Delagrange ◽  
Sophie Dupuis-Girod
Keyword(s):  
Heart Failure ◽  
Literature Review ◽  
Arteriovenous Malformations ◽  
Case Reports ◽  
Case Series ◽  
Main Body ◽  
Hereditary Haemorrhagic Telangiectasia ◽  
Review Of The Literature ◽  
Management Decisions ◽  
Recurrent Epistaxis

Abstract Background Hereditary haemorrhagic telangiectasia (HHT) is a dominantly inherited genetic vascular disorder that has prevalence of 1:5000 to 1:8000, and which is characterised by recurrent epistaxis, cutaneous telangiectasia, and arteriovenous malformations (AVMs) that affect many organs including the lungs, gastrointestinal tract, liver, and central nervous system. The aim here was to carry out a review of the literature on HHT complications during pregnancy in order to guide management decisions. Main body A literature review was carried out to analyse all publications on complications that occurred during pregnancy in women with HHT. The PubMed/Medline and Scopus databases were searched. The complications observed in HHT women during pregnancy were then described. The authors identified 5 case series and 31 case reports that describe the evolution of 1577 pregnancies in 630 women with HHT. The overall maternal death rate described in the case series was estimated at 1.0% of pregnancies in the case series and 2 maternal deaths occurred in 31 pregnancy case reports. Severe maternal complications occurred in 2.7 to 6.8% of pregnancies in the case series. Severe complications occurred mostly in the second and third trimester in non-diagnosed and non-screened HHT patients. Severe complications were related to visceral involvement. The most frequent complications were related to pulmonary arteriovenous malformations (PAVMs) (haemothorax (n = 10), haemoptysis (n = 4), and severe hypoxaemia (n = 3)). Neurological complications were related to PAVMs in one case (right to left shunt) and to cerebral arteriovenous malformations (CAVM) and intracranial haemorrhage in 2 cases. Complications were related to hepatic arteriovenous malformations (HAVMs) in 8 cases (acutely decompensated heart failure due to hepatic involvement (n = 1), dyspnoea related to heart failure (n = 5), and hepatobiliary necrosis (n = 2)). Conclusion Based on the literature review, most pregnancies in HHT women occur normally. However, these pregnancies should be considered high-risk, given the potential life-threatening events related to AVM rupture. Furthermore, there is currently no international consensus regarding the medical follow-up of pregnancy in women with HHT and the aim here was to carry out a review of the literature in order to guide screening and management decisions for this rare disease.

scholarly journals Metastatic Adenoid Cystic Carcinoma of Salivary Glands: Case Reports and Review of the Literature

1996 ◽  
Vol 3 (4) ◽  
pp. 336-342 ◽  
Author(s):  
Alexander S.D. Spiers ◽  
Dixie Lee W. Esseltine ◽  
John C. Ruckdeschel ◽  
Jack N.P. Davies ◽  
John Horton
Keyword(s):  
Salivary Gland ◽  
Pain Relief ◽  
Literature Review ◽  
Adenoid Cystic Carcinoma ◽  
Systemic Treatment ◽  
Case Reports ◽  
Review Of The Literature ◽  
Single Drug ◽  
Adenoid Cystic ◽  
Uncommon Tumor

Background Adenoid cystic carcinoma is an uncommon tumor of the salivary gland. Little has been published on the chemotherapy of this neoplasm. Methods The literature on this disease is reviewed, and data from seven unpublished cases are presented. Results Four patients received cyclophosphamide. One responded, and another had pain relief. The literature review did not identify any single drug or combination that might be regarded as the treatment of choice. Conclusions Systematic, multi-institutional studies are required to determine appropriate systemic treatment for metastatic adenoid cystic carcinoma of salivary gland origin.

Influence of Etiologic Factors in Peri-Implantitis: Literature Review and Case Report

2012 ◽  
Vol 38 (5) ◽  
pp. 633-637 ◽  
Author(s):  
Arthur Rodriguez Gonzalez Cortes ◽  
Paulo Ferraz ◽  
Mauro Tosta
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Clinical Studies ◽  
Case Reports ◽  
Review Of The Literature ◽  
Etiologic Agents

Peri-implantitis is a pathology that has been described in many clinical studies and case reports. However, it is still not clear how the roles of its etiologic agents work. This article is based on a review of the literature and a case report. It aims to offer data related to the factors that cause this pathology, and to analyze how these factors interact, leading to the contamination of the peri-implant tissue.

scholarly journals Synovial chondromatosis of the hand: Three case reports and literature review

2003 ◽  
Vol 11 (1) ◽  
pp. 47-52 ◽  
Author(s):  
Sarah Hew-Ming Wong ◽  
Sam Salama ◽  
Achilleas Thoma
Keyword(s):  
Connective Tissue ◽  
Literature Review ◽  
Case Reports ◽  
Rare Condition ◽  
Synovial Chondromatosis ◽  
Hand Surgeon ◽  
Diagnostic Difficulties ◽  
Low Prevalence ◽  
Delay In Treatment

Synovial chondromatosis is a rare condition that is probably caused by synovial connective tissue metaplasia. It is very rare in the hand and wrist and because of its low prevalence and nonspecific symptoms, synovial chondromatosis can present diagnostic difficulties for the hand surgeon and may lead to a delay in treatment. We review the literature and report three additional cases of synovial chondromatosis in the hand.

Dorsal Fracture-Dislocation of the Tarsal Navicular

2017 ◽  
Vol 107 (3) ◽  
pp. 226-230 ◽  
Author(s):  
Isidro Jimenez ◽  
Juan Pedro Rodriguez-Alvarez ◽  
Ricardo Navarro-Navarro
Keyword(s):  
Clinical Case ◽  
Case Reports ◽  
High Energy ◽  
Fracture Dislocation ◽  
Published Data ◽  
Excellent Outcome ◽  
Appropriate Treatment ◽  
Chopart Joint ◽  
Fracture Dislocations ◽  
Tarsal Navicular Bone

Fracture-dislocations of the tarsal navicular are rare and highly complex injuries to the midfoot. The only published data on this type of fracture are clinical case reports. These injuries are normally caused by high-energy trauma, and their pathophysiology and most appropriate treatment remain unclear. We report a clinical case of a dorsal fracture-dislocation of the tarsal navicular bone associated with a medial swivel dislocation of the Chopart joint caused by a bicycle fall in a 20-year-old healthy man. Open reduction and percutaneous pinning in a novel arrangement was performed, with an excellent outcome 18 months after the injury.

Cluster headache responsive to indomethacin: Case reports and a critical review of the literature

Cephalalgia ◽  
2010 ◽  
Vol 30 (8) ◽  
pp. 975-982 ◽  
Author(s):  
Sanjay Prakash ◽  
Nilima D Shah ◽  
Bhavna V Chavda
Keyword(s):  
Literature Review ◽  
Cluster Headache ◽  
Critical Review ◽  
Essential Feature ◽  
Case Reports ◽  
Hemicrania Continua ◽  
Paroxysmal Hemicrania ◽  
Review Of The Literature ◽  
Usual Therapy ◽  
History Of

Introduction: Response to indomethacin is an essential feature for the diagnosis of both paroxysmal hemicrania (PH) and hemicrania continua (HC). Cluster headache (CH) is widely considered to be a disease unresponsive to indomethacin. Case reports: We report four patients with CH who responded to indomethacin. Two patients, who were refractory to the usual therapy for CH, fulfilled the criteria for chronic CH. Conversely, two patients had a history of episodic CH and showed response to both indomethacin and the usual therapy for CH. Literature review: We also reviewed the literature for the presence of indomethacin response in patients with CH. We noted a large number of cases labeled as CH by the authors which showed a response to indomethacin. Discussion: Many cases of definite or possible CH were wrongly labeled as PH because of patients' responding to indomethacin. Conclusion: The response to indomethacin in patients with CH may not be as immediate as in other indomethacin-responsive headaches, and many patients may need larger doses.

scholarly journals Traumatic Lumbar Spondylolisthesis: A Systematic Review and Case Series

2018 ◽  
Vol 9 (7) ◽  
pp. 767-782 ◽  
Author(s):  
Mikhail Lew P. Ver ◽  
John R. Dimar ◽  
Leah Y. Carreon
Keyword(s):  
Systematic Review ◽  
Interbody Fusion ◽  
Case Reports ◽  
Case Series ◽  
High Energy ◽  
Acute Injury ◽  
Fracture Dislocation ◽  
Rare Injury ◽  
Neurologic Deficits ◽  
Traumatic Spondylolisthesis

Study Design: Systematic review and case series. Objectives: Any acute injury to the posterior elements of the lumbar spine resulting in listhesis is considered a traumatic spondylolisthesis. This rare injury caused by high-energy trauma is variably described in the literature as fracture-dislocation, where only case reports and series have been published. Our objectives were to propose evidence-based treatment recommendations and a new classification system for this injury. Methods: A systematic review of literature from PubMed, EMBASE, and Cochrane without time frame limitations was performed, which included 77 level IV and V articles and 9 patients as case series in the analysis. Results: A total of 125 cases were reviewed with mean age of 30.5 years. Half of the cases resulted from a vehicular accident. Back pain presented in 82%, while 50% had neurologic deficits. Operative treatment was performed in 93.6% (posterior decompression [PD] = 4%; posterior spinal fusion [PSF] = 43.2%; interbody fusion [IB] = 46.4%) with overall fusion rates of 74%. Binomial regression analysis for achieving solid fusion showed a 28.6× higher odds for IB compared to PSF ( P = .008, r2 = 0.633). Subanalysis of cases with disc injuries revealed higher fusion outcomes for IB (87%) compared to PSF (46%; P = .006), while there were no significant differences for patients without disc injury. Pain and neurological symptoms improved significantly on final follow-up ( P < .001). Overall complication rate was 22%. Conclusion: Operative management with reduction, decompression for neurologic deficits, instrumentation, and fusion is recommended for traumatic spondylolisthesis. Interbody fusion is recommended to achieve better fusion outcomes especially with preoperatively identified disc lesions.

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