17,251 results match your criteria fracture subluxation


Trochlear Dysplasia As Shown By Increased Sulcus Angle is Associated with Osteochondral Damage in Patients with Patellar Instability.

Arthroscopy 2021 May 5. Epub 2021 May 5.

Elite Sports Medicine, Connecticut Children's Medical Center, Farmington, Connecticut, USA; Department of Orthopedic Surgery, University of Connecticut School of Medicine, Farmington, Connecticut, USA.

Purpose: The primary objective was to describe the incidence of osteochondral damage in our cohort of patients with patellar instability. The second was to assesss for associations between patient demographics, duration of patellar instability, and quantitative radiographic measurements of anatomic risk factors for patellar instability and osteochondral damage.

Methods: A retrospective chart review identified patients treated for patellar instability at a tertiary referral center between 2013 and 2018. Read More

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Flexing a standard hinge-powered operating table for lumbosacral three-column osteotomy (3-CO) site closure in 84 consecutive patients.

Neurosurg Rev 2021 May 8. Epub 2021 May 8.

Department of Neurosurgery, Medical University of Innsbruck, Anichstrasse 35, MZA 3rd floor, Tyrol, 6020, Austria.

Three-column osteotomy (3-CO) is a powerful technique in adult deformity surgery, and pedicle subtraction osteotomy (PSO) is the workhorse to correct severe kyphotic spinal deformities. Aging of the population, increasing cases of iatrogenic flat back deformities and understanding the importance of sagittal balance have led to a dramatic increase of this surgical technique. Surgery, however, is demanding and associated with high complication rates so that every step of the procedure requires meticulous technique. Read More

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Outcomes of Treatment of Monteggia Fractures with Reduction and Internal Titanium Elastic Nail Fixation of the Ulna.

Ortop Traumatol Rehabil 2021 Apr;23(2):79-91

Oddział Chirurgii Urazowo-Ortopedycznej, Szpital Dziecięcy im. prof. dr. med. Jana Bogdanowicza, Warszawa, Polska / Department of Trauma and Orthopaedic Surgery, Prof. Jan Bogdanowicz Children's Hospital, Warsaw, Poland.

Background: The purpose of this paper is to evaluate the usefulness of radiographic indices of humero-radial joint instability in order to predict treatment outcomes in Monteggia fractures.

Material And Methods: A retrospective analysis was conducted in a group of patients who underwent closed reduction and internal titanium elastic nail (TEN) fixation of the ulna and closed reduction of a dislocation of the radial head between 2016 and 2018. The indications for intrame-dullary fixation comprised transverse or short oblique fractures. Read More

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[Emergency treatment of dislocation of large joints].

Unfallchirurg 2021 May;124(5):391-406

Klinik für Orthopädie, Unfallchirurgie und Sporttraumatologie, Marienhaus Klinikum Hetzelstift, Stiftstraße 10, 67435, Neustadt an der Weinstraße, Deutschland.

Joint dislocations are always accompanied by rupture of the joint capsule. Depending on the forces exerted on the joint as well as individual bone quality, fractures (dislocation fractures) and injuries to ligaments occur. As blood vessels and nerves can also be damaged, reduction is an urgent measure. Read More

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Treatment of type IV Pipkin fracture in patients with a high BMI via hip arthroscopy-assisted surgery: a case report.

J Hip Preserv Surg 2020 Aug 21;7(3):518-523. Epub 2020 Dec 21.

Department of Orthopaedic Surgery, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, 123, Ta Pei Road, Niao Sung Dist., Kaohsiung, Taiwan.

Pipkin type IV femoral head (FH) fracture-dislocations are usually treated via open surgery. There are many surgical approaches for the treatment of this difficult fracture depending on the fracture pattern. Obesity presents another challenging problem in surgical treatment and sometimes leads to a poorer outcome. Read More

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Catastrophic Failures of the Tibial Post in a Bicruciate Substituting Total Knee Prosthesis.

Arthroplast Today 2021 Apr 15;8:231-236. Epub 2021 Apr 15.

Department of Orthopedic Surgery, McLaren-Greater Lansing Hospital, Lansing, MI, USA.

Failure of the tibial post in a bicruciate substituting total knee prosthesis is a rare but catastrophic complication. The authors report 2 cases of a fracture of the polyethylene tibial post with subsequent episodes of knee subluxation. Prompt recognition and early revision of these complications are associated with a favorable early outcome. Read More

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Hemihamate arthroplasties in pilon fractures: a modified approach and experience in 30 patients.

J Hand Surg Eur Vol 2021 Apr 27:17531934211008056. Epub 2021 Apr 27.

Department of Hand and Microvascular Surgery, Khoula Hospital, Muscat, Sultanate of Oman.

Hemihamate arthroplasty is an established method of managing difficult Pilon fractures of the proximal interphalangeal (PIP) joint. We present our experience in 30 patients, whose injuries were further complicated by severe comminution and late presentations. Several modifications were utilized, including preoperative distraction, use of smaller size grafts and functional release of collaterals. Read More

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Trimalleolar fracture: The endless posterior malleolus fracture debate, to repair or not to repair?

Orthop Rev (Pavia) 2021 Mar 30;13(1):8784. Epub 2021 Mar 30.

Galilee Medical Center, Department of Orthopedics, Nahariya, Israel.

Ankle fracture is one of the most common fractures presenting in the emergency department. The fracture varies from unimalleolar, bimalleolar or trimalleolar. Involvement of the posterior malleolus is common and ranges from small avulsions to large intraarticular fragments causing subluxation of the talus. Read More

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Derivation and Internal Validation of a Prediction Model for Pediatric Hand Fracture Triage.

Plast Reconstr Surg Glob Open 2021 Apr 20;9(4):e3543. Epub 2021 Apr 20.

Department of Community Health Sciences, University of Calgary, Calgary, Alberta, Canada.

Background: Pediatric hand fractures are common, and most can be managed by a period of immobilization. However, it remains challenging to identify those more complex fractures requiring the expertise of a hand surgeon to ensure a good outcome. The purpose of this study was to develop a prediction model for identification of complex pediatric hand fractures requiring care by a hand surgeon. Read More

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[Clinical analysis of children and adolescents emergency dental trauma cases].

Beijing Da Xue Xue Bao Yi Xue Ban 2021 Mar;53(2):384-389

Department of Oral Emergency, Peking University School and Hospital of Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Laboratory for Digital and Material Technology of Stomatology & Beijing Key Laboratory of Digital Stomatology, Beijing 100081, China.

Objective: To analyze the etiological and clinical characteristics of oral emergency patients under 18 years with dental trauma, and to provide guidance on the prevention and treatment in children and adolescents.

Methods: A retrospective study on the intact data of the dental trauma patients under 18 years from January 2016 to December 2018 in the Department of Oral Emergency in Peking University School of Stomatology was conducted, and the distribution of the patients' gender, age and visiting time, as well as the number and position of traumatic teeth, diagnostic classification, and multiple injury with dental trauma were analyzed.

Results: During the period, 54. Read More

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Traumatic atlanto-axial rotatory subluxation and dens fracture with subaxial SCIWORA of Brown-Sequard syndrome: A case report.

Medicine (Baltimore) 2021 Apr;100(16):e25588

Department of Orthopaedic Surgery, College of Medicine, The Catholic University of Korea, Seoul, Korea.

Rationale: A case of traumatic atlanto-axial rotatory subluxation (AARS), dens fracture, rupture of transverse atlantal ligament (TAL), and subaxial spinal cord injury without radiographic abnormality (SCIWORA) of Brown-Sequard syndrome has never been reported in a child.

Patient Concerns: A 7-year-old boy presented to hospital with torticollis, neck pain, and limited neck rotation after a seat-belt injury sustained during a car accident. Neurologic examination revealed right-side motor weakness and left-side sensory abnormality, known as Brown-Sequard syndrome. Read More

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Intraoperative Complications and Early Return to the Operating Room in Total Hip Arthroplasty Performed Through the Direct Anterior and Posterior Approaches. An Institutional Experience of Surgeons After Their Learning Curve.

J Arthroplasty 2021 Mar 26. Epub 2021 Mar 26.

Department of Orthopaedic Surgery, Division of Adult Reconstruction and Joint Rerplacement, Hospital for Special Surgery, New York, NY.

Background: Proponents of the direct anterior approach (DAA) for total hip arthroplasty (THA) claim a faster recovery, whereas critics claim an increased risk of early femoral complications. This study analyzed intraoperative and postoperative complications requiring reoperation within one year after THA through the DAA and posterior approach (PA).

Methods: A total of 2348 elective, unilateral DAA THAs in patients with osteoarthritis performed between 2016 and 2019 were matched 1:1 for age (±5 years), gender, body mass index (±5), and femoral fixation with 2348 patients who underwent PA THA during the same period. Read More

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Traumatic hip dislocation in the paediatric population: A case series from a specialist centre.

Injury 2021 Apr 7. Epub 2021 Apr 7.

Paediatric Orthopaedic Department, Birmingham Children's Hospital, Steelhouse Lane, Birmingham, B4 6NH, UK. Electronic address:

Introduction: Traumatic hip dislocation is a rare injury in the paediatric population. It can occur after high energy trauma, but also after lower energy injuries especially in younger children. Posterior dislocation is the most common pattern of hip dislocation. Read More

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Post-traumatic entrapment of the median nerve in the ulno-humeral joint: Diagnosis, treatment and literature review.

J Orthop Sci 2021 Apr 14. Epub 2021 Apr 14.

Department of Hand Surgery and Microsurgery, Azienda Ospedaliero Universitaria Modena, Largo Del Pozzo, 71, 41125 Modena, Italy.

Background: The incidence of median nerve injuries in pediatric elbow dislocations is approximately 3% and avulsion of the open medial epicondylar epiphysis in the pediatric population is one predisposing factor that may explain this age predilection. These lesions can be difficult to diagnose in the acute phase because symptoms tend to be mild or delayed, consequently their management can be challenging and functional outcome poorer.

Methods: We present the case of an unrecognized median nerve entrapment in a 16-year-old boy with posterior dislocation of the elbow and a medial epicondyle fracture, treated initially with close reduction and open stabilization with a cannulated screw. Read More

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The Anesthetic Management of a Parturient With Osteogenesis Imperfecta Type I Undergoing Cesarean Delivery.

Cureus 2021 Mar 12;13(3):e13849. Epub 2021 Mar 12.

Anesthesiology and Perioperative Medicine, Loma Linda University Medical Center, Loma Linda, USA.

Osteogenesis imperfecta (OI) is a rare disorder of bone fragility caused by mutations in the COL1A1/2 genes, which encode type I procollagen. It commonly manifests with bone fractures, joint dislocations, and easy bruising. OI patients presenting for surgery may pose multiple challenges to the anesthesiologist such as management of a potentially difficult airway and heightened positional fracture risks. Read More

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[Indirect fixation of the third tarsometatarsal joint for high-energy Lisfranc injury].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2021 Apr;35(4):426-430

Department of Orthopedics, Tongji Hospital, Tongji University, Shanghai, 200065, P.R.China.

Objective: To evaluate the effectiveness of indirect fixation of the 3rd tarsometatarsal joint in the treatment of high-energy Lisfranc injury.

Methods: Between February 2015 and February 2019, 15 patients with high-energy Lisfranc injury were treated. There were 12 males and 3 females with an average age of 44. Read More

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[Extensor digitorum communis split approach combined with loop-plate technique for treatment of ulnar coronoid fracture in terrible triad of elbow].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2021 Apr;35(4):420-425

Department of Orthopaedic Trauma, Honghui Hospital Affiliated to Xi'an Jiaotong University, Xi'an Shaanxi, 710054, P.R.China.

Objective: To explore the effectivenesss of simple lateral extensor digitorum communis (EDC) split approach combined with loop-plate fixation in the treatment of ulnar coronoid fracture in terrible triad of elbow (TTE).

Methods: The clinical data of 60 patients with TTE who met the selection criteria between January 2015 and May 2018 were retrospectively analyzed. There were 48 males and 12 females, aged from 18 to 60 years (mean, 37. Read More

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Regional five-year clinical outcomes of 289 consecutive cementless oxford uni-compartmental knee replacements at a non-inventor centre.

J Clin Orthop Trauma 2021 Jun 20;17:176-181. Epub 2021 Mar 20.

Worcestershire Acute Hospitals NHS Trust, Charles Hastings Way, Worcester, WR5 1DD, UK.

Introduction: Uncemented unicompartmental knee replacement offers a minimally invasive approach, faster rehabilitation and good levels of function, supported by evidence reporting low intra-operative fracture rate and mid-term stability with no implant migration at 5-years. Our aim was to examine the clinical outcomes in 289 consecutive Oxford unicompartmental knee arthroplasties (257 patients), five years post-operatively.

Methods: A retrospective study of patients treated between 2008 and 2014 in a non-inventor centre by a single surgeon was performed. Read More

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Combined open calcaneocuboid, naviculocuneiform and subtalar dislocation: A case report and literature review.

Biomedicine (Taipei) 2020 5;10(2):48-54. Epub 2020 Jun 5.

Department of Orthopaedic Surgery, Khoo Teck Puat Hospital, Singapore.

Open dislocations of the midfoot and subtalar joints are extremely rare injuries. Understanding the anatomy of these joints and the various injury patterns is imperative to obtain stable concentric reduction and provide good functional outcome. We present a report of a 26- year old male who was involved in a road traffic accident and sustained open dislocations of the calcaneocuboid, naviculocuneiform and subtalar joints. Read More

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Comparison of single and double dorsal wires in the extension block technique for mallet fractures: Retrospective observational study.

Medicine (Baltimore) 2021 Apr;100(14):e25419

Department of Orthopaedic and Traumatology, Ağri Training and Research Hospital, Ağri.

Abstract: Mallet fractures are avulsion fractures of the extensor tendon from the distal phalanx base and often occur due to sudden flexion or axial loading. In this study, we aimed to compare the clinical and radiological results of patients treated with single and double dorsal wires from the dorsal in the extension block method.Patients to whom a single wire from dorsal was applied were assigned to Group 1 (n: 22), and those to whom double wires were applied were assigned to Group 2 (n: 23). Read More

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Hoffa fracture combined with rotational dislocation of the knee joint: A novel case report.

Medicine (Baltimore) 2021 Apr;100(14):e25253

Department of Orthopedics.

Rationale: Hoffa fracture is a rare fracture confined to the coronal-plane involving femoral condyles. This occurs simultaneously with rotational dislocation of the knee joint is extremely rare. Up to now, there is no valid recommendation for the treatment of the Hoffa fracture. Read More

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Pure isolated medial talonavicular joint dislocation following low-energy trauma: a case report.

J Int Med Res 2021 Apr;49(4):3000605211004697

Department of Orthopaedic Surgery, Soonchunhyang University Hospital Cheonan, Dongam-gu, Cheonan, Korea.

Midtarsal dislocations are relatively rare injuries secondary to high-energy trauma and are typically accompanied by disruption of ligamentous structures and fractures of the midfoot. We herein present a case of a pure isolated medial swivel dislocation of the talonavicular joint (TNJ) that was sustained following low-energy trauma without an associated fracture. A 78-year-old woman visited our emergency department with severe pain in the midfoot area of the right foot without neurovascular deficits. Read More

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Volar Radiocarpal Ligament Repair with Suture Anchors for Radiocarpal Fracture Dislocations: Case Series.

J Wrist Surg 2021 Apr 4;10(2):169-175. Epub 2020 Nov 4.

Department of Orthopedic Surgery, Regions Hospital, St Paul, Minnesota.

 Radiocarpal fracture dislocations cause significant intraarticular disruption and instability difficult to treat with traditional plating methods.  Suture anchor fixation of the volar radiocarpal ligaments through an extended carpal tunnel approach, supplemented with radial styloid fixation, restores stability to the radiocarpal joint.  We performed a retrospective review of 14 consecutive radiocarpal fracture-dislocations (RCFDs) treated at two-level one trauma center from 2011 to 2015. Read More

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Open Reduction for Dorsal Dislocation of Second to Fifth Carpometacarpal Joints: A Case Report.

J Wrist Surg 2021 Apr 27;10(2):164-168. Epub 2020 Aug 27.

Department of Orthopaedic Surgery, Keio University School of Medicine, Tokyo, Japan.

 Fracture-dislocations of all four ulnar (second to fifth) carpometacarpal (CMC) joints are rare hand injuries and frequently overlooked or missed. These injuries can be treated conservatively when closed reduction is successfully achieved, though they are sometimes irreducible and unstable.  We report the case of a 17-year-old boy involved in a vehicular accident. Read More

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The Cat Mandible (II): Manipulation of the Jaw, with a New Prosthesis Proposal, to Avoid Iatrogenic Complications.

Animals (Basel) 2021 Mar 4;11(3). Epub 2021 Mar 4.

Unit of Veterinary Anatomy and Embryology, Department of Anatomy, Animal Production and Clinical Veterinary Sciences, Faculty of Veterinary Sciences, Campus of Lugo-University of Santiago de Compostela, 27002 Lugo, Spain.

The cat mandible is relatively small, and its manipulation implies the use of fixing methods and different repair techniques according to its small size to keep its biomechanical functionality intact. Attempts to fix dislocations of the temporomandibular joint should be primarily performed by non-invasive techniques (repositioning the bones and immobilisation), although when this is not possible, a surgical method should be used. Regarding mandibular fractures, these are usually concurrent with other traumatic injuries that, if serious, should be treated first. Read More

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Size and location of posterior wall fragment on CT can predict hip instability in a cadaveric model.

Injury 2021 Mar 21. Epub 2021 Mar 21.

Department of Orthopaedics, Denver Health Medical Center, Denver, Colorado. Electronic address:

Purpose: Previous research has been unable to elucidate the exact factors that contribute to hip instability in the setting of posterior wall acetabular fractures. The purpose of this study was to determine the influence of posterior wall fracture fragment size and fracture angle on the stability of the hip joint in a cadaveric model.

Methods: Six fresh human cadavers (12 hips) were used. Read More

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Conservative treatment and outcome of upper cervical spine fractures in young children: A STROBE-compliant case series.

Medicine (Baltimore) 2021 Apr;100(13):e25334

Department of Pediatric Surgery, University Children's Hospital Basel, University of Basel, Switzerland.

Abstract: Cervical spine (C-spine) fractures in young children are very rare, and little information on treatment modalities and functional, radiographic, and patient-reported outcome exists. In this 2-center, retrospective case series, we assessed subjective and functional mid-term outcomes in children aged ≤5 years whose C-spine fractures were treated nonoperatively.Between 2000 and 2018, 6 children (median age at injury: 23. Read More

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[Missed diagnosis of medial clavicle fracture with ipsilateral acromioclavicular joint dislocation:a case report].

Zhongguo Gu Shang 2021 03;34(3):234-6

Department of Emergency, the First People's Hospital of Shangqiu, Shangqiu Clinical College of Xuzhou Medical University, Shangqiu 476000, Henan, China.

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Reduction and fixation of high-energy proximal tibiofibular joint dislocations: a technical trick.

Eur J Orthop Surg Traumatol 2021 Mar 31. Epub 2021 Mar 31.

Department of Orthopaedic Surgery, Harborview Medical Center, 325 9th Ave, Seattle, Washington, 98104, USA.

We present our technique for screw stabilization and our clinical experience treating a series of patients presenting with proximal tibiofibular joint fracture-dislocations. Read More

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Bilateral irreducible asymmetrical fracture-dislocation of the hip: A case report and literature review.

Int J Surg Case Rep 2021 Apr 20;81:105803. Epub 2021 Mar 20.

Teaching Hospital-Kurunagala, Sri Lanka. Electronic address:

Introduction And Importance: Bilateral hip dislocation is a rare injury. Bilateral asymmetrical fracture-dislocation is an even rarer type of injury. Apart from its rarity, prompt diagnosis of this condition and emergent treatment is necessary to prevent complications. Read More

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