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Results for “Joint Dislocations”

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At least 271 records · Page 15Linked to original sources
PubMed1993

[Management of acromioclavicular joint dislocation with the Wolter hook-plate. One year follow-up of 35 cases].

Wolter's hook-plate provides active abduction and forward-flexion of up to 90 degrees two days postoperatively. Prebending of the plate and a precise drill hole for the hook in the acromion prevents later impingement of the hook on the humeral head or subluxation in the acromioclavicular joint, respectively. According to the shoulder evaluation form of C.R. Constant, 33 of 35 patients operated on between 1987 and 1991 at the trauma departments in Schwaz/Tirol and Bad Ischl showed excellent results one year postoperatively.

Acromioclavicular Joint↗
PubMed2003

Computed tomography-guided screw fixation of a sacroiliac joint dislocation fracture: a case report.

A 19-year-old woman sustained a vertical shear type pelvic fracture. Sacroiliac fixation using computed tomography (CT)-guided cannulated screws was performed for a left sacroiliac dislocation fracture, and a satisfactory result was obtained over time. Patients who have posterior instability of the lateral compression or vertical shear type do not obtain adequate stability by fixation of the anterior part alone; and they often have persistent residual pain, necessitating internal fixation of the posterior part later. Advantages of CT-guided sacroiliac screw fixation include precise evaluation of the degree of reduction and absence of nerve and vascular damage during the time the screw is inserted into the sacral body. This procedure is a useful, safe method owing to its minimal invasiveness in patients with unstable pelvic fractures that are reducible by manual manipulation or traction.

Accidents, Traffic↗
PubMed1997

[Surgical management of complete Tossy III acromioclavicular joint dislocation with the Bosworth screw or the Wolter plate. A critical evaluation].

The long-term results with an average of 4.3 years of 87 patients with an AC-dislocation grade III according to Tossy, treated operatively with a Bosworth screw or a Wolter plate are described and submitted to critical evaluation. Of the patients 16% had implant failures. Redislocation was seen in 25% of the patients, calcifications in 39% and arthritis in 41%. The end-result was good or excellent in 60% of the patients and fair or bad in 40%. The only factor, influencing the end result was the redislocation rate (p < 0.05). These moderate results surprised and disappointed us. They made us conclude that the grade III acromioclavicular dislocation is no absolute indication for surgical treatment, as is often suggested in literature. No significant differences could be revealed between both surgical techniques.

Acromioclavicular Joint↗
PubMed1990

Distal radio-ulnar joint dislocation, ulna volar in a female body builder.

A 23-yr-old female body builder injured her right wrist while training. A correct diagnosis of pure distal radio-ulnar dislocation, ulnar volar, was made, and reduction was successfully carried out. After removal of plaster, the patient complained of wrist pain and clicking. Surgical exploration revealed a ruptured triangular fibro-cartilage complex, which was partially excised. The need for proper physical examination and accurate radiographic positioning is stressed.

Adult↗
PubMed1998

Euchromatin megabase cleavages and conjoint apoptotic-autophagic death expression with nucleolar ball-and-socket joint dislocations in human Chang liver cells arrested in S-phase by etoposide.

Etoposide induced a megabase (Mb) fragmentation pattern identical with that from genomic digestion by NotI restriction endonuclease which specifically cleaves CpG islands in euchromatin domains. Redigestion by NotI produced no change, suggesting cleavage in the same or closely related sites in euchromatin domains. Preferential euchromatin cleavage was further suggested by harvested metaphase chromosomes showing self-inflicted resolution of light G-bandings (R-bandings), the euchromatin domains. Autodegeneration following Mb euchromatin fragmentations was shown by their degradation into 200 bp ladders, and expressions of apoptotic and "non-apoptotic" active death morphologies that were also seen conjointly in the same cell. The endstage further showed heterochromatin masses anchored to the nucleolus by novel ball-and-socket joints where dislocations occurred with nuclear leakage.

Apoptosis↗
PubMed1993

[Case histories of therapy of traumatic knee joint dislocation].

The records of eight patients with traumatic knee dislocation and operative treatment in 1981-1991 were reviewed. In this retrospective study the average follow-up was 6 years and indicated good results concerning stability and functional use of the knee. The vascular complications, especially the ischemic syndrome are associated with an emergency situation that requires immediate reduction.

Adult↗
PubMed1993

[Results of a combined surgical procedure in complete Tossy III acromioclavicular joint dislocation].

This paper presents the results of a follow-up examination of 31 patients who had undergone reconstructive surgery for complete acromioclavicular (AC) dislocation between 1 September 1986 and 30 June 1989. The operation performed consisted in suturing of coracoclavicular and acromioclavicular ligaments with a coracoclavicular PDS cord augmentation and a transarticular K-wire left in place for 6 weeks. The follow-up investigation included a questionnaire on subjective assessment and daily problems with the treated shoulder, a clinical examination and a X-ray of both shoulders with 10 kg weight on each side. Good and very good results were found in 93% for clinical patterns, in 90% for subjective opinion, and in 79% for radiological examination. No correlation could be found between clinical results and radiological results, even concerning AC joint arthrosis following the operation.

Acromioclavicular Joint↗
PubMed1999

Acute traumatic proximal tibiofibular joint dislocation confirmed by computed tomography.

High-quality AP and lateral radiographs of both knees are essential to confirm the diagnosis. Computed tomography may help resolve diagnostic uncertainty and enable earlier closed reduction to be performed. Moreover, CT scans may be more consistently reproducible than the varied quality of emergency radiographs. In this case, the relative severity of the patient's pain and suggestive radiographs led us to obtain CT scans, which confirmed the diagnosis and enabled early successful closed reduction.

Acute Disease↗
PubMed1995

Combined fourth and fifth metacarpal fracture and fifth carpometacarpal joint dislocation.

Three cases of hamato-metacarpal fracture-dislocation with fracture of the shaft or base of the fourth metacarpal and dorsal dislocation of the fifth metacarpal are described. In one case this was associated with coronal fracture of the hamate. An oblique radiograph of the hand with the forearm pronated 15 degrees and 45 degrees provided a good view of the extent of the fourth and fifth carpometacarpal injury. Treatment with open reduction and internal fixation achieves good clinical results.

Adult↗
PubMed1986

[Importance of traction-wiring osteosynthesis as dynamic stabilization after acromioclavicular joint dislocation. A critical view].

Various operating procedures have been recommended for the treatment of complete acromioclavicular separation. Uncertainty regarding the way of surgical treatment leads to a distinct reduction in the number of case reports by individual authors. In consequence we established a uniform concept of surgical treatment, namely dynamic stabilisation. All patients who were operated on since 1975 were treated accordingly. Our results were in accordance with the high rates of metal breakage and loosening reported by other authors. Never the less, the functional results after surgical treatment still justify this concept of management.

Acromioclavicular Joint↗
PubMed1993

[Surgical management of complete acromioclavicular joint dislocation (Tossy III) with PDS cord cerclage].

29 patients out of 33 with complete acromioclavicular dislocation treated with sewing of ligaments and stabilized with a PDS-cord cerclage could be examined. The criteria of examination were subjective complaints while lifting weight, limited range of motion in the injured shoulder and radiological results after stress with 8 kp. The examination didn't show any relationship between the 3 parameters. 4 patients with poor function had partly no, partly little complaints and if any only little AC-dislocation. On the other hand 4 patients out of 6 with remaining AC-subluxation had no complaints and in no case there was a reduced range of motion greater than 10 degrees. Three patients got postoperative infection of soft tissue or bone, probably caused by incompatibility with PDS-cord, which led to a fair or poor outcome. Instead of this there can be obtained excellent and good results in 75-85% of the cases with this simple method without inserting stabilizing metals trans- or extraarticular.

Acromioclavicular Joint↗
PubMed1994

[Treatment of acromioclavicular joint dislocation by tension band and ligament suture].

From 1. 1. 1988 until 30. 6. 1990 54 patients with acromio-clavicular luxation and 3 patients suffering from lateral fractures of the clavicula were treated with tension-bend-wiring combined to suturing the acromio- and coracoclavicular ligaments at the BG-Unfallklinik Ludwigshafen. In 8 cases (14%) complications due to the implant occurred. Infection was found in 4 cases (7%). 47 patients (82.5%) could be followed clinically with mean follow-up time of 21.5 month. Clinical criteria like interpretation of the result by the patient, clinical and radiological findings were quantitatively and qualitatively interpreted by a score.

Acromioclavicular Joint↗
PubMed1987

[Results of treatment following surgical management of complete acromioclavicular joint dislocation (Tossy III injury). Management using ligament sutures and direct transarticular and indirect extra-articular stabilization].

In the last 5 years 36 patients with complete akromioklavikular separation were treated in 21 cases by ligament suture and Balser-plate, in 15 cases by ligament suture and "Zuggurtung". Good and very good results were found in 85%. Patients in which the protection of the ligament suture was given by application of the Hook-plate had better results than those with "Zuggurtung". The use of the Balser-plate remarks a safe method in protecting the coracoid-clavicular ligament suture. The rate of complications is rare, compared with the patients in the other group. Functional results seem to be better in comparison to other methods of operative treatment.

Acromioclavicular Joint↗