Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “Joint Dislocations”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 289 records · Page 16Linked to original sources
PubMed2001

[Acute acromioclavicular joint dislocation--operative or conservative therapy?].

42 patients with complete acromioclavicular dislocation treated operatively and 38 patients managed non-operatively were examined retrospectively with a mean follow-up of 6.3 +/- 2.5 years. The dislocations in both groups included type III and type V injuries according to the Rockwood-classification. The operative technique was suturing of the tom ligaments and stabilization of the acromioclavicular joint using resorbable coracoclavicular PDS-banding. In non-operative treatment, early physiotherapy accepting the deformity was performed in most of the patients. The clinical results using the UCLA- and the Constant-Murley score as well as evaluation of pain, function and strength were similar in both groups. Those patients suffering from a more severe dislocation type Rockwood V who were treated non-operatively had as good results as those patients with grade III dislocation. Posttraumatic osteoarthritis developed mainly in those patients whose acromioclavicular joint healed in partial dislocation. Non-operative treatment was equal even in less severe dislocations in the subgroup of type Rockwood V injuries. The persisting deformity which must be expected in non-operative treatment did not affect the patient's outcome regarding pain, function and strength of the shoulder.

Acromioclavicular Joint↗
PubMed1993

[Results of treatment after different surgical procedures for management of acromioclavicular joint dislocation].

Sixty-four patients underwent surgery for acromioclavicular (AC) disruption, Tossy type III, at the Department of Surgery, University of Heidelberg, between January 1983 and May 1990. Surgery consisted of a suture of the AC and coracoclavicular ligaments. Fixation of the joint was achieved with three different techniques: tension band wire with two Kirschner wires, special hook-plate (Wolter), double tension band fixation using polydioxanon (PDS) cordula. The early postoperative complication rate was higher following tension band wires (42.9%) and hook plate (58.3%) than after tension band PDS cordula (16.7%). The patients were re-examined after an average of 35.3 months. An instability of the AC joint was found in 31.8% of patients with tension band wire, 50.0% of patients with Wolter plate, and 23.8% of patients with tension band PDS cordula. The comparison of these results with those after conservative treatment, as reported in the literature, emphasizes the need for limiting surgery to young adults and athletes. The long term results of AC joint fixation are better using PDS cordula than tension band wire or hook plate. PDS cordula has the additional advantages, that dislocation and fracture of metal implants do not occur, and metal removal is avoided. Therefore, tension PDS cordula is associated with a marked reduction of the overall hospitalization period. Further improvements of results of AC joint fixation can be expected using the described technique of double tension band PDS cordula.

Acromioclavicular Joint↗
PubMedDate not supplied

Uncovertebral and facet joint dislocations in cervical articular pillar fractures: CT evaluation.

Computed tomographic (CT) scans and plain radiographs of 21 patients with surgically treated fractures or dislocations of the cervical spine were reviewed. CT effectively demonstrated the locked or perched facets and half of the 13 articular pillar fractures. The fracture lines through the articular pillar were difficult to detect in some cases or to distinguish from a facet joint in others. However, distraction of an adjacent uncovertebral or facet joint was demonstrated by CT in each case of articular pillar fracture or locked or perched facet. Therefore, CT demonstration of a distracted facet or uncovertebral joint is an indirect sign of an unstable fracture or of a dislocation that may be more readily recognized on plain radiographs or pluridirectional tomograms.

Cervical Vertebrae↗
PubMedDate not supplied

[Treatment of hip joint dislocation with the Hanausek apparatus].

The Hanausek apparatus has been used for reposition and retention of luxation of the hip joint in the Orthopädische Klinik Hessisch Lichtenau in 37 cases aged up to 2 years, if there was no hindrance of reposition in arthrography. It is a functional method which avoids the extreme Lorenz position that is claimed to endanger the caput femoris respecting necrosis. In a retrospective roentgenological observation it became evident, that the method of Hanausek leads generally to a good development of the acetabulum. The rate of necrosis in our patients was high (17%). Our patients started treatment later (38% aged more than one year). 2/3 of the patients had a high luxation of the hip joint.

Acetabulum↗
PubMedDate not supplied

[Development of femoral head ossification in hip joint dysplasia and hip joint dislocation].

The occurrence and development of the ossification nucleus of the femoral head on X-ray films were studied in 85 children with hip joint dysplasia/dislocation. Delayed development was found to be related to treatment modalities or the severity of the dysplasia. Delayed development of the ossification nucleus of the femoral head is probably of considerable prognostic importance.

Child, Preschool↗
PubMed2005

Immobilisation following traumatic anterior glenohumeral joint dislocation: a literature review.

Traumatic anterior dislocations of the shoulder are common and disabling injuries, in young and old alike. For centuries, the means of managing this injury has been to immobilise the affected shoulder after reduction, for up to 8 weeks, in an adducted and internally rotated position. The aim of this literature review is to assess whether traumatic anterior shoulder dislocations should be immobilised; for how long should they be immobilised; and whether the position of immobilisation affects outcomes. An electronic literature search was performed of the databases AMED, Cinahl, Embase, Medline (using Ovid), PEDro and Pubmed, from their inceptions to February 2005. Human clinical trials, written in English, which could assist in answering the research questions, were included. Sixteen (of 168) papers met the inclusion criteria and were reviewed. The review suggests that it remains unclear whether patients with traumatic primary anterior shoulder dislocations should be immobilised, or for how long. Similarly, it remains uncertain whether patients should be immobilised in internal, or external rotation. Much of this uncertainty is due to the limited size of the evidence base, which exhibited numerous methodological weaknesses (e.g. small sample sizes, no control groups, not evaluating findings against statistical tests). Recommendations are made to develop the evidence base.

Age Factors↗
PubMed1983

New possibilities for the diagnosis of congenital hip joint dislocation by ultrasonography.

Six hundred infant hips were examined with ultrasonography and the findings compared to radiography. Twelve hips were dislocated and could be recognized as such on the sonograms. The development of the acetabular roof can be determined through assessment of the preformed, nonosseous acetabular rim. Consequently, dysplasia of the hip can be recognized early. Ultrasonography does not replace clinical investigation, but it does reduce the need for radiography, reducing the exposure of the child to radiation.

Hip Dislocation, Congenital↗