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At least 37 records · Page 2Linked to original sources
PubMed1978

Multiple volar carpometacarpal joint dislocation. Case report of traumatic volar dislocation of the medial four carpometacarpal joint in a child and review of the literature.

Traumatic dislocation of the medial four carpometacarpal joints in a child is an unusual injury. Descriptions of this injury in the literature have been reviewed and a case is presented to illustrate the pertinent anatomy, biomechanical aspects, and details of management. Specifically, the importance of collateral circulation to the hand and an effective technique of pin fixation are described.

Bone Nails↗
PubMed1985

Clavicular fractures and acromioclavicular joint dislocations in lacrosse: preventable injuries.

Clavicular fractures and acromioclavicular joint dislocations occur frequently in high school lacrosse players. This injury is restricted to attackmen who are struck in the clavicular region by the stick of the defensemen. The conventional foam shoulder pads with or without flexible plastic inserts worn by the attackmen did not protect them from this injury. On the basis of this clinical experience, a new protective shoulder pad containing high-density polyethylene over the clavicle and acromioclavicular joint has been designed and manufactured to prevent these injuries. Our initial experience with this new shoulder pad indicates that it will protect lacrosse players from clavicular fractures and acromioclavicular joint dislocations.

Acromioclavicular Joint↗
PubMed2004

Unilateral lumbosacral facet joint dislocation without associated fracture.

In the lumbosacral spine, unilateral facet joint dislocation is an infrequent injury, which is often associated with fractures at the involved or other lumbar levels. The rare occurrence of unilateral lumbosacral facet joint dislocation without any associated fractures is presented with CT and MRI, and surgical correlation. To our knowledge, cross-sectional imaging of this injury has not previously been described in the published literature.

Accidents, Traffic↗
PubMed2006

[Lower extremity nerves injuries in bone fractures and joint dislocations--etiopathogenesis, treatment].

Lower extremity nerve injuries accompanying bone fractures and joint dislocations lead to serious disturbances at the lower limbs and caused significant prolongation of the treatment time. Clinical material consisted of 73 patients treated surgically with lower extremity nerve injuries due to bone fractures and joint dislocation. Based on this material we analysed the most frequent localisations of the nerves lesions and the mechanism of injury. The indications to surgical treatment were also described.

Adolescent↗
PubMed1997

Long-term results of treatment of traumatic coxofemoral joint dislocation in dogs: 64 cases (1973-1992).

OBJECTIVE: To determine long-term results of various treatments for traumatic coxofemoral joint dislocation in dogs. DESIGN: Retrospective case series. ANIMALS: 64 dogs that underwent closed reduction and bandage stabilization, extracapsular suture stabilization, transacetabular pinning, toggle pinning, DeVita pinning, or femoral head and neck excision. PROCEDURE: Follow-up evaluations included owner evaluation (64 dogs), physical evaluation (23), and radiography (19). Follow-up time ranged from 8 to 156 months. RESULTS: Owner evaluation scores after closed reduction were significantly better than scores after DeVita pinning, extracapsular suture stabilization, and femoral head and neck excision. On physical examination, 6 of 23 dogs were lame on the side of the previous dislocation. Signs of pain and crepitation were evident during palpation of 12 and 8 of 25 joints, respectively. Thirteen of 21 joints had radiographic evidence of degenerative joint disease. There was a greater progression of degenerative joint disease in previously dislocated joints than in unaffected joints. There were not any significant differences between treatments in regard to results of physical and radiographic evaluation. Time between trauma and treatment and existence of concomitant injuries did not influence follow-up results, but there was a significant association between body weight and radiographic evaluation score. CLINICAL IMPLICATIONS: Concomitant injuries do not appear to justify a worse prognosis in dogs with traumatic coxofemoral joint dislocation, nor does a delay in treatment of > 3 days. Gait abnormalities and degenerative joint disease might develop in the long term. Proper body weight should be maintained regardless of treatment.

Animals↗
PubMed2004

[Surgical treatment of type III acromioclavicular joint dislocations by a modified Bosworth technique].

BACKGROUND: We evaluated the results of surgical treatment of type III acromioclavicular joint dislocations by a modified Bosworth technique. METHODS: Thirty-four patients (9 females, 25 males; mean age 35 years; range 20 to 53 years) were treated with a modified Bosworth technique for type III acromioclavicular joint dislocations. Dislocations were caused by falls (n=18), traffic accidents (n=8), and during contact sports (n=8). Involvement was on the right side in 23 patients, and on the left side in 11 patients. The mean time to operation was two days (range 1 to 4 days). Functional evaluations were made with the use of the Constant scores. The mean follow-up was 35 months (range 12 to 57 months). RESULTS: The mean postoperative Constant score was 93 (range 46 to 96). No complications were seen during operation. The results were excellent in 24 patients (70.6%), good in seven patients (20.6%), and poor in three patients (8.8%). None of the patients had to change their jobs or give up any previous sports activities. Radiographically, the distal clavicle appeared normal in 32 patients, atrophied in one patient, and enlarged in another. Functional results were good in 12 patients (35.3%) in whom calcifications were detected in the coracoclavicular ligament. Dislocations recurred in three patients (8.8%). Two patients developed superficial infections. CONCLUSION: Surgical treatment of acromioclavicular joint dislocations by the modified Bosworth technique is a convenient option with regard to short- and long-term results.

Acromioclavicular Joint↗
PubMed1988

The surgical treatment of complete acromioclavicular joint dislocation.

Forty-eight patients with complete acromioclavicular (A-C) joint dislocation were treated surgically and followed postoperatively for an average of 26 months. Nineteen patients were treated with simple temporary pinning without ligament reconstruction. Eight of these patients were found, on follow-up x-ray, to have some degree of loss of reduction. All 21 patients treated with Neviaser's operation and all four patients treated with pinning and coracoclavicular (C-C) ligament reconstruction maintained their position on follow-up. One patient treated with arthrodesis of the C-C joint with a wire sustained metallic failure, and another treated with arthrodesis with a screw sustained bone erosion of the clavicle. Although the radiographic results were not necessarily good, 94% (45/48) of patients obtained good or excellent functional results. Reconstruction of either the superior A-C ligament or the C-C ligament, besides temporary fixation of the A-C joint, is recommended for surgical treatment of complete A-C joint dislocation.

Acromioclavicular Joint↗
PubMed1996

[Reconstruction of chronic symptomatic acromioclavicular joint dislocation (Rockwood III-V) using the modified Weaver-Dunn method. 24 operated patients (1988-95), surgical technique, results].

In literature there is a great controversy about the treatment of acute acromio-clavicular (AC) joint dislocations. Nevertheless some patients continue to suffer from chronic pain due to the persistent instability of the AC-joint. This can even lead to an impingement syndrome, going as far as tearing the rotator cuff. In 1972 Weaver and Dunn described a new procedure for the treatment of instable AC-joints. From 1988 to 1995 we used a modified version of this technique on 24 patients suffering from chronic AC-joint dislocation (Rockwood III-V). After the resection of the AC-joint and the preparation of the coraco-acromial ligament, we transposed the acromial end of this ligament together with a small piece of bone from the acromion tip to the lateral end of the clavicle. The results of this modified method were excellent. All patients had no pain anymore, regained a full shoulder movement, could participate in sport again and returned to work after an average of 3.3 months. This new procedure seems to be the treatment of choice for chronically instable AC-joint dislocations.

Acromioclavicular Joint↗
PubMed1993

A new syndrome of multiple joint dislocations with metaphyseal dysplasia.

A 15-day-old female child is presented with multiple joint dislocations who died during the neonatal period. She had additional features of metaphyseal dysplasia, deficient calcification of vault of the skull, growth retardation, a natal tooth, lymphoedema and facial dysmorphism. This may constitute a new syndrome of multiple joint dislocations with metaphyseal dysplasia.

Abnormalities, Multiple↗
PubMed1986

Bilateral nontraumatic anterior acromioclavicular joint dislocation. A case report.

An incidental finding of bilateral nontraumatic anterior acromioclavicular joint dislocation was made in a 14-year-old boy with spastic hemiparesis. Acromial processes were dislocated anterior to the distal clavicles, with characteristic radiographic findings. The dislocation is termed "anterior" because the clavicle is anatomically more proximal than the acromion. Anterior acromioclavicular joint dislocation usually is associated with significant trauma. There was no history of trauma in this case. Localized laxity of the acromioclavicular and coracoclavicular ligaments was the presumed cause of this condition, because there was no visible osseous abnormality. Since the patient was asymptomatic, no treatment was indicated.

Acromioclavicular Joint↗
PubMed2004

Therapeutic results of acromioclavicular joint dislocation complicated by rotator cuff tear.

PURPOSE: To evaluate the operative findings and postoperative results of one-stage repair on patients with acromioclavicular joint dislocation complicated by rotator cuff tear. METHODS: Between 1992 and 1999, one-stage repair was performed on 5 patients with acromioclavicular joint dislocation complicated by rotator cuff tears. Modified Cadenat procedure for acromioclavicular joint dislocation, and McLaughlin procedure for rotator cuff tear, were performed on these patients. Postoperative results at the final examination were assessed according to the criteria for therapeutic effects on shoulder joint disorders of the Japanese Orthopaedic Association. RESULTS: There was partial-thickness cuff tear in one patient, and full-thickness cuff tear in the remaining 4 patients. In all patients, tears were located only in the supraspinatus tendon, and were medium or small ones with maximal diameter of 3 cm or less. After a mean follow-up period of 56 months (range, 36-79 months), all patients were assessed to have excellent results. No patient showed a good reduction of the acromio-clavicular joint. CONCLUSION: For patients successfully treated by one-stage repair, satisfactory results were obtained without pain or disturbance in activities of daily living.

Acromioclavicular Joint↗
PubMed1992

The influence of anatomic factors in elbow joint dislocation.

Twenty-seven patients with elbow joint dislocation were reviewed and treated between 1979 and 1983. For statistical reasons a sample of 27 elbows of healthy adults matched on age and sex were also roentgenographed. A computer-aided analysis of the carrying angle of the arm and the bow angle of the ulnar trochlear notch was made. The stability of the joint was tested clinically. The carrying angle showed no pathologic deviation. Values of the bow angle were at the lower end of the range given in the literature. Referring to these results, only normal anatomic constitutional factors predisposing to dislocation were found. Ligament repair was not routinely performed in this series. Nevertheless, recurrent dislocation did not occur and no relevant instability was detected. Except for injuries with osseous lesions, conservative treatment is advisable in most cases.

Adult↗
PubMed2004

[The methods of shorting of proximal femoral and total hip arthroplasty for old femoral neck fracture with severe hip joint dislocation].

OBJECTIVE: To discuss the effective method and outcome to old femoral neck fracture with severe hip joint dislocation. METHODS: From April 1996, 7 cases of old femoral neck fracture with severe hip joint dislocation were treated by the shorting of posterior femoral and total hip arthroplasty. RESULTS: The average age of 7 patients was 51 years old and the mean follow-up was 27.3 months. The mean Harris score was improved to 84.3 from 36.7 before operation in the latest follow-up. The prosthesis position of acetabular and femoral was excellent, there was no sinking or softening of artificial joint, nonunion of femoral osteotomy. CONCLUSION: The preliminary clinical results are quite satisfactory of the shorting of posterior femoral and total hip arthroplasty to old femoral neck fracture with severe hip joint dislocation, the follow-up is necessary for further long-term outcome.

Adult↗
PubMed1998

Delayed diagnosis of a glenohumeral joint dislocation in a child with developmental delay.

Glenohumeral joint dislocations rarely occur in children. Those that have been reported have all been reduced in a closed fashion. With the exception of one, there have not been any comorbidities in the children that would have led to a delay in diagnosis. To the best of our knowledge, we report the first case of a child with a delayed diagnosis of an anterior dislocation of the glenohumeral joint that required an open reduction. In a child with other medical problems, especially developmental delay, who may have difficulty expressing his symptoms, early detection and intervention are crucial and may obviate the need for open reduction of the dislocated and painful glenohumeral joint.

Child↗
PubMed1998

Second carpometacarpal joint dislocation: an impossible situation?

We report a case of a seemingly anatomically impossible dislocation of the second carpometacarpal joint treated by closed manipulation, and a review the literature. Isolated second carpometacarpal joint dislocation is rare, whereas dislocations of the first, fourth and fifth joints are more common. A true lateral X-ray is necessary if the injury is suspected clinically. We recommend that closed reduction under local anaesthetic is attempted, although the patient should be warned that subsequent open reduction may be necessary if closed reduction fails. Chronic unreduced dislocations do not produce serious disabilities in the hand.

Female↗