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 73 records · Page 4Linked to original sources
PubMed1989

[Bosworth management of acromioclavicular joint dislocation].

It is reported on 26 cases of acromioclavicular joint dislocation, which were treated by the Bosworth-method of coraco-clavicular screw-fixation. 21 patients were followed up for an average period of 27 months. In spite of osteoarthritis in 44% and calcification in 83% all patients had free mobility. 67% were painfree, 33% had little pain. A fully professional and sporting rehabilitation was achieved in 91% respectively 86%.

Acromioclavicular Joint↗
PubMed1987

[Origin, diagnosis and treatment of sternoclavicular joint dislocation].

Traumatic dislocation of the sternoclavicular joint is very uncommon (1,5% of all dislocation, 10% of all dislocations in clavicular joints; ratio acromioclavicular dislocations: sternoclavicular dislocations = 5-10:1). The functional importance of this joint requires open reduction with reconstruction of its ruptured ligaments and the disc. The sternoclavicular joint can be dislocated in association with congential, developmental, degenerative and inflammatory processes (M. Friedrich, rheumatoid arthritis). Epiphyseal separations or fractures of the medial end of the clavicle can usually be treated conservatively, but interposition of the joint capsule between the fragments may cause the dislocation to be irreducible. In addition to clinical examination and anteroposterior of oblique posteroanterior X-rays, tomography, computed tomography and arthrography can be of help in diagnosis. Additional special X-ray pictures as suggested by Heinig, Hobbs and Kattan are very helpful in determining the degree of dislocation (Allman). If open reduction is necessary, the functional importance of the disc and the angle of inclination of the joint socket must be taken into consideration.

Biomechanical Phenomena↗
PubMed1997

[Sports and work capacity after stabilization of recurrent shoulder joint dislocations].

Eighty-one patients (83 shoulder joints) underwent surgical procedures for recurrent shoulder joint dislocations. All patients had an extra-articular osteotomy with subcapital derotation according to Weber's technique. In all, 46% of the patients underwent additional intra-articular reconstructions. After a mean follow-up of 4.6 years, redislocations (6%) were observed only when a singular derotation technique had been used. Complications were minor (2.4%). External rotation of the operated shoulder joints was normal in most patients with a mean of 48.5 degrees. Improvement in sporting activities was seen in 80% and in working activities in 70%. The mean Constantscore was 89.2. Subacromial pain was rare and correlated with reduced scores in functional strain tests postoperatively. There was no postoperative arthritis owing to the derotation technique. Because of unrestricted rotation and early functional therapy, we observed a good indication for an additional derotation technique when a Hill-Sachs defect is evident.

Adolescent↗
PubMed1996

Ipsilateral sternoclavicular joint dislocation and clavicle fracture.

A case of an ipsilateral sternoclavicular (SC) joint dislocation and clavicle fracture is reported. Two hours postinjury an open reduction and internal fixation of the fractured clavicle was performed using a Kirschner wire plus a stainless steel cerclage wire. This was followed by a surgical repair of the SC joint capsule. The Kirschner wire and cerclage wires were removed 10 months later. The patient had complete recovery of shoulder function.

Adult↗
PubMed2004

Arthroscopic treatment of acute acromioclavicular joint dislocation.

An original technique for the treatment of acute acromioclavicular (AC) joint dislocations is proposed. It consists of a closed reduction and stabilization of the AC joint, positioning a cannulated screw between the clavicle and the coracoid under arthroscopic control, without any exposure to x-rays. The conoid and trapezoid ligaments are not sutured or reconstructed. The screw is finally removed under local anesthesia 12 weeks after surgery. The described procedure has been performed in 9 patients. Short-term preliminary results show an excellent functional outcome without any residual pain. Among the advantages of the technique are that it does not require specific instrumentation, is a minimally invasive approach, has the possibility of searching the glenohumeral joint for associated lesions and eventually treating them, and has the benefits of not exposing the patient or surgical team to ionizing radiation.

Acromioclavicular Joint↗
PubMed2003

Ligamentous and capsular restraints to experimental posterior elbow joint dislocation.

Pathological external forearm rotation (PEFR) relates to posterolateral elbow joint instability, and is considered a possible requisite step in a simple posterior elbow joint dislocation. The aim of this study was to evaluate the capsuloligamentous restraint to PEFR. In all, 18 elbow joint specimens were examined in a joint analysis system developed for experimental elbow dislocation. Sequential cutting of capsule and ligaments followed by stability testing provided specific data relating to each capsuloligamentous structure. The primary stabilizers against PEFR in the extended elbow were the anterior capsule and the lateral collateral ligament complex (LCLC), whereas in the flexed elbow the anterior capsule did not have a stabilizing effect. In flexed joint positions, the LCLC seems to be the only immediate stabilizer against PEFR, and thereby against posterolateral instability and possibly against posterior dislocation. The medial collateral ligament did not have any immediate stabilizing effect, but it prevented the final step of the posterior dislocation.

Aged↗
PubMedDate not supplied

Iatrogenic incudostapedial joint dislocation in transcanal tympanoplasty.

PURPOSE: To report the result of transcanal tympanoplasty using Lyodura as a graft. MATERIALS AND METHODS: One hundred thirty-seven patients with chronic suppurative otitis media with a dry perforation were considered for tympanoplasty. The transcanal permeatal approach was adopted. Lyodura as a ready-made graft was used. RESULTS: The success rate of the graft was 78%. Latrogenic incudostapedial joint dislocation was found in six patients (4.4%), and sensorineural hearing loss occurred in nine patients (6.5%). CONCLUSION: The use of thick dura as a graft for repair of the tympanic membrane may result in damage to the ossicular chain or dislocation of the incudostapedial joint when used as underlay. Excessive manipulation of the ossicles or drilling should be avoided.

Adolescent↗
PubMed2005

Distal radioulnar joint dislocation in association with elbow injuries.

Traumatic distal radioulnar joint (DRUJ) dislocation with or without an associated fracture is a rare injury. When coupled with a radial head fracture this is commonly known as the Essex-Lopresti injury. We report two cases of elbow dislocation with ipsilateral radial neck fractures and associated true DRUJ dislocations. This has not been previously described in the literature. In elbow injuries with wrist involvement, symptoms in the latter may be subtle. Due to inadequate examination of the affected joint, poor initial radiographic views, and general rarity of this injury, distal radioulnar joint dislocations are frequently missed. We hope our experience illustrates the need to examine thoroughly the joint above and below the injured site, and to be aware of the potential for DRUJ instability in all patients with elbow injuries.

Adult↗
PubMedDate not supplied

The floating metatarsal: first metatarsophalangeal joint dislocation with associated Lisfranc dislocation.

The authors report a case of an irreducible dorsal dislocation of the first metatarsophalangeal joint, with concomitant Lisfranc dislocation and fractures of the second, third, and fourth metatarsals. This combination has been reported only once in the literature. This extremely rare combined injury results in a floating metatarsal. Open reduction of the metatarsophalangeal joint dislocation and fixation of Lisfranc joint and metatarsal fractures with Kirschner wires was performed. One year after surgery, the patient is active and the first metatarsophalangeal joint is asymptomatic, but there is mild pain in the Lisfranc joint.

Adult↗
PubMed1993

Recurrent anterior glenohumeral joint dislocation and torsion of the humerus.

Two computerized axial tomographic sections, one taken just below the coracoid process and the other about 2.5 cm proximal to the interepicondylar line, were used to determine glenoid version and humeral torsion in 19 patients with recurrent anterior glenohumeral joint dislocation and in 23 controls. Analysis of interobserver variation revealed the method to be reliable. There was no difference in glenoid version between the two groups. However, humeral torsion was greater in patients (153 degrees) than in controls (144 degrees). It appears that increased humeral torsion may predispose to glenohumeral joint dislocation.

Adolescent↗
PubMed1986

Lesions in different types of anterior glenohumeral joint dislocation. An experimental study.

Three different kinds of anterior shoulder joint dislocation were studied in an experimental setup including 15 shoulder joint specimens. Lesion to the anterior-inferior part of the capsule was the most frequent finding in anterior dislocation. In anterior-superior dislocation lesions to the anterior-inferior part of the capsule and the posterior part of the cuff were equally prominent. Anterior-inferior dislocation was associated with lesions to all capsular structures including the glenohumeral ligament and both the anterior and posterior part of the cuff. From a clinical point of view, the study indicates that in some types of anterior dislocation a severe lesion of the posterior part of the capsule and cuff must also be considered.

Humans↗
PubMed1997

Manipulative reduction and management of anterior sternoclavicular joint dislocation.

OBJECTIVE: To discuss the management of a patient suffering from an anterior sternoclavicular joint dislocation secondary to blunt trauma from a motor vehicle accident. CLINICAL FEATURES: A 75-yr-old woman suffered from difficulty in swallowing and chest pain after release from a foreign medical facility. Anteroposterior chest X-rays demonstrated an anterior and superior displacement of the right sternoclavicular joint. INTERVENTION AND OUTCOME: Specific joint manipulation for reduction of the dislocation was performed. Immobilization of the joint after reduction was accomplished by a reverse figure-8 bandage. Follow-up radiographic evaluation demonstrated reduction of the dislocation. Resolution of difficulty in swallowing and pain was dramatic and instantaneous after reduction. CONCLUSION: Appropriate intervention of chiropractic examination procedures and imaging techniques culminated in successful resolution of this case. When such cases are recognized, appropriate management may occur conservatively with judicious application of joint manipulation and adjunctive procedures.

Aged↗
PubMed1986

Delayed tarsometatarsal joint dislocation following forefoot injury.

Presented is a case of a delayed dislocation of the tarsometatarsal joints following an apparent simple strain with no displacement. Open reduction was successfully performed five weeks following the injury. The difficulties assessing these potentially unstable injuries are discussed.

Adolescent↗
PubMed2000

Volar metacarpophalangeal joint dislocation.

Volar dislocation of the metacarpophalangeal joint is a very rare clinical finding. A volar dislocation of the metacarpophalangeal joint of the left index finger in a 44 year old man is reported. Closed reduction proved unsuccessful requiring subsequent open reduction and internal fixation via a combined dorsal and volar approach. The presentation, mechanism of injury and treatment of this case and other previously reported cases are discussed.

Adult↗
PubMed1982

A lethal, Larsen-like multiple joint dislocation syndrome.

We describe here two isolated cases of lethal, Larsen-like multiple joint dislocation syndrome. Death occurred shortly after birth with pulmonary insufficiency due to tracheomalacia and/or lung hypoplasia. Both had abnormal dermal collagen bundles. In one case, histochemical studies showed abnormal cartilagenous matrix and striking deficiency in the dense collagen bundles of joint capsules; electronmicroscopic studies of the hyaline cartilage of the trachea documented a relative increase of the small, short fibers with decrease of the matrix collagen fibers. This study confirms that this Larsen-like syndrome is a disorder of connective tissue, possibly involving dysmaturity of the collagen fibers, with a predilection for joint capsules and tracheal cartilage. This lethal condition is characterized by pulmonary insufficiency, tracheomalacia, and collagen fiber dysmaturity.

Collagen Diseases↗
PubMed1997

Spondylo-mesomelic-acrodysplasia with joint dislocations and severe combined immunodeficiency: a newly recognised immuno-osseous dysplasia.

A newborn girl is described with an association of spondylo-acrodysplasia, mild short limbed dwarfism without significant metaphyseal changes, joint dislocations, and severe immune system dysfunction. This association is distinct from other known immuno-osseous dysplasias, including Schimke dysplasia, ADA deficiency with osseous changes, and Omenn phenotype with short limbed dwarfism.

Female↗