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At least 109 records · Page 6Linked to original sources
PubMed1989

[Clinical significance and treatment concept of Lisfranc dislocation and dislocation fracture].

Dislocations and fracture dislocations of the tarsometotarsal joint are uncommon (only 30 cases have been treated in our hospital in a 20-year period). The late results of tarsometotarsal injuries in 20 patients have been reviewed. The average follow-up was 3.8 years (range 8 months to 20 years). Methods of treatment were either open (n = 15) or closed (n = 5) reduction with (n = 18) or without (n = 2) internal fixation and cast immobilization (n = 10). Late results clearly correlate with the quality of reduction. An open procedure is usually necessary to achieve anatomical reduction. Diagnostic and operative problems are discussed.

Adolescent↗
PubMed1988

Dislocations and fracture dislocations of the metacarpophalangeal joint of the thumb.

Due to its exposed position, the MCP joint of the thumb is particularly vulnerable to dislocations and fracture dislocations. Depending on the direction of the injuring force, injuries to the ulnar, radial, and volar aspect of the joint can occur. If high-grade lesions are not identified and treated appropriately during their acute phase, marked instability with associated long-term disability due to weakness and pain in pinch and grip can result. In the absence of a reliable method for diagnosing the Stener lesion, surgical repair of acute, third-degree lesions on the ulnar side of the joint remains the treatment of choice. In the presence of chronic instability, a variety of effective soft tissue reconstructive measures are available. The fact that both acute and chronic injuries enjoy a favorable prognosis with operative repair is due to the fact that operative intervention reliably restores stability to the joint. Mild to moderate loss of motion at the joint is well tolerated functionally. For this reason, arthrodesis remains an exceptionally satisfactory salvage for failed soft tissue reconstructions.

Acute Disease↗
PubMed1988

[Perilunar dislocations and dislocation fractures--evaluation of treatment results using the newest data on carpal instability].

Between 1956 and 1984, 196 patients with perilunate fracture dislocations were treated at the Unfallkrankenhaus Wien-Meidling. The authors were able to examine 56 of these patients on average 12.5 years after the accident looking specifically at carpal instability. The results showed three patients with dynamic and 21 patients with static instability of the wrist. After having examined the X-rays of all the patients we formulated the following plan: If the dislocation is adequately reduced by closed manipulation, conservative management is successful. But if there remains a pathological radiolunate, scapholunate, or capitolunate angle, operative treatment is indicated.

Adolescent↗
PubMed1986

Dislocation and fracture dislocation of hip joints treated by traditional bone setters in Jos, Plateau State, Nigeria.

Two patients who sustained respectively dislocation and fracture dislocation of the hip joint as a result of traffic accidents and who initially went to traditional bone setters for treatment are reported. The native and modern orthodox treatment given to them are compared and analysed. It is suggested that certain types of fracture cases should not be managed by traditional bone setters; and that a careful assessment of the practice of traditional bone setting be made before a marriage between orthodox and traditional medicine is advocated.

Adult↗
PubMed1987

Dislocations and fracture dislocations of the tarsometatarsal joints.

Dislocations and fracture-dislocations of the tarsometatarsal joints are potentially disabling injuries that present challenging therapeutic problems. Early recognition is imperative and is based on a familiarity with the important anatomic features of this joint, mechanism of injury, and subtle radiographic changes that often accompany these lesions. Following injury, a precise anatomic reduction of the tarsometatarsal joint is critical if long-term disability is to be avoided. There appears to be a direct correlation between achieving an accurate reduction and a satisfactory clinical result. In our experience, surgical reduction offers the most effective and reliable means of achieving this goal. We have presented an approach for the management of these lesions, which we believe offers advantages over previously described techniques. Our experience has shown that accurate anatomic operative reduction and rigid internal fixation provide an increased assurance of a pain-free, durable, and functional foot in the great majority of cases.

Bone Screws↗
PubMed1980

[Anatomical basis for dislocations and recurring dislocations of the elbow].

The authors report on a static and dynamic study of the lig. collaterale radiale. The essential role of the middle bundle, which can always be isolated on fresh cadaver, is stressed. A new theory on the mechanism of elbow dislocation is thus justified. By analogy with recurring dislocations of the shoulder, the authors consider that operations attempting to reestablish the tension of this ligament are justified. Such operations can be focused on the middle bundle of the lig. collaterale radiale.

Elbow Joint↗
PubMed1994

Dislocation and fracture-dislocation of the carpometacarpal joints.

Dislocations and fracture-dislocations of the carpometacarpal joints are rare. Diagnosis requires a high index of suspicion, careful examination, and appropriate radiography. Treatment is controversial and is based upon the injury pattern and the surgeon's experience and preference. This article reviews the pertinent anatomy, mechanism of injury, evaluation, and treatment of patients with carpometacarpal joint injuries.

Algorithms↗
PubMed1993

[Review of 19 cases of dislocation and fracture-dislocation of the cervical spine treated with anterior screw plates without intersomatic graft].

In comparison to posterior fixation by Roy-Camille plates which does not require bone grafting, 19 cases of anterior plate fixation, also without bone grafting, are presented (11 dislocations, 2 severe sprains, 4 fracture-dislocations and 2 "tear-drop" fractures of the lower cervical spine). A satisfactory osteoligamentary consolidation was obtained in every patient. The advantages of this technique are discussed.

Adolescent↗
PubMed2006

Prospective evaluation of a pragmatic treatment rationale: open reduction and internal fixation of displaced and dislocated condyle and condylar head fractures and closed reduction of non-displaced, non-dislocated fractures Part II: high condylar and condylar head fractures.

This study prospectively evaluated closed reduction (CR) outcomes in non-displaced, non-dislocated high-condylar and condylar-head fractures (Class VI after Spiessl and Schroll) and open reduction and internal fixation (ORIF) of displaced (Class III) or dislocated (Class V) fractures. Thirty-eight patients with 54 fractures (16 (42%) with bilateral fractures, 14 (37%) CR, 24 (63%) ORIF) were enrolled in a 1 year follow-up that 18 patients with 33 fractures completed. Condylar translation in Class VI fractures recovered to 11 mm for vertical opening, 8mm for protrusion and 10 mm for mediotrusion; Class III synonymously 8 mm, 8 mm and 6 mm; and Class V 7 mm, 6mm and 7 mm; incisal movements recovered to 38 mm, 8 mm and 8 mm in Class VI; 55 mm, 7 mm and 10 mm in Class III with 1 (8%) malocclusion, 1 (8%) impaired vertical opening and 55 mm, 7 mm and 9 mm in Class V with 2 (18%) malocclusions. Fragment-reduction versus the non-fractured condyle was -0.3 mm to +1.3 mm and +3 degrees to +9 degrees in Class VI, -1 mm to -0.2 mm and +3 degrees to +2 degrees in Class III, -3.3 mm to +3.1 mm and -11.2 degrees to +1 degrees in Class V. Malocclusion and joint locking were unreliable determinants for a treatment decision, being forged by concomitant fractures. Joint movements were within normal range at 1-year follow-up except Classes III and V vertical opening translation. After predefined criteria, 92% successful outcomes were attained. Multiple factor analysis should be used to prospectively evaluate the unacceptable clinical outcomes. Class VI fractures with intact vertical support should prospectively be evaluated whether these benefit from ORIF.

Adolescent↗
PubMed1999

[Locked dorsal shoulder dislocation and contralateral ventral shoulder dislocation fracture. A rare combination].

The posterior luxation of the shoulder joint is a rarely reported and often not recognized lesion in the clinical workday. The authors present the first case of a posterior luxation of the shoulder joint in combination with an contralateral anterior shoulder joint fracture dislocation. In that case the authors stress the importance of an exact clinical and radiology diagnostic and the right way to reduce a posterior luxation of the shoulder joint. Finally they draw the readers attention to operative steps to prevent a reluxation of the shoulder joint.

Adult↗
PubMed2002

Traumatic axial dislocation of the carpus: a case report of transscaphoid pericapitate transhamate axial dislocation.

Traumatic axial dislocation of the carpus in a 20-year-old man is described. This injury was accompanied by a crushing injury to the hand. The disruption pattern was different from those of previously reported cases. Despite the restoration of painless wrist motion postoperatively, grip strength remained below normal. Early accurate reduction, fixation, and range of motion (ROM) exercise are the treatment of choice in such complex injuries.

Adult↗
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↗
PubMed2005

Simultaneous dorsal dislocation of the interphalangeal joints in ring finger with proximal interphalangeal joint dislocation of the middle finger: case report and review of the literature.

A 30-year-old amateur goalkeeper sustained simultaneous dislocation of the proximal and distal interphalangeal joints of the ring finger and of the proximal interphalangeal joint of the middle finger following a hyperextension injury. This was reduced under a local anaesthetic. Neighbour finger strapping and early mobilisation achieved an excellent functional outcome when reviewed at eight weeks after the initial injury.

Adult↗
PubMed1981

Lisfranc's fracture-dislocation with intercuneiform dislocation: presentation of two cases an a plan for treatment.

The following guidelines in the initial treatment of Lisfranc's fracture-dislocation with intercuneiform disruption are supported by a review of the literature and exemplified by our case presentations. The goal of initial treatment is anatomical reduction which is accomplished in the following sequence. 1) The foot must be brought to length by longitudinal traction. 2) The position of the second cuneiform as the keystone of the transverse arch of the foot must be established. 3) The second metatarsal is then restored as the tendon of the Lisfranc's joint within the mortise of cuneiforms. 4) Fixation of the fifth metatarsal is performed if it is unstable.

Adult↗