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At least 19 recordsLinked to original sources

Surgical correction of metatarsophalangeal joint dislocation and arthritic deformity: the partial head and plantar condylectomy.

The partial head and plantar condylectomy has been presented as a procedure indicated in the correction of dislocated metatarsophalangeal joints. Although there may be a number of causes of dislocation, the surgical correction is the same. A skin plasty is useful in preventing a cocked-up toe, and this is performed at the plantar aspect of the base of the toe. A V-osteotomy, or other metatarsal dorsiflectory procedure, is recommended when the neighboring metatarsal is only slightly plantar flexed or greater. This prevents the occurrence of transfer lesions so commonly associated with this procedure. Two case studies have been presented demonstrating successful results when the procedure is performed on both the second and third metatarsophalangeal joints. We contend that the partial head and plantar condylectomy is a valuable procedure in reconstructive surgery of the foot.

Arthritis

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

Clinical features and treatment of joint dislocations in Larsen's syndrome. Report of three cases in one family.

Of 3 cases of Larsen's syndrome in one family, one had bilateral dislocation of the hip and the knee joints. The knee joint was not reduced by manipulation and corrective cast, while both hip and knee joints were simultaneously reduced by skeletal traction of the tibia at the age of 4 months, and the course was satisfactory. Reduction of joint dislocations should be attempted by a conservative method such as skeletal traction as early as possible. Various radiographic skeletal abnormalities occurred in all 3 cases. Larsen's syndrome very likely has a genetic origin.

Abnormalities, Multiple

Bilateral sacroiliac joint dislocation with intrapelvic intrusion of the intact lumbosacral spine and sacrum.

Two cases of bilateral sacroiliac joint dislocation with intrapelvic intrusion of the intact lumbosacral spine and sacrum are reported. This condition is a distinct traumatic entity. The essential features of this condition are the disruption of the pelvic ring with bilateral sacroiliac dislocation. The spine as a whole descends into the depths of the pelvis. Disruption of the anterior structures but not always the pubic symphysis is apparently a prerequisite for the development of the condition. Extensive soft-tissue damage is part of the injury. The etiology is a direct crushing violence to a standing or walking patient. It is assumed that this injury is less rare than it seems, and that the main reason for not being mentioned is the rarity of the survival of the patients. As a result of success in the intensive care of the severly injured, more survivals and more reports are anticipated.

Adult

Acute acromioclavicular joint dislocation: results of operative treatment with the Bosworth screw.

The results are reported in 21 patients who had acute acromioclavicular joint dislocation treated by open reduction and Bosworth screw fixation, with an average follow-up period of ten years. Nineteen patients had a good or excellent functional result. Good cosmetic results were obtained. Full recovery of shoulder movement occurred in all patients but one, although coracoclavicular calcification was a frequent finding. Complications following this technique were few.

Acute Disease

Open complex metacarpophalangeal joint dislocation. Two cases: index finger and long finger.

Two patients with open complex dislocation of a metacarpophalangeal joint were treated by cleansing of the wound, open reduction, primary wound closure, and early motion. One dislocation occurred in the index finger, the other in the long finger which is only the second such case to be described. Antibiotics were given before and continued for 5 days after operation. There were no infections, and both patients regained an excellent range of motion without pain.

Adolescent

First and second metatarsophalangeal joint dislocation. A case report.

A case of dislocated first and second metatarsophalangeal joints was reported along with the mechanics and mechanism of injury. The practitioner must be familiar with the mechanism of injury and radiographic classification to determine the proper indications for closed versus open reduction. The authors' review of the literature did not reveal a similar case involving a dislocation of the first and second metatarsophalangeal joints.

Bandages

Clear view of the index sesamoid: a sign of irreducible metacarpophalangeal joint dislocation.

If the index sesamoid bone is clearly seen in the joint following significant injury to the index metacarpophalangeal joint on radiographic examination, there is the probability of incarceration of the volar plate. In almost all cases, an open reduction will be necessary to re-establish the normal relationship between the second metacarpal and the proximal phalanx. In a case of irreducible dislocation of the index metacarpophalangeal joint, attempted reduction caused the injury to appear as a subluxation.

Adolescent

[Osteoplastic interlocking in recurrent temporomandibular joint dislocation].

A short survey of the problems encountered in the treatment of recurrent luxations of the temporomandibular joint is followed by the description of the method of osteoplastic interlocking according to Rehrmann. In accordance with favourable reports in the literature, the authors' experience also permits to recommend this method.

Bone Transplantation

Eminectomy for the treatment of recurrent temporomandibular joint dislocation.

Several techniques have been used to treat chronic dislocation of the mandible. Most of these techniques represent attempts at reducing the mobility of the TMJ. The eminectomy procedure is an attempt at restoring normal joint function without reducing mobility of the joint. We have presented two cases of chronic dislocation of the mandible that were treated successfully by removal of the articular tubercle and the lateral portion of the temporal bone. Although surgery of the TMJ area may be hazardous if approached without caution, we feel that the complications associated with this procedure are minimized if adequate care is taken in flap design and tissue dissection. On the basis of the excellent results of the eminectomy procedures reported in the literature and of our own experience with this procedure, we feel that this is the preferred treatment for chronic dislocation of the mandible.

Adult