Surgical treatment of chronic acromioclavicular joint dislocation with autogenous tendon grafts.

Background: Conservative treatment of acromioclavicular (AC) joint dislocation is not always successful. A consequence of persistent AC joint dislocation may be chronic pain and discomfort in the shoulder region as well a sensation of constant AC joint instability and impaired shoulder function. Stabilization of the AC joint may reduce these sequels.

Surgical treatment of Rockwood grade-V acromioclavicular joint dislocations: 50 patients followed for 15–22 years.

Background And Purpose: Long-term outcome after surgery for grade-V acromioclavicular joint dislocation has not been reported. We performed a retrospective analysis of functional and radiographic outcome 15-22 years after surgery.

Patients And Methods: We examined 50 patients who were treated at our hospital between April 1985 and December 1993.

Traumatic deaths in the emergency room: A retrospective analysis of 115 consecutive cases.

Objective: The aim of the present study was to characterise traumatic deaths occurring in the emergency room (ER) and to assess retrospectively the quality of given emergency care by evaluating whether any of the deaths could be identified as potentially preventable.

Methods: All consecutive deaths of trauma patients between 1 January 1998 and 31 December 2006 in the ER of the Töölö Hospital Trauma Centre were retrospectively reviewed. The inclusion criterion was death of a trauma patient occurring in the ER.

Early intramedullary nailing of lower extremity fracture and respiratory function in polytraumatized patients with a chest injury: a retrospective study of 61 patients.

Background: The optimal treatment of diaphyseal fractures of the lower extremities in patients who also have serious chest injuries is not known.

Patients And Methods: We retrospectively evaluated the effect of an early intramedullary nailing (IMN) of femur or tibia fractures on respiratory function in 61 consecutive polytraumatized patients with unilateral or bilateral pulmonary contusion (thoracic AIS=3) admitted to our trauma intensive care unit between January 2000 and June 2001. 27 patients had a diaphyseal fracture of at least one long bone of the lower extremity, which was treated with IMN within 24 hours of admission.

Factors predisposing to dislocation of the Thompson hemiarthroplasty: 22 dislocations in 338 patients.

In a series of 338 patients, we have retrospectively analyzed technical and anatomical factors, which may predispose to a dislocation of the Thompson hemiprosthesis. 22 patients (7%) had at least 1 dislocation during the 6-month follow-up. The most significant independent factor predisposing to dislocation was the use of a posterior approach (dislocation rate 16%).

Bone stress injuries of the lower extremity: a review.

Bone stress injuries can cause long-lasting damage, especially in young athletes and military conscripts, if not diagnosed and treated properly. Diagnosis has been traditionally based on clinical, radiographic and scintigraphic examinations, but MRI has become increasingly important. High resolution MRI is particularly valuable for the grading of bone stress injuries.