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Metacarpophalangeal Joint Dislocations Two Cases, Two Stories.
J Orthop Case Rep
December 2024
Department of Medicine, TATA Main Hospital, Dhanbad, Jharkhand, India.
Introduction: Metacarpophalangeal (MCP) joint dislocation and its pathoanatomy was first discussed in detail in an article written by Kaplan et al . ,in 1957. They had identified certain features of complex, that is irreducible MCP joint dislocation through closed method to differentiate from a simple MCP joint dislocation, that is MCP joint dislocation that can be reduced by closed method.
View Article and Find Full Text PDFSkeletal fractures are traumatic injuries that are widely accepted as requiring acute treatment to avoid long-term disability and dysfunction. There are a number of soft-tissue injuries or non-traditional fractures, frequently treated by sports medicine surgeons, which additionally require treatment in an expedited fashion in order to optimize healing and function. Sports medicine injuries of the lower extremity requiring acute treatment include, but are not limited to, irreducible shoulder dislocations, acute traumatic rotator cuff tears, posterior sternoclavicular joint dislocations, high grade acromioclavicular joint dislocations, pectoralis major tendon ruptures, distal biceps tendon ruptures, and triceps tendon ruptures.
View Article and Find Full Text PDFFeasibility and Safety of the C1 "Zero Angle" Screw: A Novel "In-Out-In" Technique for Atlantoaxial Dislocation.
Orthop Surg
December 2024
The First School of Clinical Medicine, Southern Medical University, Guangzhou, China.
Objectives: To minimize the risk of V3 segment of vertebral artery (VA) injury in the atlantoaxial dislocation (AAD) patients with C1 pedicle height less than 4.0 mm and provide a strong toggle force in irreducible AAD and revision surgery. We evaluated the feasibility of C1 "Zero Angle" screw (C1ZAS) and safe entry point with "in-out-in" technique as an alternative option for C1 pedicle screw (PS) in cases with AAD.
View Article and Find Full Text PDFChronic Patellar Dislocation Treated With Extensive Lateral Release and Vastus Medialis Obliquus Advancement: A Case Report.
Case Rep Orthop
November 2024
Department of Orthopaedic Surgery, Missouri Orthopedic Institute, 1100 Virginia Ave., Columbia, Missouri 65201, USA.
Article Synopsis
- - The case report describes a rare instance of a chronic, irreducible patellar dislocation in a 41-year-old woman, linked to a significant medial patellar fracture, which had persisted since her teenage years and was complicated by past medical conditions.
- - Previous treatments, including a failed patellofemoral reduction, led the patient to seek further surgical intervention after being referred to a specialized clinic.
- - The surgical approach combined an extensive lateral release with vastus medialis obliquus advancement, successfully centering the patella and allowing the patient to achieve full, painless knee motion post-surgery, with stability confirmed through examinations and imaging.
Transoral Atlantoaxial Reduction Plate (TARP) Technique for the Treatment of Irreducible Atlantoaxial Dislocation (IAAD) Caused by Old Odontoid Fracture.
Global Spine J
November 2024
Department of Orthopedics, General Hospital of Southern Theatre Command of PLA, Guangzhou, People's Republic of China.
Article Synopsis
- This study is a retrospective case series that evaluates the effectiveness of the TARP technique in treating IAAD resulting from old odontoid fractures over a follow-up period of 2 years.
- A total of 56 patients were treated using the TARP technique, with assessments including clinical symptoms, radiological measurements, and neurological status.
- The results showed that all surgeries were successful without any complications, with significant improvements in radiological parameters and clinical symptoms, confirming the TARP technique as an effective treatment option.
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