Case: We report the case of a 5-year-old girl who sustained a traumatic hip dislocation and a spontaneous reduction that was complicated by nonconcentric reduction and a large bucket-handle labral detachment. This injury was managed, via an anterior approach, with capsulotomy and reduction of the large interposed labral tear with an attached osteochondral fragment from the posterior aspect of the acetabulum. No additional surgical treatment was employed for the labral tear.
Conclusion: The patient ultimately demonstrated radiographic healing and an asymptomatic, clinically stable hip. This case illustrates the spontaneous healing of a large posterior labral detachment in a young pediatric patient with a good outcome at 2.5 years after injury.
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http://dx.doi.org/10.2106/JBJS.CC.17.00133 | DOI Listing |
JSES Int
September 2024
Department of Orthopedic Surgery, St. Luke's International Hospital, Tokyo, Japan.
Background: This study aimed to evaluate the association between specific, reproducible findings of an anteroinferior capsulolabral complex obtained using conventional 3.0-Tesla nonenhanced magnetic resonance imaging (MRI) and pathologic arthroscopic findings and to assess the confidence level of the findings.
Methods: Of 125 cases of traumatic anterior instability surgery from January 2017 to November 2019, 66 patients (52 men, 14 women; 23.
Clin Sports Med
October 2024
Department of Orthopedic Surgery Sports Medicine, Mayo Clinic, Phoenix, AZ, USA.
Anterior glenohumeral instability is one of the most common injuries suffered from sport. Despite padding and conditioning, the shoulder joint remains particularly vulnerable to injury, especially in the setting of contact. The overall rate of anterior instability is reported to be 0.
View Article and Find Full Text PDFEur Radiol
July 2024
Department of Radiology, Medical Faculty, Erzincan Binali Yildirim University, Erzincan, Turkey.
Objectives: The objective of this study is to prospectively assess the effectiveness of shoulder magnetic resonance (MR) arthrograms with positional manoeuvres in detecting posterior synovial folds.
Methods: Two radiologists independently assessed all axial MR arthrograms in internal rotation, neutral position, and external rotation for the presence of a posterior synovial fold. The diagnostic performances of the MR arthrograms were then compared, with results validated through arthroscopy.
J Orthop Trauma
February 2024
R Adams Cowley Shock Trauma Center, Department of Orthopaedics, University of Maryland School of Medicine, Baltimore, MD; and.
Objectives: The association between labral injuries and acetabular fractures is unknown. This study aimed to identify the frequency and characteristics of labral injuries in operatively treated acetabular fractures that cannot be identified on preoperative imaging.
Design: Prospective observational cohort.
Radiographics
December 2023
From the Division of Musculoskeletal Radiology, Laboratorio Delboni Auriemo, DASA Diagnostic Imaging, São Paulo, Brazil (P.K.G.); Department of Radiology, Radiation Oncology and Medical Physics, Faculty of Medicine, University of Ottawa, Ottowa, Ontario, Canada (D.V.F., A.D.); Department of Medical Imaging, The Ottawa Hospital, 501 Smyth Rd, Ottawa, ON, Canada K1H 8L6 (D.V.F.); Ottawa Hospital Research Institute, Ottawa, Ontario, Canada (D.V.F.); and Department of Radiology, Division of Musculoskeletal Imaging and Intervention, University of California San Diego Medical Center, San Diego, Calif (B.K.H.).
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