BOTHA, AH and DU TOIT, AB. Bilateral anterior shoulder dislocation: a case report of this rare entity. SA orthop. j. [online]. 2010, vol.9, n.4, pp.68-70. ISSN 2309-8309.. Unilateral shoulder dislocation is a common condition and often seen at trauma facilities worldwide. In general anterior shoulder dislocations are more common than posterior dislocations. Bilateral shoulder dislocations are rare and of these, bilateral posterior shoulder dislocations are more prevalent than bilateral anterior shoulder dislocations. Bilateral posterior shoulder dislocations are caused by seizures, electrical shock and hypoglycaemia. Bilateral anterior shoulder dislocation is mostly associated with trauma and most have accompanying fractures. We present a case of bilateral anterior shoulder dislocation following minor trauma, with no associated fractures.. ...

Description of disease Congenital hip dislocation. Treatment Congenital hip dislocation. Symptoms and causes Congenital hip dislocation Prophylaxis Congenital hip dislocation

ABSTRACT: BACKGROUND: Posterior dislocation of the shoulder in brachial plexus birth palsy during the first year of life is rare but the incidence increases with age. The aim was to calculate the incidence of these lesions in children below one year of age. METHODS: The incidence of brachial plexus birth lesion and occurrence of posterior shoulder dislocation was calculated based on a prospective follow up of all brachial plexus patients at an age below one in Malmö municipality, Sweden, 2000-2005. RESULTS: The incidence of brachial plexus birth palsy was 3.8/1000 living infants and year with a corresponding incidence of posterior shoulder dislocation (history, clinical examination and x-ray) during the first year of 0.28/1000 living infants and year, i.e. 7.3% of all brachial plexus birth palsies. CONCLUSION: All children with a brachial plexus birth lesion (incidence 3.8 per thousand) should be screened, above the assessment of neurological recovery, during the first year of life for ...

Rotational acetabular osteotomy (RAO), Chiari osteotomy and shelf procedure are important treatments to delay the progression of osteoarthritis in developmental dysplasia of hip (DDH) patients, but their biomechanical differences are still unknown. This study was to evaluate the different biomechanical changes of hip joint after these three surgeries. Sixteen DDH models of 8 human cadaver specimens were reconstructed, and treated by different surgeries, and then strain around femoral head was evaluated by strain gauges. Hip strain value of DDH model was decreased after treated by shelf procedure (Pleft = 0.016 and Pright = 0.021) and rotational acetabular osteotomy (P = 0.004), but not in Chiari osteotomy (P = 0.856). Moreover, the improved ratio of RAO treatment was better than shelf procedure (P = 0.015) and Chiari osteotomy (P = 0.0007), and the descendent range of shelf procedure was greater than Chiari osteotomy (P = 0.018). From biomechanics points, RAO was more effective in relieving hip joint

SOLOOKI, S; SAMANIAN, M; EMAMI, MJ and VOSOUGHI, AR. Relationship of radiographic criteria to clinical findings in patients with femoroacetabular impingement. SA orthop. j. [online]. 2013, vol.12, n.2, pp.38-41. ISSN 2309-8309.. BACKGROUND: Femoroacetabular impingement (FAI) leads to pain, limited joint motion and eventually osteoarthritis. The aim was to determine the usefulness of different radiographic criteria to diagnose FAI. METHODS: A total of 250 healthy-appearing participants were selected randomly for screening of hip pain and specific impingement tests. They were categorised in three groups: Group 0 included asymptomatic participants without positive impingement tests; Group 1 participants were either asymptomatic with positive impingement tests or symptomatic with negative tests; participants with painful hip and positive impingement tests formed Group 2. Radiographic criteria including cross-over sign, posterior wall sign, coxa profunda, acetabular protrusion, pistol grip deformity, ...

TY - JOUR. T1 - Pseudoarthrosis of the ilium after periacetabular osteotomy that was treated by cemented total hip arthroplasty. T2 - A case report. AU - Kanaji, Arihiko. AU - Nishiwaki, Toru. AU - Oya, Akihito. AU - Maehara, Kazuyuki. AU - Maehara, Hideki. AU - Oishi, Teruyo. AU - Yamada, Harumoto. AU - Suda, Yasunori. AU - Nakamura, Masaya. AU - Matsumoto, Morio. PY - 2016/5/6. Y1 - 2016/5/6. N2 - Background: Preserving the hip joint to delay arthroplasty for patients with acetabular dysplasia-associated early-stage osteoarthritis has become more common, and several surgical procedures have demonstrated pain relief and improved hip joint function. Periacetabular osteotomy, one of the joint-preserving surgical procedures of the hip, provides favorable outcomes, although there are no reports of total hip arthroplasty being used to treat pseudoarthrosis of the periacetabular osteotomy segment. Therefore, we report a case of pseudoarthrosis in the osteotomy segment after periacetabular osteotomy. ...

Hip dislocation is usually associated in infants and children with cerebral palsy, developmental hip dysplasia and trauma. Even low-energy trauma can cause hip dislocation in infants and younger children because their periarticular structures are more flexible.. On the contrary, in adults hip dislocation is the result of direct force trauma to the thigh, usually high-energy trauma after a motor-vehicle accident or a fall from a significant height. Hip dislocation following a low-energy trauma is rare. There have been reported few cases of hip dislocation or subluxation in an adult following low-energy trauma complicated by myositis ossificans [4], an osteochondroma [5] or during a dance [6].. Hip dislocation following a trochanteric hip fracture treated with dynamic hip screw internal fixation is an extremely rare complication. This complication has been reported after valgus fixation of the fracture [1], sometimes with haemarthrosis of hip joint [7], hip capsule trauma [8] or hip septic ...

AbstractPURPOSE: To review the functional and radiological results of patients after coracoclavicular ligament reconstruction. METHODS: Five patients aged 21 to 50 (mean, 37) years with acute Rockwood type-III acromioclavicular dislocation underwent coracoclavicular ligament reconstruction with autogenous gracilis tendon grafts. Patients were either active in sports or heavy manual workers. Assessments on shoulder function (using the Constant score), wound size, pain (using a visual analogue scale), and reduction (using radiographs of both acromioclavicular joints) were made. RESULTS: The mean follow-up period was 26 (range, 15-43) months; the mean time to return to work or sports was 14 (range, 12-20) weeks. The mean Constant score was 94 (range, 90-98). The mean donor-site scar size was 3 cm and the mean pain score was 0. No major complication or donor-site morbidity was noted. There was one subluxation. CONCLUSION: Coracoclavicular ligament reconstruction using an autogenous gracilis tendon ...

A joint dislocation, also called luxation, occurs when there is an abnormal separation in the joint, where two or more bones meet. A partial dislocation is referred to as a subluxation. Dislocations are often caused by sudden trauma on the joint like an impact or fall. A joint dislocation can cause damage to the surrounding ligaments, tendons, muscles, and nerves. Dislocations can occur in any joint major (shoulder, knees, etc.) or minor (toes, fingers, etc.). The most common joint dislocation is a shoulder dislocation. Treatment for joint dislocation is usually by closed reduction, that is, skilled manipulation to return the bones to their normal position. Reduction should be done only by trained people, because it can cause injury to soft tissue around the dislocation. The following symptoms are common with any type of dislocation. Intense pain Joint instability Deformity of the joint area Reduced muscle strength Bruising or redness of joint area Difficulty moving joint Stiffness Joint ...

TY - JOUR. T1 - Disease severity classification using quantitative magnetic resonance imaging data of cartilage in femoroacetabular impingement. AU - Henn, Lisa L.. AU - Hughes, John. AU - Iisakka, Eleena. AU - Ellermann, Jutta. AU - Mortazavi, Shabnam. AU - Ziegler, Connor. AU - Nissi, Mikko J.. AU - Morgan, Patrick. N1 - Publisher Copyright: Copyright © 2017 John Wiley & Sons, Ltd. Copyright: Copyright 2017 Elsevier B.V., All rights reserved.. PY - 2017/4/30. Y1 - 2017/4/30. N2 - Femoroacetabular impingement (FAI) is a condition in which subtle deformities of the femoral head and acetabulum (hip socket) result in pathological abutment during hip motion. FAI is a common cause of hip pain and can lead to acetabular cartilage damage and osteoarthritis. For some patients with FAI, surgical intervention is indicated, and it can improve quality of life and potentially delay the onset of osteoarthritis. For other patients, however, surgery is contraindicated because significant cartilage damage has ...

Comparison of three approaches of Bernese periacetabular osteotomy Dianzhong Luo, Hong Zhang, Weijia Zhang Division of Joint Surgery and Sport Medicine, Department of Orthopaedics, First Affiliated Hospital of Chinese PLA General Hospital, Beijing, People’s Republic of China Background: Developmental dysplasia of the hip is a common disease and treated with various surgical approaches. Improved ilioinguinal (I-I) approach, two-incision Smith-Peterson (TSP) approach, and modified Smith-Peterson (MSP) approach are three main approaches; however, they are rarely compared. The present study compared the operative time, blood loss, intraoperative and postoperative allogeneic blood transfusion, and postoperative complications of these three different approaches. Hypothesis: Surgical approach does not influence the operation time, blood loss, and complications of periacetabular osteotomy. Level of evidence: Level III. Case–control study. Patients and methods: In a total of 101 hips of 95 cases,

Hip reduction in total hip arthroplasty for high dislocated hips is difficult. Various femur osteotomy procedures have been used for hip reduction, but these methods increase operative time and risk of nonunion. We investigated the efficacy of a novel partial greater trochanter osteotomy technique for hip reduction in total hip arthroplasty for patients with high hip dislocation. Twenty-one patients (23 hips) with high dislocated hip were treated with total hip arthroplasty that included partial greater trochanter osteotomy, i.e., the upper 2/3 greater trochanter was resected, and the gluteus medius muscle attachment was spared. The clinical outcome was evaluated by comparing the Harris hip scores and radiographic exam results, obtained before surgery and at follow-ups. Follow-ups of 21 patients ranged from 13 to 56 months. The mean Harris hip score increased from preoperative 55.0 (36-69) to postoperative 86.1 (71-93; P = 0.00). The average preoperative leg length discrepancy in patients with

Treatments for shoulder dislocation and joint instability are offered at Health University of Utah in Salt Lake City and Wasatch Front, UT.

Introduction: Perilunate and lunate dislocations are uncommon high energy injuries and have extensive soft tissue, cartilaginous and bony damage. The most common pattern is trans-scaphoid perilunate fracture dislocation which constitutes approximately 50% of these injuries. Unusual injury pattern like Scaphocapitate syndrome can occur with fracture through scaphoid waist and capitate that rotates the proximal capitate 180° so that its proximal articular surface points distally. With this case report, we would like to present a novel presentation of an uncommon wrist injury. Case report: We present a case of simultaneous lunate dislocation in one wrist and perilunate fracture dislocation (Scapho-capitate syndrome) in the contralateral wrist which occurred simultaneously in a young male following a two wheeler accident. The injury was missed initially at the primary treating centre. Upon diagnosis, the patient underwent open reduction and internal fixation along with ligament repair. The patient was

The freeMD virtual doctor has found 68 conditions that can cause Right Hip Joint Painful. There are 10 common conditions that can cause Right Hip Joint Painful. There are 14 somewhat common conditions that can cause Right Hip Joint Painful. There are 9 uncommon conditions that can cause Right Hip Joint Painful. There are 35 rare conditions that can cause Right Hip Joint Painful.

Expertise, Disease and Conditions: Anterior Shoulder Instability, Arthritis, Arthritis of the Shoulder, Arthroscopic Rotator Cuff Repair, Arthroscopic Surgery, Baseball Injuries, Bone Disorders, Bone Surgery, Fractures, Joint Diseases, Joint Pain, Joint Surgery, Minimally Invasive Surgery, Orthopaedic Shoulder Surgery, Orthopaedic Surgery, Orthopaedics, Rotator Cuff, Rotator Cuff Injuries, Shoulder Arthroscopy, Shoulder Dislocations, Shoulder Disorders, Shoulder Fractures, Shoulder Instability Stabilization Surgery, Shoulder Joint Dislocations, Shoulder Labral Tear, Shoulder Replacement, Shoulder Surgery, Shoulder Ultrasound, Sports Injuries, Sports Injuries to the Shoulder, Sports Medicine, Tendon Surgery, Torn Cartilage, Total Joint Replacement, Upper Extremity, Upper Extremity ...

Hip Joint And Pelvic Girdle - See more about Hip Joint And Pelvic Girdle, antagonistic muscle action chart hip joint and pelvic girdle, bones involved in the hip joint and pelvic girdle, hip joint and pelvic girdle, hip joint and pelvic girdle ppt, hip joint and pelvic girdle quiz, the hip joint and pelvic girdle, the hip joint and pelvic girdle chapter 9

Purpose: A minimally invasive anterior approach appears to be an attractive alternative to achieve capital realignment without violating femoral head vascular supply and avoiding hip dislocation in slipped capital femoral epiphysis. The aim of this study was to detail the technical steps of subcapital realignment through a minimally invasive anterior approach and to report the preliminary results of this procedure in a prospective cohort of patients with stable slips. Methods: Nine patients underwent subcapital cuneiform wedge resection through a minimally invasive anterior approach without hip dislocation for moderate or severe stable slips between April 2012 and April 2013. Prophylactic stabilization of the contralateral hip was performed in all cases. A minimum 18 months follow-up was available. Clinical course was assessed using the Harris hip score and the hip range of motion. The degree of slippage as proposed by Southwick, the lateral α angle and the epiphyseal-metaphyseal distance ...

A periacetabular osteotomy (PAO) is the preferred joint preserving treatment for young adults with symptomatic hip dysplasia and no osteoarthritis. In symptomatic dysplasia of the hip, there is labral pathology in up to 90% of cases. However, no consensus exists as to whether a labral tear should be treated before the periacetabular osteotomy (PAO), treated simultaneously with the PAO, or left alone and only treated if symptoms persist after the PAO. This review is an update of aspects of labral anatomy and function, the etiology of labral tears in hip dysplasia, and diagnostic assessment of labral tears, and we discuss treatment strategies for coexisting labral tears and hip dysplasia ...

TY - JOUR. T1 - Greater trochanteric pain syndrome negatively affects work, physical activity and quality of life: a case control study. AU - Fearon, Angela. AU - Cook, Jillianne Leigh. AU - Scarvell, Jennie M. AU - Neeman, Teresa. AU - Cormick, Wes. AU - Smith, Paul N. PY - 2014. Y1 - 2014. N2 - Musculoskeletal injury causes pain and when chronic can affect mental health, employment and quality of life. This study examined work participation, function and quality of life in people with greater trochanteric pain syndrome (GTPS, n. =. 42), severe hip osteoarthritis (OA, n. =. 20) and an asymptomatic group (ASC, n. =. 23). No differences were found between the symptomatic groups on key measures, both were more affected than the ASC group, they had lower quality of life score (p.. AB - Musculoskeletal injury causes pain and when chronic can affect mental health, employment and quality of life. This study examined work participation, function and quality of life in people with greater trochanteric ...

REID, C et al. Revision total hip arthroplasty: addressing acetabular bone loss. SA orthop. j. [online]. 2012, vol.11, n.3, pp.34-46. ISSN 2309-8309.. Managing deficient acetabular bone in primary and revision total hip arthroplasty requires thought and planning. This paper focuses on the management of bone loss in revision arthroplasty and presents an overview of the literature, the careful pre-operative assessment required prior to surgery and the surgical options available to achieve an optimal outcome.. Palabras clave : Acetabular bone loss; acetabular deficiency; revision hip arthroplasty; acetabular management. ...

TY - JOUR. T1 - Freeze-dried proximal femur allografts in revision total hip arthroplasty. A preliminary report. AU - Head, W. C.. AU - Malinin, T. I.. AU - Berklacich, F.. PY - 1987/1/1. Y1 - 1987/1/1. N2 - Failure of cemented total hip arthroplasty can emerge from several causes and may be associated with severe bone loss in the proximal femur with a marked diminution in functional capacity of the limb. This is a preliminary report of 14 patients with revision operations for failed total hip arthroplasty. Freeze-dried allograft bone was implanted for restoration of extensive bone loss in the proximal femur. All 14 patients were operated on to salvage failed cemented total hip arthroplasties. Allografts were employed only for large proximal femoral deficiencies. In these patients the alternatives were either an unstable excision arthroplasty or a femoral deficient prosthesis. After revision, all patients had complete bony union and ambulated with the assistance of a cane with greatly increased ...

TY - JOUR. T1 - Bilateral internal derangements of temporomandibular joint. T2 - Evaluation by magnetic resonance imaging. AU - Sanchez-Woodworth, Roberto E.. AU - Tallents, Ross H.. AU - Katzberg, Richard W. AU - Guay, Jeffrey A.. PY - 1988. Y1 - 1988. N2 - Two hundred eleven patients with signs and symptoms of temporomandibular joint (TMJ) internal derangements were referred for magnetic resonance imaging. Both TMJs of each patient were routinely evaluated in this prospective investigation. With 422 joints examined, 29% (61) of the patients had bilaterally normal findings, 21% (45) of the patients had one normal side and one abnormal side, and 50% (105) of the patients showed bilateral internal derangements. This clinical study demonstrated a high likelihood of bilateral internal derangements in patients with symptoms of TMJ internal derangements.. AB - Two hundred eleven patients with signs and symptoms of temporomandibular joint (TMJ) internal derangements were referred for magnetic ...

Congenital hip dysplasia describes a medical condition characterized by an abnormal development of the hip joint.… Congenital Hip Dysplasia (Congenital Hip Dislocation): Read more about Symptoms, Diagnosis, Treatment, Complications, Causes and Prognosis.

Radsource MRI Web Clinic: Ischiofemoral Impingement Syndrome. Clinical history: A 38 y/o female presents with a 10 month history of right hip and groin pain

Hip arthroscopy, Meniscus transplantation, Biceps tendon surgery, Hip labral repair, Multiligament knee reconstruction,... Cartilage transplantation, Hip preservation surgery, Rotator cuff surgery, ACL surgery, Meniscus repair, Meniscectomy, Bankart repair, Cartilage repair, ACL injury, Patellar tendinitis, Hip labral tear, Patellofemoral instability, Shoulder instability, Rotator cuff injury, Rotator cuff tear, Multiligament knee injury, Shoulder subluxation, Shoulder impingement syndrome, Knee disorder, Patellar tendon tear, Hip instability, Hip impingement, Knee pain, Rotator cuff tendinitis. ...

Background The treatment of mild or borderline acetabular dysplasia is controversial with surgical options including both arthroscopic labral repair with capsular closure or plication and periacetabular osteotomy (PAO). The degree to which improvements in pain and function might be achieved using these approaches may be a function of acetabular morphology and the severity of the dysplasia, but detailed radiographic assessments of acetabular morphology in patients with a lateral center-edge angle (LCEA) of 18° to 25° who have undergone PAO have not, to our knowledge, been performed.. Questions/purposes (1) Do patients with an LCEA of 18° to 25° undergoing PAO have other radiographic features of dysplasia suggestive of abnormal femoral head coverage by the acetabulum? (2) What is the survivorship free from revision surgery, THA, or severe pain (modified Harris hip score [mHHS] , 70) and proportion of complications as defined by the modified Dindo-Clavien severity scale at minimum 2-year ...

Discussion. Posterior shoulder dislocations account for 4% of all shoulder dislocations;7,10,17 anterior dislocations account for 95%.4,7,10,15,17-19 Inferior shoulder dislocation (luxatio erecta) occurs in only 0.5% of cases.7,17. Anterior dislocation of the shoulder is caused by a combination of abduction, extension and external rotation forces applied to the arm. It is almost always secondary to trauma.14,15 Axial loading of the adducted, internally rotated arm may cause posterior shoulder dislocation.. The causes of posterior dislocation have been mentioned above. The combined strength of the internal rotators overpowers the external rotators.. Bilateral shoulder dislocation was first described in 1902 in a patient with camphor overdose.5,14,16 Simultaneous bilateral anterior dislocation of the shoulder is rare.5,14,17 The mechanism of injury is usually the same as unilateral shoulder dislocation secondary to trauma. Associated displaced tuberosity fracture occurs in about 15% of all ...

Shoulder Arthroscopy is a minimally invasive procedure used to treat shoulder problems such as rotator cuff tears, instability, AC joint arthritis and labral tears. To be considered a candidate for shoulder arthroscopy, patients typically have AC joint arthritis, shoulder dislocations, rotator cuff tears, a glenoid labrum tear, cartilage injuries or other kinds of shoulder fractures. The exact procedure of a shoulder arthroscopy will vary for each person, but in general, it begins with general or regional anesthesia. A small incision around the shoulder is then made, so an arthroscope can be inserted to display real-time images of the area. The surgeon will inspect the damaged tissue or joint and surrounding area. Specialized instruments are then used to repair and remove damaged tissues. The instruments are removed and the incision is closed. Post-surgery, you'll most likely have to wear a sling depending on the nature of your procedure. From there it's recommended you undergo physical therapy ...

PART I: SHOULDER. A: Rotator Cuff. 1. Acromioplasty. 2. Rotator Cuff Repair: Open Technique for Partial-Thickness or Small or Medium Full-Thickness Tears 3. Rotator Cuff Repair: Arthroscopic Technique for Partial-Thickness or Small or Medium Full-Thickness Tears 4. Open Repair of Rotator Cuff Tears 5. Arthroscopic Repair of Massive Rotator Cuff Tears. 6. Operative Fixation of Symptomatic Os Acromiale B: Arthritic Shoulder. 7. Humeral Head Resurfacing Arthroplasty, 8. Humeral Hemiarthroplasty with Biologic Glenoid Resurfacing 9. Total Shoulder Arthroplasty 10. Rotator Cuff Tear Arthroplasty: Open Surgical Treatment. 11. Open Unconstrained Revision Shoulder Arthroplasty C: Instability. 12. Closed Treatment of Shoulder Dislocations. 13. Arthroscopic Treatment of Traumatic Anterior Instability of the Shoulder. 14. Open Treatment of Anterior-Inferior Multidirectional Instability of the Shoulder 15. Arthroscopic Treatment of Anterior-Inferior Multidirectional Instability of the Shoulder 16. Anterior ...

Rotator cuff impingement webmd. An overview of impingement syndrome, the rotator cuff tendons can your physician may additionally refer you to a physical therapist who can demonstrate the sports most. Shoulder impingement/rotator cuff tendinitisorthoinfo. The rotator cuff is a common supply of ache inside the shoulder. Pain may be the result of tendinitis. The rotator cuff tendons can be angry or broken. Rotator cuff issues exercises you may do at home. A rotator cuff tear is a tear of 1 or greater of the tendons of the 4 rotator cuff muscle tissue of the shoulder. A rotator cuff 'injury' can include any kind of. Bodily therapist's guide to shoulder impingement. Shoulder impingement syndrome occurs as the result of chronic and repetitive compression or "impingement" of the rotatorcuff step forward physical therapy. Rotator cuff restore rehab protocol bodily remedy the. Shoulder rotator cuff injuries and impingement syndrome. Rotator cuff tears are a commonplace cause of ache and incapacity among ...

Evidence-based recommendations on extracorporeal shockwave therapy for refractory greater trochanteric pain syndrome (GTPS) (hip pain)

The surgical dislocation approach is useful in assessing and treating proximal femoral hip deformities commonly due to pediatric conditions. We sought to demonstrate the efficacy and problems associated with this technique. Diagnoses included slipped capital femoral epiphysis, Perthes disease, developmental dysplasia of the hip, osteonecrosis, and exostoses. Through this approach, femoral head-neck osteoplasty (22), intertrochanteric osteotomy (eight), femoral head-neck osteoplasty plus intertrochanteric osteotomy (15), femoral neck osteotomy (five), open reduction and internal fixation of an acute slipped capital femoral epiphysis with callus resection (five), open reduction and internal fixation of an acetabular fracture (one), trapdoor procedure (one), and acetabular rim osteoplasty (one) were performed. The average patient age was 16 years. The minimum followup was 12 months (average, 41.6 months; range, 12-73 months). Patients with Perthes disease and SCFE had preoperative and postoperative ...

Hip contact stress is considered to be an important biomechanical factor related to development of coxarthrosis. The effect of the lateral coverage of the acetabulum on the hip contact stress has been demonstrated in several studies of hip dysplasia, whereas the effect of the anterior anteversion remains unclear. Therefore, the joint hip contact stress during normal level walking and staircase walking, in normal and dysplastic hips, for small and large acetabular anteversion angle was computed. For small acetabular anteversion angle, the hip contact stress is slightly increased (less than 15%) in staircase walking when compared with normal walking. In hips with large angle of acetabular anteversion, walking downstairs significantly increases the maximal peak contact stress (70% in normal hips and 115% in dysplastic hips) whereas walking upstairs decreases the peak contact stress (4% in normal hips and 34% in dysplastic hips) in comparison to normal walking. Based on the presented results, we ...

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Introduction: Vascular injury associated with closed posterior elbow dislocations is rare and it usually occurs along with open dislocation, anterior dislocation, penetrating injuries, dislocations associated with fracture. We report such a case of We report such a case of closed posterior elbow dislocation with complete brachial artery rupture. Case Report: A 58 year old lady sustained a posterior dislocation of right elbow following a fall at home. She presented three days later with complaints of severe pain, swelling around the right elbow and numbness of fingers following a closed reduction done elsewhere. Compute Tomography Computed tomography-angiography showed complete transection of brachial artery. Patient was treated with thrombectomy, right great saphenous vein interposition repair of brachial artery and forearm fasciotomy. Conclusion: Posterior dislocation of elbow with vascular injury, though a rare condition, early diagnosis and treatment of the vascular injury is the key to prevent

BACKGROUND: Radial head fractures can occur in isolation or in association with elbow and forearm injuries. Treatment options include nonoperative management, fragment or whole-head excision, open reduction and internal fixation (ORIF), and radial head arthroplasty. However, the evidence supporting ORIF for repairable radial head fractures is inconclusive.. QUESTIONS/PURPOSES: We compared patients undergoing ORIF for isolated radial head fractures or for radial head fractures associated with other fractures or elbow dislocations in terms of patient-related disability, presence of posttraumatic arthritis, complications, and rate of reoperation for capsular release.. METHODS: Between 1997 and 2008, 52 patients underwent ORIF of the radial head for isolated radial head fractures (simple group) and 29 underwent ORIF for radial head fracture with an associated fracture or dislocation (complex group). General indications for ORIF included displaced radial fractures, large articular surface fragments, ...

TY - JOUR. T1 - Risk factors for dislocation after primary total hip replacement. T2 - a systematic review and meta-analysis of 125 studies involving approximately five million hip replacements. AU - Kunutsor, Setor K. AU - Barrett, Matthew. AU - Beswick, Andrew D. AU - Judge, Andrew. AU - Blom, Ashley W. AU - Wylde, Vikki. AU - Whitehouse, Michael R. PY - 2019/9/9. Y1 - 2019/9/9. N2 - Background:Dislocation following total hip replacement (THR) is associated with repeated hospitalisations and substantial costs to the health system. Factors influencing dislocation following primary THR are not well understood. We aimed to assess the associations of patient-, surgery-, implant- and hospital-related factors with dislocation risk following primary THR.Methods:We did a systematic review and meta-analysis of all longitudinal studies reporting these associations. We searched MEDLINE, Embase, Web of Science, and Cochrane Library to March 8, 2019. Summary measures of association were calculated using ...

This study compared radiological and clinical results of Mallory-Head (Biomet, Warsaw, Indiana) cementless total hip arthroplasty (THA) by anatomical (AP group) or high cup placement (HP group) for Crowe I to III developmental dysplasia of the hip. Of the 68 hips studied, 43 hips were available for 15.3-year follow-up. Ten cups were placed at anatomical center with bulk bone grafting, and 33 cups were at high hip center without bulk bone grafting. No acetabular or femoral components showed loosening in either group. One standard polyethylene liner in a highly placed cup was revised due to excessive wear after 11 years. The average rate of polyethylene wear was 0.128 mm/year in the AP group and 0.148 mm/year in the HP group (except for the revision case). The extent of grafted bone coverage was 34.6% in the AP group. Hip center height was 24.5 mm from the inter-teardrop line in the HP group. The center of the hip horizontal location in the AP group (24.5 mm) and HP group (26.4 mm) was ...

The Galeazzi fracture is a fracture of the distal third of the radius with dislocation of the distal radioulnar joint. It classically involves an isolated fracture of the junction of the distal third and middle third of the radius with associated subluxation or dislocation of the distal radio-ulnar joint; the injury disrupts the forearm axis joint. The Galeazzi fracture is named after Ricardo Galeazzi (1866-1952), an Italian surgeon at the Instituto de Rachitici in Milan, who described the fracture in 1934. However, it was first described in 1842, by Cooper, 92 years before Galeazzi reported his results. Galeazzi fractures account for 3-7% of all forearm fractures. They are seen most often in males. Although Galeazzi fracture patterns are reportedly uncommon, they are estimated to account for 7% of all forearm fractures in adults. They are associated with a fall on an outstretched arm. Pain and soft-tissue swelling are present at the distal-third radial fracture site and at the wrist joint. This ...

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Modified Woodward Procedure for Sprengel's Deformity -- Shoulder External Rotation Tendon Transfers for Brachial Plexus Birth Palsy -- Proximal Humerus Fracture: Reduction and Fixation with Elastic Nail -- Open Reduction and Internal Fixation of Displaced Medial Epicondyle Fracture Using a Screw and Washer -- Radial Head/Neck Fracture: Closed Reduction, Percutaneous Reduction, and Open Reduction -- Lateral Humeral Condyle Fracture: Closed Reduction and Percutaneous Pinning and Open Reduction and Internal Fixation -- Forearm Fractures: Closed Treatment -- Closed Reduction and Pinning of Distal Radius Fractures -- Forearm Fractures: Intramedullary Rodding -- Digital Syndactyly Release -- Innominate Osteotomy -- Chiari Pelvic Osteotomy -- Triple Pelvic Osteotomy -- Single-Incision Supraperiosteal Triple Innominate Osteotomy -- Repair of Proximal Hamstring Avulsion -- Hip Pyarthritis -- Percutaneous in situ Cannulated Screw Fixation of Slipped Capital Femoral Epiphysis -- Bernese Periacetabular ...

Shoulder impingement is a common source of pain in the adult shoulder. Many athletes develop the condition-especially who use repetitive overhead movements such as swimmers, baseball players, or tennis players. Many people who perform repetitive lifting or overhead activities such as construction or painting also develop impingement. Trauma can also be a cause.. To provide an accurate description of impingement, we must first start with a brief look at the anatomy of the shoulder.. The rotator cuff is a tendon that links for muscles in your shoulder: the supraspinatus, the infraspinatus, the subscapularis, and the teres minor. The "ball" of the shoulder (or the head of the humerus) is covered by these four muscles, which work together to lift and rotate your shoulder. These four muscles also work together to keep the "ball" of your shoulder centered within the glenoid socket as your deltoid and other large shoulder muscles act to lift the arm overhead.. Impingement results from pressure on the ...

Lin Wang1-2, Gregory Pryce2, Mazen Al Hajjar1-2, Sophie Williams2, Jonathan Thompson1-2. 1 DePuy Synthes Joint Reconstruction, Leeds, United Kingdom. 2 Institute of Medical and Biological Engineering, School of Mechanical Engineering, University of Leeds, Leeds, United Kingdom. Keywords: acetabular cup positioning, impingement, edge contact, PINNACLE®, computational simulation.. INTRODUCTION. Surgical positioning plays a key role in the function and durability of an artificial hip joint. Preclinical numerical investigations have been conducted to evaluate the effects of various acetabular cup inclination and anteversion angles on the risk of impingement [1]and edge contact[2], which could lead to implant dislocation and accelerated wear.. METHOD. A rigid geometrical model[1] that can predict occurrence and location of impingement was developed in SOLIDWORKDS (Dassault Systèmes, France), consisting of the right hemi-pelvis and femur bone geometry, PINNACLE® Shell with MARATHON® Neutral Liner ...

Recent research suggests that altered patellofemoral joint mechanics may be the result of femur motion as opposed to patella motion. The purpose of this dissertation was to clearly define the role of hip/femur motion in contributing to patellofemoral joint dysfunction. To accomplish this objective, three studies were undertaken.; The purpose of study #1 was to determine whether individuals with patellofemoral pain (PFP) demonstrate abnormal hip kinematics during functional tasks and to determine if such motions could be explained by hip muscle weakness and/or abnormal muscle activation patterns. Results revealed that PFP subjects demonstrated increased hip internal rotation, hip muscle weakness, and increased gluteus maximus EMG when compared to pain-free controls. These findings suggest that subjects with PFP were attempting to recruit a weakened muscle, perhaps in an effort to stabilize the hip joint.; The purpose of study #2 was to determine if hip muscle performance and femoral morphology ...

Discussion. The development of a locally destructive non-neoplastic mass or 'pseudotumour' is not new and has been reported on since the early history of hip arthroplasty, even with metal-on-polyethylene bearing couplings.32 Unfortunately, due to the accelerated search for improved bearing couplings, product withdrawals due to poor results are also not new to arthroplasty.33 This often leads to an aggressive and sometimes exaggerated response from surgeons, at times fuelled by medico-legal concerns. The recent concerns raised about metal-on-metal total hip arthroplasty is another such event.1-20 Although there are currently serious questions being raised as to the validity of metal-on-metal total hip arthroplasty, care should be taken not to include all designs and bearing couplings under the same umbrella. The concept of metal-on-metal failures, pseudotumour development, and metal ion levels is currently a topic of debate and a complete understanding of the complicated biotribological ...

Piriformis syndrome is a muscle disorder that occurs when the sciatic nerve is. when in reality they have piriformis syndrome commonly know as pseudo- sciatica. Conservative treatment usually begins with stretching exercises, myofascial. strengthening of the gluteus maximus, gluteus medius, and biceps femoris to.. Find this Pin and more on Health and Exercise. Pseudo-Sciatica and Gluteus Minimus Trigger Points. Pseudo-Sciatica and Gluteus Minimus Trigger Points.. Information from a patient of FAI (Femoroacetabular impingement) I had right hip FAI removal (CAM type impingement) / labral tear repair surgery on June 14.. Mar 29, 2015. However, diagnosing sciatica or facet pain is also not always an exact. For that reason, you will also hear PS described as a pseudo sciatica. Those who started with low back pain underwent motor control exercises and their piriformis. have shown the gluteus maximus and medius to be underactive.. … signs, perhaps the more appropriate terminology would be ...

PATIENT PRESENTATION A 19-year-old male semi-professional tennis player presents with a chief complaint of a grinding sensation when he moves his right shoulder, especially with overhead and reaching motions. Other symptoms include pain in the lateral and anterior shoulder and crepitus about the scapula. The patient's primary concern is that his tennis serve is limited due to the grinding and posterior shoulder pain.. Examination reveals significant scapular protraction and increased thoracic kyphosis (combination of structural and postural), positive impingement test on the right, muscle weakness of the serratus anterior, middle and lower trapezius as well as gross weakness of the rotator cuff musculature. Examination of flexibility reveals shortening of anterior chest musculature, especially pectoralis minor on the right. Joint mobility of the thoracic spine is moderately hypomobile, and the glenohumeral (GH) joint is mildly limited in inferior glide and moderately limited in posterior glide. ...

Hip dysplasia is a common cause of hip pain and functional disability in the 20-40 year old adult. It is characterized by a steep shallow acetabulum resulting in an insufficient coverage of the femoral head. The acetabulum can be retroverted. The proximal femur may be anteverted and the proximal femoral head-neck junction can have formation of exostoses as well. The abnormal biomechanics in the hip joint results in overload of the acetabular rim, which can leads to labral damage with cartilage delamination to follow. The proximal bony abnormality of the femur may result in femoroacetabular impingement aggravating the stress to the rim; worsen the labral stress and the cartilage damage. The natural history of symptomatic hip dysplasia is well described in the literature leading to osteoarthritis without treatment. The periacetabular osteotomy (PAO) is a well established joint preserving surgical treatment. The procedure is known to relieve pain, increase hip joint functionality and to prevent or ...