scholarly journals Intra-Articular Dislocation of the Patella

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Gavin McHugh ◽  
Ed Ryan ◽  
May Cleary ◽  
Paddy Kenny ◽  
Shea O'Flanagan ◽  
...  
Keyword(s):  
Emergency Department ◽  
Nursing Home ◽  
Nursing Home Resident ◽  
Closed Reduction ◽  
Open Reduction ◽  
Unusual Case ◽  
Intercondylar Notch ◽  
Elderly Nursing Home Resident ◽  
Superior Pole ◽  
Dislocation Of The Patella

We present an unusual case of a chronic, irreducible intra-articular dislocation of the patella in an elderly nursing home resident. The patient had been unable to weight bear for 3 weeks. Radiographs in the emergency department (ED) confirmed the intra-articular dislocation with the superior pole lodged in the intercondylar notch. She underwent two failed closed reduction attempts and subsequently required an open reduction under general anaesthesia.

scholarly journals Factors predisposing nursing home resident to inappropriate transfer to emergency department. The FINE study protocol

2017 ◽  
Vol 7 ◽  
pp. 217-223 ◽  
Author(s):  
Amélie Perrin ◽  
Neda Tavassoli ◽  
Céline Mathieu ◽  
Sophie Hermabessière ◽  
Mathieu Houles ◽  
...  
Keyword(s):  
Emergency Department ◽  
Nursing Home ◽  
Study Protocol ◽  
Nursing Home Resident

scholarly journals Comparison of Quality of Life for Elderly Men and Women Elderly Nursing Home Resident by Alborz Province in 1390

2013 ◽  
Vol 2 (1) ◽  
pp. 19-24 ◽  
Author(s):  
G. Khooshemehri ◽  
M. Kaviani ◽  
M. Asmari ◽  
H. Rajabian ◽  
V. Naserkhaki ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Nursing Home ◽  
Women Elderly ◽  
Nursing Home Resident ◽  
Elderly Men ◽  
Men And Women ◽  
Elderly Nursing Home Resident

Elderly Nursing Home Resident With Head Drop

2015 ◽  
Vol 16 (5) ◽  
pp. 433-434 ◽  
Author(s):  
Rebakah Sumalini Abel Boenerjous ◽  
William Zirker ◽  
Suhas Masilamani
Keyword(s):  
Nursing Home ◽  
Nursing Home Resident ◽  
Elderly Nursing Home Resident

A large fungating skin lesion in an elderly nursing home resident

2020 ◽  
Vol 49 (8) ◽  
pp. 505-506
Author(s):  
Yolanka Lobo ◽  
Tristan Blake ◽  
Tony Blake ◽  
Jim Muir
Keyword(s):  
Nursing Home ◽  
Skin Lesion ◽  
Nursing Home Resident ◽  
Elderly Nursing Home Resident

scholarly journals Intra-articular dislocation of the patella: a rare variant to an uncommon injury

2019 ◽  
Vol 12 (4) ◽  
pp. e228098
Author(s):  
Sushil Rangdal ◽  
Vikas Bachhal ◽  
Saurabh Vashisht ◽  
Mandeep Singh Dhillon
Keyword(s):  
Patellar Dislocation ◽  
Unusual Case ◽  
Articular Surface ◽  
Femoral Condyle ◽  
Quadriceps Tendon ◽  
Injury Pattern ◽  
Medial Femoral Condyle ◽  
Locked Knee ◽  
Superior Pole ◽  
Dislocation Of The Patella

Horizontal intra-articular dislocation of the patella is a very rare traumatic entity. We present an unusual case of horizontal intra-articular dislocation in which the patellar articular surface was facing upwards besides having an avulsion of the quadriceps tendon from the superior pole. There was associated posterolateral knee subluxation, which has not been described with intra-articular dislocation of the patella. A 20-year-old man presented with open patellar dislocation and locked knee after a roadside accident. The patient was managed successfully by open reduction and repair of the quadriceps tendon. There was buttonholing of the medial femoral condyle through the medial retinaculum leading to irreducible dislocation. A special reduction manoeuvre was employed to bring the knee to its normal alignment. Knowledge of this injury pattern is of utmost importance for proper recognition and appropriate allocation of the surgical technique.

Physician's perception leading to the transfer of a dying nursing home resident to an emergency department: A French qualitative study

2019 ◽  
Vol 19 (3) ◽  
pp. 249-253 ◽  
Author(s):  
Valentin Kouyoumdjian ◽  
Elise Perceau-Chambard ◽  
Corinne Sisoix ◽  
Marilène Filbet ◽  
Colombe Tricou
Keyword(s):  
Emergency Department ◽  
Nursing Home ◽  
Qualitative Study ◽  
Nursing Home Resident

Variability of total phenytoin serum concentrations within elderly nursing home residents

Neurology ◽  
2003 ◽  
Vol 60 (4) ◽  
pp. 555-559 ◽  
Author(s):  
A. Birnbaum ◽  
N. A. Hardie ◽  
I. E. Leppik ◽  
J. M. Conway ◽  
S. E. Bowers ◽  
...  
Keyword(s):  
Nursing Home ◽  
Nursing Homes ◽  
Nursing Home Resident ◽  
Nursing Home Residents ◽  
The Elderly ◽  
The United States ◽  
Serum Concentrations ◽  
Minimum Concentration ◽  
Elderly Nursing Home Resident ◽  
The Mean

Background: Approximately 6% of all elderly nursing home residents receive phenytoin. Phenytoin concentrations are often measured to guide therapy.Objective: To evaluate the intraresident variability among multiple measurements of total phenytoin serum concentrations in nursing home residents.Methods: This was an observational study of 56 elderly (≥65 years) nursing home residents from 32 nursing homes who had at least 3 phenytoin concentrations measured while on the same dose of phenytoin for at least 4 weeks and who were not taking any interfering concomitant medications. These were a subset of 387 elderly nursing home residents from 112 nursing homes across the United States who had total phenytoin concentration measurements between June 1998 and December 2000.Results: The mean age was 80.1 years (range, 65 to 100 years) and 58.9% were women. The mean daily dose of phenytoin per resident was 4.9 ± 1.5 mg/kg. Total phenytoin concentrations within an elderly nursing home resident varied as much as two- to threefold, even though there was no change in dose. The person with the smallest variability had a minimum concentration of 10.0 μg/mL and a maximum of 10.4 μg/mL. The person with the largest variability had a minimum concentration of 9.7 μg/mL and a maximum of 28.8 μg/mL.Conclusions: There is considerable variability in the total phenytoin concentrations in the elderly nursing home resident and measurement of a single total phenytoin concentration should not be used to guide treatment.

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