scholarly journals Successful Closed Reduction of a Lateral Elbow Dislocation

2016 ◽  
Vol 2016 ◽  
pp. 1-5
Author(s):  
Kenya Watanabe ◽  
Takuma Fukuzawa ◽  
Katsuhiro Mitsui
Keyword(s):  
Soft Tissue ◽  
Closed Reduction ◽  
Joint Stiffness ◽  
Elbow Dislocation ◽  
Reduction Technique ◽  
Normal Range ◽  
Lateral Elbow ◽  
Elbow Movement ◽  
And Function

In this report, we present a case of lateral elbow dislocation treated with closed reduction. Lateral elbow dislocation is rare, and a closed reduction is reported with even less frequency. The reduction can be hindered by swelling and soft tissue interposition, and we describe the use of a nonoperative reduction technique performed under mild sedation with early physiotherapy to avoid joint stiffness. No additional complication was observed, and the normal range of elbow movement and function was obtained by early physiotherapy.

Intra-Articular Entrapment of the Median Nerve after Dislocation of the Elbow

1987 ◽  
Vol 12 (3) ◽  
pp. 356-358
Author(s):  
S. BOE ◽  
F. HOLST-NIELSEN
Keyword(s):  
Median Nerve ◽  
Closed Reduction ◽  
Elbow Joint ◽  
Elbow Dislocation ◽  
Diagnosis And Treatment ◽  
Nerve Paralysis ◽  
Unusual Amount

A case of median nerve paralysis due to intra-articular entrapment occurring after closed reduction of a dislocation of the elbow joint is reported. In the present case, as in most other reported cases, diagnosis and treatment was delayed. If median nerve paralysis occurs following elbow dislocation and is accompanied by an unusual amount of pain, or if it occurs following reduction, entrapment should be suspected and the nerve explored without delay.

Improving surgical reduction in radial fractures using a ‘dowel’ pinning technique in miniature and toy breed dogs

2011 ◽  
Vol 24 (01) ◽  
pp. 45-49 ◽  
Author(s):  
C. E. DeCamp ◽  
R. Rooks ◽  
J. Yu
Keyword(s):  
Clinical Outcome ◽  
Bone Healing ◽  
Medical Records ◽  
Closed Reduction ◽  
Surgical Repair ◽  
Reduction Technique ◽  
Good Clinical Outcome ◽  
Distal Radial Fractures ◽  
Radiographic Images ◽  
Small Delay

Summary Objectives: A retrospective approach was used to detail and evaluate a ‘dowel’ pinning technique in distal radial fractures in miniature and toy breed dogs. Methods: Medical records and radiographs from 2003–2009 of miniature and toy breed dog radial fractures were examined. Sixty cases were divided into two groups: 51 radial fractures repaired with a ‘dowel’ pinning and external skeletal fixation (ESF) and nine radial fractures repaired with closed reduction and ESF. Each dog was evaluated and radiographic images were obtained at presentation, postoperatively, and at 1, 2, 4, 8, and 12 weeks postoperatively. Signalment, reduction, alignment, time to clinical bone healing and ESF removal, and implant morbidity were determined for each group. Results: Radial fractures repaired with a ‘dowel’ pin and ESF had improved reduction compared to closed reduction and ESF alone (p <0.0001 as evaluated with lateral radiographs and p <0.0004 with cranial/caudal radiographs). Both surgical groups resulted in good clinical outcome with low morbidity, however it was observed that the time to clinical union and ESF removal was an average of 2.5 weeks less with closed reduction technique compared to the open reduction and ‘dowel’ pinning technique (p <0.031). Clinical Significance: Incorporating a ‘dowel’ pin to the surgical repair enhances the reduction of distal radial fractures in miniature and toy breed dogs and results in excellent clinical outcomes but causes a small delay in bone healing.

scholarly journals Caudal Elbow Luxation in a Dog Managed by Temporary Transarticular External Skeletal Fixation

2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
K. Hamilton ◽  
S. Langley-Hobbs ◽  
C. Warren-Smith ◽  
K. Parsons
Keyword(s):  
Case Report ◽  
Soft Tissue ◽  
Closed Reduction ◽  
Road Traffic ◽  
Successful Management ◽  
Normal Gait ◽  
Elbow Luxation ◽  
First Case ◽  
Transarticular Fixation ◽  
Unusual Injury

This case report details a caudal unilateral traumatic elbow luxation in a 4-year-old male neutered Labrador following a road traffic trauma. This is a highly unusual injury in the dog. The pathogenesis and successful treatment by closed reduction followed by stabilisation with a temporary transarticular external skeletal fixator are discussed. The dog was assessed at 4 weeks and 6 months after surgery. Findings at 6 months after treatment demonstrated a normal gait with no pain or crepitation. A mild amount of soft tissue thickening around the elbow was noted. The range of motion of the elbow was limited to 45 degrees of flexion and 150 degrees of extension. This is the first case of a traumatic caudal luxation of the elbow in a dog described in the English veterinary literature and the first report of successful management of an elbow luxation in a dog by closed reduction and temporary transarticular fixation.

scholarly journals Versatile Grafts and Flaps in Reconstruction of Oral and Maxillofacial Postsurgical Defects

2011 ◽  
Vol 2 (1) ◽  
pp. 17-25 ◽  
Author(s):  
Madhumati Singh ◽  
Anjan Shah ◽  
Shouvik Chowdhury
Keyword(s):  
Squamous Cell Carcinoma ◽  
Soft Tissue ◽  
Functional Ability ◽  
Primary Closure ◽  
Tissue Loss ◽  
Local Flaps ◽  
Loss Of Function ◽  
Neck Tumors ◽  
Ablative Surgery ◽  
And Function

ABSTRACT Ablative surgery for head and neck tumors is associated with significant disfigurement and loss of function. The main aim of the surgeon is to provide functional ability and esthetics of the patient. Type and extent of tissue loss from surgery relates to loss of soft tissue and bone. Reconstructions of jaw and mouth defects represent a challenge to the surgeon and are most commonly indicated in patients with oral squamous cell carcinoma.4 Primary closure and the restoration of form, cosmetics and function are the goals of reconstructive surgery. Various techniques have been practiced, including grafts, local flaps, regional flaps and free vascularized flaps even with diverse options, each one has its inherent advantages and shortcomings. This article highlights our experiences with various reconstructive options, best possible reconstructive method to be followed to minimize morbidity of the patient.

scholarly journals Delayed Peroneal Neuropathy After Bosworth Fracture Dislocation of the Ankle

2021 ◽  
Vol 111 (4) ◽  
Author(s):  
Sung Hoon Choi ◽  
Jeong Min Hur ◽  
Kyu-Tae Hwang
Keyword(s):  
Soft Tissue ◽  
Internal Fixation ◽  
Closed Reduction ◽  
Open Reduction ◽  
Fracture Dislocation ◽  
Tibial Tubercle ◽  
Proximal Fragment ◽  
Rare Injury ◽  
Soft Tissue Swelling ◽  
Severe Soft Tissue

The Bosworth ankle fracture-dislocation is a rare injury and is often irreducible because of an entrapped proximal fragment of the fibula behind the posterior tibial tubercle. Repeated closed reduction or delayed open reduction may result in several complications. Thus, early open reduction and internal fixation enable a better outcome by minimizing soft-tissue damage. We report on a 27-year-old man who underwent open reduction and internal fixation after multiple attempts at failed closed reduction, complicated by severe soft-tissue swelling, rhabdomyolysis, and delayed peroneal nerve palsy around the ankle.

Outcomes of closed reduction in patients with developmental dysplasia of the hip incorporating open psoas and adductor release and using short leg cast

2021 ◽  
Vol 15 (5) ◽  
pp. 1529-1532
Author(s):  
M. S. Abdulqader ◽  
L. J. Khorsheed ◽  
Hwaizi .
Keyword(s):  
Soft Tissue ◽  
Closed Reduction ◽  
Case Series ◽  
Developmental Dysplasia ◽  
Soft Tissue Release ◽  
Plaster Of Paris ◽  
Dysplasia Of The Hip ◽  
Mid Term Results ◽  
Tönnis Grade

Background and objectives: Closed reduction and short leg spica casting are the preferred treatment options for children with developmental dysplasia of the hip. This study aimed to show the efficacy behind a standardized closed reduction for managing patients with developmental dysplasia of the hip with concomitant soft tissue releases when indicated and using a short leg plaster of Paris cast to maintain reduction and reporting mid-term results. Methods: A case series of 95 hips in 84 children aged 6-18 months who had closed reduction, with five years follow up or until next operation, involved in this study. The protocol defines acceptable concentric reduction criteria and the indications for an associated soft tissue release. All the patients were immobilized in a short leg cast for three months. Multiple follow-up radiographs were taken to assess Tönnis grade, Severin grade, acetabular index, and osteonecrosis signs. Results: A total of 48 hips were Tönnis grade 3/4 hips. At one year, 15 reductions couldn’t be maintained, and these patients needed open reduction. Of these 15 failed reductions, 7 patients were Severin 1; others were Severin 2. Of the 80 successful closed reductions, 70 hips were Severin 1. Surgical management for residual dysplasia was offered for 8 hips. Osteonecrosis was seen in 23 hips but was transient in 20. Bilateral hip dislocations and most Tönnis 4 hips were more likely to fail. Two children had severe osteonecrosis. Conclusions: Closed reduction, with subsequent adductor and psoas releases, when indicated and using a short leg plaster of Paris cast for three months, brings about good mid-term results in children with developmental dysplasia of the hip aged 6-18 months. Keywords: Developmental dysplasia of the hip, closed hip reduction, open psoas release, short leg cast.

scholarly journals Flap Decisions and Options in Soft Tissue Coverage of the Lower Limb

2014 ◽  
Vol 8 (1) ◽  
pp. 423-432 ◽  
Author(s):  
Daniel J Jordan ◽  
Marco Malahias ◽  
Sandip Hindocha ◽  
Ali Juma
Keyword(s):  
Soft Tissue ◽  
Upper Limb ◽  
Lower Limb ◽  
Chronic Wounds ◽  
Soft Tissue Coverage ◽  
Form And Function ◽  
Flap Coverage ◽  
Surrounding Environment ◽  
And Function ◽  
Review Current

The lower extremities of the human body are more commonly known as the human legs, incorporating: the foot, the lower or anatomical leg, the thigh and the hip or gluteal region.The human lower limb plays a simpler role than that of the upper limb. Whereas the arm allows interaction of the surrounding environment, the legs’ primary goals are support and to allow upright ambulation. Essentially, this means that reconstruction of the leg is less complex than that required in restoring functionality of the upper limb. In terms of reconstruction, the primary goals are based on the preservation of life and limb, and the restoration of form and function. This paper aims to review current and past thoughts on reconstruction of the lower limb, discussing in particular the options in terms of soft tissue coverage.This paper does not aim to review the emergency management of open fractures, or the therapy alternatives to chronic wounds or malignancies of the lower limb, but purely assess the requirements that should be reviewed on reconstructing a defect of the lower limb.A summary of flap options are considered, with literature support, in regard to donor and recipient region, particularly as flap coverage is regarded as the cornerstone of soft tissue coverage of the lower limb.

Postero-lateral elbow dislocation

2020 ◽  
Vol 21 ◽  
pp. 100836
Author(s):  
Mustafa Mahmood Eid
Keyword(s):  
Elbow Dislocation ◽  
Lateral Elbow

scholarly journals A Novel Technique for Closed Reduction and Fixation of Paediatric Calcaneal Fracture Dislocation Injuries

2013 ◽  
Vol 2013 ◽  
pp. 1-4 ◽  
Author(s):  
Radwane Faroug ◽  
Paul Stirling ◽  
Farhan Ali
Keyword(s):  
Soft Tissue ◽  
Functional Outcome ◽  
Closed Reduction ◽  
Calcaneal Fracture ◽  
Fracture Dislocation ◽  
Bony Union ◽  
Calcaneal Fractures ◽  
Simultaneous Application ◽  
Soft Tissue Envelope ◽  
Good Functional Outcome

Paediatric calcaneal fractures are rare injuries usually managed conservatively or with open reduction and internal fixation (ORIF). Closed reduction was previously thought to be impossible, and very few cases are reported in the literature. We report a new technique for closed reduction using Ilizarov half-rings. We report successful closed reduction and screwless fixation of an extra-articular calcaneal fracture dislocation in a 7-year-old boy. Reduction was achieved using two Ilizarov half-ring frames arranged perpendicular to each other, enabling simultaneous application of longitudinal and rotational traction. Anatomical reduction was achieved with restored angles of Bohler and Gissane. Two K-wires were the definitive fixation. Bony union with good functional outcome and minimal pain was achieved at eight-weeks follow up. ORIF of calcaneal fractures provides good functional outcome but is associated with high rates of malunion and postoperative pain. Preservation of the unique soft tissue envelope surrounding the calcaneus reduces the risk of infection. Closed reduction prevents distortion of these tissues and may lead to faster healing and mobilisation. Closed reduction and screwless fixation of paediatric calcaneal fractures is an achievable management option. Our technique has preserved the soft tissue envelope surrounding the calcaneus, has avoided retained metalwork related complications, and has resulted in a good functional outcome.

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