scholarly journals Traumatic Dorsoradial Trapezium-Metacarpal Joint Dislocation

2019 ◽  
Vol 2 (1-3) ◽  
pp. 82-88
Author(s):  
Joseph Maalouly ◽  
Dany K. Aouad ◽  
Rami Ayoubi ◽  
Nabil Dib ◽  
Joseph Wehbe
Keyword(s):  
Open Reduction ◽  
Relevant Literature ◽  
Hand Injuries ◽  
Posterior Dislocation ◽  
Gradual Improvement ◽  
Treatment Approaches ◽  
Joint Dislocation ◽  
Ligamentous Reconstruction ◽  
Type Of Injury

A trapezium-metacarpal joint dislocation is a rare pathology reported in <1% of all hand injuries. Due to the rarity of this type of injury, no clear standard of treatment exists. Various treatment approaches are reported in the relevant literature, mainly consisting of anterior and posterior dislocation of the trapezium-metacarpal joint. In this case, a 38-year-old patient was treated for dorsoradial trapezium-metacarpal joint dislocation through open reduction with ligamentous reconstruction. Gradual improvement of the patient’s thumb mobility was observed following several physiotherapy sessions.

scholarly journals Primary Arthrodesis Compared with Open Reduction and Internal Fixation for Lisfranc Injuries with the First Tarsometatarsal Joint Dislocation

2018 ◽  
Vol 3 (3) ◽  
pp. 2473011418S0013
Author(s):  
Ming-Zhu Zhang ◽  
Guang-rong Yu ◽  
Mark Myerson
Keyword(s):  
Internal Fixation ◽  
Open Reduction ◽  
Bodily Pain ◽  
Open Reduction Internal Fixation ◽  
Term Outcome ◽  
Lisfranc Injury ◽  
Joint Dislocation ◽  
Sf 36 ◽  
First Ray ◽  
Lisfranc Injuries

Category: Trauma Introduction/Purpose: The first tarsometatarsal (TMT) joint is very crucial for midfoot stability. To address its importance, retrospective analyses of treatment for the first TMT joint dislocation with Lisfranc injury was performed in a multi-center manner. Comparison of open reduction internal fixation (ORIF) and primary arthrodesis was conducted for the injury. Methods: This multi-center study was involved ten clinical institutions in different area of China. .From January 2003 to June 2015, 126 Lisfranc injuries with first TMT joint dislocation underwent surgical intervention. Of this group, forty one (32.5%) feet were first TMT joint dislocation only. Eighty five feet were first TMT joint dislocation and fractures. They were 76 males (60.3%) and 50 females (39.7%) with a mean age of 45.5 (range, 20-87) years. The duration from injury to surgery is 11.7 (range, 4-26) days. Two groups were divided by surgery methods as open reduction internal fixation (ORIF) group and primary arthrodesis group. Ninety two patients were performed by ORIF, while primary arthrodesis group including 34 cases. Outcome measures included clinical examination, radiographs, AOFAS ankle-hindfoot scores, visual analogue scale (VAS) and SF-36 scores. Complications and revision rate were analyzed as well. Results: 126 patients were followed up for 29.5 months. At 1.5 years postoperatively, the AOFAS score was 79 and 85 in ORIF group and arthrodesis group.The VAS score was 3.1 separately in two groups.The mean Physical Functioning sores of SF-36 was 80.3 points and 83.5• points. The Bodily Pain score of SF-36 was 76.1 points and 84.6• points.Redislocation of first tarsometarsal joint were observed in 16 cases among ORIF group.36 patients in ORIF group had pain in midfoot, eight of them had persistent pain with the development of deformity or osteoarthrosis.No redislocation and no hardware failure was identified in arthrodesis group Conclusion: Primary stable arthrodesis of the first ray gives a better short and medium term outcome than open reduction and internal fixation for Lisfranc injury with the first ray dislocation. Possible complication and revision could be avoided by primary arthrodesis for dislocated first ray injuries.

scholarly journals Primary Arthrodesis Compared with Open Reduction and Internal Fixation for Lisfranc Injuries with the First Tarsometatarsal Joint Dislocation: A Randomized Controlled Trial

2019 ◽  
Vol 4 (4) ◽  
pp. 2473011419S0007
Author(s):  
Mingzhu Zhang ◽  
Guangrong Yu
Keyword(s):  
Internal Fixation ◽  
Open Reduction ◽  
Controlled Trial ◽  
Bodily Pain ◽  
Lisfranc Injury ◽  
Joint Dislocation ◽  
Tarsometatarsal Joint ◽  
Sf 36 ◽  
First Ray ◽  
Lisfranc Injuries

Category: Midfoot/Forefoot, Trauma Introduction/Purpose: Prospective analyses of treatment for the first tarsometatarsal joint dislocation with Lisfranc injury. Comparison of open reduction internal fixation (ORIF) and primary arthrodesis was conducted for the injury. Methods: 78 Lisfranc injuries with first tarsometatarsal joint dislocation underwent surgical intervention. They were 46 males and 32 females with mean age of 41.2 years. Two groups were randomized by ORIF group and primary arthrodesis group. 43 patients were performed by ORIF, while primary arthrodesis group including 35 cases. Outcome measures included radiographs, AOFAS scores, VAS and SF-36 scores. Complications and revision rate were analyzed also. Results: 73 patients were followed up for 21 months. At 1.5 years postoperatively, the AOFAS score was 75 and 83 in ORIF group and arthrodesis group. The VAS score was 3.0 and 2.1 separately in two groups. The mean Physical Functioning sores of SF- 36 was 81.2 points and 84.1 points. The Bodily Pain score of SF-36 was 79.3 points and 85.2 points. Redislocation of first tarsometarsal joint were observed in 11 cases among ORIF group.31 patients in ORIF group had pain in midfoot, six of them had persistent pain with the development of deformity or osteoarthrosis. No redislocation and no hardware failure was identified in arthrodesis group. Conclusion: Primary stable arthrodesis of the first ray gives a better short and medium term outcome than open reduction and internal fixation for Lisfranc injury with the first ray dislocation. Possible complication and revision could be avoided by primary arthrodesis for dislocated first ray injuries.

Unrecognized posterior dislocation of the humeral joint – a case report in the electronic decision-making system

2019 ◽  
Vol 15 (3) ◽  
Author(s):  
Jacek Dygut ◽  
Wiktor Boroń ◽  
Maria Gołda ◽  
Monika Piwowar
Keyword(s):  
Decision Making ◽  
Case Report ◽  
Correct Diagnosis ◽  
Electronic System ◽  
Medical Problem ◽  
Posterior Dislocation ◽  
Medical Procedure ◽  
Joint Dislocation ◽  
Course Of Action ◽  
Decision Making System

AbstractThe paper presents a description of a humeral joint dislocation case placed in full version in the electronic system of presenting content and making decisions. The purpose of the publication is to draw the attention of especially young, inexperienced adepts of medical art to the fact of making mistakes in the medical art. The process of dealing with the correct and incorrect procedures that occur while trying to identify a medical problem is discussed. The presented case gives the opportunity to have a broad view of the issue and is also faced with the need to make decisions by choosing the course of action, at every stage of analyzing the case. Mistakenly made decisions are explained. Finally, the correct diagnosis and medical procedure about the case of a humeral joint dislocation is presented.

Nanocarriers For Vaginal Drug Delivery

2019 ◽  
Vol 13 (1) ◽  
pp. 3-15 ◽  
Author(s):  
Zeenat Iqbal ◽  
Fahima Dilnawaz
Keyword(s):  
Drug Delivery ◽  
Conventional Treatment ◽  
Literature Search ◽  
Relevant Literature ◽  
Extensive Literature ◽  
Treatment Approaches ◽  
Vaginal Drug Delivery ◽  
Extensive Literature Search ◽  
Cyclic Changes ◽  
Delivery Approach

Background:Vaginal drug delivery approach represents one of the imperative strategies for local and systemic delivery of drugs. The peculiar dense vascular networks, mucus permeability, and range of physiological characteristics of the vaginal cavity have been exploited for therapeutic benefit. Furthermore, the vaginal drug delivery has been curtailed due to the influence of different physiological factors like acidic pH, constant cervical secretion, microflora, cyclic changes during periods along with turnover of mucus of varying thickness.Objective:This review highlights advancement of nanomedicine and its prospective progress towards the clinic.Methods:Relevant literature reports and patents related to topics are retrieved and used. Result: The extensive literature search and patent revealed that nanocarriers are efficacious over conventional treatment approaches.Results:The extensive literature search and patent revealed that nanocarriers are efficacious over conventional treatment approaches.Conclusion:Recently, nanotechnology based drug delivery approach has promised better therapeutic outcomes by providing enhanced permeation and sustained drug release activity. Different nanoplatforms based on drugs, peptides, proteins, antigens, hormones, nucleic material, and microbicides are gaining momentum for vaginal therapeutics.

scholarly journals Chronic Distal Radioulnar Joint Dislocation: A Case Report

2019 ◽  
Vol 47 (02) ◽  
pp. 137-140 ◽  
Author(s):  
Leonor Fernandes ◽  
João Sousa ◽  
Fernando Cruz
Keyword(s):  
Case Report ◽  
Distal Radius Fracture ◽  
Open Reduction ◽  
Surgical Techniques ◽  
Distal Radioulnar Joint ◽  
Radius Fracture ◽  
Joint Dislocation ◽  
Radioulnar Joint ◽  
Initial Injury ◽  
Rare Situation

AbstractDislocation of the distal radioulnar joint (DRUJ) usually occurs associated with a distal radius fracture. An isolated dislocation, without a radius fracture, is a rare situation.We present a case of neglected isolated DRUJ dislocation in a 30-year-old manual laborer. The treatment was performed 4 months after the initial injury. Open reduction and fixation were performed. This resulted in a stable, pain-free joint, and the patient resumed his previous work.Surgical techniques of foveal reattachment and dorsal capsuloplasty have been described for chronic DRUJ instability. An isolated and dislocated DRUJ is an uncommon injury that may be misdiagnosed and initially mistreated. There haven't been many reports in the literature of a case such as this.

Traumatic proximal tibiofibular joint dislocation treated by open reduction and temporary fixation: a case report

2006 ◽  
Vol 15 (2) ◽  
pp. 199-201 ◽  
Author(s):  
Yohan Robinson ◽  
Marcus Reinke ◽  
Christoph E. Heyde ◽  
Wolfgang Ertel ◽  
Andreas Oberholzer
Keyword(s):  
Case Report ◽  
Open Reduction ◽  
Proximal Tibiofibular Joint ◽  
Joint Dislocation ◽  
Tibiofibular Joint

scholarly journals Dislocation of the proximal tibiofibular joint

2013 ◽  
Vol 66 (9-10) ◽  
pp. 387-391 ◽  
Author(s):  
Miroslav Milankov ◽  
Vaso Kecojevic ◽  
Nemanja Gvozdenovic ◽  
Mirko Obradovic
Keyword(s):  
Internal Fixation ◽  
Open Reduction ◽  
Full Range ◽  
Open Reduction Internal Fixation ◽  
Outer Side ◽  
Lateral Side ◽  
Proximal Tibiofibular Joint ◽  
Joint Dislocation ◽  
X Ray ◽  
Tibiofibular Joint

Introduction. Dislocation of the proximal tibiofibular joint is a rare injury. It occurs during a sports activity that includes rough twisting movements of the bent knee. The role of the proximal tibiofibular joint is to reduce torsional loads to the ankle, to distribute the bending moment of the outer side of tibia, and transfer the vertical load while standing. In the literature there is no larger series; only several cases of the proximal tibiofibular joint dislocation treated by different methods have been published so far. Case Report. A 23-year-old male soccer player sustained an injury after he had joined the game without previous warming-up. He fell on his right side because of a sudden change of direction while his foot was fixed to the base. He felt a severe pain and had a sensation as if something had snapped in his right knee. Pain and swelling at the head of fibula were found by physical examination, which, however, did not reveal any pain, swelling and instability of the ankle or peroneal nerve palsy. The x-ray showed anterolateral dislocation of the proximal tibiofibular joint, Ogden type II. Since manual reposition in general anesthesia failed, open reduction internal fixation was performed and proximal tibiofibular joint was transfixed with a screw. After the wound closure, the above-the-knee plaster cast was applied. The screw was extracted six weeks later, full weight bearing was allowed and he started with physical therapy. Four months after the injury he returned to sports activities. On the follow- up one year after the injury he had the full range of motion of the knee, no complains, and continued with active soccer playing. X-ray showed no signs of arthrosis of the proximal tibiofibular joint. Conclusion. The proximal tibiofibular joint dislocation may be the cause of the chronic pain of the knee so it has to be taken into account when making differential diagnosis in case of the pain at the lateral side of the knee. The key for making the accurate diagnosis is the technically correct X-ray of the injured knee compared with the opposite one, showing the displacement of fibular head. If manual reposition fails, open reduction internal fixation and screw transfixation of the proximal tibiofibular joint allow good results and fast return to sport activities.

scholarly journals Outcome of fixation of acromioclavicular joint dislocation type-iii with clavicular hook plate

2020 ◽  
Vol 5 (1) ◽  
pp. 45-52
Author(s):  
Pabin Thapa ◽  
Krishna Sapkota ◽  
Niraj Ranjeet ◽  
Pratyenta Raj Onta ◽  
Krishna Wahegaonkar ◽  
...  
Keyword(s):  
Open Reduction ◽  
Implant Removal ◽  
Hook Plate ◽  
Ac Joint ◽  
Rockwood Classification ◽  
Joint Dislocation ◽  
Type Iii ◽  
Ac Joint Dislocation ◽  
Clavicular Hook Plate ◽  
Rockwood Type Iii

Introduction: Acromioclavicular (AC) joint dislocation is one of the most common shoulder injuries accounting for approximately 9-12% of all shoulder girdle injuries. Rockwood classification of AC joint dislocation is the most widely accepted classification system which classifies the injury into six types. Surgical management with open reduction and fixation with clavicular hook plate without the repair of coracoclavicular ligament has proved to be one of the best treatment options for Type III AC joint dislocations. Methods: Twenty-three patients with Rockwood Type III AC joint dislocation were included in the study. Open reduction was done and the fixation was done with the clavicular hook plate. The functional outcomes were assessed before and two months after the implant was removed using the Constant- Murley Score. Results: A total of 23 patients were included in the study with the mean age of 30.74 years. The plates were removed on an average of 6.43 months and mean follow up was 8.83 months. The functional outcome was assessed using the Constant- Murley Shoulder score. The pain scores were significantly better after the implant removal was done (p= 0.007). The final mean constant score was 74.6 ± 4.11 before removal and 93.91 ± 2.71 after implant removal and all the 23 patient had excellent result (>90 points). Conclusions: The pre-contoured clavicular hook plate has proved to be a good implant option in the fixation of Rockwood Type III AC joint dislocation without the need of any ligamentous repair

scholarly journals Traumatic posterior dislocation of sacrococcygeal joint: A case report and review of the literature

2020 ◽  
Vol 11 ◽  
pp. 197
Author(s):  
Vishnu Prasad Panigrahi ◽  
Nitin Adsul ◽  
R. S. Chahal ◽  
K. L. Kalra ◽  
Shankar Acharya
Keyword(s):  
Groin Pain ◽  
Sacral Fracture ◽  
Posterior Dislocation ◽  
Low Back ◽  
Review Of The Literature ◽  
Joint Dislocation ◽  
Unstable Pelvic Fracture ◽  
The Third ◽  
Joint Dislocations ◽  
Sacrococcygeal Joint

Background: Sacrococcygeal joint dislocation is very rare. There are seven cases of sacrococcygeal joint dislocation found in the literature; most are anterior, and only one prior case of posterior dislocation was reported involving the mid-coccygeal joint. Here, we report another case of posterior dislocation of the sacrococcygeal joint. Case Description: A 19 year-old female developed acute low-back and groin pain following a fall from the first floor. She was diagnosed with an unstable pelvic fracture along with posterior dislocation of the sacrococcygeal joint. The next day, after being hemodynamically stabilized, she underwent percutaneous fixation of the sacral fracture, while the sacrococcygeal joint dislocation was managed conservatively. Her pain decreased, and she was discharged on the third postoperative day and followed up to 6 weeks. Conclusion: Most sacrococcygeal joint dislocations can be managed conservatively.

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