Comparative Study on the Management of Glenohumeral Joint Dislocation : Closed Reduction vs. Arthroscopic Remplissage with Bankart Lesion Repair

2016 ◽  
Vol 64 (3) ◽  
pp. 175-180 ◽  
Author(s):  
Riad Fakih ◽  
Muhieddine Rada Hamie ◽  
Mahmoud Sami Yassine
Keyword(s):  
Comparative Study ◽  
Closed Reduction ◽  
Glenohumeral Joint ◽  
Bankart Lesion ◽  
Joint Dislocation

scholarly journals Glenohumeral joint dislocation is rare in children with proximal humeral fractures: a descriptive study and literature review

2022 ◽  
Vol 23 (1) ◽  
Author(s):  
Pan Hong ◽  
Saroj Rai ◽  
Ruikang Liu ◽  
Xin Tang ◽  
Jin Li
Keyword(s):  
Closed Reduction ◽  
Proximal Humerus ◽  
Glenohumeral Joint ◽  
Pediatric Population ◽  
Case Series ◽  
Proximal Humeral Fractures ◽  
Humeral Fractures ◽  
Joint Dislocation ◽  
Glenohumeral Dislocation

Abstract Background Glenohumeral dislocation combined with fracture of the proximal humerus is extremely rare in children, and this study aims to investigate its incidence in the pediatric population and review the treatment strategy for this condition. Methods Between Jan 2014 and Jan 2019, 280 patients with unilateral proximal humeral fractures were retrospectively reviewed. Imaging and follow-up notes were reviewed for patients with a predilection for glenohumeral joint dislocation. Six (2.14%) patients between the ages of 5 and 10 years were confirmed as glenohumeral joint dislocation and included in the study. All these patients underwent closed reduction and external fixation under general anesthesia. Results Out of 280 patients with proximal humeral fractures, only 6 patients, including 4 males and 2 females, were confirmed as glenohumeral joint dislocation. ROM was normal compared with the contralateral shoulder in every patient at the last follow-up. There was no case of radiological abnormality, including avascular necrosis or devascularization of the humeral head. Conclusions Glenohumeral dislocation is a rare entity associated with the proximal humerus fracture in children, with an overall incidence in our case series was 2.14%. Reduction and stabilization of such injury using an external fixator is a suitable choice for pediatric patients that failed closed reduction.

scholarly journals Closed Reduction and Percutaneous Kirschner Wire Fixation Combined with Plaster Cast versus Conventional Plaster Cast immobilization in the Treatment of Colles' Fracture – A Prospective Randomized Comparative Study

1970 ◽  
Vol 17 (2) ◽  
pp. 98-105 ◽  
Author(s):  
KS Uzzaman ◽  
KA Awal ◽  
MK Alam
Keyword(s):  
Comparative Study ◽  
Closed Reduction ◽  
Kirschner Wire ◽  
Plaster Cast ◽  
Cast Immobilization ◽  
Fixation Group ◽  
Wire Fixation ◽  
Colles Fracture ◽  
End Results

Purpo'e: To evaluate functional & anatomical results of the Colles’ fracture treated by two methods- i) Closed reduction & precutaneous kirschner wire (K- wire) fixation combined with plaster cast & ii) Conventional plaster cast immobilization after closed reduction.Methods: A randomized prospective comparative study was done from July 2003 to June 2005 on 52 patient with Colles' fracture in NITOR, Dhaka. 12 patients lost from follow up. Twenty patient (20) in each group were finally available for evaluation. The group treated by closed reduction & percutaneous K-wire fixation combined with plaster cast- designated as "Arm A" & another group treated conventionally by plaster cast only designated by "Arm-B". Male Female ratio was 1:3, Age range was 35 to 70 years (Mean age 52.5 years) Distribution of limbs side involvement almost equal. Mode of injuries were domestic fall & RTA (4:1) According to AO classification fracture were in both groups- A2 = 13, A3 = 10, C1 = 6, C2 = 8 & C3 = 3 (Total- 40). Follow up period was 6-14 months (mean = 6 month)Results: Union time for most of the fractures was 6-8 weeks. At final follow up Satisfactory Anatomical end results of percutuneous fixation group (Arm-A) were 80% and in conventional plaster cast group (Arm-B) were 35%. (P<0.01). Satisfactory functional end results in Arm-A group were 70% and in Arm-B group were 30% (P<0.01) Complications seen much more in conventional group (Arm-B) than percutaneous K-wire fixation group (Arm-B). Sarmiento & Latta’s criteria was used to evaluate the progress.Conclusion: The coventional plaster cast method for treatment of colles’ fracture usually can't maintain radial length & angulation in many instances and results significant anatomical difficultly and functional disability. On the other hand after close reduction additional fixation in the form of percutaneous crossed K-wire can maintain the reduction till bony union & prevent late collapse at fracture site & provides better result. Key Words: Colles' fracture; closed reduction; Plaster cast & Kirschner wire (K-wire) fixationDOI: 10.3329/jdmc.v17i2.6591J Dhaka Med Coll. 2008; 17(2) : 98-105

scholarly journals A Comparative Study of Open Reduction and Internal Fixation with PHILOS Plate versus Closed Reduction and Fixation with Percutaneous K Wiring of Neer’s 2-Part and 3-Part Proximal Humerus Fractures

2020 ◽  
Vol 7 (40) ◽  
pp. 2247-2250
Author(s):  
Mahesh Gangaiah ◽  
Monesh Kanakappa Basavaraj ◽  
Balaraj Gowda Hanumantappa ◽  
Girish Halasinanagenahalli Rudrappa ◽  
Balakrishnan Honnapura Doppapettigama ◽  
...  
Keyword(s):  
Comparative Study ◽  
Internal Fixation ◽  
Closed Reduction ◽  
Open Reduction ◽  
Proximal Humerus ◽  
Plate Versus ◽  
Proximal Humerus Fractures ◽  
Philos Plate ◽  
Humerus Fractures

scholarly journals Effects of Rehabilitation in Bankart Lesion in Non-athletes: A report of three cases

Open Medicine ◽  
2019 ◽  
Vol 14 (1) ◽  
pp. 369-375 ◽  
Author(s):  
Yong Hwan Kim ◽  
Wi-Young So
Keyword(s):  
Muscle Strength ◽  
Glenohumeral Joint ◽  
Sports Injury ◽  
Bankart Lesion ◽  
Office Worker ◽  
Long Term Effects ◽  
Muscle Strengthening ◽  
Subsequent Performance ◽  
Rehabilitation Outcomes ◽  
Post Surgery

AbstractA Bankart lesion is a common traumatic sports injury of the glenohumeral joint. When the shoulder is dislocated, the connective tissue surrounding the joint may tear or rupture. This study aimed to describe the initial dislocation, treatment, medical treatment, rehabilitation outcomes at 3 and 8 months, and return to daily life for three patients. Patient 1 was a 28-year-old male office worker who enjoyed fitness and weight training. His injury was sustained by a fall from his bicycle and subsequent performance of pull-up exercises. Surgery was recommended for repair of the anterior and inferior labrum tear. Reassessment of the surgery was performed after 2 months of rehabilitation. The patient was asked to exercise once a week at a rehabilitation center and to perform home-based exercises. In the first 2 months, the main exercise consisted of range of motion (ROM) exercises and stretching. Thereafter, muscle strengthening, using tubing, equipment and body weight exercises, and proprioceptive exercises were performed to gradually improve muscle strength and for return to daily activities. ROM progressively increased, with recovery of normal range at 2 months post-surgery. However, pain decreased only slightly, with a visual analog score of 6 out of 10 at 2 months post-surgery. At 8 months, the pain was bearable, without causing discomfort. Muscle strength remained almost unchanged initially but gradually recovered, although with a residual deficit of 20–30% in flexion, adduction and internal rotation. Considering the prolonged rehabilitation after surgery, future studies are warranted to analyze the long-term effects of non-surgical therapies by accumulating more cases and developing effective exercise rehabilitation programs.

scholarly journals Closed reduction of a posterior sternoclavicular joint dislocation: A case report

2018 ◽  
Vol 17 ◽  
pp. 1-4
Author(s):  
Tadashi Iwai ◽  
Kazushige Tanaka ◽  
Mamoru Okubo
Keyword(s):  
Case Report ◽  
Closed Reduction ◽  
Sternoclavicular Joint ◽  
Joint Dislocation

Fracture-dislocation of the talus in the pediatric patient. An unusual injury

1991 ◽  
Vol 81 (9) ◽  
pp. 495-498 ◽  
Author(s):  
JM Stutz ◽  
JM Karlin ◽  
N Daly
Keyword(s):  
Pediatric Patient ◽  
Closed Reduction ◽  
Subtalar Joint ◽  
Fracture Dislocation ◽  
Joint Dislocation ◽  
Subtalar Dislocation ◽  
Posterior Process ◽  
Fracture Dislocations ◽  
Unusual Injury

Subtalar fracture-dislocations in children are unusual, perhaps because of the greater elasticity of bone in children. The authors have presented a case of medial subtalar dislocation in a 13-year-old boy, accompanied by a rare fracture of the entire posterior process of the talus. This particular fracture has not been previously reported in association with a subtalar joint dislocation, nor has it been reported in a child. The patient was treated successfully by closed reduction of both the dislocation and the fractures.

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