Acute Dislocations

Dlabach, Jeffrey A.

doi:10.1016/b978-0-323-03329-9.50060-x

Cited by 4 publications

(8 citation statements)

References 183 publications

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“…Open techniques rarely are necessary for acute dislocation [2]. Only 3 (7%) of our patients had open reduction of acute traumatic dislocation in our series.…”

Section: Discussionmentioning

confidence: 69%

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Management of Traumatic Joint Dislocations in Irrua

Edomwonyi¹,

Nwokike²,

Onuminya³

2015

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Aim: To elucidate the pattern of presentation and management of traumatic major joint dislocations as seen in Irrua Specialist Teaching Hospital. Method: A five-year retrospective review of 44 cases in 43 patients. Data were retrieved from the Medical Records Department of the hospital. Results: Forty-four cases of traumatic dislocations were reviewed in 43 patients. Male to female ratio was 7.6:1. Median age was 33 years. The majority of patients were in the 3 rd decade of life. Patients below 40 years accounted for 62.79% of cases. Twenty-four (55.81%) patients had hip dislocation. Knee dislocations were the least, accounting for 2.32% of cases. All cases except three resulted from road traffic accidents (RTAs). None had neurologic deficits. Nineteen (44.23%) patients had isolated injuries. 76.7% cases presented in less than 6 hours. All shoulder dislocations were anterior while all elbow dislocations were posterior. All except 3 cases were managed by closed manipulation under general anaesthesia. Two patients died from associated head injury. Fourteen patients discharged against medical advice while recuperating in the ward. Follow-up was however difficult as a significant number did not turn up. Conclusion: Hip dislocation is the commonest variety of traumatic dislocation in our setting. A majority of cases were amenable to closed manipulation and immobilization. Road traffic accidents accounted for the majority.

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“…Open techniques rarely are necessary for acute dislocation [2]. Only 3 (7%) of our patients had open reduction of acute traumatic dislocation in our series.…”

Section: Discussionmentioning

confidence: 69%

“…Damage to the articular cartilage, joint capsule, ligaments and vascularity of the bone can lead to post traumatic arthritis [2]. Heterotopic ossifications, osteonecrosis, and associated injuries such as fractures of long bones are other known complications.…”

Section: Introductionmentioning

confidence: 99%

Management of Traumatic Joint Dislocations in Irrua

Edomwonyi¹,

Nwokike²,

Onuminya³

2015

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“…In our patient, reduction of posteriorly dislocated left hip joint was done by the commonly used Allis manoeuvre [6], but reduction of the anteriorly dislocated right hip joint was the trickier one as anterior dislocation is much less commonly encountered in clinical practice. The recommended manoeuvre is similar to the Allis method, but with an addition of lateral traction by an assistant [9].…”

Section: Discussionmentioning

confidence: 99%

“…The radiographs showed posterior dislocation of the left hip joint (Thompson and Epstein type I) and anterior dislocation of the right hip joint (Epstein type IIA, obturator type) [6]. No fracture could be seen on radiographs in proximal ends of either femur or either acetabulum (Figure 2).…”

Section: Case Reportmentioning

confidence: 99%

“…Approximately three hours after injury, the patient was laid supine on the operating table. After the patient was properly anesthetized, closed reduction of the posterior dislocation of the left hip was done using the Allis manoeuvre [6]. The affected hip and knee were flexed to 90 degrees; traction was applied in the line of femur with the assistant holding the pelvis firmly on the table by pressing down both iliac crests.…”

Section: Case Reportmentioning

confidence: 99%

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Bilateral Asymmetric Dislocations of Hip Joints: An Unusual Mechanism of Injury

Kanojia

Patra

Gupta

2013

Case Reports in Orthopedics

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Asymmetric bilateral dislocations of the hips are rare injuries. Among the small number of reports in the literature, most have attributed the cause to high-velocity motor crashes. These dislocations are often seen to be associated with fractures of the proximal femur or the acetabulum. We present a case of a 45-year-old man with bilateral asymmetric dislocation of hips which were purely ligamentous in nature, without any fracture. He sustained his injuries due to a fall while getting on a moving bus. It was an unusual mechanism of injury as compared to the other cases of asymmetric hip dislocations reported in published studies. Both hips were reduced under general anaesthesia within three hours of the trauma. Skin traction and non-weight-bearing rehabilitation were continued for six weeks. After 35 months of followup, the patient remains asymptomatic. Early diagnosis and timely reduction of such dislocations under anaesthesia are necessary for prevention of complications.

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A new minimally invasive surgical technique for medial retinaculum repair following traumatic patellar dislocation

Shtarker

Assaf

Deltoff

2018

Eur J Orthop Surg Traumatol

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A new surgical method is introduced offering a less invasive approach to reattach the medial retinaculum following acute patellar dislocation. This retrospective analysis comprised 12 cases of medial retinacular repair in 10 patients. The surgical technique achieved reinforced reattachment of the torn region of the medial retinaculum for improved patellar support and stabilization. During follow-up, no recurrent patellar dislocations occurred, except where one patient reported a subjective feeling of patellar dislocation. The average Kujala score for our sample group after 2 years was 89.2. A plethora of methods are described in the literature to repair a tear to the medial patellofemoral ligament, which attaches at the superomedial patella. However, it is our contention that traumatic patellar dislocation invariably results in osteochondral avulsion at the inferomedial patella, refuting medial patellofemoral ligament involvement, and, rather, implicating the inferior aspect of the deep layer of medial retinaculum. Our surgical technique enables stable fixation of the region, decreasing the rate of recurrent dislocations. No grafts are used, permitting tendinous and ligamentous anatomy to remain intact. We further postulate that performing a CT examination preoperatively may reduce time between diagnosis and surgery, in addition to locating fracture sites more precisely.

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Acute Dislocations

Cited by 4 publications

References 183 publications

Management of Traumatic Joint Dislocations in Irrua

Management of Traumatic Joint Dislocations in Irrua

Bilateral Asymmetric Dislocations of Hip Joints: An Unusual Mechanism of Injury

A new minimally invasive surgical technique for medial retinaculum repair following traumatic patellar dislocation

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