Delayed closed reduction of rotatory atlantoaxial dislocation in an adult

The Treatment of Traumatic Atlantoaxial Rotatory Subluxation (Fielding Type I) and the Correlation between the Clinical Progress and Radiological Reduction Parameter

“…If the injury onset was longer than 3 months, the satisfactory outcome can be expected by an operation. 1,[8][9][10] It is known that the early diagnosis is essential for the successful non-invasive reduction in adult atlantoaxial rotatory subluxation and the need for the invasive reduction increases when the reduction is delayed for several months 5,11) like the pediatric atlantoaxial rotatory subluxation. However, there aren' t enough systemic studies regarding adult atlantoaxial rotatory subluxation based on Fielding type 1, 2 and 3, and only there are several reports of bilateral atlantoaxial rotatory subluxation cases caused by trauma to date.…”

“…The causes for this are known to be the genetic disorders and mild injuries such as upper respiratory tract infection, head and neck operation, Down syndrome and Morquio's syndrome. 3,4) On the other hand the cause of atlantoaxial rotatory subluxation of patient older than 20 years old is thought to be due to severe trauma 5) and much discussion about this haven't been taken placed apart from only several case reports. Therefore, the continuous studies regarding whether applying established management methods of pediatric atlantoaxial rotatory subluxation to the adult traumatic atlantoaxial rotatory subluxation is required.…”

Combination of skull traction with posterior C1-2 fusion for old C1–2 dislocations

“…[19][20][21] This method was often successful in patients in the present study, but the most common treatment reported for patients with old C1-2 dislocation who respond poorly to traction, is transoral or transmaxillary ventral decompression. [1][2][3][4][5] However, these procedures have a high incidence of complications.…”

Fracturas de calcáneo: controversias y consensos

“…No obstante, con los tratamientos médicos actuales, especialmente en pacientes con psicosis e intentos de autólisis (clásicamente tras precipitación), debemos valorar particularmente cada caso pues podemos condenar a pacientes que pueden llevar una vida prácticamente normal a sufrir las dolorosas secuelas de las fracturas de calcáneo mal reducidas 24 .…”