Posterior hip dislocation with greater trochanter fracture is an uncommon injury pattern in the acute trauma patient. Frequently associated injury includes a combination of hip dislocation with posterior wall of aceta...Posterior hip dislocation with greater trochanter fracture is an uncommon injury pattern in the acute trauma patient. Frequently associated injury includes a combination of hip dislocation with posterior wall of acetabulum, head of femur fracture, intertrochanteric fracture and even the most severe type of combined acetabular fracture. We report a 42-year-old man post traumatic bilateral hip injuries with irreducible posterior hip dislocation and associated isolated greater trochanteric fracture successfully managed with open reduction and fixation of greater trochanter with universal locking trochanteric stabilization plate.展开更多
Objective To evaluate clinical effect of the ventral release through high anterior cervical retropharyngeal approach and one stage posterior fusion for the treatment ofirreducible atlantoaxial dislocation (IAAD) secon...Objective To evaluate clinical effect of the ventral release through high anterior cervical retropharyngeal approach and one stage posterior fusion for the treatment ofirreducible atlantoaxial dislocation (IAAD) secondary展开更多
Simultaneous ipsilateral fractures involving radial head and distal end of radius are uncommon.We present our thoughts on which fracture should be addressed first.A 68-year-old lady sustained an ipsilateral fracture o...Simultaneous ipsilateral fractures involving radial head and distal end of radius are uncommon.We present our thoughts on which fracture should be addressed first.A 68-year-old lady sustained an ipsilateral fracture of the right radial head and distal end of radius following a fall.Clinically her right elbow was posteriorly dislocated and right wrist was deformed.Plain radiographs showed an intraarticular fracture of the distal end of radius and a comminution radial head fracture with a proximally migrated radius.Magnetic resonance imaging(MRI)showed no significant ligament injuries.We addressed her distal radius first with an an atomical lock ing plate followed by her radial head with a radial head replacement.Our rationale to treat the distal end radius:first was to obtain a correct alignment of Lister's tubercle and correct the distal radius height.Lister's tubercle was used to guide for the correct rotation of the radial head prosthesis.Correcting the distal end fracture radial height helped us with length selection of the radial head prosthesis and address the proximally migrated radial shaft and neck.Postoperative radiographs showed an acceptable reduction.The Cooney score was 75 at 3 months postoperatively,which was equivalent to a fair functional outcome.展开更多
文摘Posterior hip dislocation with greater trochanter fracture is an uncommon injury pattern in the acute trauma patient. Frequently associated injury includes a combination of hip dislocation with posterior wall of acetabulum, head of femur fracture, intertrochanteric fracture and even the most severe type of combined acetabular fracture. We report a 42-year-old man post traumatic bilateral hip injuries with irreducible posterior hip dislocation and associated isolated greater trochanteric fracture successfully managed with open reduction and fixation of greater trochanter with universal locking trochanteric stabilization plate.
文摘Objective To evaluate clinical effect of the ventral release through high anterior cervical retropharyngeal approach and one stage posterior fusion for the treatment ofirreducible atlantoaxial dislocation (IAAD) secondary
文摘Simultaneous ipsilateral fractures involving radial head and distal end of radius are uncommon.We present our thoughts on which fracture should be addressed first.A 68-year-old lady sustained an ipsilateral fracture of the right radial head and distal end of radius following a fall.Clinically her right elbow was posteriorly dislocated and right wrist was deformed.Plain radiographs showed an intraarticular fracture of the distal end of radius and a comminution radial head fracture with a proximally migrated radius.Magnetic resonance imaging(MRI)showed no significant ligament injuries.We addressed her distal radius first with an an atomical lock ing plate followed by her radial head with a radial head replacement.Our rationale to treat the distal end radius:first was to obtain a correct alignment of Lister's tubercle and correct the distal radius height.Lister's tubercle was used to guide for the correct rotation of the radial head prosthesis.Correcting the distal end fracture radial height helped us with length selection of the radial head prosthesis and address the proximally migrated radial shaft and neck.Postoperative radiographs showed an acceptable reduction.The Cooney score was 75 at 3 months postoperatively,which was equivalent to a fair functional outcome.
