Archives of orthopaedic and trauma surgery
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Arch Orthop Trauma Surg · Jan 1988
Reduction of shoulder dislocations under interscalene brachial blockade.
Even under short sedation, reduction of shoulder dislocations is often difficult, because of the reflectory contraction of the muscles around the humeroglenoidal joint in response to pain. Administration of interscalene brachial blockade produces analgesia and complete relaxation of the muscles of the shoulder joint. We report on ten consecutive shoulder dislocations which were reduced while the patients were under interscalene brachial blockade. In all cases, reduction was easy and free from complications.
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Arch Orthop Trauma Surg · Jan 1988
Review Case ReportsTransient osteoporosis of the hip in the first trimester of pregnancy. A case report and review of Japanese literature.
A patient with transient osteoporosis of the hip in her first trimester of pregnancy is reported in this study. Rapid symptomatic improvement after artificial abortion was observed. These findings exclude pressure on the obturator nerve, Sudeck's osteodystrophy, venous obstruction, and excessive demand of proteins and calcium in the etiology of this condition. Rather it is here suggested that chemical or hormonal factors related to pregnancy play an important role in the etiology.
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Arch Orthop Trauma Surg · Jan 1987
Comparative StudyComminuted Colles' fractures treated with external fixation.
In a prospective series of 75 patients the results of early external fixation of comminuted intraarticular Colles' fractures were studied. Comparison was made to a control group of 32 patients treated with plaster cast fixation. The groups were equal with regard to age, sex and fracture type. ⋯ In all follow up variables the treatment group was significantly better than the control group. The prognosis of conservatively treated comminuted intraarticular Colles' fractures is poor. The results of after external fixation are, however, very encouraging and the method can be recommended.
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Arch Orthop Trauma Surg · Jan 1987
Case ReportsIntraarticular calcaneal fractures in children. Report of two cases and a survey of the literature.
Calcaneal fractures in young children are seen very infrequently. Intraarticular calcaneal fractures in children under the age of ten years make up 8-39% of the calcaneal fractures in that age group, and most often non or only a slight displacement is seen. ⋯ Generally the treatment is conservative and the prognosis very good. Two cases of severely displaced intraarticular calcaneal fractures in children aged six and ten years are presented together with a survey of the literature.
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Arch Orthop Trauma Surg · Jan 1986
Case ReportsRecurrent traumatic dislocation of the hip in a child: significance of early hip arthrography.
The authors describe a case of a recurrent posterior traumatic dislocation of the hip in a child in whom early arthrography demonstrated a large defect of the posterior capsule. The authors emphasize the necessity of prolonged immobilization and long-term follow-up. The operation of the patient was performed on the 7th day after the third recurrence of the dislocation. Revision and suture of the capsular defect from Gibson's approach were done.