Archives of orthopaedic and trauma surgery
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Arch Orthop Trauma Surg · Jan 1990
Review Case ReportsBilateral posterior pendulum dislocation of the shoulder. Case report and review of the literature.
A 20-year-old patient with bilateral voluntary and involuntary dislocation of both shoulders is reported on. There was no history of significant trauma, no systemic hypermobility of joints, no signs of neurological or psychological problems, and no evidence of joint disease. According to Reischauer's classification of shoulder instabilities, the patient suffered from bilateral posterior pendulum dislocations of his shoulders. ⋯ After ruling out the possibility of psychological problems, we performed an operative stabilization by arthroscopic means. At 1-year follow-up the patient reported no recurrence, good shoulder musculature, and no disability at work. This result confirms the unsuspicious psychological evaluation and our therapeutic management.
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Arch Orthop Trauma Surg · Jan 1990
Review Case ReportsBrachial artery injury in closed elbow dislocation. Case report and review of literature.
A case of elbow dislocation with injury to the brachial artery is described. The rarity of the complication makes the treatment controversial. Conservative treatment should be the first line of management of this vascular complication.
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Arch Orthop Trauma Surg · Jan 1990
Review Case ReportsOsteochondritis dissecans of the lateral tibial condyle. Report of a new case and review of the literature.
Osteochondritis dissecans (OD) of the lateral tibial condyle is a rare condition. A review of the literature revealed only nine cases in seven patients. We report about a new case. ⋯ Our case supports this theory. Although comparative roentgenograms of the left knee, taken because of complaints in the right one, were interpreted to be normal, retrospective analysis clearly revealed the lateral intercondylar eminence of the left knee to have been irregular many years before the onset of symptoms. Association with a classical OD in the contralateral knee is striking in most of the reported cases.
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Arch Orthop Trauma Surg · Jan 1989
ReviewIncisional hernia through iliac crest defects. A report of three cases with a review of the literature.
Although the iliac crest is the most common site from which autogenous bone grafts are obtained, complications are surprisingly rare. One of these is incisional hernia through the resulting bony defect. ⋯ Elective repair of such hernias is advisable in order to avoid such complications. Attention to primary closure of bony iliac defects when complete is mandatory to prevent the occurrence of incisional hernia.
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Arch Orthop Trauma Surg · Jan 1989
ReviewPost-traumatic osteomyelitis. Pathophysiology and management.
Osteomyelitis is one of the most severe complications that can arise following operative treatment of bone. It requires a long-term treatment. The patient can never be sure that it heals completely. ⋯ Stabilization is achieved by means of an external fixator. Once the fracture area has been cleaned, cancellous bone grafting is done once, twice, or even more frequently. For wound closure it is necessary to rotate muscle groups, to cover the bone with dermatomic skin, or to use microvascular flaps.(ABSTRACT TRUNCATED AT 250 WORDS)