The Experts below are selected from a list of 34209 Experts worldwide ranked by ideXlab platform
Yukleung Wai - One of the best experts on this subject based on the ideXlab platform.
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isolated dislocation of the radial head with simultaneous dislocation of proximal and distal radio ulnar joints without fracture in an adult patient case report and review of the literature
Injury-international Journal of The Care of The Injured, 2002Co-Authors: Y F Leung, Allison Wong, K N Wong, Yukleung WaiAbstract:A 36-year-old female saleswoman presented with left upper limb injury in a landslide in 1999. The falling stones and mud caught her left forearm with the elbow in semi-flexion and pronation position. The left wrist was hyperflexed passively by the rushing mud. The patient described a pronated twisting force on her left forearm associated with severe pain. She also had minor head injury but without loss of consciousness. The Glasgow Coma Scale was normal with no retrograde amnesia. On physical examination, her left elbow was held in flexion and hyperpronation with the wrist in flexion. A superficial abrasion was noted on the dorsal surface of the left forearm. The elbow and wrist were swollen. All movements of the elbow and wrist were limited by severe pain. There was no neurological or vascular injury. Radiography of the forearm (Fig. 1) included the left elbow and wrist joint was taken. It revealed antero-lateral dislocation of the radial head at the radio-capitellar joint, dislocation of the proximal and distal radio-ulnar joints without fracture of the left upper limb. The ulnar head was dislocated volar to the carpus and distal radius while the radial head was volar to the proximal ulna. The ulno-humeral articulation was intact. The forearm bones had a criss-cross appearance on the lateral radiograph. An elbow arthrogram showed some leakage of the contrast from the elbow joint and no intra-articular loose cartilage fragments. Closed reduction was performed under general anaesthesia. The distal radio-ulnar joint reduced with pronation of the forearm but the proximal radio-ulnar joint and dislocated radial head could only be reduced with supination of the forearm. Reduction of one end was repeatedly lost during the manipulation of the other end. Eventually, the distal radio-ulnar joint was reduced by pronation of the forearm and held by compression of the distal ulna against the distal radius with one hand. The forearm was then supinated, reducing the proximal radio-ulnar joint and radio-humeral articulation. Both reductions were stable in neutral rotation and no K-wire was required. There was no diastasis seen at the radio-ulnar joints, we presumed the interosseous membrane was intact. A long arm Cast was applied for 5 weeks with the forearm in neutral rotation, 90° of elbow flexion, and the wrist in neutral deviation and 25° of dorsiflexion. A course of physiotherapy and occupational therapy was offered. The patient regained full function and range of movement of the elbow and wrist joints 2 months after the Cast was removed. Minor degree of instability of the distal radio-ulnar joint was noticed on rocking the ulnar head against the radius on follow-up at 6 months, but this became stable at 1 year. The patient had full recovery of function.
Anne G Kjersgaard - One of the best experts on this subject based on the ideXlab platform.
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isolated ulnar shaft fractures comparison of treatment by a functional brace and long arm Cast
Journal of Bone and Joint Surgery-british Volume, 1992Co-Authors: Peter Gebuhr, Michael Soelberg, Michael Krasheninnikoff, Per Holmich, T Orsnes, Anne G KjersgaardAbstract:In a prospective study, we randomly allocated 39 patients with isolated fractures of the lower two-thirds of the ulnar shaft to treatment either by a prefabricated functional brace or a Long-Arm Cast. Significantly better wrist function and a higher percentage of satisfied patients were found in the braced group. Thirteen patients returned to employment while still wearing the brace but only one was able to work in a Cast.
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comparison of treatment by a functional brace and long arm Cast
1992Co-Authors: Peter Gebuhr, Michael Soelberg, Michael Krasheninnikoff, Anne G KjersgaardAbstract:In a prospective study, we randomly allocated 39 patients with isolated fractures of the lower two-thirds of the ulnar shaft to treatment either by a prefabricated functional brace or a Long-Arm Cast. Significantly better wrist function and a higher percentage of satisfied patients were found in the braced group. Thirteen patients returned to employment while still wearing the brace but only one was able to work in a Cast.
Y F Leung - One of the best experts on this subject based on the ideXlab platform.
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isolated dislocation of the radial head with simultaneous dislocation of proximal and distal radio ulnar joints without fracture in an adult patient case report and review of the literature
Injury-international Journal of The Care of The Injured, 2002Co-Authors: Y F Leung, Allison Wong, K N Wong, Yukleung WaiAbstract:A 36-year-old female saleswoman presented with left upper limb injury in a landslide in 1999. The falling stones and mud caught her left forearm with the elbow in semi-flexion and pronation position. The left wrist was hyperflexed passively by the rushing mud. The patient described a pronated twisting force on her left forearm associated with severe pain. She also had minor head injury but without loss of consciousness. The Glasgow Coma Scale was normal with no retrograde amnesia. On physical examination, her left elbow was held in flexion and hyperpronation with the wrist in flexion. A superficial abrasion was noted on the dorsal surface of the left forearm. The elbow and wrist were swollen. All movements of the elbow and wrist were limited by severe pain. There was no neurological or vascular injury. Radiography of the forearm (Fig. 1) included the left elbow and wrist joint was taken. It revealed antero-lateral dislocation of the radial head at the radio-capitellar joint, dislocation of the proximal and distal radio-ulnar joints without fracture of the left upper limb. The ulnar head was dislocated volar to the carpus and distal radius while the radial head was volar to the proximal ulna. The ulno-humeral articulation was intact. The forearm bones had a criss-cross appearance on the lateral radiograph. An elbow arthrogram showed some leakage of the contrast from the elbow joint and no intra-articular loose cartilage fragments. Closed reduction was performed under general anaesthesia. The distal radio-ulnar joint reduced with pronation of the forearm but the proximal radio-ulnar joint and dislocated radial head could only be reduced with supination of the forearm. Reduction of one end was repeatedly lost during the manipulation of the other end. Eventually, the distal radio-ulnar joint was reduced by pronation of the forearm and held by compression of the distal ulna against the distal radius with one hand. The forearm was then supinated, reducing the proximal radio-ulnar joint and radio-humeral articulation. Both reductions were stable in neutral rotation and no K-wire was required. There was no diastasis seen at the radio-ulnar joints, we presumed the interosseous membrane was intact. A long arm Cast was applied for 5 weeks with the forearm in neutral rotation, 90° of elbow flexion, and the wrist in neutral deviation and 25° of dorsiflexion. A course of physiotherapy and occupational therapy was offered. The patient regained full function and range of movement of the elbow and wrist joints 2 months after the Cast was removed. Minor degree of instability of the distal radio-ulnar joint was noticed on rocking the ulnar head against the radius on follow-up at 6 months, but this became stable at 1 year. The patient had full recovery of function.
Peter Gebuhr - One of the best experts on this subject based on the ideXlab platform.
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isolated ulnar shaft fractures comparison of treatment by a functional brace and long arm Cast
Journal of Bone and Joint Surgery-british Volume, 1992Co-Authors: Peter Gebuhr, Michael Soelberg, Michael Krasheninnikoff, Per Holmich, T Orsnes, Anne G KjersgaardAbstract:In a prospective study, we randomly allocated 39 patients with isolated fractures of the lower two-thirds of the ulnar shaft to treatment either by a prefabricated functional brace or a Long-Arm Cast. Significantly better wrist function and a higher percentage of satisfied patients were found in the braced group. Thirteen patients returned to employment while still wearing the brace but only one was able to work in a Cast.
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comparison of treatment by a functional brace and long arm Cast
1992Co-Authors: Peter Gebuhr, Michael Soelberg, Michael Krasheninnikoff, Anne G KjersgaardAbstract:In a prospective study, we randomly allocated 39 patients with isolated fractures of the lower two-thirds of the ulnar shaft to treatment either by a prefabricated functional brace or a Long-Arm Cast. Significantly better wrist function and a higher percentage of satisfied patients were found in the braced group. Thirteen patients returned to employment while still wearing the brace but only one was able to work in a Cast.
Allison Wong - One of the best experts on this subject based on the ideXlab platform.
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isolated dislocation of the radial head with simultaneous dislocation of proximal and distal radio ulnar joints without fracture in an adult patient case report and review of the literature
Injury-international Journal of The Care of The Injured, 2002Co-Authors: Y F Leung, Allison Wong, K N Wong, Yukleung WaiAbstract:A 36-year-old female saleswoman presented with left upper limb injury in a landslide in 1999. The falling stones and mud caught her left forearm with the elbow in semi-flexion and pronation position. The left wrist was hyperflexed passively by the rushing mud. The patient described a pronated twisting force on her left forearm associated with severe pain. She also had minor head injury but without loss of consciousness. The Glasgow Coma Scale was normal with no retrograde amnesia. On physical examination, her left elbow was held in flexion and hyperpronation with the wrist in flexion. A superficial abrasion was noted on the dorsal surface of the left forearm. The elbow and wrist were swollen. All movements of the elbow and wrist were limited by severe pain. There was no neurological or vascular injury. Radiography of the forearm (Fig. 1) included the left elbow and wrist joint was taken. It revealed antero-lateral dislocation of the radial head at the radio-capitellar joint, dislocation of the proximal and distal radio-ulnar joints without fracture of the left upper limb. The ulnar head was dislocated volar to the carpus and distal radius while the radial head was volar to the proximal ulna. The ulno-humeral articulation was intact. The forearm bones had a criss-cross appearance on the lateral radiograph. An elbow arthrogram showed some leakage of the contrast from the elbow joint and no intra-articular loose cartilage fragments. Closed reduction was performed under general anaesthesia. The distal radio-ulnar joint reduced with pronation of the forearm but the proximal radio-ulnar joint and dislocated radial head could only be reduced with supination of the forearm. Reduction of one end was repeatedly lost during the manipulation of the other end. Eventually, the distal radio-ulnar joint was reduced by pronation of the forearm and held by compression of the distal ulna against the distal radius with one hand. The forearm was then supinated, reducing the proximal radio-ulnar joint and radio-humeral articulation. Both reductions were stable in neutral rotation and no K-wire was required. There was no diastasis seen at the radio-ulnar joints, we presumed the interosseous membrane was intact. A long arm Cast was applied for 5 weeks with the forearm in neutral rotation, 90° of elbow flexion, and the wrist in neutral deviation and 25° of dorsiflexion. A course of physiotherapy and occupational therapy was offered. The patient regained full function and range of movement of the elbow and wrist joints 2 months after the Cast was removed. Minor degree of instability of the distal radio-ulnar joint was noticed on rocking the ulnar head against the radius on follow-up at 6 months, but this became stable at 1 year. The patient had full recovery of function.
