The Experts below are selected from a list of 4305 Experts worldwide ranked by ideXlab platform
Anil K Jain - One of the best experts on this subject based on the ideXlab platform.
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neglected Traumatic Dislocation of the subaxial cervical spine
Journal of Bone and Joint Surgery-british Volume, 2010Co-Authors: Anil K Jain, Ish Kumar Dhammi, Ajay Pal Singh, Puneet MishraAbstract:The optimal method for the management of neglected Traumatic bifacetal Dislocation of the subaxial cervical spine has not been established. We treated four patients in whom the mean delay between injury and presentation was four months (1 to 5). There were two Dislocations at the C5-6 level and one each at C4-5 and C3-4. The mean age of the patients was 48.2 years (27 to 60). Each patient presented with neck pain and restricted movement of the cervical spine. Three of the four had a myelopathy. We carried out a two-stage procedure under the same anaesthetic. First, a posterior soft-tissue release and partial facetectomy were undertaken. This allowed partial reduction of the Dislocation which was then supplemented by interspinous wiring and corticocancellous graft. Next, through an anterior approach, discectomy, tricortical bone grafting and anterior cervical plating were carried out. All the patients achieved a nearly anatomical reduction and sagittal alignment. The mean follow-up was 2.6 years (1 to 4). The myelopathy settled completely in the three patients who had a pre-operative neurological deficit. There was no graft dislodgement or graft-related problems. Bony fusion occurred in all patients and a satisfactory reduction was maintained. The posteroanterior procedure for neglected Traumatic bifacetal Dislocation of the subaxial cervical spine is a good method of achieving sagittal alignment with less risk of iatrogenic neurological injury, a reduced operating time, decreased blood loss, and a shorter hospital stay compared with other procedures.
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neglected Traumatic hip Dislocation in children
Clinical Orthopaedics and Related Research, 2005Co-Authors: Sudhir Kumar, Anil K JainAbstract:Traumatic Dislocation of the hip in children is a rare injury. We report the outcome of open reduction of neglected Traumatic posterior hip Dislocation in 18 children. All patients had posterior Dislocation and no associated fracture. They presented to the hospital because of persisting pain, deformity, and limp that were present for a mean period of 16 weeks after injury (range, 6-52 weeks). Open reduction was done in all patients because none of the hips could be reduced by skeletal traction in abduction. All of the hips had varying degrees of avascular necrosis (osteonecrosis), with preservation of joint space as seen on radiographs. At short term followup, seventeen children had an excellent functional outcome. We suggest that open reduction is a satisfactory treatment for neglected hip Dislocation in children because an anatomically placed femoral head maintains the stimulus for growth of the pelvis and the femur. It prevents deformity and maintains limb length.
B A Padinjarathala - One of the best experts on this subject based on the ideXlab platform.
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the unexpected with ankle fracture Traumatic tibialis posterior tendon Dislocation a case report and literature review
Foot and Ankle Specialist, 2013Co-Authors: Ammar Al Khudairy, M M Zafar, B A PadinjarathalaAbstract:Traumatic Dislocation of tibialis posterior is infrequently reported in the literature. It is rare but potential cause of persistent pain that can be easily missed. Concomitant ankle fracture may obscure the clinical picture and if unsuspected, consequences such as iatrogenic injury to tibialis posterior tendon while fixing the medial malleolus may occur. We report our experience in the management of a tibialis posterior tendon Dislocation associated with ankle fracture. A review of all English literature had been carried with a focus on treatment options.Levels of Evidence: Therapeutic, Level IV, Case report
K J Chen - One of the best experts on this subject based on the ideXlab platform.
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Traumatic Dislocation of the mandibular condyle into the middle cranial fossa treated by an intraoral approach
Journal of the Formosan Medical Association, 2019Co-Authors: Ian Chen, Chiaming Chang, Michael Yuanchien Chen, K J ChenAbstract:Dislocation of the mandibular condyle is one of several consequences of facial trauma that can be anticipated. The condylar neck is inherently weak and likely to fracture at the time of impact before dislocating into the middle cranial fossa. A review of the literature revealed that most cases of Dislocation of the mandibular condyle into the middle cranial fossa are treated by open reduction and internal fixation via an extraoral approach or are treated conservatively with closed reduction. An intraoral approach is rare. Here we present a patient with Traumatic Dislocation of the mandibular condyle into the middle cranial fossa who was treated successfully by condylectomy and coronoidectomy through an intraoral approach and intermaxillary fixation followed by mouth-opening exercises and rehabilitation. Stable occlusion and movement of the mandible was achieved and the long-term results have been good. The intraoral approach may be an option in patients with Traumatic Dislocation of the mandibular condyle into the middle cranial fossa.
Raphael Vialle - One of the best experts on this subject based on the ideXlab platform.
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Traumatic Dislocation of the lumbosacral junction diagnosis anatomical classification and surgical strategy
Injury-international Journal of The Care of The Injured, 2007Co-Authors: Raphael Vialle, Sebastian Charosky, L Rillardon, N Levassor, C CourtAbstract:PURPOSE OF THE STUDY: Traumatic lumbosacral Dislocation is a rare lesion often characterised by a fracture Dislocation of L5-S1 articular facets associated with anterior L5 slipping. Because of its rarity, the surgical strategy of lumbosacral Traumatic Dislocation remains controversial. We report the most important series of Traumatic lumbosacral Dislocation. The cases of six men and five women are presented. We discuss the diagnosis and surgical treatment options regarding the different type of lesions. A moderate anterior slipping of L5 over S1 was present in eight cases. The lesion was a bilateral lumbosacral fracture Dislocation in eight cases, a pure lateral Dislocation in two cases and a unilateral rotatory Dislocation in one case. Patients were multiple-trauma patients in eight cases. A radicular deficit was present in two cases. All patients were treated surgically with a posterior osteosynthesis and fusion. A circumferential fusion was made in six cases. In four cases, the anterior fusion was made during the posterior approach. The postoperative course was favorable in all the cases. One patient necessitated secondarily an iterative posterior lumbosacral fixation and anterior fibular bone graft because of a lumbosacral pseudarthrosis. Traumatic Dislocation of the lumbosacral junction is a rare and severe spinal fracture which occurs in patients after high energy trauma and could be initially misdiagnosed. We devised a new classification based on anatomical lesions. Treatment is always surgical, requiring reduction, osteosynthesis, and fusion. In case of L5 anterior slipping, it is crucial to assess the L5S1 disc by MRI or surgical exploration for disc disruption. In such case, we recommend to perform circumferential fusion to prevent lumbosacral pseudarthrodesis.
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Traumatic hip Dislocation in childhood
Journal of Pediatric Orthopaedics, 2005Co-Authors: Raphael Vialle, Thierry Odent, Stephanie Pannier, Francois Pauthier, Frederic Laumonier, Christophe GlorionAbstract:Traumatic Dislocation of the hip in childhood is uncommon and can be a consequence of minor trauma. The authors report a series of 35 Dislocations in skeletally immature patients. Most were isolated posterior Dislocations without acetabular lesions. In 75% of cases, reduction of the Dislocation was easy. Nine children required surgery to remove interposed joint capsule and/or osteochondral fragments to achieve anatomic reduction. Outcomes were generally good, except in one patient in whom a displaced fracture of the femoral physis was followed by total head avascular necrosis. One case of partial necrosis had a satisfactory outcome. Epiphyseal necrosis, though uncommon, appeared to be inconsistent to prevent and hard to predict. Bone scan seems to be more effective than MRI for the detection of necrosis.
Taco Gosens - One of the best experts on this subject based on the ideXlab platform.
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Traumatic thumb carpometacarpal joint Dislocations
Journal of Hand Surgery (European Volume), 2008Co-Authors: B Bosmans, Michiel H. J. Verhofstad, Taco GosensAbstract:Isolated Traumatic Dislocation of the thumb carpometacarpal joint, also called the trapeziometacarpal joint, is a rare injury. Controversy still exists concerning which ligaments are the true key stabilizers for the joint and therefore need to be damaged to result in Dislocation, and optimal treatment strategies for thumb carpometacarpal joint Dislocations are the subject of continuing debate. We give a review of the literature concerning Traumatic Dislocations of the carpometacarpal joint of the thumb and propose a treatment algorithm.
