RESUMO
The incidence of femoral head fracturesafter posteriorhip dislocation is approximately 5-15%, and femoral head fractures are highly associated with posterior dislocation. Femoral head fractures can cause avascular necrosis of the femoral head or post-traumatic osteoarthritis; therefore, diagnosis and appropriate treatment is important. We present a case of femoral head fracture without hip dislocation, as well as a literature review.
Assuntos
Luxações Articulares , Fêmur , Cabeça , Quadril , Luxação do Quadril , Incidência , NecroseRESUMO
To evaluate outcomes of arthroscopic meniscal repair using fibrin clot for horizontal tears in young adults, we investigated clinical and morphological results after the meniscal repairs were performed. Between August 1995 and August 1997, we treated five patients with horizontal tears of the meniscus, of which the meniscal tears were not accompanied any concomitant intra-articular lesions or meniscal degeneration. We assessed outcomes using Lysholm score, magnetic resonance imaging(MRI) and second-look arthroscopy. In all 5 cases, MRI showed the following results 1 complete healing, 1 incomplete healing, and 3 with no healing. Two patients underwent second-look arthroscopy, one complained of persistent pain for two years after surgery, showing meniscal tears on the MRI and received partial meniscectomy, while the other showed complete healing using second-look arthroscopy after 3 months postoperative recuperation and MRI 68 months after surgery. According to Lysholm score, two cases were assessed with less than 70 points. For the horizontal meniscal tears in young adults, arthroscopic meniscal repair using fibrin clot produced satisfactory clinical results however, it exhibited morphologically poor results.