ABSTRACT
Isolated trapezio-metacarpal joint dislocation is a rare injury. Despite being simple to reduce, there is not yet a consensus regarding how to secure the reduction, the type of immobilization, and the postoperative protocol. Herein, we present a rare case of pure trapezio-metacarpal joint dislocation without any associated fractures that was treated with closed reduction and intermetacarpal fixation, six weeks of immobilization, and an early rehabilitation protocol.
ABSTRACT
Floating-variant elbow dislocation is a newly updated term used to describe several associations of fractures around the elbow and elbow dislocation that are still not adequately classified due to their rarity. Being extremely rare, only a handful of case reports are found in the literature describing this condition. Most of these papers described cases associated with the posterior or posterolateral direction of elbow dislocation, wherein each author has treated the fracture differently. The decision of surgical treatment, the order of fixation, the material used, and the need for ligamentous repair are all questions that are yet to be answered. We present herein a unique new variant of floating medial elbow dislocation in a 13-year-old female that was successfully treated by closed reduction of the elbow, open reduction of the distal humerus fracture, and orthopedic treatment of the radial shaft fracture.
ABSTRACT
The patellar sleeve fracture is a rare entity in pediatric traumatology. Its diagnosis is challenging due to its rarity and subtle radiographic finding, and it is easily missed by emergency physicians. Early recognition and treatment of this fracture is of paramount importance in order to guarantee better outcomes. We present herein a case of severely displaced patellar sleeve fracture in an eight-year-old girl, which was treated successfully by open reduction and fixation of the osteochondral fragments using anchor sutures, yielding very positive clinical outcomes at the two-year follow-up.
