ABSTRACT
Simultaneous subluxation of the metacarpophalangeal joints of all four fingers is rare, and we have found no cases in the literature. A 45-year-old construction worker fell and dislocated the metacarpophalangeal joints of all the fingers of his left hand. Closed reduction by manipulation was successfully accomplished, and the patient returned to work within 5 months of his accident. He had a full range of motion 1 year later.
Subject(s)
Finger Injuries , Joint Dislocations , Metacarpophalangeal Joint/injuries , Humans , Joint Dislocations/etiology , Joint Dislocations/therapy , Male , Middle Aged , SplintsSubject(s)
Elbow Injuries , Median Nerve/injuries , Paralysis/etiology , Adult , Child , Electromyography , Female , Follow-Up Studies , Fractures, Bone/complications , Humans , Joint Dislocations/etiology , Male , Median Nerve/surgeryABSTRACT
The authors have treated 10 cases of septic fracture of the femoral shaft by the following technique. In the first stage, necrotic and infected tissues were excised at the fracture site including soft tissue and bone. The importance of a large excision is emphasised. The fracture was then immobilised by an external fixator. In the second stage, the shaft was reconstructed by grafting using bone chips and sometimes massive cancellous bone autografts. The fixators were left until solid bone union had been achieved. 9 excellent results were observed. In one case, the bone refractured with recurrence of sepsis.
