Subject(s)
Bone Cements , Granuloma, Foreign-Body/etiology , Knee Prosthesis , Polyethylenes , Aged , Female , Femur/diagnostic imaging , Femur/pathology , Granuloma, Foreign-Body/diagnostic imaging , Granuloma, Foreign-Body/pathology , Humans , Osteolysis/diagnostic imaging , Osteolysis/etiology , Osteolysis/pathology , Prosthesis Failure , RadiographySubject(s)
Coccyx , Sacroiliac Joint , Sacrum , Adolescent , Adult , Arthritis/diagnosis , Bone Neoplasms/diagnosis , Coccyx/injuries , Female , Fractures, Bone , Humans , Infant, Newborn , Male , Osteomyelitis/diagnosis , Pregnancy , Pregnancy Complications , Sacroiliac Joint/injuries , Sacrum/abnormalities , Sacrum/injuries , Spondylitis, Ankylosing/diagnosisABSTRACT
The results of operation for traumatic anterior dislocation of the head of the radius in eight children have been reviewed. We are satisfied on the basis of the results obtained and the outcome in one untreated patient that operative reduction is fully justified, provided that the annular ligament is reconstructed and internal fixation employed. We have not seen unilateral congenital dislocation and doubt its existence. Secondary subluxation of the distal radio-ulnar joint has been noted in an untreated patient.
Subject(s)
Joint Dislocations/surgery , Radius/injuries , Child , Child, Preschool , Elbow Joint/surgery , Female , Humans , Joint Dislocations/etiology , Radius/surgery , Elbow InjuriesABSTRACT
Problems of unilateral isolated radial head dislocation have been reviewed in 28 children. A significant number indicated failure of recognition of the dislocation after injury. Disability due to increasing deformity and instability was consistently noted and indicated surgical reduction. Late reduction required reconstruction of the annular ligament. A modified method of reconstruction using a strip of triceps tendon is described. Good results are recorded in a small number of children in whom this was carried out.
Subject(s)
Elbow Injuries , Joint Dislocations , Child , Child, Preschool , Elbow Joint/diagnostic imaging , Elbow Joint/surgery , Humans , Joint Dislocations/surgery , Ligaments, Articular/surgery , RadiographyABSTRACT
The pattern of fracture-dislocation of the upper part of the sacrum is demonstrated in three patients. The fracture line followed the segmental form of the sacrum and was usually caused by a posterior force against the pelvis which had been locked by hip flexion and knee extension. Fractures of the lumbar transverse processes also occurred, presumably from avulsion by the quadratus lumborum muscle. The damage to the sacral plexus found in all three cases recovered after several months. Radiographs of the injury are difficult to obtain in severely injured patients but oblique views of the sacrum help to determine the extent of the forward dislocation.
