42 research outputs found
Modified Lumbopelvic Technique Using S1 Pedicle Screws for Spinopelvic Dissociation U-Type and H-Type Sacral Fractures With Kyphotic Deformity.
Food insecurity and cardiovascular health: Findings from a statewide population health survey in Wisconsin
Isolated Dislocation of Hamate with Hook Fracture in Setting of Acute Hand Compartment Syndrome: A Case Report and Review of the Literature
Role of Radiation Therapy in Adult Extraskeletal Ewing's Sarcoma Patients Treated with Chemotherapy and Surgery.
Conditioning of myoblast secretome using mesenchymal stem/stromal cell spheroids improves bone repair.
The Incidence and Risk Factors Associated With the Need for Fasciotomy in Tibia and Forearm Fractures: An Analysis of the National Trauma Data Bank.
Distractor Application and Dry Arthroscopy to Improve Articular Visualization During Scapula Fracture Surgery Via a Posterior Approach.
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Isolated Dislocation of Hamate with Hook Fracture in Setting of Acute Hand Compartment Syndrome: A Case Report and Review of the Literature.
IntroductionA rare case of traumatic, isolated dislocation of the hamate with hook fracture in the setting of concomitant acute hand compartment syndrome is presented. This is the first described case of isolated hamate dislocation presenting with symptoms and examination consistent with acute compartment syndrome of the hand.Case reportA 28-year-old man presented with a left hand crush injury. Plain radiographs demonstrated an isolated dorsal hamate dislocation without axial carpal dislocation and volar displacement of the hook fracture segment. Due to the clinical diagnosis of compartment syndrome, the patient was taken urgently to the operating room. Closed reduction of the hamate was performed, fasciotomies were performed, and the hamate was stabilized with percutaneous pinning. The patient at 6 months had full clinical recovery and returned to work.ConclusionIsolated, traumatic dislocation of the hamate is a rare injury that is most commonly caused by direct impact to the wrist at the level of the carpus. This injury can be readily diagnosed by history, physical examination, and radiographs. Computerized tomography scan may aid in diagnosis, but delay in treatment should not be tolerated in emergent cases. Importantly, crush injuries with a resulting hamate dislocation should increase clinical suspicion for hand compartment syndrome. If diagnosed and treated expediently, patients may benefit from improved and excellent outcomes
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Etiology, Evaluation, and Management of Dislocation After Primary Total Hip Arthroplasty.
The rate of dislocation after primary total hip arthroplasty has decreased, but given the high volume of total hip arthroplasty procedures that are performed, dislocation remains a common complication. The etiology of dislocation after total hip arthroplasty is multifactorial and depends on the patient's characteristics as well as the orthopaedic surgeon's operative techniques and decisions regarding implants. A detailed assessment of the patient, preoperative planning, a thorough understanding of the anatomy, proper surgical technique, and knowledge of the biomechanics of the implant decrease the likelihood of dislocations following total hip arthroplasty. The advent of new techniques and procedures has further reduced the occurrence of dislocation following total hip arthroplasty. However, should dislocation occur, primary management or revision total hip arthroplasty techniques provide excellent results to salvage the mobility and function of the hip