We are reporting a case that a 61-year-old patient who had simultaneous anterior dislocation of left hip and anterior dislocation of right knee after fall from a height injury was treated by closed reduction respectively.
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Combined Ipsilateral Fracture and Dislocation of Hip, Knee and Foot Joints - A Case Report - Hyoung-Soo Kim, Ju-Hak Kim, Sang-Joon Park, Jae-Won Hyung Journal of the Korean Fracture Society.2012; 25(1): 73. CrossRef
Traumatic anterior dislocation of the hip is an uncommon injury, accounting for less than 10% of all reported cases of traumatic hip dislocation. Especially, there are no known report in our country so far. We are reporting a case of a 81 year old man who sustained bilateral anterior hip dislocation after pedestrian traffic accident, and treated by closed reduction and skeletal traction at our institute.
Pelvic fractures result from high energy trauma and often associated with concomitant injuries. But, vertically unstable pelvic fractures combined with anterior dislocation of the hip is far less common. The traumatic dislocation of the hip is a true orthopedic emergency and it should be considered that a femoral head can be exposed to deteriorized vascularity. We report a case of vertically unstable pelvic fractures combined with traumatic anterior dislocation of the hip joint with the review of the literature.
PURPOSE The purpose of this study was to evaluate the clinical result of modified Bankart operation repairing the Bankart lesion with capsular shifting using suture anchor in traumatic recurrent anterior dislocation of shoulder joint MATERIALS AND METHODS: All of the cases were treated with modified Bankart operation. The inferior and superior capsular flaps were advanced to the anterior aspect of glenoid neck and fixed with three suture anchors in 30 degrees abduction and external rotation of shoulder joint. Especially the inferior 1/3 capsular flap was sutured over the superior 2/3 capsular flap. We used the grading system of Rowe and Zarins as measuring function, pain, stability, range of motion of shoulder joint. RESULT The clinical results were excellent in 80%, good in 20%. The mean loss of motion at follow up study was 2% of flexion and 7% of external rotation. CONCLUSION This operative technique is useful in repairing the Bankart lesion and gaining adequate capsular tension. And the using of suture anchor could save the operation time.
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Result of Early Active Range of Motion Exercise after Bankart Repair of Traumatic Anterior Instability Haeng Kee Noh, Jong Woong Park, Jung Il Lee, Jung Ho Park Journal of the Korean Fracture Society.2007; 20(1): 53. CrossRef
A distal clavicle fracture, as a single fracture, has been reported frequently in the literature. However, combined anterior shoulder dislocations with fracture of the coracoid or acromion is very rare. Fracture of the coracoid or the acromion are even uncommon, represent 3-5% and 9-12% of scapular fractures respectively, which account for 1 perecnt of all fractures. Combined anterior shoulder dislocations with distal end clavicle or glenoid rim fractures are also rare. We observed the concurrent quadruple lesion: fracture of acromion, distal end of clavicle, distal coracoid and glenoid rim associated with anterior shoulder dislocation. To our knowledge, this combined injury has not been reported previously in the literature. Therefore, We presented the proposed mechanism of injury, course of treatment, and its clinical outcome with brief review of literature.