Acute lateral patellar dislocation is relatively common in younger age group and most likely caused by indirect trauma. About 10% of acute patella dislocations are the result of a direct blow to the medial side. We report a case of irreducible lateral patellar dislocation which is of exceptional interest in that lateral patellar dislocation (extra-articular) occurred in comparatively older age group with arthritic knee, there was no direct trauma involved and it was associated with some rotation along long axis, impaction of patella on lateral femoral condyle and was locked underneath osteophytic ridge of lateral femoral condyle, which needed open reduction. This is a very rare injury, first of its kind being reported in Australia.
This study suggests that minor deformities of the distal radius following distal radius fractures treated with either operative or nonoperative treatment are unlikely to be clinically relevant and have no impact on patient perceived outcomes for elderly patients.
Paediatric elbow biepicondylar fracture dislocations are very rare injuries and have been only published in two independent case reviews. We report a case of 13 years old boy, who sustained this unusual injury after a fall on outstretched hand resulting in an unstable elbow fracture dislocation. Closed reduction was performed followed by delayed ORIF (Open Reduction and Internal Fixation) with K wires. Final follow-up at 14 weeks revealed a stable elbow and satisfactory function with full supination-pronation, range of motion from 0°-120° of flexion and normal muscle strength. This type of injury needs operative treatment and fixation to restore stability and return to normal or near normal elbow function. The method of fixation (screws or K wires) may depend on size and number of fracture fragments.
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