Acute Dislocations

Mascioli, Anthony A.

doi:10.1016/b978-0-323-07243-4.00060-8

Cited by 3 publications

(2 citation statements)

References 192 publications

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“… 4 Some patients may even present with myocardial conduction abnormalities. 5 Evaluation for sternoclavicular dislocations are very difficult to assess using x-rays, which typically have a very poor sensitivity. 6 Evaluation is best made via computed tomography with angiography because vascular injury is likely should this diagnosis be made.…”

Section: Discussionmentioning

confidence: 99%

Posterior Sternoclavicular Dislocation: A Case Report

Songey

Goodwill

Sokol

2021

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Posterior sternoclavicular dislocations are very rare and pose immediate threat to mediastinal structures should a patient sustain this type of injury. This case report discusses the presentation and diagnosis of a young male who presented with isolated right arm swelling after blunt trauma one day prior while participating in a bull riding rodeo event. He was diagnosed with posterior right sternoclavicular joint dislocation with compression of the left brachiocephalic vein that was seen on computed tomography (CT) angiogram study. Patient was transferred to a tertiary care center for a higher level of care and definitive reduction management. Any history of blunt shoulder trauma or direct sternoclavicular trauma with symptoms to suggest compression of mediastinal structures should make one suspicious for posterior sternoclavicular dislocation. Evaluation is best made by computed tomography (CT) scan. Reduction should be performed by an orthopedic surgeon in the operating room with cardiothoracic surgery available for any vascular compromise that may occur. Topics Sternoclavicular joint dislocations, trauma, orthopedics.

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Section: Discussionmentioning

confidence: 99%

Posterior Sternoclavicular Dislocation: A Case Report

Songey

Goodwill

Sokol

2021

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“…Recurrent dislocations occur in 17% to 69% of patients after the primary dislocation event 1, 3, 4. In patients with an acute hemarthrosis after a patellar dislocation, concurrent intra-articular injuries are common, with 94% of patients having chondral injuries and 72% having osteochondral injuries 5 …”

Section: Introductionmentioning

confidence: 99%

Suture Tape Augmentation Repair of the Medial Patellofemoral Ligament

Sherman

Vardiabasis

Schlechter

2019

Arthroscopy Techniques

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Adolescents with osteochondral loose bodies after a first-time patellar dislocation are most commonly treated with surgical intervention. However, the ideal method of managing a concurrent medial patellofemoral ligament (MPFL) disruption is still unknown. Recent evidence suggests high failure rates are associated with primary MPFL repair. The purpose of this Technical Note is to describe an alternative surgical technique for managing acute first-time patellar dislocations by using high-strength suture augmentation of the MPFL.

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New insights in the treatment of acromioclavicular separation

Bergen¹,

Bemmel²,

Alta³

et al. 2017

WJO

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A direct force on the superior aspect of the shoulder may cause acromioclavicular (AC) dislocation or separation. Severe dislocations can lead to chronic impairment, especially in the athlete and high-demand manual laborer. The dislocation is classified according to Rockwood. Types I and II are treated nonoperatively, while types IV, V and VI are generally treated operatively. Controversy exists regarding the optimal treatment of type III dislocations in the high-demand patient. Recent evidence suggests that these should be treated nonoperatively initially. Classic surgical techniques were associated with high complication rates, including recurrent dislocations and hardware breakage. In recent years, many new techniques have been introduced in order to improve the outcomes. Arthroscopic reconstruction or repair techniques have promising short-term results. This article aims to provide a current concepts review on the treatment of AC dislocations with emphasis on recent developments.

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Acute Dislocations

Cited by 3 publications

References 192 publications

Posterior Sternoclavicular Dislocation: A Case Report

Posterior Sternoclavicular Dislocation: A Case Report

Suture Tape Augmentation Repair of the Medial Patellofemoral Ligament

New insights in the treatment of acromioclavicular separation

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