The American journal of orthopedics
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This paper describes a new technique of closed reduction for a dislocated normal hip or a dislocated prosthetic total hip. The Rochester method is unique in that it can usually be done by one trained medical care provider, whereas many other reduction techniques require one or more assistants. ⋯ The medical care provider uses his or her non-dominant arm for pelvic counterforce, while the other arm provides longitudinal traction and rotation control. Most reductions can be done in the emergency department.
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A case of posterior traumatic dislocation of a Thompson prosthesis with fracture of the posterior wall of the acetabulum is presented. Nine years after the reduction and fixation of the posterior acetabular wall and 10 years after the initial neck fracture, the patient was free of pain, and the hip range of motion was within normal limits. To the best of our knowledge, no such case has ever been described in the English literature.
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Scapulothoracic dissociation is an uncommon and devastating traumatic injury. A review of 72 cases in the English literature shows that a broad range of musculoskeletal and neurovascular injuries resulting from blunt trauma have been classified as scapulothoracic dissociation since the term was first used in 1984. A review of the current clinical signs and radiographic findings that define scapulothoracic dissociation, as well as a brief description of treatment options and outcomes, is presented.
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The content and adequacy of orthopedic surgery residency training can be evaluated by several means. The Accreditation Council for Graduate Medical Education and the Residency Review Committee set standards with which residency programs must comply in order to be accredited. Residents' perceptions of the content and adequacy of their training is another means of evaluating orthopedic residency training. ⋯ The most common fellowships taken included sports medicine (20.5% of all respondents), hand (12.1%), and spine (9.5%). Younger graduating residents, those from larger programs (more residents per year), and those from the Mideast (U. S.), and New England regions were most likely to enter a fellowship after graduation.