Clinical orthopaedics and related research
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Carpal injuries are confusing and treacherous. Understanding the mechanisms are important in diagnosis and treatment. The mechanisms of extension, intercarpal supination and ulnar deviation can lead to most of the fractures and dislocations of the carpus and distal radius. ⋯ They start on the radial side, progress to the central carpals and end on the ulnar side. Stress roentgenographic views obtained acutely can aid in determining the type of injury present and its stability. Chronic residuals include: articular damage, carpal collapse, and contractures, intercarpal, radiocarpal and radioulnarinstability and skeletal loss or defects.
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Clin. Orthop. Relat. Res. · Jun 1980
Case ReportsAvulsion fracture of the fibular sesamoid in association with dorsal dislocation of the metatarsophalangeal joint of the hallux: report of a case and review of the literature.
A case of avulsion fracture of the lateral sesamoid is reported in association with dislocation of themetatarsophalangeal joint of the hallux. The radiographic criteria to establish the diagnosis of fracture in sesamoid bones are outlined. Review of the literature reveals only one other reported case associated with a hallux dislocation, and in that case, the radiographic diagnosis was not clearly established.
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Clin. Orthop. Relat. Res. · Jun 1980
Winging of the scapula as a complication of first rib resection: a report of six cases.
Long thoracic nerve injury occurred in 6 patients as a complication of first rib resection by the transaxillary route for relief of thoracic outlet syndrome. In a review of 38 patients following 48 first rib resections, this is the second most frequent complication. ⋯ In 4 patients the long thoracic nerve palsy was transient, and complete recovery of serratus anterior function occurred within 6 months. In one patient, complete recovery followed repair of the long thoracic nerve.