Clinical orthopaedics and related research
-
Clin. Orthop. Relat. Res. · Dec 1993
Case ReportsCase report of a successful closed reduction without anesthesia.
Intraarticular dislocation of the patella is a rare clinical entity. Horizontal dislocation occurs when the patella rotates 90 degrees about its horizontal axis. ⋯ Furthermore, all previously successful closed reductions have required general anesthesia to accomplish the reduction. Intraarticular dislocation of the patella in a 24-year-old man was successfully reduced in a closed fashion without anesthesia.
-
Eighteen patients were treated for nonspecific diskitis (diskitis without microbial cause) at the University Children's Hospital in Helsinki during 1970-1990. The mean age at admission was three years three months. The characteristic findings were restriction of spinal mobility and an elevated erythrocyte sedimentation rate (ESR). ⋯ The clinical picture is typical, but diagnostic difficulties may be encountered during the first weeks when radiographic signs are absent. The disease is self-limiting in most cases, and only minor radiographic changes remain after healing. The results after routine operative biopsy raise the question of a possible nonmicrobial cause.
-
Clin. Orthop. Relat. Res. · Dec 1993
A new approach to the internal fixation of unstable pelvic fractures.
Eighteen patients with horizontally or vertically unstable pelvic fractures were operated on with a new intrapelvic technique. There were 11 horizontally unstable and seven vertically unstable pelvic ring fractures. The fractures were exposed through a low Pfannenstiel or lower midline incision combined with an incision at the iliac crest. ⋯ All fractures united. The functional recovery was uneventful in all the patients. The good results obtained in this relatively small series encourage further development of operative techniques in unstable pelvic fractures.