Aktuelle Traumatologie
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Aktuelle Traumatologie · Aug 1991
[Early and intermediate results of conservatively and surgically treated lateral clavicular fractures].
Between 1986 and 1988 67 patients with distal clavicular fracture were treated at the trauma hospital in Innsbruck. Depending on type of fracture conservative treatment (using a spica or other bandages) was performed in those cases without dislocation. ⋯ Plate fixation was necessary in one case of delayed fracture healing. No pseudarthrosis was seen in X-rays, mobility of the shoulder girdle was good and symptoms of pain were rare.
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Emphasis of the article is on the chronic instabilities in the ankle joint and the talocalcaneonavicular joint. The diagnosis of these lesions is demonstrated. An easy to perform technique of x-ray film to prove chronic instability in the talocalcaneonavicular joint is presented. Assessment of luxatio pedis sub talo and of the total dislocation of the talus with its associated lesions is performed with the help of a review of the literature and a description of 12 patients examined by the authors.