conclusions the treatment of symptomatic ecu instability is still controversial, especially for acute dislocations. depending on the type of injury many surgical techniques have been proposed. combination of direct repair of the tendon’s subsheath and reinforcement with an extensor retinaculum graft is a reliable option. introduction dislocation/subluxation of the extensor carpi ulnaris (ecu) t...

E420 CMAJ, September 22, 2015, 187(13) ©2015 8872147 Canada Inc. or its licensors Ahealthy 68-year-old woman presented to the emergency department with a 6-month history of neck pain, weakness of the arms, hand incoordination, difficulty walking and tingling sensations in the arms and legs. She had been in a motor vehicle collision 25 years earlier in which the base of the odontoid process had ...

Cervical spine injuries are a fairly common consequence of mechanical impact on the human body. The subaxial level cervical accounts for approximately half to 2/3 these injuries. Despite numerous classification systems that exist describing injuries, recommendations treatment strategy very limited, and currently none them is universal generally accepted. Consequently, decisions based individual...

Neck involvement in cases of rheumatoid arthritis is extremely common, and the radiological features have been investigated by several authors, particularly Martel (1961, 1964), Bland, Davis, London, Van Buskirk, and Duarte(1963), Serre, Simon, Janicot, and Levy (1964) and Conlon, Isdale, and Rose (1966). The features most characteristic are atlanto-axial subluxation, serial subluxation, and di...

Subluxation syndrome is a legitimate, potentially testable, theoretical construct for which there is little experimental evidence. Acceptable as hypothesis, the widespread assertion of the clinical meaningfulness of this notion brings ridicule from the scientific and health care communities and confusion within the chiropractic profession. We believe that an evidence-orientation among chiroprac...

OBJECTIVES Shoulder subluxation after cerebrovascular accident has been associated with chronic pain, orthopedic complications, peripheral nerve damage, and autonomic dysfunction. Clinical diagnosis and gradation of subluxation is problematic due to the lack of precision in frequently used measures. The objective of this study was to assess the validity of clinical techniques used to assess inf...

Atlantoaxial subluxation that is not related to traumatic, congenital, or rheumatological conditions is rare and can be a diagnostic challenge. This case report details a case of anterior atlantoaxial subluxation in an 83-year-old female without history of trauma, congenital, or rheumatological conditions. She presented to the chiropractor with insidious neck pain and headaches, without neurolo...

Atlanto-axial subluxation occurs with a frequency varying from 6% to 45% in rheumatoid arthritis. Most patients are treated conservatively with a cervical collar. The effectiveness of different cervical collars in inhibiting anterior atlanto-axial subluxation was tested in 11 patients with classical rheumatoid arthritis. None of the collars had any major influence in inhibiting anterior subluxa...

OBJECTIVE The management of terrible triad injuries has evolved over the last 2 decades to include routine radial head fixation or replacement, reattachment of the lateral collateral ligament, with or without coronoid fixation. Our objective was to determine the likelihood of and factors associated with subluxation or dislocation after operative treatment of terrible triad injuries among a larg...

Background The trapeziometacarpal joint (TMCJ) is inherently unstable, relying on ligament restraint to prevent subluxation. Subluxation of the thumb in a dorsoradial direction is often observed in clinical practice, either after acute ligament injury or more commonly with osteoarthritis (OA). This subluxation follows loss of function of trapeziometacarpal ligaments that stabilise this joint, r...