OBJECTIVE To evaluate the application of local anaesthesia for reduction of acute anterior shoulder dislocation DESIGN A prospective study of patients coming with anterior dislocation of shoulder to KMCTH from July 2002 to Sep 2003. SUBJECTS Patients of aged 15-55 years with no associated fractures of adjoining bones. RESULTS A total of fifteen patients with anterior inferior shoulder dis...

To cite: Bosman WM, Prakken FJ, Pijls BG, et al. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/ bcr-2013-200692 DESCRIPTION A 69-year-old woman presented to the emergency department with a painful left foot after a fall from a motorised wheelchair in an attempt to avoid a collision with a cyclist. Medical history included adipositas (body mass index (BMI) 36), diabe...

BACKGROUND Pelvic ring injuries and sacroiliac dislocations have significant impacts on patient's quality of life. Several techniques have been described for posterior pelvic fixation. The current study has been designed to evaluate the spinopelvic method of fixation for sacroiliac fractures and fracture-dislocations. METHODS Between January 2006 and December 2014, 14 patients with sacroiliac...

BACKGROUND Total hip replacement is increasingly used in active, relatively healthy elderly patients with fractures of the femoral neck. Dislocation of the prosthesis is a severe complication, and there is still controversy regarding the optimal surgical approach and its influence on stability. We analyzed factors influencing the stability of the total hip replacement, paying special attention ...

Dislocation of the fourth and fifth tarsometatarsal joints in conjunction with lateral subtalar dislocation is a rare occurrence. Little is known about the mechanism of injury, the appropriate treatment for this condition, and its ultimate prognosis. In this report, we describe this atypical presentation in a middle aged, otherwise healthy male who sustained a trivial twisting injury to the ank...

BACKGROUND AND PURPOSE Recent studies have shown that compared to the posterolateral approach, the anterolateral approach reduces the risk of dislocation after hip arthroplasty in patients with femoral neck fractures. We have therefore started to use the anterolateral approach on these patients and we now report the consequences of this change for the dislocation rate. PATIENTS AND METHODS We...

Pathological fractures as a consequence of convulsive seizures without direct trauma occur in 0.3% of cases. Some lesions such as bilateral posterior dislocation of the shoulder, fracture-dislocation of the shoulder or fracture and/or dislocation of the hip strongly suggest a seizure as the aetiology. We report on a patient with simultaneous central dislocation of one hip with fracture of the c...

Eighteen patients with acute dislocation of the patella had associated osteochondral fractures. This fracture complicates approximately 5% of all acute dislocations of the patella occurring in children. Three types of fracture patterns were noted. All patients who were treated by immediate arthrotomy and excision or replacement of the osteochondral fragment and repair of the acute dislocation o...

Trapezoid bone fracture is the least common fracture owing to the fact that it is strictly bounded to scaphoid, capitate and the base of the second metacarpal. Isolated fractures are rarely seen and usually related to the high energy trauma. It is conservatively treated without dislocation. Triquetrum fractures are the second least common fractures among carpal bones. The body fractures are usu...

INTRODUCTION The clavicle, humerus and acromioclavicular (AC) joint separately are very commonly involved in traumatic injuries around the shoulder. Acromioclavicular joint dislocation with distal clavicle fracture is a well recognized entity in clinical practice. AC joint dislocation with mid shaft clavicle fracture is uncommon and only few cases have been reported in literature. However, to t...