In 1957 Hume described anterior dislocation of the head of the radius associated with undisplaced fracture of the olecranon in children. Of the three cases that he described and illustrated it is our opinion that, whereas Cases 2 and 3 were classical examples of the injury, Case I is of an entirely different entity, namely a lateral dislocation of the radio-humeral joint with greenstick fractur...

Two patients-one with a terrible triad fracture dislocation and one with an anterior olecranon fracture dislocation-were treated for maltracking of the elbow (medial subluxation). The radial head articulated with the lateral trochlea while the ulnar trochlear notch was perched over the medial trochlea. The late revision surgery could not correct the subluxation because the joints were accustome...

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 ...

Four patients with lumbosacral fracture-dislocation are presented. The common mechanism of injury was hyperflexion with compression. A rotational element may be implicated in single facet dislocation. Although lumbosacral fracture-dislocations can be managed conservatively, the best method of treatment is open reduction and bone grafting as soon after injury as possible. Only this will ensure c...

Knee dislocations are rare injuries. They represent a severe soft tissue injury following high-energy blunt trauma. We report a case of open posterior knee dislocation with rupture of the patellar tendon and a fracture of the tibial plateau. The treatment was surgical and consisted of reduction of the knee dislocation, fixation of the tibial plateau fracture by lag screws, and transosseous sutu...

Fracture separation of the capital femoral epiphysis occurring during attempted closed reduction of a traumatic dislocation of the hip is described in two adolescents. Although this complication is extremely rare, the prognosis of fracture separation with dislocation of the epiphysis is known to be poor. Avascular necrosis subsequently developed in both cases. The importance of gentle manipulat...

Watson-Jones(l955)wrote “. . . inexceptional cases there mayeven be forward dislocation of both forearm bones without fracture. There is one case in which there can be no doubt about it; thejoint was dissected after the limb had been amputated-but that was long ago.” This happened in 1860. Forward dislocation of both forearm bones without fracture of the olecranon is in fact extremely rare. The...

A 26 year old man was referred to us with extensor pollicis longus dysfunction (EPL), and investigation revealed a fracture of the trapezium (left) and carpo-metacarpal joint dislocation of the thumb. Operative exploration revealed mechanical displacement of the tendon secondary to fracture dislocation of the trapezium as the cause for EPL dysfunction. The lesion was managed with an open reduct...

Obturator (Inferior) type dislocation of the hip joint is a rare and the fracture of greater trochanter during closed reduction for it has never been reported in literature. In this report, we present a case of a fracture of greater trochanter during difficult closed reduction which required operative fixation. Surgeons need to be aware of this complication and excessive force for reduction sho...

INTRODUCTION The debate regarding the description on classification and nomenclature of the injury which includes olecranon fracture associated with radial neck fractures in children is ongoing. We report two pediatric cases that could not be classified in a Monteggia-equivalents system and were treated with open reduction and k-wire fixation. The aim of this study was to perform a systematic r...