The management of carpal dislocation after a late diagnosis is difficult.
Three cases of a rare complication of Salter Type II fracture-separations of the distal tibial epiphysis are described. Interposition of the anterior tibial neurovascular bundle between the displaced epiphysis and the lower tibia prevented reduction and, in two patients, the blood supply to the foot was compromised.
Since 1986 we have treated 15 patients with fractures of the head of the radius limited to one or two fragments (Mason type II) by
There is a specific type of displaced four-part fracture of the proximal humerus which consists of valgus impaction of the head fragment; this deserves special consideration because the rate of avascular necrosis is lower than that of other displaced four-part fractures. Using either closed reduction or limited
Thirty-two neglected congenital dislocations of the hip in twenty-two children over the age of six years were treated by traction,
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
1. Thirteen cases of non-union of the epiphysis of the lateral condyle of the humerus were studied. Ten followed minor lateral luxations of the epiphysis; three were sequelae of
1. The lesions chiefly responsible for persistent pain and weakness after acromio-clavicular dislocations are tears of the trapezius and deltoid muscles. 2. These tears cannot be adequately treated except by open operation. 3. There are often physical barriers making closed manipulative reduction impossible. 4.
Persistent dislocation of the elbow after a fracture of the coronoid process is a difficult problem. We have performed an
1. Two cases of fracture-dislocation of the trochlea are described. One case was complicated by complete ulnar nerve palsy. 2. The injury is caused by direct force applied to the point of the elbow, or it may be associated with posterior dislocation of the joint. 3.
We have reviewed 34 children who had been treated by
We describe two patients with obturator dislocation of the hip which was irreducible by described techniques of closed reduction. The first required
A series of 42 ankle fractures have been randomised into two groups respectively undergoing either
Four men who presented with chronic dislocation of the radial head and nonunion or malunion of the ulna were reviewed after
Ten patients were treated for anterior or posterior displacement of the hip after an innominate osteotomy for congenital dislocation of the hip. All required a repeated
We have reviewed the notes and radiographs of 57 patients with fractures of the proximal humeral epiphysis and examined 30 of them at 2 to 8 years after injury. Regardless of treatment the maximum shortening of the humerus was 2 cm and residual varus angulation was insignificant. Manipulation of a displaced, fresh fracture did not improve the final outcome with respect to humeral growth or function; and
Simultaneous dislocation of the elbow and the proximal radio-ulnar joint is rare. Two children with this uncommon injury are reported. One child had a transverse divergent dislocation that was treated successfully by closed reduction. The other had a convergent dislocation (or translocation of the radius and ulna) which needed
Nine patients with nonunited humeral shaft fractures were treated by