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Anterior transolecranon dislocation of the elbow in a child: A case report and review of literature

World Journal of Orthopedics 2018年第7期9卷 100-104页

作者： Wajdi Bouaziz ahmed racem guidara ahmed Trabelsi Tarek Bardaa Mourad Hammami Zoubaier Ellouz Hassib Keskes Department of Orthopaedic Surgery and Traumatology Habib Bourguiba University Hospital Department of Orthopaedic Surgery and Traumatology Tataouine Regional Hospital

Anterior transolecranon dislocation of the elbow is rarely observed in children, reported in only a small series. The present case involves an anterior transolecranon dislocation of the left elbow joint in a 7-year-old child, which was surgically treated. Two attempts of closed reduction failed because the radial head had buttonholed via the joint capsule. After its release, open reduction was easily performed; osteosynthesis of the olecranon was not performed. Remarkably, good result was obtained, despite a mild flexion deformity at the last follow-up. This case report aims to highlight this treatment method, which may be considered for such an uncommon injury.

关键词： Elbow Children Anterior dislocation Open reduction Olecranon osteosynthesis

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Spontaneous and simultaneous complete bilateral rupture of the quadriceps tendon in a patient receiving hemodialysis: A case report and literature review

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World Journal of Orthopedics 2018年第9期9卷 180-184页

作者： Wassim Zribi Mohamed Zribi ahmed racem guidara Mohamed Ben Jemaa Ameur Abid Nabil Krid Abdessalem Naceur Hassib Keskes Department of Orthopaedic Surgery and Traumatology Habib Bourguiba University Hospital Department of Orthopaedic Surgery and Traumatology Marechal Leclerc Argentan Hospital

The spontaneous and simultaneous rupture of both quadriceps tendons is uncommon and has rarely been reported in the literature. The current case involves a 43-year-old man with end-stage renal disease requiring hemodialysis for the past 20 years. The patient experienced bilateral knee pain and swelling and was unable to bear weight. Physical examination revealed bilateral quadriceps tendon defect above the patella and loss of active extension. Although plain radiographs of both knees showed no fracture or widening of the joint space, an inferiorly positioned patella was observed. Ultrasonography of the knees revealed a quadriceps tendon defect at the upper edge of each patella, while MR imaging revealed a tear in each quadriceps tendon from the superior poles of the patella. The patient then underwent surgical correction wherein the tendons were repaired using sutures passed through drill holes in the patella. The knees were immobilized with splints for 4 wk before starting physiotherapy. The patient subsequently regained full functional activity within 1 year.

关键词： Quadriceps tendon Tear Krackow sutures Renal failure Hyperparathyroidism

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