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Biepicondylar fracture dislocation of the elbow joint concomitant with ulnar nerve injury

World Journal of Orthopedics 2013年第2期4卷 94-97页

作者： M Nuri Konya Ahmet Aslan hakan sofu Timur Y?ld?r?m Departmants of Orthopaedics and Traumatology Afyonkarahisar State Hospital 03030 MerkezAfyonkarahisar Turkey Departmants of Orthopaedics and Traumatology Suluova State Hospital 05500 Suluova Amasya Turkey Departmants of Orthopaedics and Traumatology Baltaliman? Bone Disease Hospital 34470 Baltaliman? ?stanbulTurkey

In this article, we present a case of humeral biepicondylar fracture dislocation concomitant with ulnar nerve injury in a seventeen year-old male patient. Physical examination of our patient in the emergency room revealed a painful, edematous and deformed-looking left elbow joint. Hypoesthesia of the little finger was also diagnosed on the left hand. Radiological assessment ended up with a posterior fracture dislocation of the elbow joint accompanied by intra-articular loose bodies. Open reduction-Internal fixation of the fracture dislocation and ulnar nerve exploration were performed under general anesthesia at the same session as surgical treatment of our patient. Physical therapy and rehabilitation protocol was implemented at the end of two weeks post-operatively. Union of the fracture lines, as well as the olecranon osteotomy site, was achieved at the end of four months post-operatively. Ulnar nerve function was fully restored without any sensory or motor loss. Range of motion at the elbow joint was 20-120 degrees at the latest follow-up.

关键词： Elbow injury Fracture dislocation Biepiconylar humeral fracture Ulnar nerve injury

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Recurrent anterior shoulder instability: Review of the literature and current concepts

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World Journal of Clinical Cases 2014年第11期2卷 676-682页

作者： hakan sofu Sarper Gürsu Nizamettin Ko?kara Ali ?ner Ahmet Issιn Yalkιn ?amurcu Department of Orthopedics and Traumatology Erzincan University Faculty of Medicine 24030 Erzincan Turkey Department of Orthopedicsand Traumatology Baltaliman? Bone and Joint Diseases Hospital 34470 Istanbul Turkey Department of Orthopedics and Traumatology Mengücekgazi Education and Research Hospital 24030 Erzincan Turkey

The purpose of this review article is to discuss the clinical spectrum of recurrent traumatic anterior shoulder instability with the current concepts and controversies at the scientific level. Because of increasing participation of people from any age group of the population in sports activities, health care professionals dealing with the care of trauma patients must have a thorough understanding of the anatomy, patho-physiology, risk factors, and management of anterior shoulder instability. The risk factors for recurrent shoulder dislocation are young age, participation in high demand contact sports activities, presence of Hill-Sachs or osseous Bankart lesion, previous history of ipsilateral traumatic dislocation, ipsilateral rotator cuff or deltoid muscle insufficiency, and underlying ligamentous laxity. Achieving the best result for any particular patient depends onthe procedure that allows observation of the joint surfaces, provides the anatomical repair, maintains range of motion, and also can be applied with low rates of complications and recurrence. Although various surgical techniques have been described, a consensus does not exist and thus, orthopedic surgeons should follow and try to improve the current evidence-based treatment modalities for the patients.

关键词： Recurrent instability Glenohumeral joint Dislocation Shoulder Review

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