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A six months old neglected anterior shoulder dislocation managed by closed reduction and Latarjet procedure

Chinese Journal of Traumatology 2016年第5期19卷 295-297页

作者： Deepak Chaudhary Deepak Joshi Vineet Jain mukul mohindra Nitin Mehta Sports Injury Center Safdarjung Hospital and VMM College New Delhi India

A neglected shoulder dislocation is a rarer entity and only few cases are reported in the literature. An anterior dislocation of the shoulder is rarely missed as patients present with limb in abduction and external rotation, an attitude very familiar to orthopaedic surgeon. Occasionally such cases are missed when they present with fracture of proximal humerus or when they receive treatment from unqualified practitioners who commonly practise in rural areas. Owing to very few reports there is paucity of literature and no standard treatment protocol exists for neglected anterior dislocation of the shoulder. though most such chronic cases are managed by open reduction. This case report describes a six months old neglected anterior dislocation with a significant Hill Sachs lesion, which was managed by closed reduction and Latarjet procedure.

关键词： Shoulder dislocation Humeral fractures Latarjet procedure

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Subacute posttraumatic ascending myelopathy： A case report and review of literature

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Chinese Journal of Traumatology 2015年第1期18卷 48-50页

作者： mukul mohindra V.K. Gautam Lalit Maini Santosh Kumar Saurabh Verma Department of Orthopaedics Maulana Azad Medical College and Associated Hospitals New Delhi India

Subacute posttraumatic ascending myelopathy is a rare disorder, unrelated to syrinx formation or mechanical instability, which may gradually emerge within the first 1-2 weeks after a spinal cord injury and may lead to diagnostic and prognostic dilemmas. We present a case of 24-year-old female with unstable wedge compression fracture of Ll vertebrae with signal changes in the upper lumbar cord causing complete paraplegia below D9 with bladder and bowel involvement. In the subsequent week, she developed a delayed progressively increasing neurological deficit with cord signal abnormality on MRI extending cephalad from the injury site to the upper dorsal cord. The patient had no initial clinical improvement initially but showed a delayed recovery over months.

关键词： Posttraumatic ascending myelopathy Spinal cord injury Wedge compression fracture

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Dsteosynthesis with long volar locking plates for meta- physeal-diaphyseal fractures of the distal radius

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Chinese Journal of Traumatology 2013年第6期16卷 339-343页

作者： Paritosh Gogna Harpal Singh Selhi Rohit Singla mukul mohindra Amit Batra Reetadyuti Mukhopadhyay Rajesh Rohilla Umesh Yadav Department of Orthopaedics and Rehabilitation Pt BDSharma Postgraduate Institute of Medical SciencesRohtak Haryana India Department of Orthopaedics Dayanand Medical Col-lege and Hospital Ludhiana Punjab India

Objective：Metaphyseal-diaphyseal fractures of the distal radius are a major treatment dilemma and orthopaedic surgeons have to pay due consideration to restoration of anatomy of distal radius together with rotation of the radial shaft and maintenance of radial bow and interosseous *** performed this study to evaluate the clinic-radiological outcome of metaphyseal-diaphyseal fractures of the distal radius treated with long volar locking ***：This prospective study involved 27 patients （22 males and 5 females） with metaphyseal-diaphyseal fracture of the distal *** mean age was （30.12±11.48） years （range 19-52 years） and the follow-up was 26.8 months （range 22-34 months）.All patients underwent open reduction and internal fixation with a long volar locking *** to AO/OTA classification,there were 7 type A3,13 type C2 and 7 type C3 *** assessment was done based on the disabilities of the arm,shoulder and hand （DASH） *** evaluation was done by measuring grip strength and range of motion around the wrist and the radiological determinants included radial angle,radial length,volar angle and ulnar *** final assessment was done according to Gartland and Werley scoring ***：Postoperative radiological parameters were well maintained throughout the trial,and there was significant improvement in the functional parameters from 6 weeks to final *** average DASH scores improved from 37.5 at 6 weeks to 4.2 at final *** assessment using Gartland and Werley scoring system revealed 66.67%（n=l8） excellent and 33.33% （n=9） good *** was one case of superficial infection which responded to antibiotics and another carpel tunnel syndrome which was managed ***：Volar locking plate fixation for metaphyseal-diaphyseal fractures of distal radius is associated with excellent to good functional outcome,early rehabilitation and minimal complications.

关键词： Radius fractures Fracture fixation,internal Bone plates

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