Aacromio clavicular reconstruction
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This document discusses the classification and treatment of acromioclavicular joint injuries. It describes the Tossy and Rockwood classification systems for grading AC joint sprains and ruptures. Surgical treatment options are presented, including K-wires, Bosworth screws, ligament reconstruction grafts, clavicle plates, and tightrope methods. Post-operative rehabilitation is outlined, recommending immobilization for two weeks followed by restricted motion and avoidance of heavy lifting for up to three months. The document notes two cases of system rupture in the literature and potential esthetic issues for some female patients.
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2) Diagnosis involves identifying pain and swelling across the midfoot with weight bearing, along with radiographic evidence of malalignment between the metatarsals and tarsals.
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1) Mathew, a 55-year-old male, presented with pain and swelling in his left shoulder following a road traffic accident 1 week ago. On examination, he was found to have a bony prominence over the lateral end of his left clavicle and difficulty raising his left arm, consistent with an acromioclavicular joint dislocation.
2) He underwent open reduction of the dislocated joint and fixation of the clavicle to the base of the coracoid using K-wires.
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3. Treatment depends on the fracture type but may involve halo immobilization, surgery to stabilize fractures or decompress the spinal cord, or bracing for stable injuries. The goal is to restore spinal alignment and prevent further neurological injury.
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1) Acromioclavicular (AC) and sternoclavicular (SC) joint injuries are caused by direct or indirect trauma and can range from minor sprains to severe dislocations.
2) Imaging such as X-rays and CT scans are used to classify AC injuries using the Rockwood classification and assess severity of SC injuries.
3) Non-operative treatment is usually sufficient for minor AC injuries while more severe or unstable injuries may require surgical stabilization or reconstruction of damaged ligaments.
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1) Acromioclavicular (AC) and sternoclavicular (SC) joint injuries are caused by direct or indirect trauma and can range from minor sprains to severe dislocations.
2) Imaging such as X-rays and CT scans are used to classify AC injuries using the Rockwood classification and assess severity of SC injuries.
3) Non-operative treatment is usually sufficient for minor AC injuries while more severe or unstable injuries may require surgery such as ligament reconstruction or joint stabilization. Operative treatment is often needed for acute SC dislocations to reduce risk of complications.
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2) Diagnosis involves identifying pain and swelling across the midfoot with weight bearing, along with radiographic evidence of malalignment between the metatarsals and tarsals.
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This document provides an overview of Lisfranc injuries, which involve the tarsometatarsal joint complex connecting the midfoot and forefoot. It describes the relevant anatomy, including the key Lisfranc ligament. Common mechanisms of injury are sports-related or high-energy trauma causing hyperextension or plantarflexion. Clinical presentation involves midfoot pain and swelling. Diagnosis relies on imaging like x-rays showing bone displacement. Injuries are classified based on the direction of metatarsal displacement. Treatment options include closed reduction for minor injuries or open reduction with internal fixation for severe fractures or dislocations.
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جراحة العظام / علاج العظام في الاردن / افضل دكتور عظام في الاردن / افضل اخصائي عظام في الاردن / استشاري عظام/افضل استشاري عظام في الاردن /جراحة عظام / /عمليات تطويل العظام في الاردن / اطباء العظام في الاردن / دكتور طب عظام في الاردن / الاطباء في الاردن / خلع ورك / عمليات اليزاروف في الاردن /علاج الكسور /خلع الولادة / تركيب المفصل / اوجاع العظام /افضل طبيب عظام اطفال في الاردن / استشاري اطفال عظام في الاردن / /علاج خلع الكتف / علاج التواء الكاحل / التواء الكاحل / علاج الام العظام / علاج هشاشة العظام / ارقام اطباء عظام في الاردن / مشاكل العظام والمفاصل /مستشار جراحة العظام والمفاصل والكسور/مستشار جراحة عظام الأطفال.
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Similar to Aacromio clavicular reconstruction
Ac dislocation
1) Mathew, a 55-year-old male, presented with pain and swelling in his left shoulder following a road traffic accident 1 week ago. On examination, he was found to have a bony prominence over the lateral end of his left clavicle and difficulty raising his left arm, consistent with an acromioclavicular joint dislocation.
2) He underwent open reduction of the dislocated joint and fixation of the clavicle to the base of the coracoid using K-wires.
3) Acromioclavicular joint dislocations are commonly caused by direct trauma and account for about 9% of shoulder injuries, usually affecting males aged 20-30 years old.
ACL tear
General talk about Anterior Cruciate Ligament tear.
it presented during my orthopedic rotation in KFUH.
under supervision of Dr. Balwi "sport injuries consultant"
spinal cord injury
1. Spinal cord injuries are commonly caused by motor vehicle accidents, falls, and sports. The cervical spine is most frequently injured.
2. Initial evaluation involves stabilizing the patient with a cervical collar and assessing for neurological deficits. Imaging such as X-rays and CT/MRI are used to classify fractures and guide treatment.
3. Treatment depends on the fracture type but may involve halo immobilization, surgery to stabilize fractures or decompress the spinal cord, or bracing for stable injuries. The goal is to restore spinal alignment and prevent further neurological injury.
Clavicle fractures-Management
This document discusses the management of clavicle fractures. It describes:
1) Non-operative and operative treatment options for middle-third clavicle fractures, including figure-of-eight bracing, slings, intramedullary fixation, and plate fixation.
2) Classification and treatment recommendations for distal-third clavicle fractures, including non-operative treatment for Types I-III and surgical options for Types IV-V.
3) Considerations for medial-third and pediatric clavicle fractures, noting most are treated non-operatively with immobilization.
4) Potential complications of treatment and techniques to minimize issues like pin migration, wound problems, and hardware failure.
Bajammal 2006 Upper Cervical Trauma
Upper cervical (craniocervical) trauma: diagnosis & management. The presentation was done in 2006.
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This document discusses Galeazzi fracture dislocations, which involve a fracture of the distal or middle third of the radius shaft combined with dislocation of the distal radioulnar joint. It describes the typical mechanism of injury, importance of recognizing these injuries, anatomy and functions of the triangular fibrocartilage complex, radiographic evaluation, clinical features, and treatment approaches including closed or open reduction and internal fixation followed by immobilization to stabilize the reduced distal radioulnar joint. Complications are also outlined.
pinal cord injury.ppt
Spinal cord injuries are commonly caused by motor vehicle accidents, falls, and sports. The cervical spine is most commonly injured, especially between C5-C6. Plain films and advanced imaging can help evaluate injuries. Flexion injuries risk paralysis and require stabilization to prevent further injury. Compression fractures are generally stable with rest, while burst fractures may require surgery if unstable.
Acromioclavicular and sternoclaviculr injuries by dr sushil pokhrel
1) Acromioclavicular (AC) and sternoclavicular (SC) joint injuries are caused by direct or indirect trauma and can range from minor sprains to severe dislocations.
2) Imaging such as X-rays and CT scans are used to classify AC injuries using the Rockwood classification and assess severity of SC injuries.
3) Non-operative treatment is usually sufficient for minor AC injuries while more severe or unstable injuries may require surgical stabilization or reconstruction of damaged ligaments.
Acromioclavicular and sternoclaviculr injuries
1) Acromioclavicular (AC) and sternoclavicular (SC) joint injuries are caused by direct or indirect trauma and can range from minor sprains to severe dislocations.
2) Imaging such as X-rays and CT scans are used to classify AC injuries using the Rockwood classification and assess severity of SC injuries.
3) Non-operative treatment is usually sufficient for minor AC injuries while more severe or unstable injuries may require surgery such as ligament reconstruction or joint stabilization. Operative treatment is often needed for acute SC dislocations to reduce risk of complications.
Journal club: Etiopathology and Management of Stiff Knees: A Current Concept ...
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This document discusses the anatomy, biomechanics, causes of stiffness, classification, and surgical and non-surgical treatment options for elbow contractures. It covers the relevant bones and joints, range of motion, causes of stiffness like trauma and arthritis, physical therapy approaches like splinting and motion, and surgical procedures for releasing soft tissues and reconstructing the joint surface.
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The document discusses fractures of the upper limb, specifically focusing on fractures of the elbow joint, radial head, and distal radius. It provides details on the anatomy, mechanisms of injury, classification systems, clinical presentation, treatment approaches, and potential complications for each type of fracture. For elbow fractures, closed and open reduction techniques are described for treating dislocations. Radial head fractures are classified using the Mason system and can be managed non-operatively or surgically with fixation or excision. Distal radius fractures commonly result from falls and involve the articular surfaces, with treatment depending on the degree of displacement.
Ac shoulder-dislocation
The document describes an arthroscopic technique for surgically treating symptomatic complete or high grade acromioclavicular joint disruptions using a semitendinosis graft and titanium flip button. Concerns over other techniques led to modifications of this technique to address biomechanical limitations and applicability to broader patient populations. The technique involves creating tunnels in the clavicle and coracoid to pass the graft and button, reconstructing the coracoclavicular ligament while avoiding hardware at the clavicle. Reported benefits include reduced morbidity, improved cosmesis, and ability to address concurrent shoulder pathology compared to open techniques.
Ac shoulder-dislocation
This document describes an arthroscopic technique for coracoclavicular ligament reconstruction utilizing a semitendinosis graft and titanium flip button tension band construct. The technique involves creating tunnels in the coracoid and clavicle, passing the graft and flip button through the tunnels, and securing the graft with the button and sutures to recreate the coracoclavicular ligament and provide stability to the shoulder. The document outlines the surgical steps and presents images to illustrate the procedure. It notes the technique offers benefits of an arthroscopic approach with reconstruction of the coracoclavicular ligament without placing hardware in the clavicle.
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This document discusses the history and treatment of distal radius fractures. Some key points:
- Distal radius fractures are common injuries that were first recognized in the late 18th century, with descriptions of injury patterns evolving over the 19th century.
- Treatment has progressed from casting to external fixation to various internal fixation methods like dorsal, volar, and combined plating approaches.
- Factors like fracture pattern, displacement, comminution, and articular involvement help determine appropriate treatment, whether closed reduction or open reduction with internal fixation.
- The goal of treatment is to restore normal anatomy, allow early motion, and avoid complications like malunion.
Fracture and dislocation of the shoulder girdle
The document discusses anatomy, mechanism of injury, classification, diagnosis, and management of anterior shoulder dislocations. Key points include:
- Anterior shoulder dislocations are caused by an anteriorly directed force on the arm when abducted and externally rotated, which can tear the anterior labrum and ligaments.
- Associated injuries may include bone fractures like bony Bankart lesions or Hill-Sachs defects. Labral injuries include Bankart lesions in 80-90% of cases.
- Treatment depends on any associated injuries and classification. Most cases are treated non-operatively with sling immobilization followed by physical therapy. Surgery is required for repair of labral tears or bone defects.
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1. Clavicle fractures most commonly occur in the midshaft region, resulting from a direct blow to the shoulder.
2. Physical examination reveals swelling, bruising, and deformity at the fracture site. X-rays are usually sufficient to diagnose the fracture.
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Posterior interosseous flap sosa 2018
The document discusses the use of the reverse posterior interosseous artery (PIA) flap for covering raw areas of the hand and wrist. It describes the vascular anatomy of the PIA, noting that it arises from the ulnar artery and enters the posterior forearm compartment. The PIA flap provides good blood supply and can be used to cover soft tissue defects on the dorsal hand, palmar wrist, and first web space. The document presents two case studies where the reverse PIA flap successfully reconstructed soft tissue losses from trauma. It concludes that the PIA flap is a versatile and reliable option for reconstructing challenging hand and wrist defects.
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Aacromio clavicular reconstruction
- 1. Mares phantom carbon 110Mares phantom carbon 110 Darko Majić m.d. County hospital Pula
- 3. Tossy classification Rockwood Gr. I sprain of AC and classification CC ligaments Gr. II rupture of AC capsule and ligaments and sprain of CC ligaments Gr. III rupture of CC ligaments (piano key sign) Gr. IV distal luxation of clavicle
- 4. Sport injuries (direct shoulder trauma) Bicycle and motorcycle accidents
- 5. Coraco-clavicular distance >11-13 mm (50% more than uninjured shoulder)
- 6. K-wires and Zuggurtung Bosworth screw Nottingham Surgilig Autograft reconstruction (lig. m. Gracillis, lig. Coracoacromialis) Clavicula plates Tightrope metod
- 10. Place the patient in a shoulder immobilizer for a period of at least two weeks. Allow the patient to remove the shoulder immobilizer only for washing and elbow flexion extension exercises. Motion below shoulder height is permitted until six weeks, at which time full active motion is commenced. Avoid heavy resistance work until three months post operation.
- 11. 2 cases of system ruptured In literature some female patients have esthetic issues