1/9. Orthopaedic rehabilitation in a case of Tay-syndrome.This paper reports on the orthopaedic rehabilitation of a patient with Tay-syndrome. Tay-syndrome is a rare monogen-inherited ektodermal dysplastic syndrome with ichtyosis, fragility of the hair and physical and mental retardation. The congenital ichtyosis is ubiquitous. Only the skin on the flexion side of the extremity joints are not involved (orthocerathosis combined with paraceratotic strings). In this case, a young boy developed bilateral subluxation of the hips and was not able to stand or walk freely. Contemporary pre- and neonatal care has prolonged the survival of newborns with severe genodermatoses, including this syndrome. In this case, it has provided the necessity for orthopaedic treatment of the problems caused by osteosclerosis and muscular spasticity.- - - - - - - - - - ranking = 1keywords = physical (Clic here for more details about this article) |
2/9. Bilateral obturator dislocation of the hip.A case of a traumatic bilateral obturator dislocation of the hip and right side acetabular fracture in a 23-year-old man is presented. The patient was managed conservatively. After follow-up time of 24 months, the result was excellent. The importance of a pelvic radiograph and physical examination of the extremities after significant major trauma are emphasized.- - - - - - - - - - ranking = 1keywords = physical (Clic here for more details about this article) |
3/9. Central fracture-dislocation of the hip with ipsilateral femoral neck fracture: case report.Central fracture dislocation of the hip with associated fracture of the femoral neck is rare. Treatment of choice consists of open reduction of the displacement and internal fixation of both fractures. Nevertheless, inadequate reduction of the burst fracture of the acetabulum may lead to hip arthritis, and the surgical approach to the femoral neck jeopardizes its vitality. In elderly patients early full motion and prompt physical rehabilitation can be achieved by total hip arthroplasty after fusion of the displaced femoral head to the acetabular wall.- - - - - - - - - - ranking = 1keywords = physical (Clic here for more details about this article) |
4/9. Hip instability in spinal cord injury patients.Seventeen children with spinal cord injuries that occurred before the age of 9 years were followed at the Alfred I. duPont Institute for a mean of 13.2 years (range 3-32 years). Fourteen of these patients (82%) developed subluxation or dislocation in one or both hips. patients with spastic spinal cord injury (SCI) developed hip flexion and adduction contractures and had symptoms that tended to mimic those of cerebral palsy. patients with flaccid SCI mirrored the "flail" hips of myelomeningocele. Pelvic obliquity occurred in spastic and flaccid children. Only one patient developed pain, and three had deformities suggesting avascular necrosis of the femoral head. At final follow-up, no patient had physical problems relating to the hip dysplasia.- - - - - - - - - - ranking = 1keywords = physical (Clic here for more details about this article) |
5/9. Occult central acetabular fracture resulting in fracture-dislocation. A case report.A 71-year-old white female experienced a nondisplaced right central acetabular fracture in a motor vehicle accident. Despite anteroposterior (AP) roentgenograms of the pelvis, Judet views, and plain tomograms, no fracture was detected. These negative findings did not entirely explain the continued presence of pain. The patient was treated with physical therapy and encouraged to bear weight on the leg as tolerated. The fracture then progressed to a central fracture dislocation readily apparent on AP views of the pelvis. This case illustrates the need for further diagnostic studies (bone scanning, computed tomography, and magnetic resonance imaging) when, despite negative objective findings, a high degree of suspicion persists.- - - - - - - - - - ranking = 1keywords = physical (Clic here for more details about this article) |
6/9. Traumatic hip dislocation with ipsilateral femoral shaft fractures.A traumatic dislocation of the hip joint associated with an ipsilateral femoral shaft fracture is a rare injury resulting from severe trauma. Initially the dislocated hip joint is often unrecognized and consequently reduction is delayed. early diagnosis and reduction of the hip joint improves the functional prognosis. The maximum functional recovery is possible only with greater awareness of this combined injury. Examination of the hip joints by clinical roentgenography in the critically injured patient, especially those with head injuries, or physical signs masked by extremity swelling, should be a routine procedure.- - - - - - - - - - ranking = 1keywords = physical (Clic here for more details about this article) |
7/9. Habitual dislocation of the hip. A new, simple classification and report of a case.Habitual dislocation of the hip occurred in a nine-year-old girl. The nomenclature of the literature on this disorder and other related conditions is confusing. The following simple classification is therefore proposed: (1) recurrent dislocation (posttraumatic, nonvoluntary); (2) voluntary dislocation (nonhabitual, associated with ligamentous laxity or paralytic disease); (3) habitual dislocation (not associated with significant ligamentous laxity). The treatment significantly differs in each of the described conditions. The diagnosis of habitual dislocation precludes correct interpretation of the history and physical examination.- - - - - - - - - - ranking = 1keywords = physical (Clic here for more details about this article) |
8/9. Ipsilateral hip and knee dislocation.Hip and knee dislocations individually are two of the relatively limited orthopaedic emergencies. Long-term results of treatment of these two types of injury are associated with avascular necrosis of the femoral head, knee instability, and knee stiffness. Correct early diagnosis, including arteriography in the case of knee dislocation, is crucial. Prompt treatment consisting of closed or open reduction of the dislocations is necessary. Additional treatment involving knee ligament reconstruction is warranted to maximize knee function in healthy, active patients. Simultaneous occurrence of ipsilateral hip and knee dislocations is a particularly morbid injury. We report such a case to emphasize that early, aggressive treatment and extensive physical therapy can result in a functional and painless lower extremity.- - - - - - - - - - ranking = 1keywords = physical (Clic here for more details about this article) |
9/9. Luxatio erecta of the hip: a critical retrospective.The term "luxatio erecta" has been borrowed from the shoulder to identify rare traumatic hip dislocations in which there is inferior dislocation of the femoral head and inversion of the femoral shaft. A review of the literature is presented along with an additional illustrative case. The mechanism of injury, and the radiological and physical appearance of the patient, indicate that there are two subtypes of dislocation hitherto lumped together under the single term.- - - - - - - - - - ranking = 1keywords = physical (Clic here for more details about this article) |