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Showing posts with the label Dislocation

Hill Sachs Lesion

Hill Sachs lesion  An injury to the humeral head known as a Hill-Sachs lesion happens when the humerus is forcibly pulled away from the glenoid fossa, which features the shoulder joint. When the humeral head strikes the glenoid fossa's edge during a traumatic dislocation of the shoulder joint, a defect in the posterolateral quadrant is caused. Who are at risk? Younger patients participating in high-impact activities, including athletes or military veterans, are more likely to develop the Hill-Sachs lesion. Additionally, it can happen in older people with shoulder joint degeneration or those who have a history of frequent shoulder dislocations. Classification According to the proportion of the humeral head that is affected, the severity of a Hill-Sachs lesion is classified, with larger lesions indicating a higher risk of shoulder instability and recurrent dislocations. Depending on how much of the humeral head is affected, Hill-Sachs lesions are categorized. The severity of the inju

MONTEGGIA FRACTURE-DISLOCATION

MONTEGGIA FRACTURE-DISLOCATION  is a fracture of the upper third of the ulna with dislocation of the head of the radius. It is caused by a fall on an outstretched hand.   It may also result from a direct blow on the back of the upper forearm during injury. MONTEGGIA FRACTURE-DISLOCATION ( XRAY) TYPES                      This Fracture is Classified into two main categories depending upon the angulation of the ulna fracture – extension and flexion type. The extension type is the commoner of the two, where the ulna fracture angulates anteriorly (extends) and the radial head dislocates anteriorly. The flexion type is where the ulna fracture angulates posteriorly (flexes) and the radial head dislocates posteriorly. DIAGNOSIS                     In a case with an isolated fracture of the ulna in its upper half, a dislocation of the head of the radius should be carefully looked for anteriorly dislocated head of the radius. TREATMENT                      This is a very unst