Isolated Closed Medial Subtalar Dislocation Without Ankle Fracture : A Rare Case Report

Vol. 9 | Issue 2 | August-September 2021 | Page: 15-17 | Vishwas V Mundewadi, Harshavardhan B R, Akhil Kumar P R

DOI:10.13107/jkoa.2021.v09i02.040


Authors: Vishwas V Mundewadi [1], Harshavardhan B R [1], Akhil Kumar P R [1]

[1] Department of Orthopedics, Al Ameen medical college, Vijayapura, Karnataka, India.

Address of Correspondence
Dr. Harshavardhan B R
Department of Orthopedics, Al Ameen medical college, Vijayapura, Karnataka, India
E-mail: brhvalekar@gmail.com


Abstract


Subtalar dislocation is an unusual clinical case with very little mention in literature constituting nearly 1% of all traumatic dislocations. Here a 40 year old male who sustained fall over inverted foot was diagnosed as closed isolated medial subtalar dislocation with no associated fractures. This is an even more rare entity. Immediate closed reduction was done and immobilised for 4 weeks with below knee cast. This case report describes the mechanism of injury, ligaments involved, manoeuvre of closed reduction. This case report highlights the importance of prompt and urgent reduction and short period of immobilisation to avoid complications and better prognosis.
Keywords: Subtalar dislocation, Basketball foot, Isolated, Medial, Arthritis.


References


1) Perugia D, Basile A, Massoni C, Gumina S, Rossi F, Ferretti A. Conservative treatment of subtalar dislocations. Int Orthop. 2002;26(1):56-60. doi: 10.1007/s002640100296. PMID: 11954852; PMCID: PMC3620856.

2) Judcy P: Observation d’une luxation métatarsienne. Bulletin de la faculté de medicine. Bull Fac Med Paris. 1811; 11 :81–86.

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4) Giannoulis D, Papadopoulos DV, Lykissas MG, Koulouvaris P, Gkiatas I, Mavrodontidis A. Subtalar dislocation without associated fractures: Case report and review of literature. World J Orthop. 2015; 6: 374-379 [PMID: 25893182 DOI: 10.5312/wjo.v6.i3.374].

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7) Grantham SA , Medial subtalar dislocation: five cases with a common etiology. J Trauma. 1964; vol 4:845–849. PMID: 14225332.

8) Heckman JD. Fractures and dislocations of the foot. In: Rockwood CA Jr, Green DP, Bucholz RW, eds. Fractures in adults. 3rd ed. Philadelphia, etc: JB Lippincott Co .1991 ;175-89.

9) Inokuchi S, Hashimoto T, Usami N. Posterior subtalar dislocation. J Trauma. 1997 Feb;42(2):310-3. doi: 10.1097/00005373-199702000-00023. PMID: 9042888.

10) Jerome JT, Varghese M, Sankaran B. Anteromedial subtalar dislocation. J Foot Ankle Surg. 2007 Jan-Feb;46(1):52-4. doi: 10.1053/j.jfas.2006.10.003. PMID: 17198954.

11) Pua, U. Subtalar dislocation: rare and often forgotten. Int J Emerg Med 2, 51–52 (2009). https://doi.org/10.1007/s12245-009-0086-y

12) Rammelt S, Goronzy J. Subtalar dislocations. Foot Ankle Clin. 2015 Jun;20(2):253-64. doi: 10.1016/j.fcl.2015.02.008. Epub 2015 Mar 29. PMID: 26043242.

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14) Hoexum F, Heetveld MJ. Subtalar dislocation: two cases requiring surgery and a literature review of the last 25 years. Arch Orthop Trauma Surg. 2014 Sep;134(9):1237-49. doi: 10.1007/s00402-014-2040-6. Epub 2014 Jul 4. PMID: 24993588.

15) de Palma L, Santucci A, Marinelli M, Borgogno E, Catalani A. Clinical outcome of closed isolated subtalar dislocations. Arch Orthop Trauma Surg. 2008 Jun;128(6):593-8. doi: 10.1007/s00402-007-0459-8. Epub 2007 Oct 2. PMID: 17909825.


How to Cite this article: Mundewadi VV, Harshavardhan BR, Akhil Kumar PR | Isolated Closed Medial Subtalar Dislocation Without Ankle Fracture : A Rare Case Report | Journal of Karnataka Orthopaedic Association | August-September 2021; 9(2): 15-17.

 


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Intra Focal K-Wiring for Distal End Radius (Kapandji Technique): Surgical Technique

Vol. 9 | Issue 2 | August-September 2021 | Page: 21-22 | Vijay A. Malshikare
DOI:10.13107/jkoa.2021.v09i02.042


Authors: Vijay A. Malshikare [1]

[1] Department of Hand and Wrist Surgery, Jehangir Hospital, Sassoon Road, Pune, Maharashtra, India.

Address of Correspondence
Dr. Vijay A. Malshikare,
Consultant Hand and Wrist Surgery, Jehangir Hospital, Sassoon Road, Pune, Maharashtra, India.
E-mail: 18.52north@gmail.com.


Introduction


Many years distal end radius fractures (DRF) are the most encountered type of fracture. In standard form, extra-articular distal end radius fractures were fixed after manual reduction and then pinned extra-articular by drilling distal cortex and passing fracture site to fix proximal fragment (Figure 1). But after 2 to 3 weeks depending upon osteoporosis fracture collapse(cancellous bone heal by collapse) and flexibility of the K wire distal fragment moves back until the K wire abut the inferior edge of the proximal fragment and does not avoid secondary displacement (Figure 2) [1].

Video: Surgical Steps

To View Video Click on the Image


References


1. AI Kapandji: Treatment by intrafocal pinning with arum pins. In: Philippe Safar, William P Cooney III, editors. Fracture of the distal radius. Philadelphia: JB Lippincott, 1995.p. 72-73.


How to Cite this article: Malshikare VA. | Intra Focal K-Wiring for Distal End Radius (Kapandji Technique): Surgical Technique | Journal of Karnataka Orthopaedic Association | August-September 2021; 9(2): 21-22.

 


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Primary Synovial Chondromatosis of Elbow: A Bowl Full of Tumors

Vol. 9 | Issue 2 | August-September 2021 | Page: 18-20 | Ansahe Jamal P K, Mithun Pai G, Ashwath M Acharya, Anil K Bhat
DOI:10.13107/jkoa.2021.v09i02.041


Authors: Ansahe Jamal P K [1], Mithun Pai G [1], Ashwath M Acharya [1], Anil K Bhat [1]

[1] Department of Hand Surgery, Kasturba Medical College Manipal, Manipal Academy of Higher Education Manipal, Karnataka, India.

Address of Correspondence
Dr. Mithun Pai G
Assistant Professor, Department of Hand Surgery, Kasturba Medical College Manipal, Manipal Academy of Higher Education Manipal, Karnataka, India.
E-mail: drmithun7@gmail.com


Abstract


Synovial osteochondromatosis is a disease of the synovium characterized by multiple cartilaginous bodies formation. Being characteristically monarticular it commonly involves the knee joint. Despite frequent mention of elbow involvement in various texts and articles, we wish to review the clinical, radiologic, and histologic features by presenting a case in an elderly male. By correct preoperative diagnosis and complete excision, full range of motion can be achieved in an relatively unforgivable elbow joint even with a delayed presentation.
Keywords: Loose bodies, Elbow, Synovial


References


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11. Arthroscopic management of elbow synovial chondromatosis Weihong Zhu, MD, PhD, Wanchun Wang, MD, PhD∗, Xinzhan Mao, MD, PhD, You Chen, MD, PhD
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14. Synovial osteochondromatosis of the elbow by S. Kamineni, S. W. O’Driscoll, B. F. Morrey
15. Neglected synovial osteochondromatosis of the elbow: a rare case by Giannetti et al.


How to Cite this article: Jamal PKA, Pai GM, Acharya AM, Bhat AK | Primary Synovial Chondromatosis of Elbow: A Bowl Full of Tumors | Journal of Karnataka Orthopaedic Association | August-September 2021; 9(2): 18-20.

 


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Symptomatic Calcification within the Lateral Collateral Ligament of Knee: A Case Report on Rare Abnormality

Vol. 9 | Issue 2 | August-September 2021 | Page: 12-14 | Sukesh A N, George Jacob, Jacob Varughese

DOI:10.13107/jkoa.2021.v09i02.039


Authors: Sukesh A N [1], George Jacob [2], Jacob Varughese [1]

[1] Department of Orthopaedics, VPS Lakeshore Hospital, Kochi, Kerala, India.
[2] Department of Orthopaedics, Osaka University, Japan.

Address of Correspondence
Dr. Sukesh A N,
Department of orthopaedics, VPS Lakeshore Hospital, Kochi, Kerala, India.
E-mail: Sukesh_an@yahoo.com


Abstract


Introduction: Lateral collateral ligament calcification is a rare cause of knee pain. There are only a handful of case reports, and the findings are usually incidental and asymptomatic. The exact mechanism for calcific deposit remains unclear. We present a case of symptomatic calcification within the lateral collateral ligament treated by surgical enucleation.
Case presentation: A 52-year-old active woman presented with complaints of pain over the lateral aspect of the left knee of 6 months’ duration. Her pain was severe, aggravated on descending stairs but relieved on rest. Clinical examination revealed tenderness over the lateral aspect of the knee joint. Standard standing anterior-posterior radiograph of the left knee revealed a homogenous dense opacity adjacent to the lateral femoral condyle.
Conclusion: Calcification within the lateral collateral ligament is rare and treatment is determined by whether the patient is symptomatic or not. If symptoms of the patient cannot be alleviated with a conservative approach, we recommend a surgical enucleation of the calcification, which in our case had good results.
Keywords: Calcification, Knee pain, Lateral collateral ligament


References


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How to Cite this article: Sukesh A N, Jacob G, Varughese J |  Symptomatic Calcification within the Lateral Collateral Ligament of Knee: A Case Report on Rare Abnormality | Journal of Karnataka Orthopaedic Association | August-September 2021; 9(2): 12-14.

 


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The ‘Unsolved’ Fracture Neck of Femur– A Comprehensive Review

Vol. 9 | Issue 2 | August-September 2021 | Page: 02-11 | Sandeep Vijayan, Nikhil Hegde, Mahesh Suresh Kulkarni, Monappa Naik Aroor, Vishweshwar Bhat, Sharath K Rao

DOI:10.13107/jkoa.2021.v09i02.038


Authors: Sandeep Vijayan [1], Nikhil Hegde [1], Mahesh Suresh Kulkarni [1], Monappa Naik Aroor [1], Vishweshwar Bhat [1], Sharath K Rao [1]

[1] Department of Orthopaedics, Kasturba Medical College Manipal, Manipal Academy of Higher Education (MAHE), Manipal, Udupi, Karnataka, India.

Address of Correspondence
Dr. Mahesh Suresh Kulkarni,
Department of Orthopaedics, Kasturba Medical College Manipal, Manipal Academy of Higher Education (MAHE), Manipal, Udupi, Karnataka, India.
E-mail: maheshskulkarnibmc@gmail.com


Abstract


Introduction: Fractures involving the neck of the femur constitute a small proportion of total fractures in the body. Though these fractures mainly occur in the elderly population, their occurrence in youngsters due to high-velocity trauma is not uncommon. These fractures are commonly termed the ‘unsolved fractures’ as the outcome of these fractures are highly variable. The peculiar anatomy and precarious blood supply to the proximal femur and intracapsular location create an unfavourable biological environment for fracture union. The lack of prospective clinical trials which have evaluated the ideal surgical timing, technique and construct of the implant further adds to the confusion.
Discussion: The aim of this review was to go through the recent relevant literature on the management of femoral neck fractures to find out the answers to the debated questions and to summarize the current diagnostic and management approaches to a patient with a suspected fracture neck of the femur.
Conclusion: Knowing the patient and fracture related factors which influence the outcome are extremely important to achieve the goal of early uncomplicated fracture healing. This would help the surgeon in the thoughtful selection of the operative intervention for each patient on an individual basis and facilitate a thorough discussion between the surgeon and the patient which is vital in decision making.
Keywords: Closed reduction, Hemiarthroplasty, Hip fractures, Intracapsular, Neck of Femur, Pauwel


References


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How to Cite this article: Vijayan S, Hegde N, Kulkarni MS, Aroor MN, Bhat V, Rao SK | The ‘Unsolved’ Fracture Neck of Femur– A Comprehensive Review | Journal of Karnataka Orthopaedic Association | August-
September 2021; 9(2): 2-11.

 


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Editorial

Vol. 9 | Issue 2 | August-September 2021 | Page: 01 | Anil K Bhat

DOI:10.13107/jkoa.2021.v09i02.037


Authors: Anil K Bhat [1]

[1] Department of Hand Surgery, Kasturba Medical College Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, India.

Address of Correspondence

Dr. Anil K Bhat,
Professor and Head Department of Hand Surgery, Kasturba Medical College Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, India.
E-mail: jkoa.editor@gmail.com


It is heartening to see the decline of the current pandemic which has taken a significant toll of our work, health and other valuable resources as we limp back to normalcy.
The editorial team of the JKOA has been working tirelessly to bring new information in Orthopaedics and with this issue, we continue the endeavour to showcase the good work done by our members. It has been a privilege for the editorial team to serve KOA and with immense pride and responsibility as we present this new issue for the members. We congratulate the authors for their innovative scientific work presented in this issue.
Scientific research and publication entirely stands on the honesty and integrity of the authors and the editorial teams of journals worldwide invariably are dependent on the sense of trust in their presumed ethical study. It is a matter of great concern to see an increasing frequency of misconduct in scientific publishing which include various forms of plagiarism, Salami slicing, manipulation of authorship and bias based on presence of potential conflict of interest.
Duplicate publication is one such example where the authors submit their papers to multiple journal at the same time. The authors withdraw their manuscript as soon it is accepted in another journal. This appalling act amounts to disrespect for rules, guidelines and above all the ethics of publication. It results in loss of precious time and resources for the journal editors, reviewers associated with issues related to copyright. The authors should be aware that the journals frequently communicate with each on ethical issues and a failed response from the authors or their institution could jeopardise their paper. Our journal follows the COPE guidelines diligently which clearly mentions the problems and solutions related to duplicate submissions. Many of the journals state in their information for authors including that of ours, that dual submission is unethical and subject to automatic rejection.
In recent times, academic competition have become more intense in our institutions which has lead to the adage of ‘publish or perish’. It is regrettable to see the rise of predatory journals which have made significant contribution to the rise of such academic misconduct. Such journals ignore the vital steps of peer review and end up as low-quality articles which unfortunately offers unfair competition for genuine hard working authors for academic positions. A more sinister consequence would be risks for our patients if scientific results of publications lacks credibility. It is extremely important for all the authors to be aware of the current ethical guidelines for publication.
Professional integrity in clinical work and research is absolutely essential for research to offer the best possible care for our patients. It is also very vital that we guide our younger generation to practise in both these spheres with the highest ethical standards.

 

Dr. Anil K. Bhat

Chief Editor
Associate Dean, Professor, Unit of Hand and Microsurgery,
Department of Orthopaedics, Kasturba Medical College Manipal,
Manipal Academy of Higher education, Manipal, Karnataka, India.


How to Cite this article: Bhat AK. | Editorial | Journal of Karnataka Orthopaedic Association | August-September 2021; 9(2): 1.

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