Humans ; Manipulation, Orthopedic ; methods ; Medicine, Chinese Traditional ; methods ; Models, Theoretical

Hip dislocation in children can occur congenitally in isolation or in conjunction with other congenital abnormalities. Traumatic hip dislocations in children are relatively uncommon and anterior dislocation of hip joint is even rarer. We report such a case following unusual mode of injury in a 12-year-old child. The patient underwent successful emergent closed reduction of left hip. The clinical course and follow-up assessment of the patient was otherwise uneventful. At 2 years' follow-up there was no evidence of osteoarthritis, coxa magna, heterotrophic calcification, in congruency of the joints or avascular necrosis of the head of femur.
Child ; Hip Dislocation ; physiopathology ; therapy ; Humans ; Male ; Manipulation, Orthopedic ; methods

Adolescent ; Child ; Humans ; Male ; Manipulation, Orthopedic ; methods ; Radius Fractures ; therapy

Adult ; Aged ; Colles' Fracture ; therapy ; Female ; Humans ; Male ; Manipulation, Orthopedic ; methods ; Middle Aged ; Traction ; methods

OBJECTIVETo compare clinical effects and the incidence rates of cubitus varus in displaced humeral supracondylar fractures treated with different kinds of external fixation.

METHODSAmong 226 children with displaced humeral supracondylar fractures, 134 patients were male and 92 patients were female, ranging in age from 5 to 12 years, with an average of 8.58 years. After manipulative reduction, the patients were treated with three kinds of external fixation: the 88 patients (51 males and 37 females, ranging in age from 5.1 to 12 years) in Group A were treated with double external fixations of small splint and moulding splint; 74 patients (44 males and 30 females, ranging in age from 5 to 11.8 years) in Group B were treated with small splint; and 64 patients (39 males and 25 females, ranging in age from 5.5 to 12 years) in Group C were treated with plaster slab. The indexes such as healing time of fractures, the functions of elbow joint and cubitus varus were observed. The clinical effects and the incidence rates of cubitus varus in three groups were compared.

RESULTSAll the patients were followed-up, and the duration of follow-up ranged from 6 months to 4 years, with an average of 25 months. According to the standard for efficacy evaluation, in Group A, 59 patients got an excellent result, 23 good, 6 bad, the excellent and good rate was 93.18%; in Group B, above data were 37, 29, 8, 89.19% respectively; while in Group C, the data were 20, 31, 13 and 79.69% respectively. The incidence rates of cubitus varus of three groups were 6.82%, 17.57% and 32.81% respectively. The result of statistical analysis demonstrated that there were significant differences of the clinical effects and the incidence rates of cubitus varus in three groups (P<0.05). Comparison of the clinical effects: Group A was better than Group B and Group C, Group B was better than Group C. The incidence rates of cubitus varus: Group A was lower than Group B and Group C, Group B was lower than Group C.

CONCLUSIONThe therapeutic effects of double external fixation is the best among three groups. The double external fixation had follow advantages: external fixation, high stability, strong anti-rotation ability, and joint function quick recovery, the incidence rates of cubitus varus lower and good clinical effects. So double external fixation method should be the first choose for the treatment of humeral supracondylar fractures.

Child ; Child, Preschool ; Female ; Fracture Fixation ; methods ; Humans ; Humeral Fractures ; surgery ; Male ; Manipulation, Orthopedic ; Splints

Adolescent ; Adult ; Female ; Humans ; Male ; Manipulation, Orthopedic ; methods ; Middle Aged ; Shoulder Dislocation ; therapy

Adult ; Aged ; Female ; Hand ; Humans ; Knee ; Male ; Manipulation, Orthopedic ; methods ; Middle Aged ; Shoulder Dislocation ; therapy

OBJECTIVETo study the mechanism and clinical effect of using the manipulatin of move, adduction, rotation method for the treatment of shoulder dislocation.

METHODSfrom January 2010 to March 2012,120 patients with shoulder dislocation admitted were randomly divided into treatment group and control group, 60 cases in each group. In the treatment group, there were 31 males and 29 females; In control group, there were 30 males and 30 females. In treatment group, 60 patients create their own "on the move, adduction, rotation manipulative treatment,the other 60 cases in control group used traditional restoration methods in wearing the traction treatment. The efficacy of two methods of treatment of shoulder dislocation were compared on reset process once successfully rate, the patient's level of pain (VAS).

RESULTSIn treatment group, restoration once successfully were in 59 cases, improvement of the pain (VAS) values was 3.76 +/- 1.05, the results were excellent in 57 cases, good in 2, poor in 1,without concurrent fractures and nerve injury, without re-dislocation after 3 months. In control group, restoration once successfully were in 50 cases, improvement of pain (VAS) values was 5.67 +/- 1.15, the results were excellent in 45 cases, good in 7, poor in 8. The reset once successfully rate,improvement of VAS values and clinical effect in treatment group were better than that of control group.

CONCLUSIONOn the move, adduction, rotation method has advantages of more wearing traction with uniform force, work together to focus, saving time and effort, easy and convenient to avoid iatrogenic injury.

Adult ; Female ; Humans ; Male ; Manipulation, Orthopedic ; methods ; Rotation ; Shoulder Dislocation ; therapy

Adult ; Aged ; Aged, 80 and over ; Female ; Humans ; Male ; Manipulation, Orthopedic ; methods ; Middle Aged ; Radius Fractures ; therapy

Child ; Colles' Fracture ; therapy ; Female ; Humans ; Male ; Manipulation, Orthopedic ; methods ; Middle Aged