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  1. Article ; Online: Locked Volar Distal Radioulnar Joint Dislocation Associated With Asymptomatic Transection of the Ulnar Artery.

    Aleisawi, Hasan / Algawahmed, Hussain

    Journal of hand surgery global online

    2021  Volume 3, Issue 5, Page(s) 289–293

    Abstract: Volar distal radioulnar joint (DRUJ) dislocation is a rare clinical entity that is commonly missed during initial evaluation. We report a case of a locked volar DRUJ dislocation associated with ulnar artery transection in a 53-year-old patient. He ... ...

    Abstract Volar distal radioulnar joint (DRUJ) dislocation is a rare clinical entity that is commonly missed during initial evaluation. We report a case of a locked volar DRUJ dislocation associated with ulnar artery transection in a 53-year-old patient. He presented to the hospital after sustaining an injury to the right wrist by a heavy machinery object. Clinical evaluation showed contused skin, decreased sensation in the ulnar 2 digits, and an audible radial pulse, assessed using Doppler. Imaging studies revealed a locked volar DRUJ dislocation associated with a nondisplaced fracture of the distal ulna. Open reduction was performed with decompression of the Guyon canal. The ulnar artery was found to be transected and was primarily repaired. After the surgery, the patient showed marked improvement in neurological symptoms and patent ulnar artery flow. This case highlights the importance of meticulous evaluation and presents the heterogeneity of a volar DRUJ dislocation.
    Language English
    Publishing date 2021-06-27
    Publishing country United States
    Document type Case Reports
    ISSN 2589-5141
    ISSN (online) 2589-5141
    DOI 10.1016/j.jhsg.2021.06.003
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Rare Constellation of Pelvic Injuries: A Case Report.

    Alsager, Ghadeer / Aleisawi, Hasan / Alyousif, Hussain / Alsarhan, Hani

    Cureus

    2022  Volume 14, Issue 3, Page(s) e23077

    Abstract: Crescent fracture-dislocations are sunset of lateral compression injuries. They can be associated with vascular, bowel, genitourinary, or soft tissue degloving injuries. Here, we describe a patient with bilateral crescent fracture-dislocation, right ... ...

    Abstract Crescent fracture-dislocations are sunset of lateral compression injuries. They can be associated with vascular, bowel, genitourinary, or soft tissue degloving injuries. Here, we describe a patient with bilateral crescent fracture-dislocation, right common iliac artery (CIA) injury, and an extensive Morel-Lavallée lesion (MLL). A 35-year-old male was transferred to our hospital after being involved in a motor vehicle collision with an unknown mechanism. Upon evaluation, four rare injuries were found: right CIA injury, bilateral open iliac bone fracture, bilateral crescent fracture-dislocation, and an extensive MLL. The patient underwent successful right CIA thrombectomy and stenting, followed by irrigation and debridement of MLL and open pelvic fractures. However, his hospital course was complicated by septic shock with spontaneous rectal perforation, necessitating massive transfusion protocol activation and three relook laparotomies. Unfortunately, the patient died after 25 days of a turbulent hospital course. The combination of bilateral crescent fracture-dislocation, bilateral open pelvic fracture, CIA injury, and an extensive MLL is exceedingly rare. Each poses a challenge when encountered alone, nevertheless, after establishing hemodynamic stability, timely intervention is crucial to avoid possible morbidity and mortality.
    Language English
    Publishing date 2022-03-11
    Publishing country United States
    Document type Case Reports
    ZDB-ID 2747273-5
    ISSN 2168-8184
    ISSN 2168-8184
    DOI 10.7759/cureus.23077
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Terrible triad of the hip: A case report.

    Alyousif, Hussain / Aleisawi, Hasan / Alkaff, Hussain / Albusayes, Nora

    International journal of surgery case reports

    2021  Volume 82, Page(s) 105758

    Abstract: Introduction: Pipkin-III femoral head fracture dislocation is a rare injury and its outcome is guarded. Some authors believe femoral neck fracture of Pipkin-III injury is largely iatrogenic. Recent literature showed none of these injuries had excellent ... ...

    Abstract Introduction: Pipkin-III femoral head fracture dislocation is a rare injury and its outcome is guarded. Some authors believe femoral neck fracture of Pipkin-III injury is largely iatrogenic. Recent literature showed none of these injuries had excellent outcome, and most patients end up with hip replacement.
    Presentation of case: A 34-year-old man sustained a traumatic hip injury with fracture-dislocation and an iatrogenic femoral neck fracture during reduction. A modified Gibson approach was performed to reduce and fix the femoral head and neck fractures in a retrograde fashion. Follow-up at 26 months assessment showed viable femoral head, and excellent functional outcome.
    Discussion: Iatrogenic femoral neck fracture in the setting of femoral head dislocation is not uncommon. Clinical and radiological signs of irreducible dislocation can easily be missed which might lead to devastating complications like iatrogenic femoral neck fracture. Recognition of this unique injury, timely intervention, and meticulous dissection might positively alter the patient's outcome.
    Conclusion: This case serves to enlighten orthopedists about the risk of iatrogenic femoral neck fracture, methods to avoid such complication, and the proper management.
    Language English
    Publishing date 2021-03-14
    Publishing country Netherlands
    Document type Journal Article
    ISSN 2210-2612
    ISSN 2210-2612
    DOI 10.1016/j.ijscr.2021.105758
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Is It Compartment Syndrome? Two Case Reports and Literature Review.

    Aleisawi, Hasan / Alsager, Ghadeer / Pasha, Abdulrahman / Alyousif, Hussain / Alsarhan, Hani / Surur, Saad

    Cureus

    2021  Volume 13, Issue 10, Page(s) e19083

    Abstract: Recently, a unique entity of acute compartment syndrome (ACS) has been termed "silent" compartment syndrome. These patients develop ACS in the absence of classic pain and physical findings. We report two cases of posttraumatic silent ACS in two healthy ... ...

    Abstract Recently, a unique entity of acute compartment syndrome (ACS) has been termed "silent" compartment syndrome. These patients develop ACS in the absence of classic pain and physical findings. We report two cases of posttraumatic silent ACS in two healthy competent adult patients presenting mainly with swollen tense compartments. In the first case, ACS was suspected in a 37-year-old male with left tibia and fibula shaft fractures after reassessment of the patient's post-backslap application, which revealed painless swollen and tense compartments. In the second case, ACS suspicion was raised in a 27-year-old male with right comminuted tibial plateau fracture and a swollen but soft compartment that became tense over time. In both cases, intraoperative intracompartmental pressure testing during external fixator application confirmed the diagnosis, and both underwent emergent fasciotomy with good postoperative outcomes. The absence of pain does not exclude the diagnosis of ACS. Physicians must have a high index of suspicion when risk factors are present for ACS, and the diagnosis can be confirmed with intracompartmental pressure measurement. These case reports and literature review aim to enlighten the physicians about silent compartment syndrome.
    Language English
    Publishing date 2021-10-27
    Publishing country United States
    Document type Case Reports
    ZDB-ID 2747273-5
    ISSN 2168-8184
    ISSN 2168-8184
    DOI 10.7759/cureus.19083
    Database MEDical Literature Analysis and Retrieval System OnLINE

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