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Cole, A., Pavlou, P. and Warwick, D. (2010) Injuries of the Shoulder, Upper Arm and Elbow. In: Solomon, L., Warwick, D. and Nayagam, S., Eds., Apley’s System of Orthopaedics and Fractures, 9th Edition, 739-740.
http://dx.doi.org/10.1201/b13422-28

has been cited by the following article:

• TITLE: Management of Traumatic Joint Dislocations in Irrua

  AUTHORS: Edwin Omon Edomwonyi, Osita Chizoba Nwokike, John Enekele Onuminya

  KEYWORDS: Presentation Pattern, Trauma, Joint Dislocation, Treatment, Effect

  JOURNAL NAME: Surgical Science, Vol.6 No.3, March 11, 2015

  ABSTRACT: Aim:To elucidate the pattern of presentation and management of traumatic major joint dislocations as seen in Irrua Specialist Teaching Hospital. Method: A five-year retrospective review of 44 cases in 43 patients. Data were retrieved from the Medical Records Department of the hospital. Results:Forty-four cases of traumatic dislocations were reviewed in 43 patients. Male to female ratio was 7.6:1. Median age was 33 years. The majority of patients were in the 3rddecade of life. Patients below 40 years accounted for 62.79% of cases. Twenty-four (55.81%) patients had hip dislocation. Knee dislocations were the least, accounting for 2.32% of cases. All cases except three resulted from road traffic accidents (RTAs). None had neurologic deficits. Nineteen (44.23%) patients had isolated injuries. 76.7% cases presented in less than 6 hours. All shoulder dislocations were anterior while all elbow dislocations were posterior. All except 3 cases were managed by closed manipulation under general anaesthesia. Two patients died from associated head injury. Fourteen patients discharged against medical advice while recuperating in the ward. Follow-up was however difficult as a significant number did not turn up. Conclusion: Hip dislocation is the commonest variety of traumatic dislocation in our setting. A majority of cases were amenable to closed manipulation and immobilization. Road traffic accidents accounted for the majority.