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Knee and proximal tibia
Published in Sebastian Dawson-Bowling, Pramod Achan, Timothy Briggs, Manoj Ramachandran, Stephen Key, Daud Chou, Orthopaedic Trauma, 2014
These complications may relate either to the initial injury or to treatment: Long-term stiffness.Neurovascular injury.Ligamentous laxity.Redislocation (rare).Infection.Deep vein thrombosis/pulmonary embolism.
Accident and Emergency
Published in Nagi Giumma Barakat, Get Through, 2006
The hips are rarely dislocated, but are rather dislocatable, so dislocation tends to occur after delivery, although the exact time is still controversial. Generalized ligamentous laxity is a related factor in most cases. About 60% of children with dislocated hips are firstborns, and 30-50% were in the breech position. The Barlow test is a provocative test to dislocate an unstable hip. It is performed by stabilizing the pelvis with one hand, flexing, adducting the apposite hip and applying posterior force. If the hip is dislocatable, it is usually felt. The management is different for each age group. Pavlik harnesses are the treatment of choice for infants between 1-6 months of age. Babies of 6-18 months are managed with surgical closed reduction as the major method of treatment. Open reduction is performed for those over 18 months. At birth or within the first month, management is by maintaining the hips in a flexion-abduction position (human position).
Pharmacological resources, diagnostic approach and coordination of care in joint hypermobility-related disorders
Published in Expert Review of Clinical Pharmacology, 2018
Presence of JH does not necessarily imply a disease, as JH is harmless or, perhaps, an asset in many circumstances. However, as any other clinical signs, JH should elicit practitioner’s attention on specific pre-morbid or pathologic underlying conditions. According to its definition, JH manifests with excessive motion of a joint along physiological axes. Laxity of ligaments, tendons, and joint capsules is probably the most common cause of JH. Such a laxity may affect a single or a few joints (localized JH; LJH) or occur widespread (generalized JH; GJH) [1]. Acquired factors, such as traumas, past surgery, and training, are common explanations for ligamentous laxity affecting a limited number of joints. On the other side, GJH is often a constitutional trait. However, etiology of JH does not always mirror dichotomously its distribution, and, hence, should be interpreted holistically.
Comparison of Posterolateral Fusion and Posterior Lumbar Interbody Fusion in the Treatment of Lumbar Spondylolithesis: A Meta-Analysis
Published in Journal of Investigative Surgery, 2019
Ying-Chun Chen, Lin Zhang, Er-Nan Li, Li-Xiang Ding, Gen-Ai Zhang, Yu Hou, Wei Yuan
Spondylolisthesis is a common disease that a vertebral body slips over another in the sagittal plane. It is a common cause of intervertebral instability, chronic back pain and neurogenic intermittent claudication.1 This pathology could result from many physiological and pathological mechanisms including ligamentous laxity, defect in the pars interarticularis, postoperative sequelae and trauma. It occurs in almost 5% of the general population and increases with age.2, 3
The links between Generalized Joint Laxity and the incidence, prevalence and severity of limb injuries related to physical exercise: a systematic literature review
Published in Physical Therapy Reviews, 2018
Alexander Tingle, Oliver Bennett, Amy Wallis, Shea Palmer
Generalized Joint Laxity (GJL) has been defined as an increased range of motion in multiple joints relative to the normal population [1], although an internationally agreed definition has yet to be established [2]. Thus, variations of the term have emerged such as Generalized Joint Hypermobility and Generalized Ligamentous Laxity. For the purposes of clarity and consistency, the term GJL shall be used throughout this paper.