Asian Journal of Orthopaedic Research https://journalajorr.com/index.php/AJORR <p style="text-align: justify;"><strong>Asian Journal of Orthopaedic Research</strong> aims to publish high-quality papers (<a href="https://journalajorr.com/index.php/AJORR/general-guideline-for-authors">Click here for Types of paper</a>) on all aspects of Orthopaedic research. By not excluding papers based on novelty, this journal facilitates the research and wishes to publish papers as long as they are technically correct and scientifically motivated. The journal also encourages the submission of useful reports of negative results. This is a quality controlled, OPEN peer-reviewed, open-access INTERNATIONAL journal.</p> <p style="text-align: justify;">This is an open-access journal which means that all content is freely available without charge to the user or his/her institution.</p> en-US contact@journalajorr.com (Asian Journal of Orthopaedic Research) contact@journalajorr.com (Asian Journal of Orthopaedic Research) Tue, 04 Jun 2024 08:04:00 +0000 OJS 3.3.0.11 http://blogs.law.harvard.edu/tech/rss 60 Inferior Dislocation of Shoulder Joint: Case Report https://journalajorr.com/index.php/AJORR/article/view/193 <p>Although inferior shoulder dislocations are rare, they can occur due to high-energy trauma and present diagnostic and management challenges. This report describes the case of a 28-year-old male elephant handler who experienced an inferior dislocation of the right shoulder after falling from about 10 feet height while handling an elephant. Upon first inspection, it was seen that the shoulder was distorted, with the arm positioned in a state of hyperabduction and external rotation. The diagnosis was verified by imaging examinations, and a successful closed reduction procedure was performed in the operating room under general anaesthesia. The rehabilitation program after the reduction procedure aims to restore shoulder function and prevent any future occurrences. This example emphasises the significance of timely diagnosis, interdisciplinary treatment, and customized rehabilitation in attaining positive results in uncommon shoulder dislocations.</p> Aung Kyi Winn, Kyi Swe Tint, Thin Nandi Swe Win, Viriya Low Hui Jian Copyright (c) 2024 Author(s). The licensee is the journal publisher. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. https://journalajorr.com/index.php/AJORR/article/view/193 Tue, 04 Jun 2024 00:00:00 +0000 Results of Open Reduction and V-Y Triceps Plasty of Old Unreduced Elbow Dislocations in 38 Patients with Severe Extension Deformity https://journalajorr.com/index.php/AJORR/article/view/192 <p><strong>Introduction:&nbsp; </strong>Old unreduced posterior elbow dislocation is fairly common in developing countries due to delay in presentation after initial intervention by the traditional bone setters. This poses a huge management challenge for orthopaedic surgeons because of the accompanying triceps retraction. In this article, we report outcome of treatment of old unreduced elbow dislocations with severe extension deformities using open reduction with V-Y tricepsplasty through the posterior approach.&nbsp;</p> <p><strong>Methodology: </strong>This was a retrospective study of/involving 38 patients operated with pld unreduced posterior elbow dislocations from August 2015 to March 2023. The presentation was within 3 to 18 months from the injury time at the orthopaedic hospital Wamakko, Sokoto, Nigeria. There were 31&nbsp;males, and 7 females with mean age of 32 (range 18 to 64years). The mean elbow flexion was 11° (range was 5° to 45°) before the procedure. Our management protocol was the use of posterior elbow joint approach and Speed Technique of V-Y plasty for triceps lengthening and stabilizing the reduced joint with kirschner (K) wire.&nbsp;</p> <p><strong>Results:</strong> The mean patients’ follow up was 21 (range 16 to 26&nbsp;months). The average Mayo elbow performance index (MEPI) score on admission was 54, while the average MEPI score after the procedure was 88,with 29 (76 %) patients having excellent result, 3 (8%) with good result, 5 (13%) with fair, and 1 (3)% with poor results. On the scale of pain, the mean score was 42; the mean elbow flexion was 11° (range 5° to 45°) before the procedure, and after surgery the mean score was 118° (range 45° to 135°). Complications were 5 cases of ulnar nerve neuropraxia that all resolved within first 3 months postoperatively. Two cases of heterotopic ossifications and 1 postoperative elbow stiffness all significantly improved following rehabilitation therapy.</p> <p><strong>Conclusion:</strong> The functional outcome of old unreduced elbow dislocations presenting with severe extension deformity can be satisfactory following open reduction and V-Y Tricepsplasty.</p> Nuradeen Altine Aliyu, Ahmad Kamaluddeen Copyright (c) 2024 Author(s). The licensee is the journal publisher. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. https://journalajorr.com/index.php/AJORR/article/view/192 Tue, 04 Jun 2024 00:00:00 +0000