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Biomedical subjects

M S Moneim

Publications and source records attributed to M S Moneim.

41 records · Page 3Linked to original sources
PubMed1982

Coracoid fracture as a complication of surgical treatment by coracoclavicular tape fixation. A case report.

In a 22-year-old man surgically treated for acromioclavicular dislocation, coracoid fracture was caused by bone failure at the Mersaline loop. The addition of bony erosion between the two drill holes in the clavicle caused the tape to loosen and the deformity to recur. Postoperative infection may also have played a role in causing the coracoid fracture. When tape is used, it should be passed around the clavicle, not through it. If the deformity recurs, coracoid fracture should be suspected.

Acromioclavicular Joint↗
PubMedDate not supplied

Acute gamekeeper's thumb. Quantitative outcome of surgical repair.

Ten consecutive patients with 11 complete ulnar collateral ligament tears who had early surgical repair were evaluated at an average of 42 months' followup. The mean arc of motion at the metacarpophalangeal joint at 50.9 degrees was less than the 73.7 degrees seen in the uninjured thumbs. At the interphalangeal joint, the mean arc of motion in the injured thumb was 101.6 degrees compared with 112.6 degrees on the uninjured side. Ulnar laxity was decreased slightly compared with the contralateral thumb (14.0 degrees versus 15.3 degrees) and radial laxity was 10.3 degrees on both sides. The mean grip strength and key pinch were similar between the injured and uninjured sides: grip strength was 32.3 kg in the injured thumbs and 34.0 kg in the uninjured; key pinch was 8.1 kg in the injured thumbs and 8.8 kg in the uninjured. Good stability with slight decrease in motion was obtained in our patients.

Adolescent↗
PubMedDate not supplied

Radiocarpal dislocation--classification and rationale for management.

Radiocarpal dislocation is a rare injury. The authors reviewed seven cases with this injury and identified two groups of patients. Type I involves a dislocation of only the radiocarpal joint, while Type II involves intercarpal dislocation also. Four patients were included in Type I dislocation (3 dorsal and 1 volar). The other three patients had Type II dislocations, all of which were volar dislocations. Two patients had evidence of injury to the median and ulnar nerves at the time of the injury and both recovered completely. Closed reduction was possible with good results in three patients with Type I dislocation. All patients with Type II dislocation required open reduction and all had residual problems. The distinction between Type I and Type II is essential in order to evaluate the full extent of the injury. Closed reduction should always be attempted in Type I dislocation. Type II dislocation should be treated by open reduction and repair of all torn ligaments.

Adult↗