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Biomedical subjects

P Mikkelsen

Publications and source records attributed to P Mikkelsen.

8 recordsLinked to original sources

Hansen-Street nailing of fractures of the femoral shaft. A study of 70 consecutive cases.

A series is presented of 70 consecutive cases of fractures of the femoral shaft fixed with the solid Hansen-Street nail. They were followed until the nail was removed and the patient fully recovered. There were no deep infections, but one pseudarthrosis. There were four cases of fat embolism. The mean time spent in hospital was 32 days, and the patients began to take full weight at an average of 14 weeks after the injury. It was concluded that Hansen-Street nailing is a safe procedure which does not demand advanced technical skills or equipment.

Adolescent

Posterior acromioclavicular dislocation.

Posterior dislocation of the acromioclavicular joint with the lateral end of the clavicle locked behind the acromion has only rarely been described. This paper present such a case diagnosed two weeks after the shoulder was injured in an accident. The clavicle was locked behind the articular surface of the acromion, restricting the movement of the shoulder and causing considerable pain. Anteroposterior radiographs showed a high-riding clavicle but no gap in the joint, but the axial view showed the dislocation. At operation the coracoclavicular ligaments were found overstretched but not ruptured. As reduction of the acromioclavicular joint was not possible, the lateral end of the clavicle was resected. Although the result was perfect, we consider the correct treatment should be early closed or open reduction of the acromioclavicular joint.

Acromioclavicular Joint