A Wii virtual activity severe thumb metacarpal injury.

In this paper we present a case of a severe thumb bone injury sustained during simulated sporting activity using a Wii games console. Although several types of injury related to this form of physical activity have been encountered during the last few years with increasing frequency, this particular basal thumb fracture has not been reported in the literature yet. This was a complex Rolando type of fracture similar to those obtained doing the actual activity mimicked by the game.

Congenital pseudarthrosis of clavicle: illustrated operative technique and histological findings.

Congenital pseudarthrosis of the clavicle is a rare condition present at birth but often diagnosed later in childhood. Indications for surgical treatment include pain, deformity or neurovascular compromise. Reconstruction usually involves resection of the pseudarthrosis, placement of iliac crest bone graft or graft substitute and internal fixation.

Transarticular shear fractures of the distal humerus.

Background: Capitellar fractures result from shearing and wedging forces transmitted to the elbow that create complex injury patterns that are difficult to stabilize. The fracture often extends into the trochlea and is associated with posterior comminution of the humerus and soft tissue injury. Diverse fixation techniques are required to restore the anatomy perfectly to ensure elbow function is regained.