Introduction: Clavicle fractures accounting for 3 to 5% of all adult fractures are usually treated non-operatively. There is an increasing trend toward their surgical fixation. The aim of our study was to investigate the outcome following titanium elastic stable intramedullary nailing (ESIN) for midshaft non-comminuted clavicle fractures with >20 mm shortening/displacement.
View Article and Find Full Text PDFThe majority of clavicle fractures unite uneventfully. Indications for operative surgery are limited, with high rates of complications. We describe our results with an alternative cost effective method of treating these injuries in young patients.
View Article and Find Full Text PDFAm J Orthop (Belle Mead NJ)
July 2008
There has been increasing interest in performing acute total knee replacement for periarticular knee fractures in elderly osteoporotic patients. This is comparable to treating femoral neck fractures with arthroplasty. We present a case of tuberculous infection in a primary total knee replacement performed for a medial tibial condyle fracture, in an 85-year-old Caucasian female with a previously asymptomatic knee.
View Article and Find Full Text PDFJ Foot Ankle Surg
April 2008
Osteochondritis dissecans can affect any joint, although the ankle is the third most common location after the knee and elbow. When the ankle is involved, the lesion usually affects the talar dome. The authors report a case of osteochondritis of the subtalar joint affecting the talus in a 14-year-old girl without any history of trauma.
View Article and Find Full Text PDFInjuries with the Monteggia fracture-dislocation pattern necessitate operative fixation of the ulna fracture in an adult. It is important to identify this by taking radiographs of the elbow and wrist joints in all cases of ulna fracture. We present a case of an occult Monteggia fracture-dislocation in an adult, which was not apparent on the initial radiographs.
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