Scapula fractures: interobserver reliability of classification and treatment.

Objectives: There is substantial variation in the classification and management of scapula fractures. The first purpose of this study was to analyze the interobserver reliability of the OTA/AO classification and the New International Classification for Scapula Fractures. The second purpose was to assess the proportion of agreement among orthopaedic surgeons on operative or nonoperative treatment.

Fragment-specific fixation of distal radius fractures using the Trimed device.

Fragment-specific fixation of the distal radius represents a new technique for addressing complex distal radius fractures. It signifies a substantial shift in the thought process of open reduction and internal fixation; each fracture fragment is addressed independently with small plates or wire forms, allowing comminuted fractures to be anatomically restored and early motion started. Although the system is at first daunting, its modularity provides flexibility for the surgeon to modify the fixation to the individual needs of the patient's specific fracture pattern and the surgeon's level of expertise.

Isolated compartment syndrome of the pronator quadratus compartment: a case report.

We present a case of compartment syndrome that involves the pronator quadratus space but does not affect any of the other forearm compartments. Symptoms consisted of pain out of proportion to examination findings, splinting of the forearm in a 30 degrees pronated position, and severe pain with passive supination. Diagnosis was confirmed with pressure measurements of all forearm compartments at the time of surgery.