Release of Extensive Post Traumatic Radio-Ulnar Synostosis with Vascularized Free Flap Interposition.

Unlabelled: Radioulnar synostosis is a rare complication after a forearm or elbow injury. The severity of initial trauma, associated head injury along with timing and the type of surgical treatment have been implicated in the formation of extra bone leading to synostosis. Surgical intervention is the standard treatment and is recommended after the maturation of synostotic bone.

Classification of proximal humeral fractures based on a pathomorphologic analysis.

Background: The purpose of this study was to analyze the pathomorphology of proximal humeral fractures to determine relevant and reliable parameters for fracture classification.

Methods: A total of 100 consecutive acute proximal humeral fractures in adult patients were analyzed by 2 non-independent observers from a single shoulder department using a standardized protocol based on biplane radiographs and 3-dimensional computed tomography scans. A fracture classification system based on the most reliable key features of the pathomorphologic analysis was created, and its reliability was tested by 6 independent shoulder experts analyzing another 100 consecutive proximal humeral fractures.

Novel method to treat sterno-clavicular joint instability and medial clavicle fracture symptomatic nonunion.

Background: Stabilization of the medial clavicle is traditionally associated with relatively high complication and failure rate. This is a retrospective, case series study to assess outcome of a novel two-stage surgical treatment of sterno-clavicular joint instability or symptomatic medial clavicle fracture non-union.

Methods: Between 1997 and 2007, 9 consecutive patients with an average age of 35 years were treated by a staged surgical treatment, six with sterno-clavicular joint instability, and three with symptomatic medial clavicle nonunion.