Psychiatric comorbidities in adult survivors of major trauma: findings from the Midland Trauma Registry.

INTRODUCTION Information for primary care providers about the outcomes of adult survivors of major medical trauma in the first year of recovery is not widely available. In particular, risks of impairment across multiple domains of functioning are poorly understood. AIM To determine the extent to which adults' experience impaired health-related quality of life (QoL), symptoms of post-traumatic stress disorder, depression, chronic pain and harmful alcohol use during the year following major trauma, and to identify factors associated with outcomes.

[A woman with a painful ankle after a sprain].

A 70-year-old woman presented with symptoms resembling an Achilles tendon rupture. Careful examination revealed a large avulsion fracture of the calcaneal tuberosity. Successful screw osteosynthesis of this tongue-type fracture was performed.

Reconstruction plates for midshaft clavicular fractures: A retrospective cohort study.

Background: For the fixation of displaced midshaft clavicular fractures different plates are available, each with its specific pros and cons. The ideal plating choice for this lesion remains subject to ongoing discussion. Reconstruction plates are cheap and easily bendable, but their strength and stability have been questioned.

[A woman with a wound on her hand].

A 37-year-old woman came to the Emergency Room. Since 7 days she had a growing wound of the left hand with a necrotic centre. She had increasing erythema and edema of the left arm, and a fever.

Quad bike injuries in Waikato, New Zealand: an institutional review from 2007-2011.

Background: The aim of this study was to assess the burden of all-terrain vehicle (ATV) injuries within the Waikato region of New Zealand.

Methods: From the local database of 13 400 trauma patients, 101 patients with ATV-related injury or death were identified. We analysed data on demographics, location and mechanism of accident, helmet use, length of hospital stay, injury severity score and type of injury.