[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.

[Age-specific treatment of femoral shaft fractures in children].

In the treatment of femoral shaft fractures in children, the age, the anatomy of the epiphyseal plates, the vascularisation of the femoral head and the length of hospital stay play an important role. The degree in which a malposition after a femoral shaft fracture is corrected by growth depends on the size, the location and the type of dislocation, and on the residual growth potential of the child. In children up to the age of 4, treatment with traction followed by spica casting almost always gives good results.

Displaced midshaft fractures of the clavicle: non-operative treatment versus plate fixation (Sleutel-TRIAL). A multicentre randomised controlled trial.

Background: The traditional view that the vast majority of midshaft clavicular fractures heal with good functional outcomes following non-operative treatment may be no longer valid for all midshaft clavicular fractures. Recent studies have presented a relatively high incidence of non-union and identified speciic limitations of the shoulder function in subgroups of patients with these injuries.

Aim: A prospective, multicentre randomised controlled trial (RCT) will be conducted in 21 hospitals in the Netherlands, comparing fracture consolidation and shoulder function after either non-operative treatment with a sling or a plate fixation.

[The midshaft clavicular fracture].

Traditionally, midshaft clavicular fractures have been treated conservatively. However a review of the literature reveals that certain fractures can benefit from operative repair. Conservative treatment, preferably in the form of a sling, of an undisplaced midshaft clavicular fracture leads to excellent results .

Intussusception in adults: report of four cases and review of the literature.

Intussusception in adults is a rare clinical entity. The individual surgeon will not often encounter this condition. A lead-point for adult intussusception exists in 90% of cases and is frequently malignant.