Anatomic Variation in Volar Tilt of the Scaphoid and Lunate Facet of the Distal Radius.

Purpose: The aim of distal radial fracture treatment is to achieve optimal function through the restoration of normal anatomy, including volar tilt. The accuracy of assessing volar tilt on standard lateral radiographs compared with anatomic tilt lateral (ATL) radiographs is uncertain. This study aimed to investigate the anatomy of the articular surface of the distal radius, in particular measuring the angle between the dorsal and volar rims at several points from radial to ulnar, to ascertain whether volar tilt is uniform between the scaphoid and lunate facet and to explore consistency between standard lateral and ATL views.

A method for internal fixation of unstable distal clavicle fractures: early observations using a new technique.

Unstable distal clavicle fractures often require open reduction and internal fixation. A variety of fixation methods have been used and are currently in use. None of the current fixation methods seem to be without problems.

Driving plastered: who does it, is it safe and what to tell patients.

Background: The number and safety of patients who drive in an upper limb fracture cast has been largely untested. This study investigates the proportion of persons who drive in their casts and the capability of a casted persons driving is also assessed. The stance of government and insurance bodies is reviewed.