Can intravenous paracetamol reduce opioid use in preoperative hip fracture patients?

Pain due to intra- and extracapsular hip fractures is usually treated with opioid medication. Paracetamol (acetaminophen in North America) has better bioavailability when given intravenously than orally and has been successfully used in the postoperative care of orthopedic patients. However, no study has evaluated its use in the preoperative trauma patient.

Interobserver and intraobserver variations in tibial pilon fracture classification systems.

Background: Tibial pilon injuries are a complex group of fractures, whose classification and radiological assessment has been under constant reform. Till date, there is no universally accepted classification system.

Objective: To determine the interobserver agreement and intraobserver reproducibility of Ruedi and Allgower, AO, and Topliss et al.

An anomalous hindfoot insertion of the posterior tibialis tendon.

The posterior tibialis tendon has numerous insertions but none into the hindfoot has ever been reported in the literature. We present the operative and histological findings of an anomalous insertion slip into the sustentaculum tali in an adult patient with flatfoot deformity.