Influence of radiographic projection and patient positioning on shortening of the fractured clavicle.

Background: Radiographic measurements of shortening and vertical displacement in the fractured clavicle are subject to a variety of factors such as patient positioning and projection. The aims of this study were (1) to quantify differences in shortening and vertical displacement in varying patient positions and X-ray projections, (2) to identify the view and patient positioning indicating the largest amount of shortening and vertical displacement, and (3) to identify and quantify the inter- and intraobserver agreement.

Methods: A prospective clinical measurement study of 22 acute Robinson type 2B1 clavicle fractures was performed.

Toe hair-thread tourniquet syndrome.

A 5-month-old boy presented with swelling and discoloration of the right third toe because of hair-thread tourniquet syndrome. This was treated by urgent surgical release of the constricting band, with a successful outcome. The authors stress the importance of recognizing this rare condition and of prompt, complete, surgical release.

Surgical treatment of posttraumatic stiffness of the elbow: 2-year outcome in 21 patients after a column procedure.

Background And Purpose: Posttraumatic stiffness is a common complication of elbow injury and can result in considerable impairment in daily life. We assessed the outcome in 21 patients treated by a column procedure.

Patients And Methods: We followed 21 patients (average age 40 (10-76) years, 11 women) for 2 years after surgery for a stiff elbow.