The bones of the skull and face collectively make up the most complex area of skeletal real estate in the body. Analysis of the fractured face requires a knowledge of not only normal anatomy, but also of common fracture patterns in the face.
OTA paper 2004: The purpose of this study was to compare results of femoral shaft fracture treatment with use of a nail designed specifically for trochanteric entry, Trigen TAN, to results with use of an identical nail without a trochanteric bend inserted through the piriformis fossa, Trigen FAN.
proximal ulnar fx
dislocated radial head
dislocated distal ulna
Fracture dislocations of the forearm
* mnemonic: "MUGR" (Monteggia ulna, Galeazzi radius)
* Monteggia More common
Journal of Orthopaedic Trauma. 16(6):394-402, July 2002.
Pihlajamaki, Harri K.; Salminen, Sari T.; Bostman, Ole M.
Conclusions: Exchange nailing without extracortical bone grafting seems to be the most effective method to treat a disturbed union of a femoral shaft fracture after intramedullary nailing. Autogenous extracortical bone grafting alone proved to be...
It is important to suspect and recognise carpal injuries as they are difficult to diagnose and can cause permanent disability if untreated. The usual mechanism of injury causing a carpal fracture is either a fall onto the outstretched hand, or direct trauma to the wrist area. Higher impact injuries from...
Paul Tornetta III, MD: We know decision making with respect to calcaneal fracture management can be difficult. Can classification help? Classification is only valuable if it is prognostic and if it assists decision making. Otherwise, it is useless.
This 82 year old lady slipped and fell while she was pushing her shopping cart across an icy parking lot. She was unable to get up from her fall and was taken to hospital. In the emergency room, she complained of pain in both legs. She was neurovascularly intact, had...
fall from a height, landing on one's feet, is a typical cause of this fracture;
- burst frx involve only compressive failure of the vertebral body both anteriorly & posteriorly, w/ failure
of both anterior &...
when will cast treatment will most likely fail, when percutaneous pinning is sufficient alone, when percutaneous pinning requires supplementary external fixation, what kind of post-treatment function can patients expect.
OTA Basic Fracture Course
The Weber classification which was developed in 1972 was developed in association of the advent of the use of internal fixation. The Weber classification did not take into account the mechanics of the injury but was a simple anatomic classification according to the location of the fracture in the fibula....
F.F. aged 27, was involved in a car accident and was admitted with an unstable fracture of L2, without neurologic compromise. Lateral plain films revealed a burst-type fracture with a 22Â° kyphosis measured between L1 and L3, a 60% crushing of the anterior column of L2, and an anterior L1-L2...
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