BACKGROUND Recombinant human platelet-derived growth factor BB (rhPDGF-BB) combined with an osteoconductive scaffold (β-TCP) has been demonstrated to increase bone formation, but rhPDGF-BB has not been studied in human fractures. The purpose of this study was to evaluate the safety and potential use of locally administered rhPDGF-BB/β-TCP (Augment®) in acute wrist fractures. METHODS Forty pat...

BACKGROUND Fracture represents the single most important clinical event in patients with osteoporosis, yet remains under-predicted. As few premonitory symptoms for fracture exist, it is of critical importance that physicians effectively and efficiently identify individuals at increased fracture risk. METHODS Of 3426 postmenopausal women in CANDOO, 40, 158, 99, and 64 women developed a new hip...

Scapho-capitate fracture (Fenton syndrome) is a rare lesion and is even less well-documented in adolescents. The most frequent mechanism is possible forced extension and hyperextension of the wrist. We report a case of 15 years old boy with hyperextension injury to the wrist. The true diagnosis was made 2 weeks later. Treatment involved open reduction and internal fixation with K-wires and Herb...

Acute fractures of the scaphoid were randomly allocated for conservative treatment in a Colles'-type plaster cast with the wrist immobilised in either 20 degrees flexion or 20 degrees extension. The position of the wrist did not influence the rate of union of the fracture (89%) but when reviewed after six months the wrists which had been immobilised in flexion had a greater restriction of exten...

The authors report a rare case of the bilateral floating forearm in a 25year-old man , who presented the combination of injuries after a fall from third floor; The bilateral dislocation of the elbow and fracture –dislocation of two wrists .The elbows were reduced orthopedically and the right wrist was treated with external fixator and pinning in the left wrist. At twelve months the patient only...

A 43-year-old professional skateboarder presented to the sports medicine clinic with complaints of left wrist pain to the ulnar aspect. Two weeks prior to presentation, his wrist became suddenly painful with no specific trauma. He reported a history of falls over the years while skateboarding but none directly correlated to his onset of wrist pain. Radiographic results were negative for wrist o...

DESCRIPTION A 39-year-old mechanic presented with a 6-week history of activity-related ulnar sided wrist pain in his dominant right hand after punching injury. History, physical examination, and imaging were consistent with a hamate body fracture nonunion. The patient underwent open reduction internal fixation and went on to bony union and restoration of function.

OBJECTIVE Sarcopenia might be associated with bone fragility in elderly individuals. This study aimed to investigate the prevalence of sarcopenia and its association with fragility fracture sites in elderly Chinese patients. METHODS Patients (322 men and 435 women) aged 65-94 years and with a history of fragility fractures in the ankle, wrist, vertebrae or hip, and healthy men (n = 1263) and ...

BACKGROUND Although only 39 % of patients with wrist trauma have sustained a fracture, the majority of patients is routinely referred for radiography. The purpose of this study was to derive and externally validate a clinical decision rule that selects patients with acute wrist trauma in the Emergency Department (ED) for radiography. METHODS This multicenter prospective study consisted of thr...