OBJECTIVES Overlap between the distal tibia and fibula has always been quoted to be positive. If the value is not positive then an injury to the syndesmosis is thought to exist. Our null hypothesis is that it is a normal variant in the adult population. METHODS We looked at axial CT scans of the ankle in 325 patients for the presence of overlap between the distal tibia and fibula. Where we th...

conclusions this study did not show that distal radius anatomical indices including the radial height, radial inclination, ulnar variance and volar tilt influence perilunate fracture dislocation as risk factors. background distal radius radiographic indices may play a role as risk factors in pathogenesis of kienbock’s disease, scaphoid fracture and non:union:. perilunate fracture dislocations a...

abstract   background: the tibial diaphyseal fractures are the most common type of long bone fractures encountered by most orthopedic surgeons. in accordance with descriptive indices of tibia fractures on the basis of their location in the bone, distal tibia fractures have the second incidence of all tibia fractures after the middle tibia fractures. the purpose of the study was to assess the co...

abstract background: with increasing knowledge concerning fractures of the distal radius, different classifications have been proposed. reliability of most of these classifications has been assessed. the fernandez classification has never been assessed for intraobserver and interobserver reliability, although this classification is commonly used. methods: five observers including one attending ...

We have carried out prosthetic reconstruction in six patients with malignant or aggressively benign bone tumours of the distal tibia or fibula. The diagnoses were osteosarcoma in four patients, parosteal osteosarcoma in one and recurrent giant-cell tumour in one. Five tumours were in the distal tibia and one in the distal fibula. The mean duration of follow-up was 5.3 years (2.0 to 7.1). Recons...

The ankle is a common site of sport injuries. These usually have their main manifestations at the ankle joint and are thus easily recognised. However, unstable ligamentous ankle injuries may be associated with a fracture of the proximal fibula which can dominate the clinical picture. This severe uncommon injury complex, known as Maisonneuve fracture, is easily missed and maltreated (Pankovich, ...

PURPOSE To determine the risk factors for recurrence of giant cell tumours (GCTs) of bone. METHODS Medical records of 29 men and 29 women (mean age, 34 years) treated for primary (n=53) or recurrent (n=5) GCTs of bone and followed up for a mean of 40.2 months were reviewed. The tumours were located in the distal femur (n=18), proximal tibia (n=10), proximal femur (n=8), distal radius (n=7), p...

  Background: Considering the importance of an early diagnosis and proper decision-making in regards to the treatment of pediatric distal radius and elbow fractures, this study examines emergency medicine specialists’ accuracy in the diagnosis and treatment of these patients. Methods: From 2012 and 2013, children less than 14 years old who were referred to an academic hospital emergency departm...

Distal tibial and fibular fractures, particularly in patients with comorbidities, heal slowly and have a high incidence of postoperative nonunion and infection. Autologous concentrated bone marrow aspirate (cBMA) and platelet-rich plasma (PRP) increase osteogenic potential of demineralized bone matrix (DBM). The purpose of this case series was to evaluate the efficacy of cBMA, PRP, DBM in conju...