An osteotomy with interposition of iliac crest bone graft and lengthening of the proximal ulna can be used to restore ulnohumeral congruency after a malunited comminuted olecranon fracture treated with figure-of-eight tension band wiring.

INTRODUCTION Internal fixation of diaphyseal fracture of shaft of femur in an adult by Kuntscher nail is the most common operative method of treatment in Nepal where operative facilities for the same exist. Since the complete range of K-nail sizes and length are not available in most operation theatres in Nepal, most orthopaedic surgeons assess the size and length of the K-nail pre-operatively ...

A 58-year-old woman presented to an outpatient clinic with painless swellings around several joints and drenching night sweats. She had been treated with high doses of glucocorticoids for more than 20 years for dermatomyositis and the pulmonary fibrosis associated with it. On examination, she was cachectic and had nontender swellings of the bursae in the subacromial (Panel A) and olecranon (Pan...

Osteopoikilosis (OPK) or osteopathia condensans disseminate or spotted bones is a benign osteosclerotic dysplasia of unknown origin. It is an inherited autosomal disorder. It is usually detected as a coincidental finding at radiographic examination. Both sexes are equally affected. The condition is usually asymptomatic. The most common localization of these lesions is in the phalanges of the ha...

In 16 cadaver humeroulnar joints, the distribution of subchondral mineralisation was assessed by CT osteoabsorptiometry and the position and size of the contact areas by polyether casting under loads of 10 N to 1280 N. Ulnas with separate olecranon and coronoid cartilaginous surfaces showed matching bicentric patterns of mineralisation. Under small loads there were separate contact areas on the...

Pegylated interferon remains the first line treatment for patients with hepatitis D virus and more than one year therapy may be necessary. Interferon a has the most extensive clinical application and is used for the treatment of chronic hepatitis B and D virus as well as HCV infections. The attachment of polyethylene glycol to interferon increases its half-life. Treatment with peg interferon is...

Elbow pain and injury in young athletes include both acute traumatic and chronic overuse injuries. The anatomy of the developing pediatric elbow and the rapid growth of youth sports have led to an increase in chronic repetitive stress elbow injuries in the pediatric population. These injuries occur mostly in overhead athletes, throwers, and gymnasts. Force dissipation during throwing or axial l...

Several well-known Miocene catarrhines, including Proconsul heseloni, have been inferred to combine quadrupedal walking in an arboreal substrate with a significant amount of climbing during locomotion. The degree to which some of these species were adapted to perform these behaviors is not fully understood due to the mosaic of 'ape-like' and 'monkey-like' traits identified in the forelimb. Give...

Surgical exposures for complex injuries about the elbow are technically demanding because of the high density of neurologic, vascular, and ligamentous elements around the elbow. The posterior approaches (ie, olecranon osteotomy, triceps-reflecting, triceps-splitting, triceps-reflecting anconeus pedicle flap, paratricipital) include techniques used to navigate the area around the triceps tendon ...

OBJECTIVES The purpose of this study was to retrospectively characterize the sonographic appearance of partial-thickness distal triceps brachii tendon tears. METHODS After Institutional Review Board approval, sonographic records were searched for patients who had an unequivocal partial-thickness triceps tendon tear at surgery or magnetic resonance imaging. Sonograms were retrospectively chara...