INTRODUCTION Perilunate and lunate dislocations are uncommon high energy injuries and have extensive soft tissue, cartilaginous and bony damage. The most common pattern is trans-scaphoid perilunate fracture dislocation which constitutes approximately 50% of these injuries. Unusual injury pattern like Scaphocapitate syndrome can occur with fracture through scaphoid waist and capitate that rotate...

BACKGROUND Nonunion of distal radius fractures is disabling. Treatment is difficult and the results are not predictable. However, posterior interosseous bone flap (PIBF) has been successful in treating forearm nonunion. OBJECTIVES To treat distal radius fracture nonunion with PIBF as a new procedure. PATIENTS AND METHODS This prospective non-randomized cohort study was performed at two hosp...

QUESTION Does an advice and exercise program improve outcome for adults following distal radius fracture? DESIGN Randomised trial with concealed allocation, assessor blinding, and intention-to-treat analysis. PARTICIPANTS Fifty-six patients whose fracture had been managed with pins and/or cast. INTERVENTION The experimental group received a physiotherapist-directed program of advice and e...

Traumatic lipohemarthrosis of the wrist joint in association with a scaphoid fracture is an unreported entity. We present the first case report of MRI appearance of a double fluid-fluid level of lipohemarthrosis caused by a scaphoid fracture. The presence of a double fluid-fluid level within the injured joint definitely establishes a lipohemarthrosis. A traumatic lipohemarthrosis is considered ...

It is important to have patients describe the injury; acting out the traumatic event if possible. The physician must consider the age of the patient when evaluating the mechanism of injury. For example, the injury resulting from a fall on to the outstretched hand with the wrist extended will vary depending on the patient’s age, typically causing a greenstick fracture in a toddler, a growth plat...

We herein present a case of right triquetral fracture with associated pisiform and flexor carpi ulnaris subluxation in a 29-year-old man. Initial radiography showed a right triquetral fracture. Computed tomography and magnetic resonance imaging demonstrated a triquetral fracture with a subluxated pisiform. Open reduction and lag screw fixation of the right triquetrum was performed, with good su...

It is important to have patients describe the injury; acting out the traumatic event if possible. The physician must consider the age of the patient when evaluating the mechanism of injury. For example, the injury resulting from a fall on to the outstretched hand with the wrist extended will vary depending on the patient’s age, typically causing a greenstick fracture in a toddler, a growth plat...

UNLABELLED In this population-based study, seasonal periodicity was seen with reduced serum vitamin D, increased serum PTH, and increased bone resorption in winter. This was associated with an increased proportion of falls resulting in fracture and an increased risk of wrist and hip fractures. INTRODUCTION In a population of women who reside in a temperate climate and do not generally receive...

Although one-eighth to one-tenth of all fractures of the wrist are carpal fractures, they may be overlooked, unless attention is directed particularly to them in diagnostic examination. Symptoms may be slight or lacking, but diagnosis is important because such injuries may give rise to pain or disability later. There are certain guides and procedures in physical and roentgenographic examination...

OBJECTIVE To determine the causes of hip or wrist fractures. DESIGN Case-control analysis nested in a prospective cohort study. SETTING Four clinical centers in Baltimore, Maryland, Minneapolis, Minnesota, Portland, Oregon, and Monessen, Pennsylvania. PARTICIPANTS Non-black women age 65 and older living in the community. MEASUREMENTS We measured bone density, arm strength, and anthropom...