Fixation of comminuted or osteoporotic fractures in the proximal humerus is a challenge for orthopedic surgeons. In the past two decades, locking plates have been used for proximal humeral fracture fixation. However, complications such as loss of reduction have been reported, and the implants are not always available in some regions. Therefore, we describe an alternative procedure involving fix...

Eighteen patients with marginal depressed or comminuted fractures of the head of the radius, nine of whom had an associated posterior dislocation of the elbow, had a Silastic replacement carried out shortly after injury. After an average follow-up of twenty-six months satisfactory clinical results were observed in seventeen cases; three prostheses broke. The prosthesis has been particularly eff...

The patient was a 48-year-old man serving in a deployed combat setting, who was referred to a physical therapist for evaluation of progressively worsening left hip and left wrist pain. Due to concern for hip and wrist fractures, the physical therapist ordered radiographs of the left hip and left wrist. The radiographs revealed comminuted fractures of the midneck to distal neck of the left femur...

DESCRIPTION A 22-year-old man, right-hand dominant, presented with pain in his left hand after a severe crush injury at work using a forklift. Deformity, open fractures, swelling over the dorsum of his hand, and paresthesias to the index and middle digits were evident during initial examination. He was vascularly intact. Radiographs showed markedly comminuted fractures of the index metacarpal n...

formation has proved that it is chiefly derived from the bone itself, growing from every surface in the most suitable pabulum, namely blood-clot at the site of fracture ; that one has on several occasions seen compact bone exposed in a compound fracture and apparently necrotic, revitalised by vascular permeation throughout its whole extent; that in the comminuted simple fracture, which almost i...