Background: While plain radiography is commonly used to assess scaphoid fracture, this imaging modality may not accurately demonstrate early bone healing. This investigation evaluates the utility of 64-slice CT in the detection of early fracture healing compared to plain radiographs and magnetic resonance imaging (MRI). Methods: Outpatients attending follow-up visits for scaphoid fractures at H...

  Simultaneous mid third clavicle fracture and acromioclavicular joint dislocation is a rare combination injury, as a result of high-energy trauma. We report a patient with a middle third clavicle fracture and ipsilateral grade three-acromioclavicular joint dislocation, which is a rare combination. The patient wanted to get back to work as soon as possible, so the fracture was fixed with recons...

A prospective study of 111 patients thought to have sustained a recent scaphoid fracture on clinical grounds but who were radiologically negative was undertaken over a period of 7 months. All such patients were subjected to ultrasound scanning within a week of their injury under double blind conditions. All patients were re-X-rayed 2-3 weeks after their injury. The authors' results suggest that...

Chondroma is the most common primary bone tumour of the hand, but carpal chondroma has, as far as we know, been reported only twice previously in the English language literature: in one report by Dahlin (1957), no localisation was mentioned: the other, by Takigawa (1971) described a patient with a chondroma in the scaphoid and lunate of the right wrist. We report two patients each with a chondr...

this case is a 19-year-old soldier who suffered a combined elbow dislocation and posterior monteggia fracture and dislocation (type ii). the ulna fracture was managed by orif. the elbow dislocation was managed by closed reduction and immobilization in 900 flexion. the posteriorly dislocated radial head was kept reduced by a transarticular pin. after 6 months elbow and forearm motion was restric...

IT is generally accepted that fractures into joints must, if possible, be afforded perfect reduction, and that when accurate reduction has not been achieved, some considerable stiffness and degenerative arthritis may confidently be expected. This was once commonly illustrated by the malunited fracture-dislocation of the ankle, and incongruities of the scaphoid, olecranon and acetabulum provoke ...

We reviewed the records of 431 patients who had open reduction and internal fixation of the scaphoid performed by one surgeon (TJH) over a 13-year period. The Herbert bone screw provided adequate internal fixation without the use of plaster immobilisation, promoting a rapid functional recovery. On average, patients returned to work 4.7 weeks after surgery and wrist function was significantly im...

Patients with wrist pain commonly present with an acute injury or spontaneous onset of pain without a definite traumatic event. A fall onto an outstretched hand can lead to a scaphoid fracture, which is the most commonly fractured carpal bone. Conventional radiography alone can miss up to 30 percent of scaphoid fractures. Specialized views (e.g., posteroanterior in ulnar deviation, pronated obl...

INTRODUCTION Dislocation of intermediate cuneiform is a rare injury in English language literature. Dislocation of intermediate cuneiform with undisplaced medial cuneiform fracture has been reported only once. We report the first case of dislocation intermediate cuneiform with displaced medial cuneiform fracture. CASE REPORT A 43-year-old male was diagnosed of dislocation of intermediate cune...