Displaced unstable pelvic fractures are commonly associated with disruption of the osteoarticular junction of the sacroiliac joint. Posterior sacroiliac dislocation are commonly reported but there are only few reports the anterior type of sacroiliac dislocation where the iliac bone fractures and displaces anterior to sacrum, often in combination with fractures of pubic rami and symphyseal injur...

In advanced age the bony mineralization is reduce and causes osteophoretic change, resulting osleolytic lesion and pathological fracture. During injury the spinal column and spinal cord can be injured anywhere along their length. The majority of the damage to spinal cord occurs at the time of injury. But further damage can be caused by improper handling of the unstable spine and by disruption o...

Five consecutive unstable fractures of the distal third of the clavicle were treated by indirect open reduction and internal fixation using a temporary Bosworth-type screw. Coracoclavicular fixation provided and maintained reduction of the fracture. Healing occurred uneventfully within nine weeks in all cases. The screw was removed under local anaesthesia after healing of the fracture and there...

Instability may present at a different level after successful stabilisation of an unstable segment in apparently isolated injuries of the cervical spine. It can give rise to progressive deformity or symptoms which require further treatment. We performed one or more operations for unstable cervical spinal injuries on 121 patients over a period of 90 months. Of these, five were identified as havi...

Introduction: The management of unstable intertrochanteric fracture in elderly patients poses the challenges of difficult anatomical reduction as well as the need for prolonged immobilization and delayed weight bearing to prevent implant failure secondary to poor bone quality. Because of prolonged immobilization, complications such as deep vein thrombosis, hypostatic pneumonia, pressure sores, ...

Brittle materials propagate opening cracks under tension. When stress increases beyond a critical magnitude, then quasistatic crack propagation becomes unstable. In the presence of several precracks, a brittle material always propagates only the weakest crack, leading to catastrophic failure. Here, we show that all these features of brittle fracture are fundamentally modified when the material ...

Intertrochanteric femur fractures are very common in patients over 65 years old, and are often associated with osteoporosis. Proximal femoral nails are preferred because of their biomechanical advantages in the treatment of these fractures, especially if the fracture is unstable. However, many complications associated with intramedullary fracture fixation have been described. The medial migrati...

Coronoid process fractures are reported to occur from avulsion by the brachialis muscle or to be associated with elbow dislocations. We report a rare case of coronoid process fracture due to avulsion by the anterior bundle of the medial collateral ligament rendering the elbow unstable. In children, small fracture fragments of the coronoid process (types 1 & 2) are in reality often much larger b...

We briefly review the models of fracture dissolution process, discussing the experimental and numerical evidence showing that this phenomenon is inherently two-dimensional and hence cannot be accurately described by one-dimensional models. The physical reason for this incompatibility is that a dissolution front in a single rock fracture is potentially unstable to small variations in local perme...

Finger fractures are common injuries with a wide spectrum of presentation. Although a vast majority of these injuries may be treated non-operatively with gentle reduction, appropriate splinting, and careful follow-up, health care providers must recognize injury patterns that require more specialized care. Injuries involving unstable fracture patterns, intra-articular extension, or tendon functi...