Bisphosphonates (BPs) are the most commonly used medications for osteoporosis. This ASBMR report provides guidance on BP therapy duration with a risk-benefit perspective. Two trials provided evidence for long-term BP use. In the Fracture Intervention Trial Long-term Extension (FLEX), postmenopausal women receiving alendronate for 10 years had fewer clinical vertebral fractures than those switch...

Fractures of the radial head and radial neck correspond to 1.7-5.4% of all fractures and approximately 30% may present associated injuries. In the literature, there are few reports of radial head fracture with posterior interosseous nerve injury. This study aimed to report a case of radial head fracture associated with posterior interosseous nerve injury. CASE REPORT A male patient, aged 42 y...

QUESTION Do dynamic splints reduce contracture following distal radial fracture? DESIGN Assessor-blinded, randomised controlled trial. PARTICIPANTS Forty outpatients with contracture following distal radial fracture. INTERVENTION The control group received routine care consisting of exercises and advice for 8 weeks. In addition to routine care, during the day the experimental group receiv...

BACKGROUND Because of strong loads acting in the elbow joint, intraarticular fractures with a methaphyseal comminuted fracture site at the distal humerus demand a lot from the osteosynthetic care. Ambiguities arise concerning to the anatomic position of the implants and the resulting mechanic performance. The aim of this biomechanical study was to compare the performance of different anatomical...

background supracondylar fracture of the humerus is the most common elbow injury that requires reduction and immobilization in the proper position to :union:. there are a few reports regarding the position of the forearm immobilization on elbow cosmetic outcome. objectives this study aimed to compare two modes of the forearm, supination and pronation in elbow deformity incidence after closed re...

BACKGROUND Posterior fixation alone may not be adequate to achieve and maintain burst fracture reduction. Adding screws in the fractured body may improve construct stiffness. This in vitro study evaluates the biomechanical effect of inserting pedicle screws in the fractured body compared with conventional short- and long-segment posterior fixation. METHODS Stable and unstable L2 burst fractur...

Proximal interphalangeal joint fracture dislocations are challenging injuries that can be managed in a wide variety of ways. The fracture dislocations of the PIP joints are classified by their mechanical stability and the percentage of joint involved in the fracture. Fracture dislocations that remain stable with less than 30 degree of flexion of the PIP Joint and those that have less than 20% o...

A concept of "Fractal Fracture Mechanics" for HDR .(Hot Dry Rock) geothermal reservoir design has been developed as an extension of conventional rock fracture mechanics. It is suggested that this concept is successfully applicable to characterize and model subsurface fracture network in HDR geothermal reservoir. Furthermore, this modeling procedure makes it possible to evaluate the thermal ener...

We present a case of a 21-year-old woman sustaining a traumatic [fabellar] fracture following a motor vehicle accident. The fabellar fracture was confirmed on plain films, which prompted further evaluation of the knee with ultrasound and magnetic resonance imaging to evaluate other possible associated injuries. Fracture of the fabella is a rare condition. Clinically, patients present with poste...

PURPOSE To develop a classification system for all proximal tibial fractures in children that accounts for force of injury and fracture patterns. METHODS At our institution, 135 pediatric proximal tibia fractures were treated from 1997 to 2005. Fractures were classified into four groups according to the direction of force of injury: valgus, varus, extension, and flexion-avulsion. Each group w...