Background: The most feared complication of fracture management is non-union. Non-union can be the following types, hypertrophic, oligotrophic, atrophic, and septic. In view a non-union, exchange nailing preferred so routinely performed for non-unions fractures tibia. Case Presentation: Here, we present case an implant failure from atraumatic event in atrophic non-union tibia, which was treated...

OBJECTIVE The aim of this study was to determine which type of spinal needle is preferred from a cost perspective, taking into account costs of the spinal needle and treatment of postlumbar puncture headache. METHODS A decision-analytic model was created to determine the cost of diagnostic lumbar punctures using atraumatic and cutting needles. We assumed a health care system perspective and b...

OBJECTIVE To examine the impact of amenorrhoea on bone mineral density in women of reproductive age. DESIGN Cross sectional study of 200 amenorrhoeic women compared with normally menstruating controls. SETTING Teaching hospital outpatient clinic specialising in reproductive medicine. SUBJECTS 200 Women aged 16-40 with a past or current history of amenorrhoea from various causes and of a m...

Measurement of ultrasonographic parameters provides information concerning not only bone density but also bone architecture. We investigated the usefulness of ultrasonographic parameters and bone mineral density for evaluating the probability of vertebral fracture. 397 postmenopausal women (59.1 +/- 6.0 years) with (n = 178) or without (n = 219) atraumatic vertebral fractures were studied. In a...

We report on a case of a 65-year-old (CD) woman who sustained an atraumatic neck fracture. A combination of Parkinson's disease with motor fluctuations, chronic cervical dystonia and osteoporosis provided the basis for this interesting diagnosis. Mrs CD had progressed to complex phase idiopathic Parkinson's disease within 13 years of diagnosis. During this time she remained independent, only us...