A case of irreducible juxta-epiphyseal fracture of the proximal phalanx of the little finger is presented. The extensor hood was trapped under the proximal end of the distal fracture fragment and open reduction was necessary. An open reduction was performed using the dorsal approach, with good results.

Isolated fractures of the capitate are uncommon. We report a rare case of isolated fracture of the capitate with dorsal dislocation of the proximal pole. After open reduction and K-wire fixation the fracture united, and a full range of wrist motion was achieved. No signs of avascular necrosis were observed after 3 years.

During bowling, a twenty year old man could not pull out his middle finger from the ball in release and injured his finger. X-ray revealed a palmar fracture- dislocation of the PIP joint. We manipulated the PIP joint, but a gap remained at the fracture site on the X-ray after reduction. Surgical treatment was performed with a screw. Postoperatively, the middle finger was fixed with a splint for...

Offshore pipelines are an effective tool for transportation of oil and gas which are usually assembled by the use of girth welds. Since flaws may naturally exist at such welds, fracture assessment of girth welded offshore pipelines is substantial. Current fracture assessment procedures like BS 7910 consider identical material properties for the weld and the base metals. However the strength dif...

BACKGROUND AND PURPOSE Mechanisms of injury to ulnar-sided ligaments (stabilizing the distal radioulnar joint and the ulna to the carpus) associated with dorsally displaced distal radius fractures are poorly described. We investigated the injury patterns in a human cadaver fracture model. METHODS Fresh frozen human cadaver arms were used. A dorsal open-wedge osteotomy was performed in the dis...

Incorrect or delayed diagnosis and treatment of the carpometacarpal fracture-dislocations is often associated with poor prognosis. We present a rare case of unusual pattern of injury, involving dorsal dislocation of four ulnar carpometacarpal joints, associated with fracture of the trapezium, a burst fracture of the trapezoid  bone and an extra-articular fracture of the third distal  of the rad...

Fracture-dislocations in the small joints of the fingers are challenging injuries. The surgeon must choose an appropriate treatment based on fracture pattern, joint stability, and injury chronicity. Fracture-dislocations of the proximal interphalangeal joint are notoriously unforgiving, with potential long-term sequelae of residual pain and stiffness. Similar injuries in the distal interphalang...