Ultrasound imaging of the musculoskeletal system is an important element of the diagnostic and therapeutic protocol. Clinical decisions, including those regarding surgical procedures, are often based solely on ultrasound imaging. However, detailed knowledge on the anatomy and a correct scanning technique are crucial for an accurate diagnosis. Modern ultrasonographic equipment allows obtaining d...

Perilunate and perilunate fracture dislocations are high-energy injuries with the wrist loaded in extension, ulnar deviation, and intercarpal supination. The force vector travels from a radial to a ulnar direction and can result in complex carpal instability. The diagnosis is often delayed, which can result in suboptimal outcomes. Nonoperative management can produce inferior results, with patie...

Carpal tunnel syndrome (CTS) refers to a class of injuries characterized by compression of the median nerve in the carpal tunnel. CTS injuries cause pain, weakness, and numbness in the hands and are common among video gamers and workers that maintain their wrists in ergonomically unfavorable positions. Current CTS qualification methods are well documented, whereas the condition of the hand musc...

An 1 1 year old boy fell off a swing onto an outstretched left hand. He attended the accident and emergency department with a painful, swollen left elbow. Radiography of the injured elbow confirmed the undisplaced supracondylar fracture (fig 1). He was treated with a broad arm sling. A week later the child was seen in the fracture clinic and overall evaluation revealed tenderness over the left ...

A classification and plan of management for carpal dislocations are presented, based upon the following basic premises: perilunate and lunate dislocations are different stages of the same injury and are therefore managed identically; displacement may be either dorsal or volar; anatomic restoration of the 3 key elements (scaphoid, lunate, and capitate) is essential. Following initial closed redu...

Background: We studied musculoskeletal diseases (MSD) and injuries among fishermen and seamen with focus on low back disorders, carpal tunnel syndrome (CTS), rotator cuff syndrome and arthrosis. Methods: Cohorts of all male Danish seamen (officers and nonofficers) and fishermen employed 1994 and 1999 with at least six months employment history were linked to the Occupational Hospitalisation Reg...

PURPOSE Bear maul injuries are the most common wild animal inflicted injuries in India. More than 300 bear maul injuries report to our hospital per year. METHODS Twenty-one consecutive patients over a period of 1 year reported to our department for orthopaedic management of bear maul injuries. All the patients were referred either from peripheral hospitals or from other surgical departments o...

Peripheral nerve injuries and brachial plexus injuries are relatively frequent. Significance of these injuries lies in the fact that the majority of patients with these types of injuries constitute working population. Since these injuries may create disability, they present substantial socioeconomic problem nowadays. This article will present current state-of-the-art achievements of minimal inv...

BACKGROUND: Manual wheelchair users are at a high risk of repetitive strain injuries, carpal tunnel syndrome, and rotator cuff tears due to propelling their for mobility. Rolling resistance (RR) is one the key forces that leads increased propulsion injuries. OBJECTIVE: To better understand factors contributing RR, we iteratively designed, developed, validated drum-based testing machine test met...

The dorsal radiocarpal ligament (DRCL) has been implicated in both volar and dorsal intercalated segmental instabilities and has a role in midcarpal instability. Tears of the DRCL are more common than previously suspected. They are best seen through a volar radial portal and are amenable to arthroscopic repair. DRCL tears appear to be part of a spectrum of radialand ulnar-sided carpal instabili...