BACKGROUND There is no robust evidence of the best operative treatment for displaced unstable metacarpal neck fractures. Numerous constructs are used in the fixation of metacarpal neck fractures. Currently, two common methods are dorsal locking plate and K-wire fixation. A new metacarpal sled fixation system for metacarpal neck fracture was designed to provide fracture stability but limit disse...

Ankylosing spondylitis is a chronic inflammatory disease characterized by inflammatory lower back pain and morning stiffness and accompanied by spine and sacroiliac joint involvement. Klinefelter's syndrome is a genetic condition that only affects males. Affected males have an extra X chromosome. This paper reports a 30-years-old male on followup with the diagnosis of Klinefelters syndrome. The...

This article presents the comparison of various compliance/stiffness equations of circular flexure hinges with FEA results. The limitation of hese equations at different t/R (R is the radius and t is the neck thickness) ratios are revealed. Based on the limitations of these design equations, a uideline for selecting the most accurate equations for hinge design calculations are presented. In add...

of retropharyngeal abscess or bony destruction. Sputum was negative for acid-fast bacilli on microscopy and culture. The results of blood cultures were negative. No other organism was seen on microscopy or cultured from the fluid aspirated from the neck. Treatment with azathioprine was stopped and prednisolone was continued at a dose of 15 mg a day. Treatment with daily intramuscular streptomyc...

BACKGROUND We conducted a nationwide study in the Netherlands to determine clinical features and prognostic factors in adults with community-acquired acute bacterial meningitis. METHODS From October 1998 to April 2002, all Dutch patients with community-acquired acute bacterial meningitis, confirmed by cerebrospinal fluid cultures, were prospectively evaluated. All patients underwent a neurolo...

BACKGROUND Association of arterial stiffness and osteoporosis has been previously reported in women. However, this association is still controversial for men. Therefore, we investigated correlation of arterial stiffness and osteoporosis by measuring brachial-ankle (ba) pulse wave velocity (PWV) and bone mineral density (BMD). METHODS We reviewed medical charts of 239 people (women: 128, men: ...

A case of spinal subarachnoid hemorrhage from a cavernous angioma of the cauda equina is reported. The patient was a 28-year-old man who complained of a sudden low-back pain and neck stiffness. Laminectomy at L1-L2 was performed with total removal of the tumor.

We present the case of a 56-year-old male patient with a history of glottic carcinoma treated with concurrent chemotherapy and radiotherapy in complete remission, who went to hospital with severe neck pain, upper right limb weakness and dysphagia. Physical examination showed neck stiffness as well. Spondylitis at C6-C7 spinal level with extradural abscess formation was diagnosed by MRI. Barium ...