27 patients with the diagnosis of bone fractures of the limbs with injury of peripheral vessels were treated in Viet Tiep Hospital, Hai Phong city from January 2001 to November 2002. Their majority was male persons of productive age and the main cause was traffic casualties 74%, among them underwent early operation within 6 hours. 6 patients underwent a bone combination with intraspinal nail or Kirchner needle. Among 23 preserved cases, only in 8 cases, the function of the limbs was well rehabilitated, the rest were moderate and bad. In 4 cases, it must undergo an amputation at 2nd time because the late diagnosis and had been missing.
Fractures, Bone ; Diagnosis ; Therapeutics

96 cases of bone fracture at the medium layer of the face were treated in Ha Noi odonto maxillo facial Institute from June 1997 to June 1998.The diagnosis was based on clinical and X ray examination, especially on CT scanning had confirmed 76 cases of Lefort's form of fracture. Central fracture: 36 cases including high fracture related to skull ground (32 cases), naso ethmoldo frontal bone fracture (1 case). Low fracture related to teeth joint (4 cases) including medium vertical fracture (3 cases), paramedium fracture (1 case). Facial mass lateral fracture (type III) was leading with 150 cases including high lateral fracture with or without relation to bone wall at the eye - 120 cases, low lateral fracture with relation of teeth joint - 30 cases.
Diagnosis ; Fractures, Bone ; Accidents, Traffic

Scapula fractures are rare and frequently occur secondary to high-energy trauma. Ninety percent of patients are often accompied with other potentially life-threatening injuries. Diagnosis of scapula fractures are often overlooked for the heavy injuries during the first diagnosing. Most patients can get satisfactory outcome by conservative treatment. However,the operative intervention should be considered for the patients who have displaced or intra-articular fracture in order to accelerat fracture healing and improve functional recovery. In this paper,we reviewed the diagnosis and treatment of scapula fractures.
Fractures, Bone ; diagnosis ; surgery ; Humans ; Scapula ; injuries

Observe clinical fractures and management of 108 cases treated of maxcillary fractures at the institutes of Odontostomatology in Hanoi during 2 years (2000-2001), we reported as follow: 1. The main cause of maxillary fractures was traffic accident (92.66%). Of which motorbikes were attributed the highest percentage (64.44%) of total cases. 2. Clinical features: Age also influenced the incidence of maxillary fractures, of which the age group 18-39 toped the rank 75%. The age average 29.52+/- 10.38 years. - Male predominated over female with the ratio of 6/1.- The main object maxillary fractures is farm rice. Regarding the classification of maxillary fractures: complete bilateral maxillary fractures Le Fort II ranked the first with 9.25%. The compounds maxillary fractures with other bones and organs are the highest percentage. 3. Methods: there are 3 ways were applied for maxillary fractures. At the present time often use osteosynthesis with wires and miniplate, fixed stable maxillary follow Miton Adam. 4. The result of treatment: 100% of good results after 1 week. 93.66% of good result after 6 week. 92.21% of good result after 3 months
Mandibular Fractures ; Off-Road Motor Vehicles ; diagnosis ; therapeutics ; Fractures, Bone

Theoretically, panfacial bone fractures involve all three areas of the face: frontal bone, midface, and mandible. In practice, when two out of these three areas are involved, the term “panfacial bone fracture” has been applied. We can use physical examination, simple radiologic examination, and computed tomography study for diagnosis. Linear fracture are treated by conservative treatment. But, most of panfacial bone fracture patients need to be treated by open reduction and internal fixation. Facial width is most important thing that we need to care during operation. There are many ways about sequence like “top to bottom,”“bottom to top,”“outside to inside,” or “inside to outside” and the authors prefer “top to bottom” and “outside to inside” ways. The authors apply arch bar from the first of surgery and then, set frontal bone fracture, midface fracture and mandible fracture in sequence. Usually, we remove the stitches for 5 days after surgery and the intraoral stitch removed after 2 weeks. Usually arch bar is going to be removed 4 weeks after surgery. We could get acceptable results with the above way.
Diagnosis ; Fractures, Bone* ; Frontal Bone ; Humans ; Mandible ; Physical Examination

STUDY DESIGN: Literature review. OBJECTIVES: To present updated information on the diagnosis of osteoporotic spinal fractures (OSFs). SUMMARY OF LITERATURE REVIEW: Conventional modalities including simple radiographs, bone mineral density (BMD) tests, and bone scans are sufficient for diagnosis of OSFs. However, other clinical and radiographic clues should be considered for prediction of the prognosis and differential diagnosis. MATERIALS AND METHODS: Review of the relevant literature. RESULTS: Clinical clues including morphometric changes in the vertebral body are sufficient for diagnosis of OSFs. BMD testing is helpful for diagnosis of osteoporosis. However, simple radiographs and BMD tests do not present sufficient information on the prognosis of OSFs. The location of the involved segments, morphological characteristics, and other co-morbidities should be taken into consideration in the initial management of OSFs. Moreover, pathologic conditions leading to spinal fractures should be taken into account in some clinical situations. CONCLUSIONS: With increasing reports of complicated OSFs or other pathologic fractures, other diagnostic modalities and clinical factors should be considered in predicting the prognosis of OSFs and differentiating OSFs from other pathologic conditions.
Bone Density ; Diagnosis* ; Diagnosis, Differential ; Fractures, Spontaneous ; Osteoporosis ; Prognosis ; Spinal Fractures*

Adolescent ; Fractures, Bone ; diagnosis ; Humans ; Male ; Patella ; injuries

PURPOSE: To describe the MR findings of simple bone cyst. MATERIALS AND METHODS: We analyzed the signal intensity of the cystic contents, their margins, and internal septae, and the presence of bony fragment and pathologic fracture, and enhancement patterns in MRI of 10 pathologically confirmed simple bone cysts. RESULTS: On MR imaging, the cystic contents were of homogeneously low signal intensity on T1WI and high signal intensity on T2WI in nine cases and fluid-fluid level was seen in one case. The cystic margins were dark in all sequences. There were not any fragment in the cysts. Among the four cases with pathologic fracture, one case had fluid-fluid level and two had some areas of enhancement in the cyst or adjacent soft tissue. All nine cases with gadolinium enhancement showed thin rim enhancement along the inner margin of the cysts and internal septae. CONCLUSION: Homogeneous fluid-like signal intensity of cystic content and thin rim enhancement of margin and internal septae in MR imaging are believed to be helpful in the diagnosis of simple bone cyst.
Bone Cysts* ; Diagnosis ; Fractures, Spontaneous ; Gadolinium ; Magnetic Resonance Imaging

fractures at the Department of Oral and Maxillofacial Surgery of Chonnam University Hospital from Jan, 1, 1992 to Dec. 31, 1996 were analyzed clinicostastically. Results obtained were as follows ; Male predominated over female by a ratio of 5.3 to 1. The frequently developing age groups were first 3rd (25%), 4th (21%) and the 2nd (18%) decade on succession. The peakest month was the Angust (16%), and May (11%), September (9%), October(9%). When it comes to the reasons for in-patients, traffic accident was predominant to 39%. In the 234 cases of midfacial fractures, zygomaticomaxillary complex fracture was the most by 37%. The most common with injury show that facial laceration marked by 49%, neurologic injury 24%, and mandibular fractures 20% each by each. About the time from injury onset to operation, 55% of eases were less than a week while the others (45%) more than a week. 3 plates were used for operation : for Le Fort I fracture, 5.5 for Le Fort I,II; I,III; II,III fracture, 7 for Le Fort I,II,III fracture were used. 20 patients (8%) appealed their complication and the most common was reported as infection. Above results suggest that early diagnosis and treatment of fracture site, systemic condition and associated injuries are necessary, and coorperative treatment with medical department should be performed.]]>
Accidents, Traffic ; Early Diagnosis ; Female ; Fractures, Bone ; Humans ; Jeollanam-do ; Lacerations ; Male ; Mandibular Fractures ; Surgery, Oral

More than one third of patients may present with bone pain as a consequence of leukemic cell infiltration of bone, however, bone fracture itself is an unusual presentation for childhood acute lymphoblastic leukemia (ALL). Back pain by vertebral fracture is a rare initial presentation of childhood ALL. If back pain due to vertebral fracture is the only clinical manifestation of ALL without any other accompanying symptoms, signs, or hematologic abnormality, the diagnosis of ALL could be delayed. To promote greater awareness that vertebral facture caused by ALL, resulting in significant back pain without other systemic symptoms, we report on the case of an 8-year-old boy who complained only of back pain which occurred about one month prior to visit and who was later diagnosed with ALL.
Back Pain ; Child ; Diagnosis ; Fractures, Bone ; Fractures, Compression ; Humans ; Male ; Precursor Cell Lymphoblastic Leukemia-Lymphoma ; Spinal Fractures