OBJECTIVEThe rapid expansion of knowledge regarding the functional anatomy of hand and wrist, increasing functional demands of senior citizens and improved methodologies of achieving and maintaining anatomic restoration of distal radius fractures has generated a renewed interest in addressing these fractures in a more precise manner. The purpose of our study was to evaluate the difference in patients function among those treated by 1) closed reduction and Plaster of Paris cast, 2) distractor application, or 3) open reduction and internal fixation with a volar plate, and to assess the treatment choice for each particular fracture type.

METHODSA prospective study was carried out on 60 patients with fractures of the distal end radius. Fractures were classified according to the AO classification into type A (extra-articular), type B (partial articular) and type C (complete articular). After initial evaluation patients were taken up for either conservative or operative treatment and were followed up for two years.

RESULTSAnatomical results were evaluated according to the Sarmiento's modification of Lindstrom Criteria, which showed that excellent results were more frequent with open reduction and internal fixation using the plating technique. Clinical and functional results were evaluated according to the demerit point system of Gartland and Werley with Sarmiento modification, which was revealed to relate with the type of treatment techniques.

CONCLUSIONThere is no customized solution for all the fractures of the distal radius. The choice of treatment should be based on the fracture type, the patient's characteristics, the patient's demands and the treating surgeon's experience and preference.

Adult ; Aged ; Female ; Fracture Fixation ; methods ; Humans ; Male ; Middle Aged ; Prospective Studies ; Radius Fractures ; classification ; therapy ; Recovery of Function ; Treatment Outcome

Winging of scapula occurs most commonly due to injury to long thoracic nerve supplying serratus anterior muscle. Traumatic injury to serratus anterior muscle itself is very rare. We reported a case of traumatic winging of scapula due to tear of serratus anterior muscle in a 19-year-old male. Winging was present in neutral position and in extension of right shoulder joint but not on "push on wall" test. Patient was managed conservatively and achieved satisfactory result.
Electromyography ; Humans ; Lifting ; adverse effects ; Magnetic Resonance Imaging ; Male ; Scapula ; physiopathology ; Superficial Back Muscles ; injuries ; physiopathology ; Young Adult

Skeletal tuberculosis developing after trauma is a rare occurrence.We report a rare case of posttraumatic tubercular osteomyelitis of mid-tarsal bone of the right foot. Patient was treated with regular dressing and anti-tubercular drugs. Posttraumatic skeletal tuberculosis should be considered in patient with non-healing ulcer.
Adolescent ; Foot Diseases ; etiology ; therapy ; Foot Injuries ; complications ; Humans ; Male ; Osteomyelitis ; etiology ; therapy ; Tuberculosis, Osteoarticular ; etiology ; therapy

The most common cause of proximal radioulnar synostosis in adults is traumatic, usually after forearm fractures. Disabling complications are mainly loss of rotatory movements of the forearm. Various surgical procedures have been described in the literature to end up in forearm synostosis as a complication. We here presented a rare case of proximal forearm synostosis following a common but improper surgical technique for an olecranon fracture complicated by implant infection. The synostosis was treated by resection and fascia lata interposition graft.
Adult ; Humans ; Iatrogenic Disease ; Radius ; Synostosis ; etiology ; surgery

Chance fractures are usually associated with seat belt injuries. Mechanism is always related to flexion-distraction at vertebral level. Double level Chance-type fractures have rarely been reported in published literature. We presented such a fracture at D10 and L3 level in a 38-year-old patient with ankylosing spondylitis. Management was done with posterior decompression and short segment fixation separately.
Adult ; Fracture Fixation ; methods ; Humans ; Spinal Fractures ; therapy ; Spondylitis, Ankylosing ; complications