Posterior Malleolar Fracture Essay

Title Serum N-terminal propeptide of type 1 collagen (P1NP) in Elderly Patients with Hip Fracture: Relationship with Sociodemographic and Clinical Characteristics, Other Parameters of Bone and Mineral Metabolism, and Short-term Outcomes

Keywords: Ankle sprain, High volt, Medial and Lateral Malleolus Objective The ankle joint is the most commonly injured part of the lower leg. It happens from an unusual twisting action

The fracture seen in the images is called a comminuted fracture and is seen on the proximal end of the humerus. A comminuted fracture Is identified by the bone being spit into multiple fragments. As seen in the images provided the humeral head is seen with 2 fragments coming off of the medial and lateral aspects. Due to the multiple fragments as well as the patients MOI I deemed this fracture comminuted. The etiology for a comminuted fracture is described as an extreme pressure being exerted on a bone1. This matches the MOI of the patient who claimed that she fell onto her shoulder after slipping on the ice. The extreme pressure would be her entire body weight being exerted onto her humeral head during the fall and with her decreased bone density

Lumbar Fracture A lumbar fracture is a break in one of the bones of the lower back. Lumbar fractures range in severity. Severe fractures can damage the spinal cord.

A greenstick fracture is a fracture in which one side of a bone is broken and the other side is bent (like a green stick). "This time of broken bone most commonly occurs in children because their bones are softer and more flexible those are the bones of adult" (Mayo

Methods: Retrospective study comparing The subchondral-sparring group were operated during 2010-2013 and consisted of 179 patients. Other than different mean follow-up period, there was no significant difference regarding patient demographics. There were 5 tibia-related complications (3 gross component subsidence and loosening and 2 tibial plateau fracture). All these complications were detected within 6 months after index surgery. One patient with subsidence and 2 patients with fracture required revision to TKA. There were no tibia-related complication in subchondral-sparring group. The incidence of tibia-related complication between the two groups are statistically significant. (Fisher exact test, 5/166 VS 0/179; p=0.025). There was no femur-related complication. Two patients in measure-resection group require revision to TKA due to progression of disease in lateral compartment at 5 and 7 years post-op. Clinical outcomes at 2-year when excluding cases with complications were similar in both

Distal Radius Fractures (DRF) are common fractures encountered in orthopedics within the elderly. As reported by Koval and Zuckerman (1998) the elderly have an increased number of DRF for numerous reasons including the fragility of osteopenic bone, postmenopausal osteoporosis and as a result of low energy trauma including trips and falls. According to Tortora and Derrickson (2009) they are more common in women than men because women’s bones are smaller, and the production of hormones in women declines dramatically at menopause, whereas only slightly in men. A study by Sennwald (1987) reported that after the age of 50, more than 85% of DRF occur in women, likely attributable to the impact of osteoporosis. Approximately one in seven women

The hip, one of the largest major weight-bearing joints in the body. It’s where the thigh bone also known as the femur meets three other bones known as the pelvic bone. These bones create a ball and socket joint which is when a ball shaped bone (femur) articulates with cup

6.3 Surgical Treatment 6.3.1 Surgical Access There are mainly four approaches for fixing acetabular fractures, depending on the nature and location of the fracture, namely the Kocher-Langenbeck, ilioinguinal, extended iliofemoral, and combined approaches. The first two are the two mainly used approaches. The KocherLangenbeck is a posterior technique, and therefore, mainly used for posterior wall, posterior column, and associated posterior column and posterior wall fractures. It is also selected for most pure transverse, or transverse with posterior wall fractures, and also for some T-shaped fractures[5]. The ilioinguinal approach allows an anterior access of the hip bone, and therefore, is employed in anterior wall, anterior column, and anterior with posterior hemitransverse fractures. It is also used in most cases of both-column fractures and in selected cases of pure transverse fractures. The extended iliofemoral approach gives access to a larger area of the hip bone, and hence, utilized in more complex acetabular fractures, namely transverse with posterior wall, T-shaped, both-column fractures if difficulties with reduction through the traditional approach are anticipated[5]. Finally, combined anterior and posterior approaches

EVOLUTION OF TREATMENT With advent of advanced medical care, the life span of humans has considerably increased. This in turn has increased the populations of the aged people. With the increased life span and need to be independent patients are now demanding for a better functional outcome following a fracture fixation. Management of proximal humerus fractures in the elderly has always posed a challenge to the orthopaedicians in their daily practice.

In the current study surgical To achieve early functional exercise of ankle joint, malleolus fractures should be fixed to get good support and resist torsion, which requires multiple screws fixation of the distal fracture fragments to provide effective control performance, good compressive capacity. Simultaneously three-dimensional mutiple plane fixation is necessary which can obtain good ability to resist torsion [18]. Tension band or screw fixation can easily lead to fracture fragment rupture, internal fixation instability and even nonunion in the treatment of Herscovici Type A or Type B medial malleolus fractures. Therefore, a hook plate can be as an option for fixation these fractures. Surgeons commonly utilize hook plates for smaller fracture fragments that are not amenable to typical screw fixation or K-wire tension band method [19-20]. They can provide stability to comminuted fracture fragments, prevent rotation and apply compressive forces across fracture sites.1 The plate serves to purchase a fracture fragment with its prongs and reduce the fragment to the diaphyseal portion of

A sternal fracture is a break in the bone in the center of your chest (sternum or breastbone).

When my sister was in middle school (6th grade), she fell to the ground while she was playing with her friends during the lunch break. Her right hand started to swell and it was hurting her, but she didn’t realize that it was a bone fracture. When she got back home, I saw her swelling hand so I went ahead and applied an ice back to the injured area. By using a bandage, I was able to stabilize her hand to her neck and called 911 to seek immediate medical care. A wrist fracture was the result of the examination and the x-ray. Later on, an orthopedic doctor applied a cast on my sister’s hand and told her to keep it safe, dry, and clean. Four weeks later, the doctor removed the cast after taking another x-ray that showed the bones in their normal

Have you ever broken a bone before, in my opinion it is the worst pain you could ever be in. If a break is bad enough it could put you in shock which is scary almost as if you are frozen in time. There are many types of breaks which you could have from a hairline fracture to a compound fracture and also many bones you could break if not careful.

In cases of instability due to fractures, reduction needs to be addressed first to ensure integrity of the joint anatomy to allow soft tissue healing. In cases of distal radius fractures, reduction and restoration of radial alignment is necessary and long term results show no difference in outcomes of conservative or surgical approaches following adequate fixation (42). Ulnar head dislocations may require reduction and temporary fixation with K-wires. For fractures of the ulnar styloid, fixation of the radius alone may have the same results as ulnar styloid fixation