This study reports a novel stress radiography technique to evaluate an avulsion fracture at the lateral malleolus in children. Radiographs in the stress anteroposterior view or the Haraguchi calcaneofibular ligament or anterior tarofibular ligament (ATFL) projection could not detect any fracture; only manual inversion stress radiography in the Haraguchi ATFL projection could identify the avulsi...

We describe a case of a Monteggia fracture dislocation and an ipsilateral lateral humeral condyle fracture in a 3-year-old child. This is a rare combination of injuries with no previously reported cases in the literature. This case emphasises that when a fracture is detected around an elbow there should be a high index of suspicion for other injuries in the region.

The crescent fracture consists of a posterior iliac wing fracture with extension into the sacroiliac joint and a dislocation of the sacroiliac joint. This fracture represents a subset of lateral compression injury. The strong posterior ligaments of sacroiliac joint remain intact and a fracture fragment (crescent shape) involving the posterior superior iliac spines remains firmly attached to the...

The aim here was to present an unusual case of segmental clavicle fracture associated with ipsilateral rib fracture. Although the clavicle is very superficial, undetected cases of both types of fracture may occur, because these patients usually suffer multiple trauma. The case of a patient with a fracture of the diaphysis and lateral extremity of the clavicle is described: the patient was treat...

OBJECTIVE To study the outcome of subtrochanteric hip fractures treated with proximal lateral femur locking plate. METHOD We retrospectively reviewed the clinical results of 48 cases of femoral subtrochanteric fractures treated with proximal lateral femur locking plates from January 2008 to May 2010. The progress of fracture healing, as well as the occurrence of complications, was recorded. T...

A number of approaches have been attempted to address the treatment of acute odontoid fractures, spanning from conservative treatment with an external orthotic device to posterior C1-C2 arthrodesis or anterior screw fixation. The current report describes stabilisation of such fractures with a C1 supralaminar hook and a C2 pars interarticularis screw construct. Two patients with odontoid fractur...

BACKGROUND The goal of this present study was to precisely determine the dimension and location of the impaction fracture on the lateral femoral condyle in patients with an ACL rupture. METHODS All patients with post-injury bi-plane radiographs and MRI images after sustaining a tear to the anterior cruciate ligament were included. Lateral radiographs of the affected knee were inspected for a ...

S cervical laminoplasty was developed in Japan in the 1970s for the treatment of ossification of the posterior longitudinal ligament and degenerative spinal canal stenosis; it remained a good alternate to laminectomy. By leaving the dorsal structures in situ, laminoplasty avoids the problems associated with laminectomy such as kyphosis, instability, and delayed neurologic problems due to scar i...

INTRODUCTION Acute posterolateral rotator elbow dislocation in a child is rare and can be easily misdiagnosed due to immaturity of the epiphysis. This is the first case of occult posterolateral rotator elbow dislocation in combination with an olecranon fracture. We report our experience with this case, which was not diagnosed correctly by plain radiographs. CASE PRESENTATION An 11-year-old As...

To the editor: A 15-year-old boy presented to the emergency department with a sharp pain localized in the right inguinal area associated with tingling on the lateral aspect of his right thigh. The pain started immediately after he kicked a ball during a football game. At that time, he was unable to continue his activity. Palpation produced localized tenderness at the right anterior superior ili...