OBJECTIVES Suboptimal bone health is increasingly recognised as an important cause of morbidity. Multiple sclerosis (MS) has been consistently associated with an increased risk of osteoporosis and fracture. Various fracture risk screening tools have been developed, two of which are in routine use and a further one is MS-specific. We set out to compare the results obtained by these in the MS cli...

OBJECTIVE To introduce the design of a butterfly-shaped plate and its application in the treatment of calcaneal fractures, and to discuss its clinical indications, advantages and disadvantages. METHODS From February 2008 to April 2010, 22 patients with 26 intra-articular calcaneal fractures were treated by open reduction and internal fixation with a butterfly-shaped plate. Sixteen patients we...

Wrist torus fractures in children are a frequent reason for Emergency Department (ED) visits. Torus fractures traditionally were treated with a backslab cast in the Children's ED and then referred to the Fracture Clinic. Guidelines were developed in order to standardise the care for children who attended the ED with a torus fracture. All patients who were seen & treated by the Advanced Nurse Pr...

STUDY DESIGN Retrospective radiographic and chart review. OBJECTIVE To define the rate and associated risk factors of treatment failure of anterior cervical fusion for treatment of cervical facet dislocations. METHODS Between 2004 and 2014, a retrospective review at a single level 1 trauma center identified 38 patients with unilateral or bilateral dislocated facet(s) treated with anterior c...

BACKGROUND Metacarpal fractures are common in football players and lead to time away from competition, but current operative treatment data is limited. The purpose of this study was to examine demographics and outcomes of football players who underwent operative fixation for metacarpal fractures. METHODS Retrospective review from 2009 to 2012 of any football player surgically treated at one i...

During the early part of spring 2011 we noticed that we were experiencing more calls than what we would consider “normal” for broken legs. The odd case on individual farms perplexed us, as no reason could be found, and most often the animal involved was a heifer. Then came the case of 4 broken legs in heifers (out of 34) on the one farm over a 4 week period. This was an incredibly unusual event...

PURPOSE To review treatment results of 29 patients with haemodynamically unstable pelvic fractures after implementation of a standardised multidisciplinary protocol. METHODS Records of 14 men and 15 women aged 14 to 84 (mean, 46) years who were treated for haemodynamically unstable closed (n=27) or open (n=2) pelvic fractures were reviewed. The survival rates before and after implementation o...

An odontoid fracture leading to Brown-Sequard syndrome (BSS) is an uncommon condition with only seven cases reported to date. To our knowledge, there are no reports of occurrence in paediatric patients. We report a paediatric odontoid fracture leading to Brown-Sequard syndrome (BSS) with satisfactory recovery following surgical treatment. Odontoid fractures may lead to Brown-Sequard syndrome in...

Pseudarthrosis and delayed union are two types of malunion events that can occur during fracture healing, and it is necessary to define and recognize the differences between them. Pseudarthrosis is defined as a case of consolidation failure in which a false joint is formed, including the presence of synovial fluid. Delayed union, or a delay in the fracture consolidation, is a condition where co...

BACKGROUND There is no single approach that provides adequate exposure for treatment of all types of acetabular fractures. We describe our experience with an easier, relatively less invasive pubic symphysis approach (PSA) for the treatment of acetabular fractures. MATERIAL AND METHODS Between March 2011 and March 2012, fifteen patients with acetabular fracture underwent surgery using the PSA te...