We present a case of a bisphosphonate-related femur fracture in an elderly woman, who failed treatment with both cephalomedullary nail and proximal femoral locking plate, leading to successful treatment with total hip arthroplasty. Hardware failure should be included in the differential of patients with previous internal fixation of bisphosphonate-related femur fracture that present with hip or...

We report a case of a 29-year-old man who presented with a distal humeral shaft fracture sustained by blunt trauma. Physicalexamination and nerve conduction study were consistent with injury to the median and radial nerves proximal to theelbow. The patient underwent open reduction and internal fixation of the humeral shaft fracture with neurolysis of the medianand radial nerves. Repeat electrom...

A reconstructive osteotomy was performed to correct symptomatic malposition after arthrodesis of the shoulder in nine of fourteen patients who had complications related to the arthrodesis. The clinical position of the arm in relation to the trunk was determined with the method described by Rowe. Malposition was primarily the result of fusion in more than 15 degrees of either flexion or abductio...

Distal clavicular fractures were classified by Neer in 1963. A type II fracture leads to a high rate of delayed union, or nonunion, with undesirable symptoms. Type II distal clavicular fractures usually exhibit superior displacement of the clavicle. We report two cases of distal clavicular fracture with inferior displacement and posterior displacement. Open reduction and internal fixation was p...

INTRODUCTION Only a high-energy force can cause thoracic spinal fracture-dislocation injuries, and such injuries should always be suspected in patients with polytrauma. The injury is usually accompanied by neurological symptoms. There are only a few cases of severe thoracic spinal fracture-dislocation without neurological symptoms in the literature, and until now, no case of severe thoracic spi...

Anterior dislocation of the shoulder joint with ipsilateral humerus shaft fracture is a very rare injury. Until July 2006 only 18 cases have been reported in the literature. Here we report a case of Anterior Shoulder dislocation with greater tuberosity and shaft of humerus fracture. The patient was treated by Open reduction and internal fixation of the shaft fracture followed by closed reductio...

The proximal humerus internal locking system is an internal fixation device consisting of a low-profile plate and locking screws, which is used for the fixation of three- and four-part fractures of the proximal humerus. We describe a case in which the screws cut out of the humeral head causing injury to the axillary artery necessitating urgent removal of the implant.

BACKGROUND Osteoporosis remains an underdiagnosed and undertreated major health problem. The current treatment rate for patients who have experienced at least 1 osteoporotic fracture is 20%-25%. Therefore, the Rheumatology and Internal Medicine Departments of Ochsner Clinic Foundation New Orleans implemented a mandatory rheumatology osteoporosis consult as part of preprinted admission orders fo...

The case of a eleven-year-old girl who had a fracture dislocation of the left elbow with entrapment of the ulnar nerve into the dislocated ulnar epicondyle anlage and unstable forearm fracture of the ipslateral upper extremity is described. This severe injury to the elbow and the ipsilateral forearm is termed "floating forearm" injury. The forearm was stabilized percutaneously and the elbow fra...

Treatment decision of displaced proximal humeral fractures is based on bone quality, fracture pattern, degree of displacement and patient profile. The AO/ASIF fracture classification helps in guiding treatment. Nonsurgical treatment consists of sling immobilisation. Surgical options include closed reduction and percutaneous pinning, open reduction and internal fixation with either conventional ...