Pathological fractures in children can occur as a result of a variety of conditions, ranging from metabolic diseases and infection to tumours. Fractures through benign and malignant bone tumours should be recognised and managed appropriately by the treating orthopaedic surgeon. The most common benign bone tumours that cause pathological fractures in children are unicameral bone cysts, aneurysma...

Many fractures occur in individuals without osteoporosis defined by areal bone mineral density (aBMD). Inclusion of other aspects of skeletal strength may be useful in identifying at-risk subjects. We used surrogate measures of bone strength at the radius and tibia measured by peripheral quantitative computed tomography (pQCT) to evaluate their relationships with nonvertebral fracture risk. Fem...

The battered child syndrome consists of a constellation of signs that may be either apparent or covert. Radiographic documentation of unexplained or difficult-to-detect fractures is an important means of establishing a basis for legal intervention in child abuse. One hundred ten children were evaluated with either radiographic surveys or bone scans, and 50 children had both roentgenograms and b...

BACKGROUND Ultrasound (US) is a good first-line alternative for the diagnosis of bone fractures in adults as well as children. Our study shows that, compared to X-ray, in a resource-constrained environment, on-site US has a high sensitivity (98%) and specificity (96%) in the diagnosis of bone fractures. PURPOSE To compare the accuracy of on-the-spot US with conventional radiography in the scr...

background : the aim of this study was to demonstrate similarities and differences between mothers and daughters regarding dietary and non-dietary risk factors for bone fractures and osteoporosis. methods : the study was carried out in 2007-2010 on 712 mothers (29-59 years) and daughters (12-21 years) family pairs. in the sub-sample (170 family pairs) bone mineral density (bmd) was measured for...

INTRODUCTION Indirect ballistic fractures occur when a projectile passes close to, but not contacting, the bone. The mechanism of how these fractures occur is not yet proven, but recently the acoustic shockwave has been excluded as a cause. The objective of this study is to determine whether the expanding temporary cavity, the collapse of this cavity or its oscillation causes these fractures. I...

The current study identified 124 lateral condylar fractures of the distal metacarpus or metatarsus over a 6-year period. Thirty were classified as displaced. Eight 30 displaced and 1/86 incomplete had concurrent sagittal axial fracture proximal sesamoid bone. A 20-degree DMPLO view is most sensitive radiographic projection to identify flexed demonstrates displacement complete fractures. Radiogr...

Fracture shaft of humerus is a relatively common long bone fracture accounting for 10 percent of long bone fractures. But unlike other long bone fractures, the uniqueness of this fracture is that most fractures are managed conservatively rather than operatively. Excellent functional outcomes and high rates of bony union have been reported by numerous studies for conservatively managed fractures...

Several recent medical articles have described multiple cases of unusual low-impact subtrochanteric stress fractures or completed fractures of the femur in patients who have been on the bisphosphonate alendronate for several years for osteoporosis or osteopenia. Some patients have experienced such fractures in both femurs. The fractures are often preceded by pain in the affected thigh, may have...

BACKGROUND AND PURPOSE A recent novel application of ultrasound therapy is the treatment of bone fractures. The aim of this study was to investigate the effect on fracture repair of ultrasound produced by a conventional therapeutic ultrasound unit as used by physical therapists. SUBJECTS AND METHODS Bilateral midshaft femur fractures were created in 30 adult male Long-Evans rats. Ultrasound t...