we present an exceedingly rare case of left monteggia-galeazzi fracture-dislocation and right monteggiadistal radius fracture occurring simultaneously in a 20-year old male patient who had fallen 13 meters from a building. the combination of monteggia and galeazzi fracture-dislocation in the same forearm is very rare and, to the best of our knowledge, simultaneous bilateral monteggia and galeaz...

BACKGROUND AND PURPOSE Fractures of the scaphoid are often not detected on initial plain radiographs. Conventional management of clinically suspected scaphoid fractures is cast immobilization for 2 weeks and then reassessment. Early MRI is a diagnostic alternative. We compared the cost and usefulness of the early MRI diagnostic strategy with that of conventional management. PATIENTS AND METHO...

Hip dislocation occurs when the femur does not break and the force is transmitted towards the hip joint leading to a posterior dislocation of the femoral head with or without posterior acetabular fracture. We present the case of a 26 year old patient involved in motor vehicle accident. Clinical and imaging (radiography, CT) examination revealed an intertrochanteric fracture associated with ipsi...

We have studied fracture-dislocation of the fifth lumbar vertebra in seven patients and reviewed 50 previously reported cases. Based on this information, we have classified the injury into five types: type 1, unilateral lumbosacral facet-dislocation with or without facet fracture; type 2, bilateral lumbosacral facet-dislocation with or without facet fracture; type 3, unilateral lumbosacral face...

OBJECTIVE We developed and implemented clinical practice guideline (CPG) using computerized tomography (CT) as the initial imaging method in the emergency department management of scaphoid fractures. We hypothesized that this CPG would decrease unnecessary immobilization and lead to earlier return to work. METHODS This observational study evaluated implementation of our CPG, which incorporate...

Scapho-capitate fractures, also known as Fenton's Syndrome, occur very rarely. We report a case of a variant capitate fracture with a 180 degree rotation of the proximal fragment and no identifiable scaphoid fracture. Prompt identification of this fracture is necessary to minimize complications such as avascular necrosis.

simultaneous mid third clavicle fracture and acromioclavicular joint dislocation is a rare combination injury, as a result of high-energy trauma. we report a patient with a middle third clavicle fracture and ipsilateral grade three-acromioclavicular joint dislocation, which is a rare combination. the patient wanted to get back to work as soon as possible, so the fracture was fixed with reconstr...

INTRODUCTION Posterior dislocation of the hip joint with associated acetabular and intertrochanteric fracture is a complex injury. Early recognition, prompt and stable reduction is needed of successful outcome. CASE REPORT 45 year old male patient presented with posterior dislocation of the hip with transverse fracture with posterior wall fracture of acetabulam and intertrochanteric fracture ...