To cite: Kumar S, Ayachit A, Varman M, et al. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/ bcr-2014-208578 DESCRIPTION A well-built 31-year-old man presented with deformity and restricted movements of the left wrist joint. He gave a history of injury due to a fall 8 months earlier, for which he was initially treated with a wrist slab for 3 months. Clinical examina...

A relationship between social deprivation and the incidence of fracture in adolescents has not previously been shown. We have used a complete fracture database to identify adolescents who sustained fractures in 2000. The 2001 Scottish census was used to obtain age-specific population and deprivation data according to the Carstairs score. Regression analysis determined the relationship between t...

If neglected or misdiagnosed, non-union of a scaphoid fracture will almost inevitably progress to radiographic and symptomatic osteoarthritis of the wrist with subsequent morbidity and lifelong disability, especially in young males in which the fracture is more common. Fractures of the scaphoid bone are the most common fractures of the carpus and second in occurrence among fractures of the wris...

We have assessed the value of using a simple apparatus,the Carpal Box, in patients with suspected scaphoid fracture, to produce elongated and magnified radiographs of the carpus. The interobserver agreement between 60 observers of standard scaphoid radiographs and longitudinal and transverse Carpal Box radiographs (X-CB) was compared in 11 patients. Three-phase bone scanning was used as a compa...

A classification and plan of management for carpal dislocations are presented, based upon the following basic premises: perilunate and lunate dislocations are different stages of the same injury and are therefore managed identically; displacement may be either dorsal or volar; anatomic restoration of the 3 key elements (scaphoid, lunate, and capitate) is essential. Following initial closed redu...

Purpose: The Covid 19 pandemic has had enormous impacts on healthcare and orthopaedic services globally. aim of our study was to assess the impact that covid epidemiological pattern outpatient fractures clinic attendances. Methods: An observational retrospective performed looking at epidemiology seen fracture clinics during a three-month period level 5 restrictions equivalent pre pandemic. Data...

Primary bone healing fails to occur in 5-15 % of scaphoid bones that undergo fracture fixation. Untreated, occult fractures result in nonunion up to 12 % of the time. Conventional bone grafting is the accepted management in the treatment algorithm of scaphoid nonunion if the proximal pole is vascularized. Osteonecrosis of the proximal scaphoid pole intuitively suggests a need for transfer of th...

Complete, displaced radial fractures carry a poor prognosis in adult horses. In foals and ponies, fracture repair may have good outcome following internal fixation. Distal are difficult to stabilise due limited bony purchase. Therefore, carpal arthrodesis provide viable option for salvaging the horse. this report, we describe pan-carpal as treatment distal an pony. A 12-year-old pony, 180 kg bo...

CONTEXT Previous studies have reported lower fracture risks in patients taking 3-hydroxy-3-methylglutaryl coenzyme A reductase inhibitors (statins). OBJECTIVE To investigate risk of fracture among statin users. DESIGN Case-control study of data from the General Practice Research Database (GPRD). SETTING A total of 683 general clinical practices in the United Kingdom. PATIENTS Cases were...