This article reviews acute dislocations of the distal radioulnar joint (DRUJ) and distal ulna fractures. Acute dislocations can occur in isolation or in association with a fracture to the distal radius, radial metadiaphysis (Galeazzi fracture), or radial head (Essex-Lopresti injury). Distal ulna fractures may occur in isolation or in combination with a distal radius fracture. Both injury patter...

0022-4715/98/0500-0603$15.00/0 © 1998 Plenum Publishing Corporation We present a two-dimensional, quasistatic model of fracture in disordered brittle materials that contains elements of first-passage percolation, i.e., we use a minimum-energy-consumption criterion for the fracture path. The first-passage model is employed in conjunction with a "semi-directed" Bernoulli percolation model, for wh...

We explore whether the continuum scaling behavior of the fracture energy of metals extends down to the atomistic level. We use an embedded atom method (EAM) model of Ni, thus bypassing the need to model strain-gradient plasticity at the continuum level. The calculations are performed with a number of different 3D periodic size cells using standard molecular dynamics (MD) techniques. A void nucl...

The fatigue process is viewed as the result of the competing processes of crack growth and crack healing. The crack growth or damage proctss is ont of micrOCnlck development and growth and ultimately coalescence of microcraclc.s and propagation in the form of macrocracks. During the entire process, and especially during the period of microcrack growth, microdamage healing strongly influences th...

Protein energy malnutrition is an important determinant of clinical outcome in older patients after hip fracture, but the effectiveness of nutritional support programs in routine clinical practice is controversial. We performed a prospective, randomized, controlled clinical trial to determine if nutritional supplementation decreased fracture-related complications in a selection of otherwise hea...

OBJECTIVE Increasing evidence suggests long-term alendronate use may overly suppress bone metabolism, limiting repair of microdamage and creating risk for insufficiency fractures. The purpose of this study is to demonstrate an association between alendronate use and a specific pattern of low-energy femoral shaft fracture. DESIGN, SETTING, AND PATIENTS A retrospective review was performed of p...

The amount of energy dissipated away from or returned to a child falling onto a surface will influence fracture risk but is not considered in current standards for playground impact-attenuating surfaces. A two-mass rheological computer simulation was used to model energy flow within the wrist and surface during hand impact with playground surfaces, and the potential of this approach to provide ...

ABSTRACT Traumatic hip dislocations are common in high-energy motor vehicle accidents. We present a case of a 43-year old man who sustained posterior hip dislocation with posterior wall acetabular fracture and ipsilateral intertrochantric fracture following a motorcycle accident. Urgent open reduction and internal fixation of the hip fracture-dislocation and fixation of intertrochantric fractur...