Dislocation is the most frequent serious complication following total hip replacement for subcapital femoral fracture. We report a prospective study, using matched groups, which compared the range of hip movement following hip replacement for arthritis and for fracture. The range of movement was significantly greater in the fracture group. We suggest that this is a predisposing factor for dislo...

Fractures of’ the upper end of the femur are commonly divided into intra-articular and extra-articular groups. The intra-articular fracture is in turn divided into subcapital and transcervical types (Watson-Jones 1955, Key and Conwell 1961, Aston 1967, Ralston 1967, Apley 1968, Murray 1969). There appears to be some confusion as tothepreciselineof fracture in this common injury. The term “subca...

INTRODUCTION Humeral biepicondylar fracture dislocation is a very rare injury reported only once in English literature by G R Taylor et al. We report a case of humeral biepicondylar fracture dislocation in a 13-year-old girl with a unique mechanism of injury. CASE PRESENTATION A 13-year-old girl presented with trauma elbow. Radiographs showed biepicondylar fracture of humerus with dislocation...

context functional humeral bracing remains the gold standard for treatment of humeral shaft fractures. there is an increasing trend in the literature to perform operative fixation of these fractures. evidence acquisition the aim of this systematic review was to compare the level one evidence for the outcome of non-operative with operative management of humeral shaft fractures in adults. a compr...

OBJECTIVES To evaluate rater agreement for a simple 2-category classification of subcapital hip fractures versus the 4-category Garden classification and to determine the effect of clinician experience on the level of agreement. SETTING Sunnybrook and Women's Health Sciences Centre, Toronto, a level 1 trauma centre. METHOD Eleven raters, with varying levels of clinical experience (3 fellows...

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...

Simultaneous dislocation of shoulder and humeral shaft fracture is a rare injury, and there is no clear protocol for its treatment. Herein we present a case of a 15-year-old boy, who suffered from a job-related accident and sustained fracture of humeral shaft associated with ipsilateral anterior shoulder dislocation and fracture of greater tuberosity 15 years ago. He received closed reduction o...

This paper describes the treatment of the more vertical type of subcapital fracture of the neck of tile femur by reduction, nailing, and immediate wedge osteotomv, with fixation by a plate attached to the head of the nail. Ten cases are recorded. As in other clinics, it had been found that the results of treatment, by the standard Smith-Petersen technique, of subcapital fractures of the neck of...

BACKGROUND The purpose of this study was to evaluate the biomechanical advantages of medial support screws (MSSs) in the locking proximal humeral plate for treating proximal humerus fractures. METHODS Thirty synthetic left humeri were randomly divided into 3 subgroups to establish two-part surgical neck fracture models of proximal humerus. All fractures were fixed with a locking proximal hume...