BACKGROUND Multiple fractures of the atlas and axis are rare. The management of multiple fragment axis fractures and unstable atlas fractures is still challenging for the spinal surgeon. There are no published reports of similar fractures with 3-part fracture of axis associated with an unstable atlas fracture. CASE SUMMARY We present a patient with concurrent axis and atlas fractures, which h...

Purpose. The purpose of this paper is to present our technique for the treatment of periplate fractures. Methods. From 2009 to 2012 we treated three patients. In all cases the existing plate was left and the new one placed over the existing. Locking screws were placed through both plates. The other screws in the new plate were used as best suited the fracture. Results. In all cases less than 6 ...

Maisonneuve fractures result from a disruption of the medial ankle structures and a proximal fibular fracture. Patient complaints can be misleading and there is a significant rate of delayed diagnosed injuries. We present a case of bilateral Maisonneuve fractures after a fall due to a syncopal collapse. A precise clinical examination led to this rare diagnosis. The injuries were treated with sy...

We identified 25 children (10 girls and 15 boys) who had been treated with single bone intramedullary fixation for diaphyseal fractures of both forearm bones. Their mean age was 10.75 years (4.6 to 15.9). All had a good functional outcome. We conclude that in selected children, single bone intramedullary nailing is a suitable method of treatment for diaphyseal fractures of both bones of the for...

Clavicular fractures account for approximately 4% of all fractures, and 80% occur in the middle third.1,2 Surgery is rarely indicated except for neurovascular compromise, skin compromise, multiple injuries, and open fractures. Various modes of treatment have been proposed, but are associated with complications.3 Increased nonunion rate and unaesthetic scar were the most important factors result...

high cortisol level in endogenous cushing’s syndrome suppresses the immune system and after treatment there may be an over activity of immune reaction leading to autoimmune diseases mostly thyroid and rheumatologic disorders. this is the second reported case of multiple sclerosis developing after treatment of cushing’s syndrome. a 42-year old man is reported who presented with bone fracture and...

Studies in Caucasian populations have shown that a significant percentage of childhood extremity fractures occur at the playground. There are no comparable studies in Asian populations. Thus this study sets out to determine the pattern of playground related extremity fractures in Asian populations and to suggest modifications to prevent or reduce these injuries. This study involved a retrospect...

Introduction: When assessing a fracture, an orthopedist has to integrate multiple factors before deciding on the optimal treatment plan. These include general patient-factors (age, past medical history, current medical status) [4], surgeon-specific factors (availability, experience, support), hospital-specific factors (available fixation devices, support staff), and fracture-specific factors (b...

OBJECTIVE We aimed to analyze etiological factors in patients with maxillofacial trauma, treatment modalities, complications related to surgical approaches and the changing patterns in over time. MATERIALS AND METHODS A total of 126 patients diagnosed as maxillofacial fractures between August 1998 and June 2012 were investigated in Corlu State Hospital, Ear Nose Throat and Plastic Surgery Cli...