OBJECTIVES To explore the 2-year outcomes of an interdisciplinary intervention for elderly patients with hip fracture. DESIGN Randomized experimental design. SETTING A 3,000-bed medical center in northern Taiwan. PARTICIPANTS Patients with hip fracture (N=162): 80 in the intervention group and 82 in the usual care control group. INTERVENTION An interdisciplinary program of geriatric con...

INTRODUCTION Supracondylar fracture of the humerus is a common injury in children. It accounts for 60% of fractures around the elbow children. If the fracture is not treated properly it may give rise to many complications like malunion, Volkmann's ischemic contracture, nerve injury, arterial injury, skin slough, heterotopic bone formation , and stiffness of elbow. The management of displaced su...

Methods: We conducted a multicenter, blinded randomized trial of 1319 adults in whom a tibial shaft fracture was treated with either reamed or unreamed intramedullary nailing. Perioperative care was standardized, and reoperations for nonunion before six months were disallowed. The primary composite outcome measured at twelve months postoperatively included bone-grafting, implant exchange, and d...

Appropriate emergency care of horses with unstable fractures is a challenging and life-saving veterinary procedure. Effective treatment requires a thorough understanding of the biomechanical loads imposed on the fracture site and creation of an external support system that neutralizes these forces and protects both bone and soft tissues at the fracture site. Author’s address: New Jersey Equine ...

BACKGROUND Levothyroxine sodium is widely prescribed and has been implicated as a cause of reduction in bone mineral density and, therefore, suggested to be a major contributor to the risk of osteoporotic fractures. OBJECTIVE To investigate whether levothyroxine use increases the risk of developing osteoporotic fractures. METHODS We conducted a population-based, case-control analysis of the...

Background: The World Health Organization suggested that frailty is a critical indicator influencing successful aging. Previous studies have indicated a high correlation between frailty and bone fracture in older adults. However, few studies have investigated the correlation between the various stages of frailty with bone fracture risk. Purpose: This study investigated the correlation between f...

 Preparing to manage weapons of mass destruction events challenges emergency services systems neighboring Syria every day. Understanding injury from explosives is essential for all providers of emergency care in both civilian and military settings. In this case, the authors present a 22-year-old man who was admitted to the emergency department with displaced skull fracture, epidural hemorrhage ...

Umbilical catheters are often used in preterm infants as central venous access for fluid, drug administration, and blood sampling in intensive care units. When used properly, they are generally safe but there are various complications associated with the UVC, such as infection, arrhythmia, embolization, and catheter fracture [1–3]. Catheter fracture is an uncommon but very challenging complicat...

A case of a first rib fracture and Horner's syndrome due to a motor vehicle collision is reported. Initial evaluation in a hospital emergency department and follow-up by a medical primary care physician failed to provide identification of the Horner's syndrome. Careful assessment and review of the patient's symptoms, signs and images revealed this uncommon and important neurologic case presenta...

Many of injured children will require surgical treatment with involvement of the anesthesiologist. The anesthesia providers may have to take care of pediatric patients on following occasions: 1- Initial stabilization in the emergency department 2- Providing sedation and monitoring for imaging 3- Preoperative management of emergent surgical procedures such as laparotomy or craniotomy 4- Manageme...