[Limited dorsal approach in treatment of scaphoid fracture]

Treatment of scaphoid fractures is studied extensively due to the specific anatomic shape and position, blood flow and its performance. In recent years, several treatment methods have been devised which are associated with various findings. This study was done to evaluate the short term results of limited dorsal approach in treatment of scaphoid fracture. In this descriptive study, 14 male patients with scaphoid fracture were gone under limited dorsal approach in treatment of scaphoid fracture in 5[th] Azar teaching hospital in Gorgan, Iran. Patients were followed up for 12 weeks and the onset of infection, screw breakage and joint degenerative changes were evaluated. 64% of scaphoid fractures were in waist of the bone. The mean time to union was 10.5 weeks. 64% of patients returned to work after 12 weeks. In none of the patients, infection, wound breakdown and joint destruction were seen. There were two-delayed union [> 12 weeks] and two screw head prominency in the scaphotrapezial joint but patients did not complain and their hand movements had no problem. During procedures, two guide pin failures occurred with no adverse effect in fixations. Complications were minor and wrist movements were nearly normal. Limited posterior approach in the treatment of scaphoid fractures is an easier, faster and better union rate. Despite the short duration of follow-up study, this method is recommended in the treatment of scaphoid fractures

[Bone and joint injuries among young patients in Gorgan, Iran [2009]]

Musculoskeletal injuries are the common causes of disabilities among young patients. This study was done to establish the causes and clinical evidences of bone and joint injuries among young patients in Gorgan, Iran. This cross-sectional study was carried out on 600 subjects with musculoskeletal injuries reffered to 5 Azar teaching hospital in Gorgan, north of Iran during 2009. Age, sex, type of initial treatment, location of injury and medical treatment for subjects were completed. Data were analyzed using SPSS-16, Chi-Square and student t-tests. The mean age of subjects was 25 +/- 7 years. 83% of subjects were male. In 37% of injured people, time of accident was between 12 to 18 o'clock. The most common causes were car accident [49.7%], workplace injury [15.3%], falling down [10.3%], respectively. Street [38.3%] and road [18.7%] were the location with high accident. Fractures [71.7%], soft tissue injuries [48.3%] and dislocation [8.7%] were the most common injuries. Upper and lower limb were the most common in injury and fractur, respectively. This study showed that young men are more prone to accident and occupation injuries

[Congenital dislocation of radial head [a case report]]

Congenital dislocation of radial head without any abnormality is rare, and commonly reveals with anomalies in another organs. It can be appearance in one side or two because of late manifestations, diagnosis of congenital dislocation of radial head is usually difficult. It is more important to recognize congenital anomaly of radial head from dislocation of elbow that events in trauma. This article presents one case of congenital dislocation of radial head that is involved one side without any anomaly