Talar neck fractures treated with closed reduction and percutaneous screw fixation:a case series.

Talus fractures are relatively rare injuries, accounting for approximately 3% of all foot fractures. Fractures of the talar neck account for almost 50% of all talus fractures. Diagnosis and treatment of these fractures play an important role in patients' outcomes. Treatment of talar neck fractures has slowly evolved from closed treatment to open reduction and internal fixation. Treatment of type I and type II talar neck fractures is debated in the orthopedic community. Choosing which treatment to perform depends on injury severity, associated injuries, and surgeon experience and preference. In this article, we report on our retrospective review of all talar neck fractures treated with closed reduction and percutaneous fixation between 1996 and 2001 at the Pennsylvania State University Milton S. Hershey Medical Center.

Entrapment of the flexor digitorum profundus following paediatric forearm fractures.

The complications of closed and open reduction of paediatric both-bone forearm fractures have been well established. These include malunion, refracture, neurovascular insult, compartment syndrome, infection, and soft tissue/nerve entrapment. We describe two cases of small and ring finger flexion contractures as a complication of closed and operative treatment of healed paediatric both-bone forearm fractures. In both instances, tethering of the flexor digitorum profundus and fibrotic scar tissue interposed at the ulna fracture site was noted at the time of exploration. Evidence of a characteristic fracture pattern at the time of injury, persistent ulnar cortical defect after fracture healing, and delayed identification of the contractures following cast removal are key features in identifying and treating these complications.