Dorsal Plate Fixation of Scapular Fracture.

Scapular fractures are uncommon injuries. When they occur, they are usually treated nonsurgically. However, certain indications remain for operative intervention for the treatment of these injuries. In this article, we review some operative indications as well as the surgical technique. We present a case to demonstrate the indications and surgical technique of treatment. As with most surgical approaches, technique is critical to minimize morbidity and maximize functional outcome. Using these techniques, operative management of scapular fractures can be successful.

Pelvic Hardware Eroding Into the Bladder: A Rare Case Presentation of Gross Hematuria, Bladder Pain, and Refractory Lower Urinary Tract Symptoms.

We present a 60-year-old man who presented with gross hematuria, refractory lower urinary tract symptoms, and increasing bladder pain for a duration of 3 months. The patient had a history of a motorcycle accident and pelvic fracture requiring an extensive pelvic open reduction and internal fixation. During evaluation, the patient was found to have an orthopedic screw from his hardware eroding through the left lateral wall of his bladder and irritating his trigone. The patient underwent pelvic exploration with open cystotomy and hardware removal with the orthopedic service. His postoperative course was uneventful, and the patient's symptoms completely resolved.

A technique for nailing severely shortened and displaced tibia fractures.

Previously described techniques using external fixators or large distractors can simplify the closed nailing of tibia fractures and nonunions. However, delayed intramedullary nailing can be especially challenging when significant shortening or translation has occurred. We present a modification of an old technique for external fixator-assisted closed tibial nailing in these difficult cases.