ABSTRACT
The pathophysiology of carpal adaptations after fracture of the distal radius is incompletely understood. We report 5 patients who had normal carpal alignment on injury radiographs that developed marked volar angulation of the lunate during recovery from volar plate fixation of a fracture of the distal radius. There were no signs of alteration of the carpal ligaments. Two patients had similar volar tilt on the contralateral side. The cause and optimal treatment of carpal malalignment after restoration distal radial alignment are unclear.
Subject(s)
Carpal Bones , Lunate Bone , Radius Fractures , Bone Plates , Fracture Fixation, Internal , Humans , Lunate Bone/diagnostic imaging , Lunate Bone/surgery , Radius Fractures/diagnostic imaging , Radius Fractures/surgery , Wrist Joint/diagnostic imaging , Wrist Joint/surgeryABSTRACT
The increasingly frequent invasion of new computer viruses--some 500 new ones are discovered each month--has wreaked havoc in many large network systems. Medical office computers are vulnerable as well to significant corruption of files and interruption of access to important data. This article outlines basic steps that practices can follow to assure some minimum level of security. These include the importation and continuing use of scanning technologies and adherence to staff in-office protocols.
