ABSTRACT
A 22-year-old man, a boxer, presented with acute right forearm pain after striking a punch mitt. The patient had sustained a diaphyseal fracture of the right radius 19â months previously and was treated by minimally invasive plate osteosynthesis using a titanium reconstruction plate. Radiography revealed stress fractures beneath a proximal screw hole of the plate. The forearm was protected in a splint for 6â weeks and the fracture healed. Titanium plates are superior to stainless steel plates, due to various properties of titanium including corrosion resistance and biocompatibility. Removal of such plates is not routinely performed in our hospital, but plate removal may be warranted for patients who actively participate in certain sports.
Subject(s)
Bone Plates , Fracture Fixation, Internal/instrumentation , Fractures, Stress/surgery , Radius Fractures/surgery , Bone Screws , Boxing/injuries , Diagnosis, Differential , Equipment Design , Fractures, Stress/therapy , Humans , Male , Radius Fractures/therapy , Recurrence , Splints , Stainless Steel , Titanium , Treatment Outcome , Young AdultABSTRACT
We treat radial neck fractures by a minimally invasive technique using bone paste. The indication of this technique is radial neck fractures in which the continuity with the radius shaft is retained. We have treated 13 patients using this technique. As a result, the average range of motion of the elbow was 90° for supination and 92° for pronation, +5° for extension, and 141° for flexion. The reduced position at surgery was kept unchanged until bone union. None of the patients complained of pain. The surgical scar was unnoticeable. This technique is recommended surgery for the radial neck fractures when the indication is appropriate.
Subject(s)
Bone Cements/therapeutic use , Fracture Fixation, Internal/methods , Intra-Articular Fractures/surgery , Radius Fractures/surgery , Adolescent , Adult , Elbow Joint , Female , Follow-Up Studies , Humans , Intra-Articular Fractures/diagnostic imaging , Male , Middle Aged , Minimally Invasive Surgical Procedures , Radiography , Radius Fractures/diagnostic imaging , Range of Motion, Articular , Treatment Outcome , Young AdultABSTRACT
Locking of the metacarpophalangeal (MP) joint of the fingers, though reported infrequently, is not rare in the literature. We will report two rare cases of the MP joint of the thumb locked in 90 degrees of flexion (vertical locking). The first case is a 21-year-old man, punched on his right thumb by his friend, who arrived with his thumb fixed in a flexed position. The X-ray images of the right thumb showed the proximal phalanx subluxation in the palmer side in a vertical position. The second case is a 35-year-old woman with her right thumb accidentally caught in the chain of a key-holder. The locking was easily reduced without anaesthesia in both cases. We assume the mechanism was that the flexion force on the MP joint led to subluxation and the locking occurred due to the tension of the collateral ligament caused by the volar prominence of the radial condyle.
