Archives of Orthopaedics

As gynecologic providers continue to provide intrauterine devices (IUDs) for long-acting reversable contraception (LARC) with insertion of those devices, the associated complication rate needs to be well-understood, so that patients can make properly informed shared healthcare decisions.

Lower extremity fractures in individuals with a spinal cord injury (SCI) cause significant morbidity [1] and contribute to excess mortality [2]. Early identification of persons at highest risk for fracture is possible using bone mineral density (BMD) testing by dual-energy X-ray absorptiometry (DXA) imaging

The distal femur constitutes the region between the metaphyseal-diaphyseal junction and the femoral condyles. Fractures of this segment, which includes supracondylar and intercondylar fractures, represent between 4 and 7% of all the femur fractures, with an incidence of 37 cases per 100,000 habitants/year. These fractures present a bimodal distribution depending on the injury mechanism. 

Supracondylar fractures of the humerus are the most common elbow fracture in the pediatric population and comprise nearly 60% of all elbow fractures. Supracondylar fractures most commonly occur in children aged five to seven. Historically, males had a higher incidence of supracondylar humeral fractures. More recent studies support a more equal distribution amongst males and females.

The COVID-19 pandemic has caused delivery of orthopaedic services to require extra consideration and substantial revision. Alternative ways to manage patients with urgent injuries have been instigated to minimize patient’s exposure to the disease, spread within the hospital system and reduce the overall impact on stretched resources.

Patella fractures account for 1% of fractures in adults and are seen in all age groups. The treatment options for fractures requiring surgery have evolved over time in response to postoperative complications and with the advent of new technologies which optimize fixation.

Rib fractures are a commonly encountered traumatic injury and are associated with significant morbidity and mortality. They are a marker of severe injury and can lead to defects in the chest wall and severe pain which may hinder breathing.

This case report presents the clinical details, diagnostic findings, and management of a 64-year-old female patient who suffered a tibia and fibula fracture, presented in an atypical manner, after twisting her ankle during daily activities. The medical background, physical examination, radiological results, and course of treatment of the patient are detailed.

Background: Periacetabular Osteotomy (PAO) is a well-established procedure, however more prospective cohort studies are required to assess all clinical factors related to this invasive intervention. The aims of this study are as follows 1) quantifying stress fractures, delayed-healing and non-union post PAO and 2) to correlate possible risk factors for developing symptomatic stress fracture, delayed-healing or non-union.

An elderly male patient, aged 90 years, presented to the outpatient department of our institution with a documented history of constipation persisting for a span of twenty days, accompanied by bleeding per rectum exacerbated by straining. Notably, there were no alarming signs such as weight loss, loss of appetite, or anemia. The patient’s general and systemic examination yielded normal results, with laboratory parameters, including tumor markers such as serum CEA, within normal limits. Further evaluation through a proctoscopy examination revealed normal findings, following which the patient was prescribed laxatives and supportive treatments. However, the patient reported back following a few days with persistent symptoms including fever, chills, and rigors.