Segmental forearm fractures are rare injuries in adults. 1 Double segmental fractures/trifocal fractures are extremely rare, 2 and guidelines regarding their management options are lacking in literature. We hereby report a rare case of a double segmental ulnar fracture (segmental ulnar shaft fracture with a concomitant communited olecranon fracture) with ipsilateral butterfly segment fracture of the radius. We used interfragmentary screws and 3.5 olecranon locking plate for proximal ulna and 3.5 DCP for distal ulnar fracture & radial fracture. Perusal of literature showed a single case report, which suggested intramedullary nailing for radius and ulna, along with tension band wiring for olecranon. 3 Here we present the outcome in terms of union, grip strength and Range of motion.
Osteoporosis, the metabolic disorder has become a global epidemic1 with increase in life expectancy and changing life style. Quantitative ultrasound is a cheap, non invasive, portable and convenient method to estimate bone strength without any radiation hazard.2-5 The aim of our study is to estimate the bone mineral density by using quantitative ultrasound, look for the influence of parameters like lifestyle factors, comorbidities, chronic drug intake, and other risk factors on BMD; and compare the results with those in the literature done with DEXA scans. In our study of 516 subjects, (i) BMD measures varied from -5.6 to +.5.55 with a mean of -1.8. (ii) BMD decreased significantly with age (r=.351, p<0.0001), (iii) Low BMD was associated with increase in Fragility fractures (p=.007) (iv) Antacid intake, which was pretty common in our subjects (28.7%) led to decrease in BMD (p<.005). (v) Diabetes significantly reduced BMD (p<.005). (vi) Increase in BMI led to significant increase in BMD (r=.166, p<.0001). (vii) BMD increased significantly with increase in physical activity (r=.148, p<.001). Most of the associations found in our study, except that with diabetes, were similar to those consistently associated with BMD as measured with DEXA scans.6-15 Our study suggests the use of Quantitative ultrasound as powerful epidemiological tool with similar outcome measures to DEXA scan without any radiation hazards.
Obturator externus tear is an extremely uncommon injury. The correct diagnosis is delayed due to nonspecific clinical features and normal x-rays. Isolated obturator externus tear is not reported in literature to the best of our knowledge. We present a case of isolated obturator externus tear diagnosed with MRI.
ACL injuries are extremely common . Concomitant meniscal and chondral injuries add to the treatment cost & inuence the rehabilitation (1)
protocol and long term results of ACL reconstruction . Researchers have tried to attribute these associated injuries to delay in
surgery,age,sex,anthropometric parameters and body mass index(BMI) . This cross sectional study aims to evaluate the association of spectrum (5–8)
of meniscal and chondral lesions to the BMI of subjects with ACLinjured knees. We found that though medial and lateral meniscal injuries as well
as chondral changes were noted more in subjects with high BMI, the association was not signicant. In subjects with combination of meniscal and
chondral lesions, there was no signicant association noted to BMI
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