CT Scan image of Twelfth Thoracic vertebra

CT Scan of Spine Showing D12 Vertebra Fracture
The patient had this fracture due to fall from height.
Orthopedic Care and Consultation
CT Scan image of Twelfth Thoracic vertebra

CT Scan of Spine Showing D12 Vertebra Fracture
The patient had this fracture due to fall from height.
Strictly speaking, Chance fracture is a type of flexion distraction injury of thoraco lumbar spine. These injuries are also known as seat belt injuries. The use of two terms interchangeably can often confuse the readers. So before taking up Flexion Distraction injury, I thought it would be better to write on Chance fracture so that confusion is avoided.
Earlier Chance fracture was treated as a separate entity but modern text books use the term flexion distraction injuries and chance fractures as synonyms. I think the term Flexion Distraction Injuries is more descriptive and should be used while other should be dropped.
Mcfee et al in their mechanism of injury listed both the injuries and their mechanisms [Read more...]
Major constituent of the is bone matrix. Bone is formed by the hardening of this matrix entrapping the cells. When these cells become entrapped from osteoblasts they become osteocytes.
The inorganic is mainly crystalline mineral salts and calcium and the organic part of matrix is mainly composed of Type I collagen.
Woven and lamellar bone are termed on microscopic differentiation of the bone.
On microspoe, two types of bone can be identified.
These bones differ in the pattern of collagen forming the osteoid. [Read more...]
In a recently published paper in march issue Archives of Internal Medicine, prevention of nonvertebral fractures with vitamin D is dose-dependent for individuals aged 65 years or older. The paper is based on meta-analysis of of randomized controlled trials.
Researchers found a significant positive trend between serum 25-hydroxyvitamin D concentrations and hip bone density and lower extremity strength. The reviewers identified 12 double-blind RCTs for nonvertebral fractures, enrolling a total of 42,279 subjects, and 8 RCTs for hip fractures, enrolling a total of 40,886 subjects, which compared the effects of oral vitamin D, with or without calcium, with those of calcium alone or of placebo. [Read more...]

Intercondylar fracture of humerus occurs when person falls on flexed hand and the elbow is axially loaded. This is xray of 43 years old lady who presented to the hospital after a fall.
Intercondylar fractures are mostly treated with operative methods. This patient toowas operated upon and fractures was fixed using two reconstruction plates.
Patient is on postoperative rehabilitation exercises.
Osteogenic sarcoma is treated by radical excision and adjuvant chemotherapy. Before one proceeds for treatment, the clinical and radiographic diagnosis should always be confirmed by histologic examination of adequate tissue obtained by open biopsy.
Exuberant callus of a stress fracture, subacute osteomyelitis, active myositis ossificans, aneurysmal bone cyst, and eosinophilic granuloma are some of the benign conditions that can easily be mistaken for osteogenic sarcoma. Ewing’s sarcoma, fibrosarcoma, and metatastic carcinoma are some of the malignant lesions that must be considered in the differential diagnosis. [Read more...]
The Xray in picture shows fracture lateral condyle of humerus.

This xray belongs to fourteen years old male who hit his elbow when he fell from cycle.

The image today is an Xray of operated fracture lateral condyle, done immediately after surgery. [Read more...]
A malleolus is a projection of bone beyond ankle joint. The medial one is called medial malleolus. Other arising from tibia is called posterior. A counterpart called lateral malleolus is distal end of fibula

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