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Implant Failure – Xray of Broken Assembly of Dynamic Hip Screw In Intertrochanteric Fracture

April 10, 2011 by 1 Comment

82 years old male who had undergone surgery for intertrochanteric fracture of femur on his right side about 9 months back came to out patient department with complaint of knee pain.

He used to walk with help of a walker.

On examination his knee was found to be normal and xrays of both hip and knee were ordered. While his knee xrays were unremarkable, xray of his hip revealed a broken dynamic hips screw and side plate assembly.

Implant Failure

Failed Assembly Of Dynamic Hip Screw Fixation. Fracture is not united

All the screws of the sideplate are broken and fracture is not united too.

Note: Failed DHS like this one is a difficult sitauation in elderly people. While refixation is an option, another option is hip replacement.

Filed Under: Hip Injuries, Images, Radiology Tagged With: , , , ,

Open Severely Comminuted Fracture Tibia and Fibula

November 19, 2009 by 24 Comments

Open fractures occur when the covering skin layer is breached by external force or the fracture fragment injuring from within.

Open fractures are very common occurrence in leg bones because the soft tissue envelopes are very thin around the bones especially tibia in its antero medial aspect.

open-fracture-tibia-fibula-comminuted

A 20 year old young male was hit by a motorbike while he was attempting to cross the road. He presented to casualty with large wound over the middle third circumference of the leg. [Read more...]

Filed Under: Images, Leg Injuries, Radiology Tagged With: , , ,

Anteroposterior View of Intertrochanteric Fracture of Femur

July 4, 2009 by 1 Comment

Intertrochanteric fractures of femur are typically osteoportic fractures and are more common in elderly people. they are more commonly reslut of of insufficient trauma. Usual history is that of fall from standing height. Slippery floors or bathrooms are added factors.

The xray shows one month old fracture in 78 years old lady. The lady presented to us one month after the injury. An attempt at repair is visible in form of callus.

Intertrochanteric Fracture of Femur

Intertrochanteric Fracture of Femur

The aim of treatment in these elderly patients is to stablise the fracture surgically and make the patient upright so that complications of recumbency are avoided.

this patient was successfully operated with dynamic hip screw.

Filed Under: Hip Injuries, Images, Radiology Tagged With: , ,

Xray of Non Union of Shaft of Fibula

December 28, 2008 by 3 Comments

The xray in the image is of 47 year old man who sustained fracture of the left fibular shaft after a minor fall. The xray is showing anteroposterior view of both the sides and on left side the fibular fractures ends have not united, have become narrowed and show a gap.

The xray is after 5 years of injury and patient does not have any complaint on the affected side. he had come to OPD for knee pain in the opposite knee and was investigated because he gave a history of trauma.

Filed Under: Images Tagged With: , ,

Xray of Fracture of Upper End of Humerus

April 17, 2008 by 12 Comments

Following image depicts an xray of 5 years old woman who sufffered fracture of upper end of left humerus after a trivial fall.

picture3.jpg

Filed Under: Images Tagged With: , , ,

Xray of Comminuted Intertrochanteric Fracture

April 11, 2008 by Leave a Comment

Following image is an xray of intertrochanteric fracture in 55 years old male who sustained injury when he fell from stairs.

intertrochanteric_fracture.jpg

The xray shows comminuted intertrochanteric fracture on the right side.

Filed Under: Images Tagged With: , , ,

Fibrous Dysplasia of Humerus-An Xray

March 29, 2008 by Leave a Comment

Following image shows an xray of right shoulder with humerus showing firbrous dysplasia. The xray is of a young girl, 23 years old who presented with pain in right arm for about one year.

fibrous-dysplasia.jpg

The xray shows a large lytic lesion that is extending from just below shoulder joint to middle of the humerus. Multiple septae are visible and outer cortical rim of the bone is maintained, suggesting a benign pathology.

Filed Under: Images Tagged With: , , , ,

Xray of Fracture Lateral Condyle of Humerus

March 9, 2008 by 1 Comment

The Xray in picture shows fracture lateral condyle of humerus.

fracture_lateral_condyle-copy.jpg

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

Filed Under: Images Tagged With: , , , , ,

Xray of Operated Fracture Lateral Condyle In A Child

February 21, 2008 by 2 Comments

Operatted Fracture Lateral Condyle

The image today is an Xray of operated fracture lateral condyle, done immediately after surgery. [Read more...]

Filed Under: Images Tagged With: , , , , ,

Xray of A Normal Foot

February 4, 2008 by 2 Comments

This is how an xray of a normal foot looks like. The present image shows an anteroposterior and oblique views

Foot Xray showing anteroposterior and lateral views

[Read more...]

Filed Under: Images, Radiology Tagged With: , , , ,

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