41. Midland Orthopedic Associates - Orthopedic Surgeons Specialties include sports medicine, treatment of injuries and fractures, joint replacement, reconstructive, spinal, hand and foot surgery. Located in Chicago and La Grange. http://www.midlandortho.com/

Midland Orthopedic Associates offers the finest care. Our surgeons are board certified in their area of specialty. Our services include: the only hand clinic in the western suburbs of Chicago, sports medicine, treatment of injuries and fractures joint replacement, reconstructive, spinal, arthroscopic, hand and foot surgery. We also specialize in pediatric orthopedics, physical therapy and podiatric medicine Click on the following links to navigate our site: Midland site links Midland additional site links

42. The Physician And Sportsmedicine: Scaphoid Fractures Office Management of Scaphoid fractures. Proximal fractures and vertically orientedfractures have the most morbidity, and open reduction should be considered. http://www.physsportsmed.com/issues/1996/08_96/gutierez.htm

Office Management of Scaphoid Fractures Greg Gutierrez, MD THE PHYSICIAN AND SPORTSMEDICINE - VOL 24 - NO. 8 - AUGUST 96 In Brief: A dull, deep pain in the wrist after a fall on an outstretched hand is the hallmark of a scaphoid fracture. Pain with maneuvers that stress the scaphoid can suggest fracture on physical exam. Radiographs are crucial: Determining the location, stability, and orientation of the fracture guides treatment and predicts outcome. Distal fractures and horizontally oriented fractures generally heal well and can be managed by immobilization in a short-arm thumb spica cast. Proximal fractures and vertically oriented fractures have the most morbidity, and open reduction should be considered. When prolonged immobilization is required, range-of-motion and strengthening exercises are prescribed to restore hand function after cast removal. T he scaphoid bone is crucial to the intricate function of the wrist. It endures a myriad of complex forces, including a common injury in active peoplea fall on an outstretched hand, particularly when the wrist is radially deviated. The scaphoid is the most frequently injured carpal bone. In the wrist, only distal radius fractures are more common. Scaphoid injuries are most commonly seen in young men, are often misdiagnosed as sprained wrists, and are rarely seen in children because the distal radial physis usually fails first. Scaphoid fractures have a warranted reputation for needing close attention. Fractures of this bone can be complicated by a tenuous blood supply and a tendency for some of the fractures to be unstable. Certain scaphoid fractures require prolonged immobilization and have an increased risk of poor results. However, 60% to 70% of scaphoid fractures are stable and 90% will heal with prompt diagnosis and proper immobilization (1,2).

43. Shore Orthopaedic Group - Shore Center For Orthopaedic Excellence Evaluates and treats all disorders of the musculoskeletal system, including fractures, ligament injuries, herniated discs, tendonitis and arthritis,in Tinton Falls and Lakewood. http://www.shoreortho.com/

click a photo for a detailed biography At Shore Orthopaedic Group , our distinguished team of experienced, board-certified orthopaedic surgeons is dedicated to helping you keep your body's musculoskeletal system in the best possible working condition; returning you to the freedom of an active, pain-free lifestyle at any age. Our practice is comprised of five prominent orthopaedic surgeons: Robert B. Grossman, M.D., Cary D. Glastein, M.D., David L. Chalnick, M.D., Charles C. Rizzo, M.D. and Lance A. Markbreiter, M.D. These physicians evaluate and treat all disorders of the musculoskeletal system, including fractures, ligament injuries, herniated discs, tendonitis and arthritis, with the goal of providing experienced, up-to-the-minute orthopaedic treatment within a caring, personal environment. Although each physician is able to provide care in general orthopaedics, each is also highly trained in a specialized area, and brings his field of expertise to the practice. This allows patients to receive specialized treatment in the areas of sports medicine, spinal disorders, arthritis, total joint replacement and foot and ankle problems at the highest levels of professionalism and care. No one should have to live - and move - in pain. Yet the decision to undergo surgery to correct an orthopaedic problem is not

44. North DeKalb Orthopedics, Orthopaedic Surgery, Decatur, Georgia, Bachner, Bircol Orthopedic surgery group located in Decatur at the DeKalb Medical Center. Specializing in total joint replacement, sports medicine, arthroscopy, and fractures. http://www.ndortho.com

We would like to introduce you to our practice. North DeKalb Orthopedics has been providing quality Orthopaedic care for 25 years. All physicians are members of the American Academy of Orthopaedic Surgeons, and are Board Certified. We have additional fellowship training in Total Joint Replacement Surgery, and Sports Medicine, as well as extensive experience in Trauma (fractures), and general orthopaedics. We use both conservative and operative approaches to help restore function and decrease pain for our patients. About Our Doctors: Arthur L. Tracht, MD Robert S. Bachner, MD Paul F. Richin, MD Lawrence A. Bircoll, MD North DeKalb Orthopedics is truly a multi-subspecialty orthopedic center. We provide all orthopaedic services including: diagnosis, patient education, treatment and coordination of rehabilitation at our facility. Orthopaedically trained and licensed radiology technicians supply our physicians with superior quality X-Rays. This benefits the patient by providing the patient with immediate review of your X-rays by your physician. Neurologic testing for Carpal Tunnel Syndrome is now also done on our premises. For patient education, we make generous use of models, brochures and videos, as we strive to have our patients well informed about their condition, their options for management, what procedures are required, what the outcome is expected to be, and what the result actually is. We believe that the first step towards recovery is education, and our job is to educate first, and then do our best to achieve the desired goal.

45. FamilyFun: First Aid Handbook: Fractures An excerpt on first aid for fractures from the Disney Encyclopedia of Baby and Child Care.Category Health Conditions and Diseases fractures......An excerpt on first aid for fractures from the Disney Encyclopediaof Baby and Child Care. ORTHOPEDIC INJURIES fractures, Children's http://family.go.com/raisingkids/child/health/firstaidguide/dony69hl_fract/

Search FamilyFun shortcuts Parenting Tools Field Guide to Parenting Parent Problem Solver Pregnancy Calendar Baby Name Finder ... Article Library Parenting Checklists Immunizations Nursery Planner Holidays All Checklists Parenting Experts Jan Faull, Child Development Dominic Cappello, Learning All Experts parent ... to parent Get tips, support Parenting Boards Expecting Potty Training Sleep Stay-at-Home Moms ... E-Cards Creative. Fun. Free. Catching up is easy to do. Send an E-Card ORTHOPEDIC INJURIES: FRACTURES Children's bones are softer than those of adults, thus childhood fractures are quite different from those occurring in adults. A child's bones may bend more than 45 degrees without breaking; when fractures do occur, they are often hairline, "green-stick" or simple fractures. SIGNS OF FRACTURES It is often difficult to tell whether a child's bone is broken. If you suspect a broken bone, treat it accordingly even if it looks normal. Signs to look for: HOW TO GIVE FIRST AID FOR FRACTURES Check the child's breathing and pulse. If they are absent, call for emergency help and start CPR. Check for signs of shock. Keep the child lying down and as quiet as possible. Cover to keep warm.

46. Tyler Neurosurgical Associates, P.A. - Tyler Neurosurgical Associates, P.A. - Ty Member of East Texas Medical Center Neurological Institute, Neurosurgery and Spine Care, offering Kyphoplasty procedure for vertebral fractures. http://www.tylerneurosurgical.com/

Have a question about neurosurgery or about Tyler Neuro? E-mail us at info@tylerneuro.com ; we do our best to address each inquiry. If your physician seems to be speaking Greek at times, our Neurosurgical Glossary hopefully can help you better understand what you're being told. Our patients write back to us to let us know how they are doing. Here are some of the testimonials about Tyler Neuro. Visiting our office soon? Save office waiting time by completing our Patient Information Form Online Welcome to Tyler Neurosurgical Associates. A regional leader in neurosurgery and state-of-the-art neurosurgical procedures. With over thirty years experience and over thirty thousand patients, it's obvious why Tyler Neuro is a leader in it's field. Quite simply, neurosurgery is the surgical treatment of disorders involving the brain, spinal cord, nerves and their coverings. The present scope of neurosurgical care has come to include patients of all ages and at the present time, neurosurgery includes the prevention, investigation, diagnosis and the treatment of disorders of injuries of the neurological system. Although many neurosurgical afflictions are best treated by operative measures, a majority are treated successfully by conservative procedures that deal with pain management via injections, nerve blocks and even stimulation.

47. Facial And Mandibular Fractures Richardson, MD. Facial and Mandibular fractures. Facial fractures. The followingradiographic signs. Radiographic signs of facial fractures. http://www.rad.washington.edu/mskbook/facialfx.html

UW Radiology Home Approaches To DDx In Musculoskeletal Imaging Contents Preface ... Significant Trauma Facial Fractures The Painful Joint Prosthesis Orthopedic Hardware ... Search this site Approaches To Differential Diagnosis In Musculoskeletal Imaging Michael L. Richardson, M.D. Facial and Mandibular Fractures Facial Fractures The bones of the skull and face collectively make up the most complex area of skeletal real estate in the body. Analysis of the fractured face requires a knowledge of not only normal anatomy, but also of common fracture patterns in the face. Although they represent serious injuries, the workup and treatment of facial fractures is often properly delayed until more pressing problems have been addressed, such as the establishment of an adequate airway, hemodynamic stabilization, and the evaluation and treatment of other more serious injuries of the head, chest and skeleton. Once these problems have been managed, it is time to work up facial fractures. At our institution, high resolution CT is currently the imaging procedure of choice for most facial fractures. The complex anatomy and fractures of the facial bones are shown extremely well by CT, and soft tissue complications can be evaluated to a far greater degree with CT. Therefore, the plain film facial series has taken a back seat to CT in the past few years, and is now used only in certain situations, such as when the facial trauma is very focal (nasal fracture), or when CT is unavailable. However I find it easier to initially teach the anatomy and fracture patterns of the face with plain films. Once these concepts have been grasped by the resident, one can then move on to the axial and coronal anatomy shown by CT.

48. Florida Hospital Orthopaedics A bone and joint specialist facility, specializes in joint replacement, arthritis, osteoporosis, joint reconstruction, hip fractures, knee and joint pain, and sports injuries. http://www.floridahospitalortho.com

49. Fractures Without Significant Trauma MD. fractures Without Significant Trauma. The fracture. fractures throughabnormal bone are called pathological fractures. Probably http://www.rad.washington.edu/mskbook/fractureswst.html

UW Radiology Home Approaches To DDx In Musculoskeletal Imaging Contents Preface ... Calcifications Fractures Without Significant Trauma Facial Fractures The Painful Joint Prosthesis ... Search this site Approaches To Differential Diagnosis In Musculoskeletal Imaging Michael L. Richardson, M.D. Fractures Without Significant Trauma The circumstance of fracture without any history of significant trauma is not uncommon. Whenever you get this history, a red flag should pop up in your visual cortex and a bell should go off in your auditory tracts. Generally, the differential diagnosis here is fairly logical. The thing to remember is that a bone needs a reason to break. Usually, that reason is that a substantial force has been applied to the bone. If there is no evidence of such a force, we must look for some other reason. To do this, you must first answer two questions: 1) did the fracture occur through normal or abnormal bone; 2) is there normal or decreased amount of bone present? Once you have answered these two questions, you can use the following handy-dandy flowchart to arrive at the most likely mechanism for the fracture. Fractures through abnormal bone are called "pathological" fractures. Probably the most common cause of this is an underlying tumor, either benign or malignant. However, almost any underlying process of bone that weakens the bone can lead to a pathological fracture. Therefore, one should also consider infection, osteomalacia, and Paget's disease, among other causes.

50. Pawtucket Health Care, Inc.- Pawt Urgent Care Doctor Walkin medical treatment center and urgent health care clinic for doctors visits, flu shots, hernias, x-rays, fractures, physicals and workman's compensation. Located in Pawtucket, Rhode Island. Lists hours of service medical news. http://www.pawtuckethealthcare.com/

PAWTUCKET HEALTH CARE, INC. 209 Armistice Blvd, Pawtucket, RI 02860 (Near the Industrial Highway) Your Doctor Away? Don't Have a Doctor? X-Ray / Lab / Physicals / Flu Shots / Workers' Compensation / etc... Open 7 Days Mon - Fri 9 am - 9 pm EST 9 am - 5 pm EST Home Corporate/Employee Health About PHC Hernia ... Medical News Pawtucket Health Care, Inc. 209 Armistice Blvd. Pawtucket, RI 02860 Contact us at: health@pawtuckethealthcare.com Designed and hosted by ProProducts Web Design

51. Older Adult Injury Safety information about preventing fractures, motor vehicle and pedestrian injuries, burns, and medication errors among seniors. http://www.olderadultinjury.org

52. Wong's Green Iguana Heaven - Green Iguana Hell Includes Xrays of reptiles with metabolic bone disease, fractures, and poor calcification. Includes graphic pictures of an iguana who died as a result of neglect and injuries suffered while housed with an aggressive male. http://mail.milagros.net/caiman/wgig-hell.htm

WONG-APPROVED INFO HOT TOPICS GREEN IGUANA HELL IGUANA IMAGES X-RAYS BIBLIOGRAPHY Green Iguana Hell WARNING! This section contains images of iguana-suffering from the results of poor care. They are intended to shock, and some people may find them distressing. This kind of abuse is easily avoided. by Adam Britton Death of an Iguana Most captive iguanas are not in heaven - they have to endure the suffering brought about by improper care. Wong's death illustrates this in painful detail. Warning. You may find some of these images upsetting. Iguana X-rays X-rays reveal a lot more than just the skeletal structure of an iguana, they can provide vital information on the state of an iguana's health. Common ailments such as metabolic bone disease and accidental ingestion are illustrated graphically herein. WONG-APPROVED INFO HOT TOPICS IGUANA HELL IGUANA IMAGES X-RAYS BIBLIOGRAPHY A. Britton

53. Home Page - Health Guide For Spine, Shoulder And Pelvis Disorders Facts about the back, neck, shoulders, and pelvis, a directory of common disorders such as arthritis, fractures, and tumors, and links to medical center services. http://www.umm.edu/spine

Spine Disorders Chronic Pain Facts about the Spine, Shoulder, and Pelvis Physicians and Specialists ... Site Index Related Resources Within UMM Dept. of Orthopaedics Kernan Hospital Spinal Diseases and Disorders The skeletal trunk that part of the body made up of the spine (back and neck), shoulders, and pelvis acts as the major support system for the rest of the body. Sometimes called the trunk or the torso, the skeletal trunk is home to weight-bearing bones and joints, muscles, tendons, ligaments, and nerve centers that make movement possible and allow flexibility for the rest of the body. Because of the complexity of its many tasks, the skeletal trunk is vulnerable to many disorders. Problems such as degenerative arthritis, nerve impingement, fractures, tumors disorders that can also cause pain and disability in other parts of the body are common to the skeletal trunk. Home Health Info Our Physicians Our Services ... Contact Us UNIVERSITY OF MARYLAND MEDICINE © 2001 UNIVERSITY OF MARYLAND MEDICAL SYSTEM This site developed and maintained by Public Affairs.

54. Wrist Fractures Wrist fractures. fractures 1). fractures of these bones in the forearmare the most common wrist fractures in all age groups. These http://www.hughston.com/hha/a.wristfx.htm

Wrist Fractures Fractures of the radius and ulna The wrist joint is made up of the two bones in your forearm (the radius and the ulna) and the many tiny bones in the base of your hand (carpal bones). The radius is the bone on the thumb side of the forearm, and the ulna is the outer bone of the forearm located on the side of the pinky (Fig. 1). Fractures of these bones in the forearm are the most common wrist fractures in all age groups. These fractures generally occur during a fall on an outstretched hand. Children with these fractures may have only a small amount of swelling and deformity (the bone is out of its normal position). In adults, particularly the elderly, fractures near the wrist can cause a large amount of swelling and deformity. (Smith's fracture and Colles' fracture) Treatment The physician's first step in treating anyone with wrist pain after an injury is to obtain and evaluate an x-ray. This will usually be all the testing necessary to tell if a bone is fractured (broken, cracked, chipped, or smashed). Sometimes, however, more testing may be necessary (such as an MRI, CT, or bone scan) to help determine the best form of treatment. The treatment of a wrist fracture varies widely and depends on its location, position, and stability, and how many pieces of broken bone have been created by the injury. Most fractures are treated simply with a cast; sometimes the bone fragments must be gently pushed back to a more normal position before casting. Some fractures are unstable enough that a cast cannot hold the pieces of bone in a normal position for healing, and surgery may then be necessary. Patients with wrist fractures usually do very well, although some may have problems with slight stiffness or loss of motion. Arthritis can also develop sometime in the future, particularly if the smooth, shiny joint surfaces were disrupted by the fracture pieces.

55. Injury Prevention And Mobility Lab Home Biomechanics research focuses on the cause and prevention of falls, hip fractures, wrist fractures, and disorders in balance and mobility. People, publications and mission. http://www.sfu.ca/ipml/

Our Mission Falls are the most common cause of non-fatal injury and the second most common cause of injury-related death in the elderly. In terms of numbers and cost, hip fractures represent the most serious injury related to falls, followed by fractures of the distal radius. Current research in the Injury Prevention and Mobility Laboratory at Simon Fraser University is focused on developing improved methods for preventing falls and fall-related injuries. Safe experiments with living humans are used in combination with mathematical models to assess how age-related declines in neuromuscular performance alter one's ability to prevent falls, and avoid injury in the event of a fall. Engineering tools are used to develop and evaluate specific fracture prevention strategies, from exercise training for fall prevention, to hip pads and energy-absorbing floors for attenuating impact forces. Current projects are also examining the links between age-related changes in sensorimotor function, cognition, and balance, and the mechanics and prevention of forearm fractures from falls on the outstretched hand (the most common fracture in the under-65 population). Home Publications People Contact Info Links home ..

56. Wrist Fractures, By Mr G J Packer fractures of the wrist by Orthopaedic Surgeon Mr G J Packer details the causes and treatments of wrist fractures. http://www.wristfracture.co.uk

Introduction This web site has been authored by Mr G J Packer, an Orthopaedic Surgeon specialising in wrist injuries, and is intended as a source of information and communication for other medical consultants, healthcare professionals and for patients. The presentation has been organised into several sections accessed via the links to the left. To see the full presentation on one page, please click here Fractures of the Wrist Fractures of the wrist are very common injuries. Around one quarter of all patients in a fracture clinic will have suffered a fracture of the wrist. The usual cause of a fracture of the wrist is a fall. The person falling tries to break their fall by putting the hand out to save themselves and in doing so the wrist is forced backwards (figure one). Figure one: A fall onto the outstreched hand is the usual cause of fractures of the wrist joint. Click here to view a larger version The break usually occurs about 2.5cm from the wrist joint at the point where the radius (the largest of the two bones of the forearm) starts to narrow from the broad and relatively soft (cancellous) bone forming the joint to the hard (cortical) bone of the shaft of the radius (figure 2). Figure two: How and why wrist fractures occur.

57. Scaphoid Fractures SCAPHOID fractures. Introduction. The scaphoid is the most commonly injured bonein the carpus, accounting for 6070% of all carpal fractures. http://www.amirmd.com/ortho-info/scafoidfx.html

SCAPHOID FRACTURES Introduction The scaphoid is the most commonly injured bone in the carpus, accounting for 60-70% of all carpal fractures. Only distal radius fractures are more common. 90 to 95% will go on to union if treated adequately (thus, 5-10% non-union may occur, in spite of treatment.) Anatomy The scaphoid is the most complex carpal bone, making up the base of the lateral (mobile) column of the wrist (Navarro). It lies obliquely at about 45 degrees to the longitudinal axis of the two carpal rows. Most of its surface is made up of articular cartilage. Distally, it articulates with the trapezium and trapezoid in a gliding motion, The articulation with the trapezium forms a base for independent movement of the thumb. On the ulnar side, it articulates distally with the capitate, and proximally with the lunate in a rotary motion. Proximally, its large, biconvex surface allows articulation with the radius. VOLAR (top) and DORSAL (bottom) LIGAMENTS of the scaphoid and wrist The dorsal radiocarpal ligament inserts obliquely across the dorsal surface. The waist, or central indentation, provides a path for the palmar radiocarpal ligament to the capitate. The scaphoid tuberosity acts as a pivot for the tendon of the flexor carpi radialis. The scaphoid is bound to the radius and carpal bones by a complex ligament system. Since the scaphoid spans the proximal and distal carpal rows, it acts as a fink, or structural strut between them and its integrity is necessary for wrist stability. Because of these complex articulations, the scaphoid moves in nearly all carpal motions, especially in volar flexion. Any alteration to the integrity of the joint surfaces (fracture) or to the ligamentous stability (dislocation) may ad to degenerative changes and cause a great deal of morbidity.

58. A Des Moines Orthopaedic Surgeons Iowa, Orthopedic Doctors Orthopedic doctors and sports medicine doctors, providing services for bone fractures and broken bones, total hip and total knee replacement surgery. http://www.dmos.com

Welcome to the Des Moines Orthopaedic Surgeons website! DMOS West 6001 Westown Parkway West Des Moines, IA 50266 Tel: 515-224-1414 Fax: 515-224-5140 Toll Free: 800-245-6129 DMOS East 1301 Penn Ave., Suite 213 Des Moines, Iowa 50316 Tel: 515-263-9696 Fax: 515-263-0233 Toll Free: 800-688-3980 DMOS Carroll 405 S Clark Street, Suite 250 Carroll, IA 51401 Tel: 712-792-2093, Fax: 712-792-2096 Toll Free: 877-284-1428 The Pain Management Center and MRI Imaging Center are located at DMOS West. DMOS is Central Iowa's premier Orthopaedic medical and surgical practice. We hope you will visit our web site often to get the most current information. Click here to "meet" our surgeons. Photos and background vitae are available to help you get acquainted We are the team Orthopaedic Surgeons for the DM Menace and the DM Buccaneers Des Moines Orthopaedic Surgeons DMOS West 6001 Westown Parkway West Des Moines, IA 50266

59. Wheeless' Textbook Of Orthopaedics homepage mainmenu fractures medical-topics medications site phalangesupper extremity pelvic fractures hip joint knee joint ankle foot http://www.ortho-u.net/orthoo/41.htm

homepage main-menu fractures medical-topics ... external-links Fracture Index: Ortho Menu: A B C D ... Ankle Fractures Barton's Fracture: Dorsal Barton's Fracture Volar Barton's Fracture Bennet's Fracture Both Bone Forearm Frx ... Burst Fractures (of spine) Calcaneus, Frx Capitulum Fractures Chauffeur's Fracture Chance Fracture ... Condylar Fractures (of elbow) Coronoid Process Frx Cuboid Frx Den's Fracture Distal Radius Fx ... Femoral Shaft Fracture (Menu) Flexion Tear Drop Fracture Foot Fractures Galeazzi's Frx Greater Tuberosity Frx ... Humeral Fractures (menu) Intercondylar Eminence Fracture Intertrochanteric Fractures Jefferson Fracture Jones Fracture ... Supracondylar Humeral Fractures (adult) Supracondylar Frx of Humerus (pediatric) Syndesmotic Injury Talus Frx Thumb Fractures Tibial Frx ... About the Author

60. Reconstructive Orthopaedics Treatment of fractures to arthroscopy, joint replacement, spine surgery, sports medicine, orthopaedic oncology and pediatric orthopaedics. Cincinnati, Fairfield, and Lebanon locations. http://www.reconortho.com/

Mar. 30, 2003 Updated Mar. 29, 2003

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