Closed Fracture

In this video, Gerard P. Slobogean, MD, MPH, discussed the use of iodine povacrylex in alcohol as a preoperative skin antisepsis to prevent surgical site infection for patients undergoing closed fracture surgery.

One of my observations of nerve injury is that it is rare to encounter the same nerve injury twice.

Open reduction and internal fixation of acromion fractures with or without previous reverse shoulder arthroplasty can provide significant relief for patients who lack mobility in the injured shoulder and have failed conservative treatment.

A healthy 22-year-old right hand-dominant woman sustained an isolated, right lunate dislocation and ulnar styloid fracture after a fall while bicycling at an approximate speed of 5 miles per hour (Figure 1).

A 15-year-old boy with no significant past medical history arrives to clinic for evaluation of left knee pain and swelling after sustaining a non-contact injury 2 days earlier while playing baseball. The patient states he was running from third base to home and felt a sudden sharp pain and a pop in his left knee when his foot struck the plate. He reports that his knee became significantly swollen the night of the injury. He has been able to bear weight for the last 2 days. When asked to localize his pain, he points to the anteromedial and anterolateral aspects of the left knee. The pain has subsided in the last day; however, he still has some discomfort and rates his pain as a two out of 10. The patient describes having a subjective feeling of instability. He denies a history of other injuries or surgeries to the left knee. Review of systems was negative aside from that stated above.