Is a Parry Fracture—An Isolated Fracture of the Ulnar Shaft—Associated with the Probability of Abuse in Children between 2 and 16 Years Old?

A parry fracture is an isolated fracture of the ulnar shaft. It occurs when the ulna receives the full force of an impact when the forearm is raised to protect the face. The aim of this study is to assess a possible association between a parry fracture and the probability of abuse in children. In this retrospective, observational, multicenter study, we identified patients between 2 and 16 years old who had been treated for an isolated ulnar shaft fracture. Patient characteristics were registered, anonymized radiographs were rated, and charts were screened for referral to a child protective team. A total of 36 patients were analyzed. As no referrals were registered during follow-up, the primary outcome was changed to a perpendicular force as trauma mechanism. Univariable regression analysis and independent t-test both showed no significant association between patient factors or radiographic classification, and the reported trauma mechanism. We were unable to determine an association between a parry fracture and the probability of abuse. Since trauma mechanism does have a biomechanical effect on the fracture type, we would advise that a very clear reconstruction (and documentation) of the trauma mechanism should be established when a parry fracture is identified on radiographs.

Effect of Isolated Fracture on the Carbonate Acidizing Process

Carbonate reservoirs are one of the most important fossil fuel sources, and the acidizing stimulation is a practical technique for improving the recovery of carbonate reservoirs. In this study, the improved two-scale continuum model, including the representative elementary volume (REV) scale model and the upscaling model, is used to study the acidizing process with an isolated fracture. Based on this model, a comprehensive discussion is presented to study the effect of the physical parameters of the isolated fracture on the acidizing results and dissolution images, including the isolated fracture geometry, location, and morphology. Results show that the isolated fracture system is still the target system for the acidizing stimulation. The isolated fracture provides a limited contribution to the core porosity. The permeability of the core sample with fracture can be obviously increased only when the fracture penetrates through the whole sample. The existence of the isolated fracture reduces the consumption of acid solution to achieve a breakthrough. The acidizing curve is sensitive to the change of the length, aperture, and position of the isolated fracture. The acidizing curve difference corresponding to different rotation angles has not changed significantly for clockwise rotation and anticlockwise rotation groups.

Time course of lymphocyte profile after femoral bone fracture

Isolated fractures of femur account for more than 10% of all road traffic injuries. Traumatic injury of femoral bone triggers a cascade of interrelated neuroendocrine reactions at systemic level, primarily at the hypothalamic-pituitary-adrenal axis, systemic response of immune system, initiated by release of tissue degradation products, cytokines and other mediators of damage into systemic blood circulation. Specific cellular reactions in response to traumatic injury to bone tissue include both innate and adaptive immune responses. In this regard, there is still scarce information on changes in blood lymphocyte subpopulations observed after closed isolated fracture of the femoral diaphysis at the middle third, before and after surgery. The aim of the present study was to evaluate the subpopulations of peripheral blood lymphocytes following closed isolated fracture of the femoral diaphysis with bone displacement in thecourse dynamics of surgical treatment, thus being required for studies in pathogenesis, development of diagnostic criteria and creating innovative treatment approaches. The study included 20 apparently healthy men and 36 men with closed isolated fracture of the femoral diaphysis of the middle third (32A and 32B, by AO/ASIF clinical classification, coded according to ICD-10 S72.3). The exclusion criteria were as follows: exacerbation of chronic comorbidities, diseases of lymphatic system and haematopoietic organs, oncological diseases, and evidence of osteoporosis. The spectrum of blood lymphocyte subsets was assessed on days 5, 7 (immediately after surgery) and on day 18 after closed isolated fracture of femoral diaphysis. We have found that, on the day 5 after IPBC along with leukocytosis in peripheral blood, the number of T-regulatory cells, cells with markers of early (CD25+) and late activation (HLA-DR+) proved to be increased, whereas representation of NK cells was decreased. On the day 7 after IPBC and immediately after surgery, leukocytosis persisted in blood, along with increased number of T-regulatory cells, CD3+ cells with early and late activation markers. On the day 18 after closed isolated fracture of the femoral diaphysis, the total numbers of leukocytes, T-lymphocytes, T-helpers, T-regulatory cells, T cells with an early activation marker are restored in peripheral blood, whereas the number of T-lymphocytes expressing HLA-DR+ molecules showed a significant increase.

A Non-Traumatic Avulsion Fracture of the Lesser Trochanter: Other Diagnosis Not to Be Missed

In adults, an isolated non-traumatic fracture of the lesser trochanter should arouse strong suspicion of an underlying malignant pathology. In this article, we present the case of a 55-year-old male patient who presented with a non-traumatic isolated fracture of the lesser trochanter secondary to a delayed diagnosis of metastases of bronchial carcinoma.

ISOLATED FRACTURE OF TROCHLEA: A RARE CASE ENTITY

Isolated fracture of the trochlea is a rare variety of partial articular fracture of the distal humerus. A 32 year old gentleman presented with trauma to the left elbow sustained due to fall from height. Radiographs revealed an isolated fracture of the trochlea. CT Scan was done to better evaluate the fracture geometry. An ORIF(Open reduction internal fixation) was done through medial approach and fracture was fixed with Herbert and Cancellous cannulated screws. Post operatively early range of motion exercises of the elbow was commenced. Patient regained nearly full elbow range of movements.