Iranian Journal of Orthopedic Surgery

Abstract Abstract Scapholunate interosseous ligament injuries are common important conditions which include  a wide range of pathologies in wrist joint. A lot of factors have significant role on clinical course or stage of disease. Treatment protocol depends on the stage of disease. Partial vs complete lesion, reparability, radioscaphoid angle, radiolunate angle, reducibility and degenerative changes are modifiers of disease stage. Re-education and strengthening of supinator muscles, percutaneous pinning, arthroscopic debridement, open repair, capsulodesis, screw fixation and ligament reconstruction with local tendons are common treatment options used for scapholunate injuries. In this article we will review the stages of disease as well as the various treatment options.  Some case series related to each treatment options will be  discussed.  

Abstract Background: Supracondylar humerus Fracture is among the common upper extremity fractures in children. In certain types of fractures of circumstances that open reduction becomes necessary the best surgical approach is debatable. We would like to report our prospective study between posterior and lateral surgical approaches in type III supracondylar fractures. Methods: In a case series study, 87 children from birth till 18 years old, with type III humerus fracture were randomly selected for open reduction and pinning 43 through lateral and 44 posterior approaches. With a 6-months follow-up, elbow range of motion, complications and radiographic parameters related to :::union::: type were evaluated. Results: Posterior approach was a faster surgery. Ranges of motion after 1 and after 6 months were more restricted in posterior approach. Baumann and carrying angles were closer to normal in a higher percentage in posterior approach. Varus and valgus mal:::union::: or joint stiffness rates or infection were similar in the two groups. Conclusion: The two approaches were similar for postoperative complications. Better range of motion was achieved in the lateral approach, and a more anatomical :::union::: in the posterior approach.