Displaced and unstable proximal humerus fractures are difficult to treat
and they have high morbidity. The main goal is to achieve painless shoulder with full
recovery of the shoulder joint motion. Impingement syndrome is one of the commonest
postoperative complication. This study aim is to appreciate the functional outcomes of
Philos-plate fixation for proximal humerus fractures and to establish association with
high plate positioning with impingement syndrome of the shoulder after Philos-plate
fixation. (Copied from article).
The occurrence of atlantoaxial rotatory subluxation is fairly uncommon; however, it is
more common to be encountered in the paediatric population, typically seen after a
retropharyngeal inflammation or after a minor trauma. Ligamentous laxity, shallower
and more horizontally oriented facet joints especially at the C1-2 joint making them
prone to have atlantoaxial subluxation or dislocation. (Copied from article).
Cervical spine injury is commonly associated with
road-traffic accidents. The true incidence of cervical
spine injuries is unknown due to under-reporting of
such injuries. Cervical spine injury is associated with
high morbidity and mortality if it is missed. With the
advancement of imaging modalities, the number of
missed cervical injuries has reduced. Nevertheless, some
clinicians are dependent solely on imaging tools to rule
out cervical spine injury in a trauma victim. We report
two cases of “near miss” C6 fracture to highlight the
importance of a detailed clinical history and clinical
examination with imaging as an adjunct to rule out
cervical injury.