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Re-fracture of
the ulna. 57 year old dry-waller reported by
Myles
Clough
Summary: R handed middle aged dry-waller presented in 1990 with a fracture of the
left wrist. Multiple procedures failed to heal the injury and the bone was reabsorbed from
mid-forearm to the carpus. In 1995 he had successful treatment with free vascularized
fibular graft and fusion of the ulna to the 2nd metacarpal, accompanied by radiotherapy.
In 1998 he fractured the ipsilateral ulna at the olecranon. In view of the history he was
treated with open reduction and internal fixation of the fracture, electrical stimulation,
infusions of pamidronate and further radiotherapy. He went on to heal and consolidate the
fracture.
- Three year old male with disease affecting clavicle
and scapula (details awaited)
- Spinal disease with multiple episodes of meningitis
(details awaited)
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