intra articular

Management Intra-articular Fractures

Operative v Nonoperative Literature

 

1.  Buckley etal JBJS Am 2002

 

Prospective multi-centred RCT

- 309 displaced intra-articular fractures

- operative v non operative management

- 2 year follow up

 

Findings

- used patient orientated functional outcomes

- overall VAS and SF36 not significantly different between 2 groups

 

Improved Operative Outcome if

- not workers compensation

- women

- < 29

Osteoid Osteoma

Definition

 

Benign, bone-forming neoplasm

- characterized by a small nidus of neoplastic tissue

- surrounded by a wide zone of mature, reactive bone

 

Epidemiology

 

10% of benign bone tumours

Age 5-25

M:F 2:1

 

Aetiology

 

Unknown

- thought may be glomus tumour of bone

 

Pain secondary to prostaglandin production