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On a quarterly basis, William W. Cross III, MD, and Brandon J. Yuan, MD, from Mayo Clinic, Rochester, Minnesota, discusses a trauma case gone wrong in X-ray Forensics. Dr. Cross, who specializes in orthopaedic trauma, provides tips for avoiding mistakes that can compromise patient outcomes.

Dr. Cross and Dr. Yuan, who specialize in orthopaedic trauma, provide tips for avoiding mistakes than can compromise patient outcomes.

Current Articles

Distal Tibia Non-union After Seemingly Successful Fracture Reduction
A 48-year-old male patient with a closed extra-articular distal tibia and fibula fracture undergoes early definitive fixation with open reduction and internal fixation with locking plates. Although the reduction is anatomic, the fixation failed. What happened, and what could the surgeon have done differently? Author Brandon J. Yuan, MD Introduction A 48-year-old male patient with…
By Brandon J Yuan MD - 24 Sep 2018

A Case of Periprosthetic Fracture 15 Years after THA
A 75-year-old patient presents after a fall at home, and she is diagnosed with a Vancouver B1 periprosthetic femur fracture. She had also been diagnosed 3 months earlier with a stress fracture of the left thigh. What is the appropriate treatment for this patient – and why did it fail? Author Brandon J. Yuan, MD…
By Brandon J Yuan MD - 16 May 2018

When a Car Met a Motorcycle: Managing a Non-Healing Distal Tibia Fracture
Callus formation still has not occurred 11 weeks after early definitive fixation of 47-year-old patient’s closed intra-articular distal tibia and fibula fracture. Which course of treatment will help prevent an impending non-union of the tibia? Author Brandon J. Yuan, MD Disclosures The author has no disclosures relevant to this article. Introduction A 47-year-old female patient…
By Brandon J Yuan MD - 21 Dec 2017

Neglected Femoral Neck Fracture and Delayed Union of the Femoral Shaft
Six months after a repair of a closed diaphyseal femur fracture, a 35-year-old patient presents with severe groin pain and the inability to bear weight. What went wrong – and what should be done to fix it? Author Brandon J. Yuan, MD Disclosures The author has no disclosures relevant to this article. Case Presentation A…
By Brandon J. Yuan, MD - 20 Sep 2017

3rd Time’s the Charm? Managing a Distal Femoral Non-union
After undergoing 2 failed attempts at repairing her closed metadiaphyseal distal femur fracture, a 60-year-old female patient is scheduled for re-revision surgery. What went wrong with the 2 previous procedures? Author Brandon J. Yuan, MD Disclosures The author has no disclosures relevant to this article. Introduction A 60-year-old, previously active female patient with a history…
By Brandon J Yuan MD - 22 Dec 2016

Failure of a Humerus Shaft Fixation
When non-operative management for a fractured humerus shaft fails, an active 75-year-old farmer agrees to undergo surgery with plate and screw fixation. What goes wrong? Author William W. Cross III, MD Disclosures The author has no disclosures relevant to this article. Case Presentation An active 75-year-old male presents with pain in his right shoulder and…
By William W Cross III MD - 30 Aug 2016

The Challenges of Subtrochanteric Fracture Management
In the debut of our new quarterly column X-ray Forensics, orthopaedic trauma specialist Dr. William Cross discusses the challenges with the management of an active male patient who sustained a subtrochanteric fracture of his right hip and how the case was finally resolved. Author William W. Cross III, MD Disclosures The author has no disclosures…
By William W Cross III MD - 29 Jun 2016