We concluded that patient selection and a specific clinical indication for operative treatment are crucial. Resection of the medial clavicle results in good functional outcome when the costoclavicular ligament is preserved or reconstructed.

The methods with the greatest inter- and intraobserver reliabilities were the Hernandez and bimalleolar methods for measuring femoral anteversion and tibial torsion, respectively. The high intermethod differences make it difficult to compare measurements made with different methods.

The location of 327 solitary enchondromata of the hand reported in the English and German medical literature and 30 solitary enchondromata treated at our hospital was studied. Four were located in the carpus, 70 in the metacarpals and 283 in the phalanges. There were highly significant preferences for involvement of the proximal phalanges and the little finger ray. The proximal phalanx of the little finger was the most commonly involved bone.

Two hundred distal radial fractures, with a mean follow up of 20 months (range 6-49), were divided into three groups according to the presence and healing status of an ulnar styloid fracture. The patients underwent both clinical and radiological examination and completed two different questionnaires. One hundred and one, of 200 distal radial fractures, were associated with an ulnar styloid fracture. Forty-six of these developed an ulnar styloid nonunion. The authors encountered significantly higher pain scores (ulnar sided pain p = 0.012), a higher rate of DRUJ instability (p = 0.032), a greater loss of motion and grip strength (p = 0.001), and a poorer clinical outcome in cases with an ulnar styloid fracture, but no differences were apparent when those with healed ulnar styloid fractures or ulnar styloid nonunions were compared (p > 0.05). The investigators propose that the incidence of ulnocarpal complaints following distal radial fracture depends on the presence but not the healing status of an ulnar styloid fracture.