A 65-year-old male was a restrained driver of an automobile struck by another vehicle in a head-on collision while on vacation overseas. He sustained a left-sided wrist fracture and was taken to a local hospital for initial care.

A 61-year-old female was hiking in the mountains when she slipped and fell onto her left lower extremity. She was taken to a local hospital and radiographs revealed a left-sided Schatzker II tibial plateau fracture (split with depressed fragment) and she was referred to us one day following her injury for definitive treatment.

A 15-year-old female, avid soccer and volleyball player, noted progressive onset of right-sided shin pain during her athletic training over the course of several weeks.

A 41-year-old male was involved in a high speed accident and was referred to us for treatment by David L. Helfet, MD.

A 20-year-old competitive track and field athlete at the collegiate level presented to us following an 18-month history of insidious onset of right-sided shin pain.

A 20-year-old male was walking across an intersection and was stuck by a car that went through a stop signal. He fell onto his outstretched left upper extremity was taken to the Orthopaedic Trauma Service at the Hospital for Special Surgery and placed under the care of David L. Helfet, MD for evaluation and treatment of his injuries.

A 25-year-old male lost control while riding a moped and fell landing on his outstretched left upper extremity.

A 48-year-old male was involved in a motorcycle accident, after striking a deer which had entered the roadway.

A 66-year-old female tripped and fell while getting out of a car. Her past surgical history included a left Total Knee Replacement (TKR) performed six months earlier.

A 46-year-old female sustained a periprosthetic acetabular fracture 1 month following a revision Total Hip Arthroplasty (THA) procedure.

A 13-year-old schoolgirl was struck by a car moving at about 25 miles per hour. She was thrown some distance, but did not lose consciousness and was taken to a local trauma center.

A 70-year-old male slipped and fell while skiing landing on his outstretched right arm. Radiographs at the local hospital revealed a right-sided pathologic mid-shaft humeral fracture and evidence of lytic lesions on the humeral head.

A 39-year-old female slipped and fell while walking on ice onto her left lower extremity and left knee. Radiographs taken in our Emergency Department revealed a left-sided transverse patella fracture.

A 14-year-old male was hit in the right forearm while playing football and experienced immediate pain and swelling.

A 49-year-old male was involved in a high-speed motor vehicle accident and sustained an open distal femur fracture. He was taken to a local hospital and radiographic examination revealed a right-sided (open) complex distal femur fracture a medial butterfly fragment, comminution and intra-articular extension.

A 43-year-old male sustained fell off of his bicycle after encountering uneven pavement. He sustained a closed elbow injury.

A 46-year-old female fell while walking and landed on her left outstretched upper extremity.

A 64-year-old female sustained a left-sided proximal humerus fracture (AO/OTA Type 12-A2.1) and was initially treated at an outside hospital with a functional fracture brace.

A previously healthy female, 53-years of age, fell when she tripped while carrying a laundry basket down steps landing on the dorsal aspects of her flexed elbows, and had immediate pain in both upper extremities.

A 34-year-old male fell while snowboarding and landed on his outstretched left upper extremity.

A 48 year-old male was involved in a high speed car accident and sustained a mid-foot injury. Radiographs revealed a Lisfranc fracture-dislocation.

A previously healthy 39-year-old female fell while rollerblading and sustained a left-sided subtrochanteric femur fracture.

A previously healthy 63-year-old female fell from a step ladder and sustained a left-sided hip fracture.

A 58-year-old female slipped and fell and sustained a closed right-sided displaced humerus fracture with a medial butterfly fragment.

A 35-year-old female fell from a standing height and felt an immediate onset of severe right-sided hip pain.

A 48-year-old female was referred to Dr. David L. Helfet 2 days following a fall from a standing height onto her left upper extremity.

Radiographs revealed a periprosthetic fracture above a cemented total elbow replacement and below a cemented humeral component of a total shoulder replacement. Her history was also significant for osteoporosis.

Open reduction and internal fixation (ORIF) was performed with placement of a 3.5mm extra-articular distal humeral locking plate posterior-laterally and a 3.5mm reconstruction plate along the medial column in a 90-90 construct with multiple interfragmentary lag screws.

She returned for routine follow-up and at 7 months radiographs illustrate a healed periprosthetic humerus fracture and she has returned to activities of daily living with resolution of pain.

*Carroll EA, Lorich DG, Helfet DL: Surgical management of a periprosthetic fracture between a total elbow and total shoulder prostheses: a case report. J Shoulder Elbow Surg. 2009 18(3):e9-12.

A 15-year-old female, avid soccer and volleyball player, noted progressive onset of right-sided shin pain during her athletic training over the course of several weeks.

A 13-year-old girl fell while skiing and was taken to a local hospital. Radiographs were obtained and revealed a right-sided Anterior Column with Posterior Hemi Transverse acetabular fracture.

A 63-year-old female fell from a standing height. Radiographs taken at the outside hospital revealed an Anterior Column Type acetabular fracture with displacement of the quadrilateral surface and medial femoral head protrusion.

A 49-year-old male fell 8 feet from a ladder onto his right foot. He was brought to the Orthopaedic Trauma Service with complaints of right foot pain and radiographs revealed a right-sided, displaced and comminuted intra-articular calcaneus (heel bone) fracture.

A 64-year-old female was involved as a passenger in a high-speed motor vehicle accident while on vacation in Nicaragua.

A 34-year-old member of the New York Fire Department (NYFD) was fighting a fire on the 4th floor of an apartment building. His fire unit was rapidly overcome by the spreading blaze and had no little choice but to jump from the building.

A 19-year-old female fell while bicycling at a high speed and sustained an open fracture (Grade IIIA) of the distal humerus and presented through the New York Presbyterian Emergency Department.

A 42-year-old male slipped and fell approximately 14 feet while working on a ladder onto his right lower extremity.

He was taken to our Emergency Department and radiographs revealed a right-sided displaced distal tibial pilon fracture with extensive articular comminution and associated displaced fibula fracture with significant soft tissue swelling.

A 49-year-old male sustained a right-sided open mid-shaft tibia fracture after being struck by a stolen pickup truck while riding his bicycle.

A 17-year-old male driver of an automobile was involved in a head-on collision with a tractor trailer. After being trapped inside the vehicle for approximately one hour, he was extricated and flown to a local trauma center along with the other passengers who sustained injuries of a lesser severity.

A 36-year-old male fell while skiing and sustained a right-sided displaced comminuted mid-shaft clavicle fracture.

A 32-year-old female was referred to us 3 days after natural vaginal delivery (of her second child) at an outside hospital. Delivery of her first child was uncomplicated. The second pregnancy and delivery were also uncomplicated.

A previously healthy 18-year-old male was involved in a motor vehicle accident as a belted driver whose automobile struck a pole and was taken to a local hospital where evaluation revealed an isolated Pipkin IV Type postero-superior fracture-dislocation of the right hip.

A 47-year-old male fell from a ladder onto his left lower extremity. He was taken to a local hospital and radiographs revealed a left-sided, displaced, intra-articular calcaneous fracture with a depressed articular segment and he was referred to us one day following his injury for definitive treatment.

A 50-year-old female fell approximately 3 feet from a step ladder. She presented to us with a bimalleolar ankle fracture placed in a cast by the referring hospital.

A 34-year-old male was a passenger in an automobile that collided with another vehicle at high-speed. There was a lateral impact on the passenger side door. He was taken to the local trauma center for initial assessment where he was diagnosed with a right-sided Anterior Column Posterior Hemitransverse acetabular fracture.