In both cases, X-rays revealed the same radial neck fracture, AO 21-A2.2, slightly displaced (Figure ​(Figure2).2). The fact that the soldiers

were holding weapons, which were attached to the vehicle contributed to this kind of injury, otherwise when selleck products soldiers were thrown around in the vehicle, one would expect other injuries. The AIS was 2 [11]. Figure 2 Case pair B, two radiographs of the elbow of two injured passengers of the same armored personnel carrier Inhibitors,research,lifescience,medical after having hit an improvised explosive device (IED), showing contralateral fractures of the radial neck. Both soldiers were treated conservatively. Case pair C In this vehicle, also after an IED attack, there was a significant displacement of the base of the truck. Both soldiers sustained a direct blow from beneath directly to the calcaneus. Inhibitors,research,lifescience,medical Again, primary assessment did not reveal vital injuries, and the patients were hemodynamically and respiratory stable. On secondary survey, both men complained of heel pain and on physical examination, swelling and Inhibitors,research,lifescience,medical discoloration

surrounding the heel was seen. Pain was elicited by axial compression. Radiography showed comminuted, displaced fractures of the calcaneus in both patients, type Sanders 4 (Figure ​(Figure3).3). Unexpectedly, they did not sustain other injuries, which would have been expected according to a previous report of Ramasamy et. al. concerning ‘deck-slap’ injuries [12]. The AIS was 3 [11]. Figure 3 Case pair C, sagittal

reconstruction of a CT-scan and a radiograph of the hind foot, showing complex fractures Inhibitors,research,lifescience,medical of the calcaneus of two passengers of the same armored personnel carrier after blast injury (improvised explosive device). Both soldiers were transported to the US, where scopic surgery was performed. Inhibitors,research,lifescience,medical Case pair D Two soldiers, both board gunners were standing behind their weapons on the left and right side of the truck. During an IED strike, the bottom of their vehicle struck their lower legs by a direct blow, caused by the vertical forces of the explosion just below their vehicle. After initial ATLS assessment, both patients were respiratory and hemodynamically stable. During the regular trauma work-up, both patients, although protected by heavy army boots, complained of pain in the ankle joint of the weight bearing leg. Radiographs of the ankles showed an irregular surface of the talus. A CT-scan, Rolziracetam showed an unusual flake fracture of the lateral talar wall with 180-degree rotation of the fragments in both patients, type Müller AO/OTA C1 (Figure ​(Figure4).4). The AIS was 3 [11]. Both soldiers were operated in the US. Figure 4 Case pair D, paired CT-scan images (a and c transverse plane, b and d coronal reconstructions) of the talus. Images a and b from the left board gunner, c and d from the board gunner on the right. Both occupants sustained an inverted osteochondral chip …