The United States Virgin Islands (commonly called the U. S. Virgin Islands or USVI) are a group of islands in the Caribbean that are an insular territory of the United States of America (commonly called US). The U. S. Virgin Islands has all the beauty of the Caribbean with all of the conveniences of the US.he total land area of the territory is 133.73 square miles (346.4 km2). Most of the islands, including St. Thomas, are volcanic in origin and hilly. St. Croix, the largest of the U. S. Virgin Islands, lies to the south and has a flatter terrain.
Pathologic Fractures Tumors primary secondary (metastatic) (most common) Metabolic osteoporosis (most common) Pagetâs disease hyperparathyroidism Pathologic Fractures Benign Tumors Fractures more common in benign tumors (vs malignant tumors) most asymptomatic prior to fracture antecedent nocturnal/rest symptoms rare most common in children humerus ...
This patient has spiral distal tibia and proximal fibula fractures. Dedicated imaging of the ankle should be performed to exclude a posterior malleolus fracture. Imaging options include either dedicated ankle radiographs or CT scans. Tibial shaft fractures arise from high- or low-energy injuries. Low-energy injuries are characterized by (1) torsional mechanism of injury, (2) spiral pattern, (3) fibula fracture at a different level. Surgical options for closed shaft fractures include IM nailing and plate fixation.