Mesoamerican ballgame many Caribbean islands including Cuba, Puerto Rico, and the West Indies, has been proposed as a descendent of the Mesoamerican ballgame, perhaps through the Maya. Mesoamerican ballgame The Mesoamerican ballgame was a sport with ritual associations played since 1400 BC by the pre-Columbian people of Ancient Mesoamerica. The sport had different versions in different places during the millennia, and a newer more modern version of the game, "ulama", is still played in a few places by the indigenous population. The rules of the game are not known, but judging from its descendant, ulama, they were probably similar to racquetball, where
Internal fixation some fractures. "Internal fixation" refers to fixation of screws and/or plates, intramedullary bone nails (femur, tibia, humerus) to enable or facilitate healing. Rigid fixation prevents micro-motion across lines of fracture to enable healing and prevent infection, which happens when implants such as plates (e.g. dynamic compression plate) are used. Open Reduction Internal Fixation techniques often are used in cases involving serious fractures such as comminuted or displaced fractures or, in cases where the bone otherwise would not heal correctly with casting or splinting alone. Risks and complications may include bacterial colonization of the bone, infection, stiffness and loss of range