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
External fixation usually used when internal fixation is contraindicated- often to treat open fractures, or as a temporary solution. External fixation is also used in limb lengthening. People with short limbs can have, for example, legs lengthened. In most cases the thigh bone (femur) is cut diagonally in a surgical procedure under anesthesia. External fixator pins or wires (as above) are placed each side of the 'man made fracture' and the external metal apparatus is used to very gradually push the two sides of the bone apart millimetre by millimetre day by day and week by week. Bone will gradually grow into