> 10-year outcome of dislocated radial fractures with concomitant intracarpal lesions as proven by MRI and CT.

To clarify the role of concomitant carpal lesions in dislocated distal radius fractures (DRF), 104 consecutive patients with DRF underwent a preoperative morphological examination using CT and MRI. The study was performed between 2004 and 2006 with the aim of recording all types of concomitant carpal lesions as well as their consequences after 1 year. Carpal lesions of different types were found in all treated cases of dislocated DRF. A clinical follow-up 1 year (13.9 ± 6.5 months) after surgical treatment showed no correlation between the carpal lesions and the treatment outcome (previously described by Gologan et al. 2011). A second follow-up study ( > 10 years postoperative, range 11.2 ± 0.9 years) was initiated to find suspected later decompensations of the concomitant carpal lesions. A total of 37 of the original 104 patients could potentially be followed up: 22 patients had passed through both follow-ups and 15 could only be contacted with restrictions. 27 patients had died, 24 patients were excluded due to the presence of dementia or explicit rejection, and 16 patients could no longer be found. Using the Castaing score, the first follow-up after 1 year resulted in an average of 4.95 ± 3.1 points (range 0-12; "good result") and the second follow-up after 10 years in an average of 5.91 ± 2.9 points (range 2-14; "good result"). Again, there were no correlations with the primarily recognized carpal lesions [comparable groups 22 vs 22 (identical patients in both follow-ups); lost to follow-up rate 15.4%]. These results suggest that concomitant carpal lesions are primarily prevalent and detectable in (nearly) all dislocated DRF cases. However, with the usual protection of the wrist and the carpus after surgical treatment of DRF, these lesions often do not decompensate or require treatment, even after 10 years.

Formaldehyde--study of indoor air pollution in Austria.

As part of a long-term study of indoor air pollution, formaldehyde concentrations were determined in 792 apartments following complaints by inhabitants. Measurements were carried out using Draeger tubes as well as the acetyl acetone method. In 157 apartments, HCHO concentrations of more than 0.1 ppm, exceeding the recommended standard values for indoor air concentrations, were determined. The concentrations determined tended to decrease over time. As far as they were caused by furnishings, they were limited to the spaces where these furnishings were installed. In older-style prefabricated houses with foam-filled particle-board wall systems, concentrations of more than 1.0 ppm were determined. In spite of legal regulations governing the release of formaldehyde from substances, preparations and products containing formaldehyde which have been in existence in Austria since 1990, this substance must still be considered as a possible factor of indoor pollution in causing feelings of ill-health.