MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'Orthopaedics and Trauma' source. Mon, 30 Jan 2012 01:20:35 +0100 http://www.medworm.com/index.php?rid=5450818&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132711000340%2Fabstract%3Frss%3Dyes Operative Techniques in Pediatric Orthopaedics is one of a series covering all the orthopaedic sub-specialities. It is an atlas of operative surgery but also has background information on the conditions covered. It is a comprehensive book covering both elective and trauma paediatric surgery. It also has descriptions of certain procedures, for example psoas lengthening at the pelvic brim, which I have not been able to find good, well illustrated, descriptions of previously. (Source: Orthopaedics and Trauma) Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=5450818 Mon, 28 Nov 2011 17:14:33 +0100 5450818 http://www.medworm.com/index.php?rid=5450817&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132711000558%2Fabstract%3Frss%3Dyes Operative Techniques in Adult Reconstruction Surgery is one of a series of seven operative techniques books. It is divided into three sections, Hip Reconstruction, Hip Preservation and Knee Reconstruction. There are 30 chapters, to which 59 international authors have contributed, although the majority are from North America. It is briefcase-sized and therefore easily portable, but if you forget your book there is a full online version that is made available to the reader once registered on a website using an access code provided with the book. (Source: Orthopaedics and Trauma) Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=5450817 Mon, 28 Nov 2011 17:14:33 +0100 5450817 http://www.medworm.com/index.php?rid=5450816&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS187713271100056X%2Fabstract%3Frss%3Dyes Most books reviewed in this journal are textbooks that can be dipped into in order to find a specific piece of information, or to help understand a particular problem. This one is written in a narrative style, however, and really needs to be read through from cover to cover in order to comprehend the developing arguments and explanations. The topic is the psychology of decision making across all surgical specialities, so no a priori knowledge of the relevant theories is assumed. It is, however, easy to read and fulfils its own purpose by encouraging the reader to reflect on their own style and to question their own behaviours. It begins by reviewing the recent introduction of the WHO checklist and I was concerned that we were heading to a recommendation of protocol- and guideline-driven pr... Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=5450816 Mon, 28 Nov 2011 17:14:33 +0100 5450816 http://www.medworm.com/index.php?rid=5450815&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132711000893%2Fabstract%3Frss%3Dyes (Source: Orthopaedics and Trauma) Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=5450815 Mon, 28 Nov 2011 17:14:33 +0100 5450815 http://www.medworm.com/index.php?rid=5450814&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132711001503%2Fabstract%3Frss%3Dyes (Source: Orthopaedics and Trauma) Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=5450814 Mon, 28 Nov 2011 17:14:33 +0100 5450814 http://www.medworm.com/index.php?rid=5450813&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132711001242%2Fabstract%3Frss%3Dyes Abstract: Blount’s disease is an uncommon disorder of the postero-medial proximal tibial physis, which produces a varus proximal tibia, tibial internal torsion, procurvatum and shortening. Blount described infantile and adolescent types. The precise pathogenesis of the condition remains obscure but associations include an early walking age, obesity, familial tendency and Afro-Caribbean race. It is frequently bilateral.The diagnosis of Blount’s disease follows clinical assessment and radiographs of the knee, which show a progressive varus deformity and typically an increased metaphyseal-diaphyseal angle. The natural history of the condition is adult knee pain, deformity and arthrosis. Treatment is dependent on the age of the child, the stage of the disease and the amount of angular and ... Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=5450813 Mon, 28 Nov 2011 17:14:33 +0100 5450813 http://www.medworm.com/index.php?rid=5450812&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132711000273%2Fabstract%3Frss%3Dyes Abstract: Stump pain following lower limb amputation is common. Correct management relies on an accurate diagnosis of the underlying aetiology. The radiological diagnosis of the main causes of stump pain is discussed, with cases presented in a quiz format. (Source: Orthopaedics and Trauma) Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=5450812 Mon, 28 Nov 2011 17:14:33 +0100 5450812 http://www.medworm.com/index.php?rid=5450811&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132711001412%2Fabstract%3Frss%3Dyes Abstract: Although first described in the 1930’s, it was not until the late 20th century that hip arthroscopy became a well-recognized procedure. Correct patient positioning and portal placement are critical, and failure of either may result in inability to access the joint or damage to important local neurovascular structures. In the hands of an experienced surgeon and anaesthetist the risks are small, but attention to detail is critical. The future of hip arthroscopy is exciting and as the scientific evidence builds it is likely to be an important adjunct to more traditional open hip procedures. (Source: Orthopaedics and Trauma) Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=5450811 Mon, 28 Nov 2011 17:14:33 +0100 5450811 http://www.medworm.com/index.php?rid=5450810&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132711001424%2Fabstract%3Frss%3Dyes Abstract: Unicompartmental knee arthroplasty (UKA) is a treatment option when only one compartment of the knee is affected with arthritis. There has been increasing enthusiasm in unicompartmental knee arthroplasty, with improved understanding of surgical principles, newer techniques for improving surgical precision including the use of smaller incisions, and the introduction of newer designs. Past experiences from several centres have been paramount in the education of surgeons with regards to patient selection, technical considerations, and importantly avoiding common pitfalls can lead to early failure of the components. (Source: Orthopaedics and Trauma) Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=5450810 Mon, 28 Nov 2011 17:14:33 +0100 5450810 http://www.medworm.com/index.php?rid=5450809&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132711001473%2Fabstract%3Frss%3Dyes Abstract: Children and adolescents with neurological conditions develop severe spinal deformities at a high frequency due to muscle weakness and poor neuromuscular control, frequently associated with spasticity. Scoliosis is the most common type of deformity, occasionally associated with increased kyphosis or lordosis and commonly extending to the sacrum and pelvis. The development of severe spinopelvic imbalance can cause back or costo-pelvic impingement pain, affects the patient’s ability to function, impacts on the patient's quality of life and maximizes the need for nursing care. It may give rise to significant respiratory compromise. Surgical correction is indicated in the presence of a progressive deformity that produces functional limitations and severe symptoms especially in grow... Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=5450809 Mon, 28 Nov 2011 17:14:33 +0100 5450809 http://www.medworm.com/index.php?rid=5450808&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132711001515%2Fabstract%3Frss%3Dyes Abstract: In an ageing population adult degenerative scoliosis, a subset of adult scoliosis, is a growing problem. The spinal curves, unlike those of idiopathic scoliosis, are predominantly lumbar. Patients usually complain of axial pain, neurogenic claudication and radicular symptoms. Initial conservative management is indicated. If that fails, surgical treatment may be indicated, which requires careful patient selection, pre-operative assessment and pre-optimization to reduce the incidence of complications. Surgery is aimed at correcting the deformity, achieving adequate decompression, while obtaining solid spinal fusion and restoration of adequate coronal and sagittal balance. (Source: Orthopaedics and Trauma) Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=5450808 Mon, 28 Nov 2011 17:14:33 +0100 5450808 http://www.medworm.com/index.php?rid=5450807&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132711001461%2Fabstract%3Frss%3Dyes This article discusses the possible causes of scoliosis in the paediatric population. The aim is to provide the reader with a basic understanding of spinal growth, the natural history of scoliotic spinal deformity and outline the options for treatment. (Source: Orthopaedics and Trauma) Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=5450807 Mon, 28 Nov 2011 17:14:33 +0100 5450807 http://www.medworm.com/index.php?rid=5450806&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132711001230%2Fabstract%3Frss%3Dyes This article outlines how to perform a thorough history and examination of a patient with scoliosis drawing out the differentiating features of idiopathic scoliosis from other varieties such as congenital, neuromuscular, syndromic and adult scoliosis. (Source: Orthopaedics and Trauma) Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=5450806 Mon, 28 Nov 2011 17:14:33 +0100 5450806 http://www.medworm.com/index.php?rid=5450805&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132711001552%2Fabstract%3Frss%3Dyes (Source: Orthopaedics and Trauma) Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=5450805 Mon, 28 Nov 2011 17:14:33 +0100 5450805 http://www.medworm.com/index.php?rid=5366787&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132711000984%2Fabstract%3Frss%3Dyes This book is the result of a collaboration between the American Academy of Orthopaedic Surgeons and the American Knee Society and aims to cover all aspects of knee reconstruction in adults. The authors have produced a text that covers a comprehensive range of current topics relating to knee reconstruction. Approximately half of the book is devoted to arthroplasty-related topics and about half to soft tissue knee surgery. There are arthroplasty sections discussing primary and complex primary knee replacement, complications following arthroplasty and revision arthroplasty. There is also a section on alternative reconstruction procedures. In the soft tissue sections there is coverage of ACL reconstruction, PCL reconstruction, collateral ligament reconstruction, knee dislocation, meniscal inju... Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=5366787 Sat, 01 Oct 2011 04:00:00 +0100 5366787 http://www.medworm.com/index.php?rid=5366786&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132711000704%2Fabstract%3Frss%3Dyes This new book has been targeted at senior orthopaedic or plastic surgical trainees. It contains approximately 120 chapters which are divided into different pathological entities and anatomical regions. A large number of distinguished authors have contributed and the aim of the book is to provide a step-by-step operative guide supported by relevant basic sciences and anatomy. The book covers both elective and traumatic conditions of bone and soft tissues in the hand and wrist. The chapters follow a common structure, defining and classifying conditions, exploring the appropriate anatomy, the presenting complaints and physical findings, investigations, differential diagnoses and management, both non-operative and surgical. Where things differ from standard texts is that the surgical treatment... Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=5366786 Sat, 01 Oct 2011 04:00:00 +0100 5366786 http://www.medworm.com/index.php?rid=5366785&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132711000960%2Fabstract%3Frss%3Dyes (Source: Orthopaedics and Trauma) Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=5366785 Sat, 01 Oct 2011 04:00:00 +0100 5366785 http://www.medworm.com/index.php?rid=5366784&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132711001229%2Fabstract%3Frss%3Dyes (Source: Orthopaedics and Trauma) Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=5366784 Sat, 01 Oct 2011 04:00:00 +0100 5366784 http://www.medworm.com/index.php?rid=5366783&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132711001059%2Fabstract%3Frss%3Dyes Abstract: Physeal fractures account for approximately one-third of all paediatric fractures. Although many of these injuries heal without negative sequelae, this fracture type is at risk of partial or complete growth arrest. The anatomy of the physis, and the basic science behind its growth and function are presented. We also present the epidemiology of physeal fractures, as well as outcomes following physeal injuries at various locations. General guidelines for treatment are discussed. A thorough understanding of the basic science, epidemiology, and treatment options for physeal fractures may help the clinician optimize management for children with this type of injury. (Source: Orthopaedics and Trauma) Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=5366783 Sat, 01 Oct 2011 04:00:00 +0100 5366783 http://www.medworm.com/index.php?rid=5366782&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132710001764%2Fabstract%3Frss%3Dyes (Source: Orthopaedics and Trauma) Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=5366782 Sat, 01 Oct 2011 04:00:00 +0100 5366782 http://www.medworm.com/index.php?rid=5366781&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132711000650%2Fabstract%3Frss%3Dyes This article outlines the current management strategies for dealing with this acute traumatic injury. (Source: Orthopaedics and Trauma) Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=5366781 Sat, 01 Oct 2011 04:00:00 +0100 5366781 http://www.medworm.com/index.php?rid=5366780&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132711000686%2Fabstract%3Frss%3Dyes This article summarizes the features seen after primary total hip arthroplasty and how they may evolve, with a brief review of the underlying biological and biomechanical principles. The technical assessment of the postoperative radiograph is considered, together with important landmarks and subsequent long-term changes. We emphasize the importance of appreciating features that identify patients at risk for revision surgery and reinforce the concept that changes may vary depending on the type of implant used. With basic principles of radiology, biology and biomechanics, orthopaedic surgeons and radiologists can accurately assess the majority of radiographs taken after total hip arthroplasty. (Source: Orthopaedics and Trauma) Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=5366780 Sat, 01 Oct 2011 04:00:00 +0100 5366780 http://www.medworm.com/index.php?rid=5366779&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132711000674%2Fabstract%3Frss%3Dyes Abstract: Wrist arthroscopy is nowadays a commonly used procedure employed in the diagnosis and treatment of traumatic pathologies, such as triangular fibrocartilage injuries, distal radius fractures, malunions and scaphoid fractures, as well as degenerative conditions such as scapholunate advanced collapse, wrist, Kienböck’s disease and dorsal wrist ganglia cysts. Several procedures have recently been undertaken arthroscopically, such as radial styloidectomy, distal ulnar excision (“wafer procedure”), and proximal row carpectomy.Wrist arthroscopy has become the “gold standard” for the diagnosis of certain wrist injuries such as scapholunate instability. Compared to open techniques, arthroscopic procedures improve the postoperative management in terms of pain and early movement ... Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=5366779 Sat, 01 Oct 2011 04:00:00 +0100 5366779 http://www.medworm.com/index.php?rid=5366778&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132711001011%2Fabstract%3Frss%3Dyes This article seeks to give simple guidance to help the general orthopaedic surgeon to recognize, investigate and treat soft tissue and bony injuries relating to the carpal bones. (Source: Orthopaedics and Trauma) Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=5366778 Sat, 01 Oct 2011 04:00:00 +0100 5366778 http://www.medworm.com/index.php?rid=5366777&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132711000881%2Fabstract%3Frss%3Dyes This article discusses many of the key areas around recognition, understanding, management and current opinion on fractures involving the distal radius and distal ulna. (Source: Orthopaedics and Trauma) Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=5366777 Sat, 01 Oct 2011 04:00:00 +0100 5366777 http://www.medworm.com/index.php?rid=5366776&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132711001023%2Fabstract%3Frss%3Dyes Abstract: Anatomy and surgical approaches are intimately related. In this article the authors describe the anatomy of the wrist in detail – vascular, neural, osseous, articular and ligamentous. This is followed by description of the surgical approaches to the distal radio-ulnar joint, distal radius, scaphoid and the universal dorsal approach to the carpus. The article is supported by illustrations throughout. (Source: Orthopaedics and Trauma) Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=5366776 Sat, 01 Oct 2011 04:00:00 +0100 5366776 http://www.medworm.com/index.php?rid=5366775&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132711001333%2Fabstract%3Frss%3Dyes (Source: Orthopaedics and Trauma) Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=5366775 Sat, 01 Oct 2011 04:00:00 +0100 5366775 http://www.medworm.com/index.php?rid=5212464&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132711000698%2Fabstract%3Frss%3Dyes This book covers the common operative techniques for sports injuries and conditions involving the shoulder, elbow, groin, hip, knee and leg. It does not cover hand, wrist, foot or ankle. It isn’t, therefore, an all encompassing book on sports surgery. The book does lean towards quite advanced arthroscopic techniques although some non arthroscopic procedures are described, particularly around the hip and leg. (Source: Orthopaedics and Trauma) Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=5212464 Mon, 01 Aug 2011 04:00:00 +0100 5212464 http://www.medworm.com/index.php?rid=5212463&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132711000571%2Fabstract%3Frss%3Dyes This is a pair of DVD’s in a series from the AAOS and is an educational package which can be used to claim 6 CME points in appropriate circumstances. The first disc goes through history and examination, although not in the order taught by Apley (look, feel, move etc). There is, however, a thorough demonstration of examination techniques with visual demonstrations of a wide range of shoulder tests. There is a mixture of powerpoint slides, clinical videos and arthroscopic videos used to take the viewer through the basics, and indeed advanced aspects, of rotator cuff repair. There is a progression through normal and pathological anatomy and the classification and evaluation of cuff tears. Every step is demonstrated including positioning, portal placements and ancillary procedures such as ... Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=5212463 Mon, 01 Aug 2011 04:00:00 +0100 5212463 http://www.medworm.com/index.php?rid=5212462&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132711000339%2Fabstract%3Frss%3Dyes Orthopaedic trainees should seek access to this book. I hesitate to say buy it, as a substantial shelf will be needed to support the four volumes and more than four and a half thousand pages (I counted 826 contributing authors!). However, those that take the plunge will be rewarded with a reference of immense detail concerning all forms of operative orthopaedic and trauma surgery. The extent to which it is illustrated is astounding and the artwork appears to be original and focussed on the needs of the text. Although there is inevitable variation from chapter to chapter, the strength of the book is its very visual approach to the subject matter. Take any operation and most likely it will be illustrated with operative photographs, graphics, cadaveric illustrations and/or dry-bones models. ... Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=5212462 Mon, 01 Aug 2011 04:00:00 +0100 5212462 http://www.medworm.com/index.php?rid=5212461&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132711000352%2Fabstract%3Frss%3Dyes (Source: Orthopaedics and Trauma) Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=5212461 Mon, 01 Aug 2011 04:00:00 +0100 5212461 http://www.medworm.com/index.php?rid=5212460&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS187713271100090X%2Fabstract%3Frss%3Dyes (Source: Orthopaedics and Trauma) Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=5212460 Mon, 01 Aug 2011 04:00:00 +0100 5212460 http://www.medworm.com/index.php?rid=5212459&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132711000637%2Fabstract%3Frss%3Dyes Abstract: Children and adolescents may present with non-specific back pain, commonly associated with developmental or psychosocial factors and with a benign and self-limiting course. The assessment of a child with back pain can be challenging and requires skill and expertise coupled with a high index of suspicion. Tumours affecting the vertebral column or the spinal cord should be always considered in the differential diagnosis of back pain in young patients. Bone tumours involving the spine are usually primary and benign, with a favourable outcome if appropriate treatment is applied at an early stage. Any delay in diagnosis can lead to prolonged morbidity, as well as the development of spinal deformity. This can be either a painful scoliosis, which starts as an antalgic deformity but grad... Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=5212459 Mon, 01 Aug 2011 04:00:00 +0100 5212459 http://www.medworm.com/index.php?rid=5212458&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS187713271000179X%2Fabstract%3Frss%3Dyes (Source: Orthopaedics and Trauma) Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=5212458 Mon, 01 Aug 2011 04:00:00 +0100 5212458 http://www.medworm.com/index.php?rid=5212457&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132711000972%2Fabstract%3Frss%3Dyes Abstract: Examination of the foot and ankle can appear to be highly complicated, but if broken down into the component parts of “look, feel and move” supplemented with some simple special tests then it is often possible to arrive at a sound clinical diagnosis. The foot is a dynamic structure, therefore weight bearing and in particular gait is an essential part of the examination, as is an assessment of lower limb neurology. Remember to pay particular attention to a patient’s footwear and any orthoses they may use. (Source: Orthopaedics and Trauma) Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=5212457 Mon, 01 Aug 2011 04:00:00 +0100 5212457 http://www.medworm.com/index.php?rid=5212456&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132711000303%2Fabstract%3Frss%3Dyes Abstract: The foot is a complex anatomical and biomechanical structure. It functions to allow stable stance, ambulation and the effective transfer of force through the lower limb. A thorough understanding of how the foot and ankle achieve this is essential for planning surgery and avoiding the consequences of nerve injury, poor wound healing and disrupted function. This review looks at the current understanding of foot function in the context of gait, biomechanics and relevant surgical anatomy. (Source: Orthopaedics and Trauma) Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=5212456 Mon, 01 Aug 2011 04:00:00 +0100 5212456 http://www.medworm.com/index.php?rid=5212455&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132711000868%2Fabstract%3Frss%3Dyes This article focuses on the anatomy, pathomechanics and treatment of chronic lateral ankle instability. Medial, syndesmotic and subtalar instability are also discussed. (Source: Orthopaedics and Trauma) Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=5212455 Mon, 01 Aug 2011 04:00:00 +0100 5212455 http://www.medworm.com/index.php?rid=5212454&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS187713271100087X%2Fabstract%3Frss%3Dyes Abstract: Ankle and subtalar arthritis are commonly encountered by foot and ankle surgeons, but their prevalence is not as common as arthritis of the hip or knee.Trauma is the most common aetiology for both, but primary osteoarthritis and inflammatory arthropathies are also encountered.Clinical and radiological assessments are vital for correct diagnosis and for formulating an appropriate management plan. The recognition of abnormal alignment is particularly important as failure to do so will result in poor clinical outcomes of treatment.Both conditions can be managed using non-operative and operative treatment. Ankle arthritis in particular has generated much controversy with regards to the definitive treatments of arthrodesis and arthroplasty. (Source: Orthopaedics and Trauma) Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=5212454 Mon, 01 Aug 2011 04:00:00 +0100 5212454 http://www.medworm.com/index.php?rid=5212453&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132711000959%2Fabstract%3Frss%3Dyes Abstract: Conservative management of osteoporotic ankle fractures is associated with high displacement rates and elderly patients are often unable to restrict their weight bearing, leading to longer hospital stays. Operative surgery is challenging and may lead to loss of reduction or implant failure from screw ‘cut out’. This paper describes some of the operative techniques in this difficult group of patients. (Source: Orthopaedics and Trauma) Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=5212453 Mon, 01 Aug 2011 04:00:00 +0100 5212453 http://www.medworm.com/index.php?rid=5212452&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132711000601%2Fabstract%3Frss%3Dyes Abstract: The foot is commonly affected in systemic diseases such as rheumatoid arthritis and diabetes mellitus. Treating patients who have foot pathology secondary to systemic diseases requires a multidisciplinary approach, following the principles that we outline in this article. There is very little high quality research in this field in the form of properly controlled clinical trials, and much of what we know owes a debt to the hard work and experience of key individuals and specialist centres. (Source: Orthopaedics and Trauma) Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=5212452 Mon, 01 Aug 2011 04:00:00 +0100 5212452 http://www.medworm.com/index.php?rid=5212451&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132711000625%2Fabstract%3Frss%3Dyes Abstract: The gait cycle is outwardly something complex, which seems difficult to grasp. This really isn’t the case and with a few relatively simple facts to understand it can be easily understood. The purpose of this article is to try and break this complex process into a series of comprehensible steps. The gait cycle is defined and its major components are then described.The key is understanding how the foot can be both a flexible and then a rigid structure in different parts of the gait cycle. This is a function of the subtalar and especially the midtarsal joints. We also look at how the plantar fascia plays a part too.Finally we look at how the cycle may be altered in various clinical scenarios. Which we hope will be of general use but especially to trainees taking final professiona... Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=5212451 Mon, 01 Aug 2011 04:00:00 +0100 5212451 http://www.medworm.com/index.php?rid=5212450&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132711001035%2Fabstract%3Frss%3Dyes As we move through 2011 we have done so with progressively less input from Professor Robert Dickson, Editor Emeritus of this journal, who attended his last Editorial Board meeting at the Camden Lock offices of Elsevier in May 2011. By the time this issue is in print he will have retired gracefully to his golf and will no longer be called upon for his expert proof-reading and editorial skills. It is a good time to reflect on his contribution to this publication, from his original concept to the professional product that lies behind this editorial. (Source: Orthopaedics and Trauma) Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=5212450 Mon, 01 Aug 2011 04:00:00 +0100 5212450 http://www.medworm.com/index.php?rid=5212449&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132711001096%2Fabstract%3Frss%3Dyes (Source: Orthopaedics and Trauma) Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=5212449 Mon, 01 Aug 2011 04:00:00 +0100 5212449 http://www.medworm.com/index.php?rid=5042982&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132711000029%2Fabstract%3Frss%3Dyes The publication of the fourth edition of this textbook coincides with the 100th year anniversary of the Orthopaedic Department at the Mayo Clinic. It is the first of two volumes with the second volume concerning hip, knee and ankle arthroplasty due for publication in 2011. Although online access to the full text and image bank is included via an access code printed on the inside of the front cover, it was not yet operational at the time of this review. Nevertheless, this promises to be a valuable resource when it is up and running. (Source: Orthopaedics and Trauma) Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=5042982 Tue, 31 May 2011 23:00:00 +0100 5042982 http://www.medworm.com/index.php?rid=5042981&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132710001752%2Fabstract%3Frss%3Dyes This DVD is a series of cadaveric and intra-operative lectures/demonstrations that predominantly covers the subject of ligament balancing in total knee replacements. The lectures/demonstrations cover a large proportion of the issues that can be encountered in knee replacement surgery, focussing on how best to achieve equal tension/gaps in flexion and extension, how to avoid undue laxity and how best to deal with laxity when it does arise. Techniques shown include demonstration of the stepwise effects of sequential release of the medial or lateral structures, ways of releasing a tight PCL and when to consider a PCL substituting or additionally stabilized prosthesis. The DVD also demonstrates the use of computer navigation in knee arthroplasty. (Source: Orthopaedics and Trauma) Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=5042981 Tue, 31 May 2011 23:00:00 +0100 5042981 http://www.medworm.com/index.php?rid=5042980&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132710001570%2Fabstract%3Frss%3Dyes This two-DVD set was one of the very best CPD ‘experiences’ I’ve had to-date! The video presentations give an amazingly clear view as to how some of the US’s top knee surgeons perform ACL reconstruction surgery. (Source: Orthopaedics and Trauma) Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=5042980 Tue, 31 May 2011 23:00:00 +0100 5042980 http://www.medworm.com/index.php?rid=5042979&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132711000066%2Fabstract%3Frss%3Dyes (Source: Orthopaedics and Trauma) Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=5042979 Tue, 31 May 2011 23:00:00 +0100 5042979 http://www.medworm.com/index.php?rid=5042978&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132711000947%2Fabstract%3Frss%3Dyes (Source: Orthopaedics and Trauma) Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=5042978 Tue, 31 May 2011 23:00:00 +0100 5042978 http://www.medworm.com/index.php?rid=5042977&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132711000662%2Fabstract%3Frss%3Dyes Abstract: Hip pain is a common complaint with many causes. Pathology in the hip can present with pain referred to sites other than the hip and pain in the hip may result from pathology elsewhere. An accurate history and examination is paramount. Chronic painful conditions of the hip summarised in this paper can be classified into three main groups: intra-articular, extra-articular and hip mimickers. The intra-articular conditions include osteoarthritis, rheumatoid arthritis, femoroacetabular impingement, labral tears and snapping hip secondary to loose bodies, synovial chondromatosis or labral tears. Extra-articular conditions include snapping hip, iliopsoas bursitis, piriformis syndrome and greater trochanteric pain syndrome. Hip mimickers include myofascial pain syndrome, osteitis pubis,... Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=5042977 Tue, 31 May 2011 23:00:00 +0100 5042977 http://www.medworm.com/index.php?rid=5042976&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132711000595%2Fabstract%3Frss%3Dyes Abstract: Traumatic dislocations of the native hip are a relatively rare injuries resulting from high-energy mechanisms producing grossly abnormal force vectors acting across the hip joint. Road-traffic collisions are the main cause and the affected patients have a high incidence of associated injuries. A thorough trauma assessment should be undertaken and, in simple dislocations, immediate reduction should be attempted before considering operative measures. An optimal outcome is achieved when reduction is achieved within 6 h, which has been shown to minimize the incidence of ensuing avascular necrosis.Open reduction is necessary when concentric reduction is not achieved by closed manipulation due to the interposition of soft tissue, cartilage or bone. Surgical fixation of the acetabulum a... Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=5042976 Tue, 31 May 2011 23:00:00 +0100 5042976 http://www.medworm.com/index.php?rid=5042975&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132710001569%2Fabstract%3Frss%3Dyes (Source: Orthopaedics and Trauma) Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=5042975 Tue, 31 May 2011 23:00:00 +0100 5042975 http://www.medworm.com/index.php?rid=5042974&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132711000297%2Fabstract%3Frss%3Dyes Abstract: Plantar heel pain (PHP) is a common orthopaedic presentation, but our understanding of this symptom is still limited. Multiple risk factors have been proposed but few substantiated. Obesity and foot pronation are known risk factors, whilst running or standing for long periods probably also contribute. There, however, is no relationship between heel spurs and PHP. As well as plantar fasciopathy, a number of different conditions can also give rise to PHP. It may be helpful to consider the differential diagnoses in terms of the structures that are symptomatic: the plantar aponeurosis, other soft tissues, the calcaneum and the peripheral nerves. The pathophysiology of PHP is still unclear but could be multi-factorial. Histological specimens show evidence of degeneration in the planta... Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=5042974 Tue, 31 May 2011 23:00:00 +0100 5042974 http://www.medworm.com/index.php?rid=5042973&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132710001594%2Fabstract%3Frss%3Dyes Abstract: Superior Labrum Anterior to Posterior (SLAP) lesions are an abnormality of the superior glenoid labrum and are a significant cause of shoulder pain and instability.Pathology of the superior labrum can pose a significant diagnostic challenge, and therefore a sound knowledge of the relevant anatomy and associated variants is essential in diagnosing and treating these patients. In this article the capsulolabral anatomy and pathomechanics of SLAP lesions are revised. We then review current concepts in the clinical and radiological diagnosis of SLAP lesions and discuss approaches to operative management. (Source: Orthopaedics and Trauma) Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=5042973 Tue, 31 May 2011 23:00:00 +0100 5042973 http://www.medworm.com/index.php?rid=5042972&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132710001302%2Fabstract%3Frss%3Dyes This article summarizes the current evidence surrounding the pathophysiology, presentation, assessment, natural history, and management of patients with cervical spondylotic myelopathy. (Source: Orthopaedics and Trauma) Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=5042972 Tue, 31 May 2011 23:00:00 +0100 5042972 http://www.medworm.com/index.php?rid=5042971&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132711000376%2Fabstract%3Frss%3Dyes Abstract: Peripheral nerve injuries affect all age groups and can be devastating to patients. A timely repair and thorough exam both preoperatively and intraoperatively can help increase the chances of a successful outcome. The technical aspects of peripheral nerve injury evaluation and repair must take into account the unique anatomy and function of the nervous system. Proper microsurgical techniques such as tension-free repair are a critical aspect of the repair process. Nerve grafts, conduits, and biotherapies are all viable ways to increase the odds of a meaningful repair. Proper immobilization, mobilization, and a targeted rehabilitation protocol are also important. (Source: Orthopaedics and Trauma) Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=5042971 Tue, 31 May 2011 23:00:00 +0100 5042971 http://www.medworm.com/index.php?rid=5042970&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132711000546%2Fabstract%3Frss%3Dyes Abstract: Injection of bone marrow to induce bone healing was an early form of stem cell therapy in orthopaedic practice. Clinical trials of newer techniques including cell culture for bone and cartilage repair are at an early stage, but rapid developments can be anticipated. (Source: Orthopaedics and Trauma) Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=5042970 Tue, 31 May 2011 23:00:00 +0100 5042970 http://www.medworm.com/index.php?rid=5042969&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132711000285%2Fabstract%3Frss%3Dyes Abstract: The incidence of spinal tuberculosis, which may lead to severe spinal deformity, early and late neurological complications, is increasing. This paper reviews its pathophysiology, clinical presentation, diagnosis and management. (Source: Orthopaedics and Trauma) Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=5042969 Tue, 31 May 2011 23:00:00 +0100 5042969 http://www.medworm.com/index.php?rid=5042968&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132711000753%2Fabstract%3Frss%3Dyes (Source: Orthopaedics and Trauma) Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=5042968 Tue, 31 May 2011 23:00:00 +0100 5042968 http://www.medworm.com/index.php?rid=4799293&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132710001016%2Fabstract%3Frss%3Dyes Bone and joint infection is important. It appears across all orthopaedic practice from trauma to joint replacement; spine surgery to paediatrics. While the trainee may not need to know every aspect of microbiology and antibiotic pharmacology, a full understanding of the pathogenesis of bone and implant-related infection, and the principles of management are essential for all. (Source: Orthopaedics and Trauma) Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=4799293 Thu, 31 Mar 2011 23:00:00 +0100 4799293 http://www.medworm.com/index.php?rid=4799292&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132710000746%2Fabstract%3Frss%3Dyes When this textbook first appeared 16 years ago, it made a positive impression with its comprehensive and generally well-written contributions from a wide range of authors from all over the world. If there was a criticism it would be that some topics were treated in a somewhat superficial manner, particularly in the section on fractures, which was relegated to the last 100 pages of the book. (Source: Orthopaedics and Trauma) Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=4799292 Thu, 31 Mar 2011 23:00:00 +0100 4799292 http://www.medworm.com/index.php?rid=4799291&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132710000643%2Fabstract%3Frss%3Dyes This DVD from the AAOS is designed for CME points for the practising Orthopaedic Surgeon. It is easy to install and user friendly. The cases are easy to work through, well described with good quality illustrations and appropriately referenced. The DVD is at an appropriate level for the trainee approaching the FRCS (Tr. & Orth.) examination. (Source: Orthopaedics and Trauma) Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=4799291 Thu, 31 Mar 2011 23:00:00 +0100 4799291 http://www.medworm.com/index.php?rid=4799290&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132710000461%2Fabstract%3Frss%3Dyes I read this book in much the same way that I think its target readership will – by dipping in and out and reading a chapter or two whenever there are a few minutes to spare or interest has been stimulated. This is easy to do because the 500 pages are arranged into 72 chapters so none are very long. The information is all the more digestible because the chapter layout is excellent. Basic information, with good illustrations, and treatment options in bullet form are followed by an easy to follow, but more comprehensive algorithm, to cover most circumstances. References are given but restricted to a key selection. Presentation is much enhanced by use of a third colour. (Source: Orthopaedics and Trauma) Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=4799290 Thu, 31 Mar 2011 23:00:00 +0100 4799290 http://www.medworm.com/index.php?rid=4799289&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132710001326%2Fabstract%3Frss%3Dyes (Source: Orthopaedics and Trauma) Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=4799289 Thu, 31 Mar 2011 23:00:00 +0100 4799289 http://www.medworm.com/index.php?rid=4799288&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132711000364%2Fabstract%3Frss%3Dyes (Source: Orthopaedics and Trauma) Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=4799288 Thu, 31 Mar 2011 23:00:00 +0100 4799288 http://www.medworm.com/index.php?rid=4799287&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132710001442%2Fabstract%3Frss%3Dyes Abstract: Congenital upper limb anomalies affect 0.1–0.2% of all newborns. They are often isolated phenomena but can be associated with other congenital anomalies and may be the only external manifestation of a syndrome. Knowledge of the treatment options is imperative to ensure appropriate referral and counselling.The aim of surgery for a congenital hand anomaly is to improve both function and appearance. Apart from the face, the hand is the only other part of the body on regular display.Independent living is largely dependent on good bimanual hand function. For example a large proportion of activities of daily living such as washing, dressing, and feeding consist of bimanual tasks. It is only when we temporarily lose the function of one hand that the significance of this becomes appare... Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=4799287 Thu, 31 Mar 2011 23:00:00 +0100 4799287 http://www.medworm.com/index.php?rid=4799286&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132710001338%2Fabstract%3Frss%3Dyes This article describes principles of rehabilitation, according to the ‘international classification of functioning’ model, for people who either required upper limb amputation or have a congenital absence. It also provides a description of current clinical practice at one of the largest prosthetic service providers in the UK.The aim is to provide an overview for any health professional who may work with people with upper limb deficiency as well as providing sufficient details to be useful to those already working in the speciality.Even with clinical advances, upper limb prostheses are often not what a prospective user may imagine. Clinicians need to be sensitive to this at the first consultation and when demonstrating prosthetic limbs. For instance, terminal devices including a split h... Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=4799286 Thu, 31 Mar 2011 23:00:00 +0100 4799286 http://www.medworm.com/index.php?rid=4799285&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132711000030%2Fabstract%3Frss%3Dyes This article reviews the deformity and management principles. (Source: Orthopaedics and Trauma) Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=4799285 Thu, 31 Mar 2011 23:00:00 +0100 4799285 http://www.medworm.com/index.php?rid=4799284&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132710001776%2Fabstract%3Frss%3Dyes Abstract: Magnetic resonance imaging is widely used in the investigation of disorders of the musculoskeletal system.When a patient is placed in a strong magnetic field a signal can be obtained, the frequency of which is related to the strength of the magnetic field. By changing the field strength so it depends on location, it is possible to create an image of the patient. The image intensity depends on several inherent properties of the tissues including hydrogen content, and T1 and T2 relaxation times. MRI is uniquely able to control the sensitivity of the image to these properties to generate different types of image contrast, including T1, T2 and proton density weighting, with and without fat suppression. The most appropriate image for a particular application is a compromise between th... Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=4799284 Thu, 31 Mar 2011 23:00:00 +0100 4799284 http://www.medworm.com/index.php?rid=4799283&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132711000261%2Fabstract%3Frss%3Dyes This article focuses on non-accidental skeletal injury. It explains the importance of a detailed skeletal survey that should be performed to agreed standards by trained radiographers and reported by a radiologist with experience in paediatric trauma imaging. Typical fractures are illustrated and important differential diagnoses are discussed. (Source: Orthopaedics and Trauma) Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=4799283 Thu, 31 Mar 2011 23:00:00 +0100 4799283 http://www.medworm.com/index.php?rid=4799282&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132711000078%2Fabstract%3Frss%3Dyes This article will describe the physical principles underlying nuclear medicine imaging with single-photon and positron-emitting radiotracers. It will then go on to illustrate the clinical applications of these techniques as applied to pathological conditions of the bone, with particular emphasis on bone scintigraphy and hybrid imaging techniques, such as single-photon emission computed tomography/computed tomography (SPECT/CT) and positron emission tomography/computed tomography (PET/CT). (Source: Orthopaedics and Trauma) Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=4799282 Thu, 31 Mar 2011 23:00:00 +0100 4799282 http://www.medworm.com/index.php?rid=4799281&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132711000388%2Fabstract%3Frss%3Dyes This article aims to illustrate how comprehensive imaging in the polytrauma patient, incorporated into these same ATLS criteria, can optimize patient care. (Source: Orthopaedics and Trauma) Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=4799281 Thu, 31 Mar 2011 23:00:00 +0100 4799281 http://www.medworm.com/index.php?rid=4799280&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132711000042%2Fabstract%3Frss%3Dyes Abstract: Vertebroplasty and kyphoplasty are radiologically guided percutaneous procedures comprising the injection of bone cement into painful vertebral fractures for the purposes of pain relief. There has been considerable recent debate on the efficacy of these procedures for painful osteoporotic fracture. It is likely that this was due to insufficiently robust patient selection criteria in studies that showed no benefit to the procedure. Using the currently available literature, selection criteria are suggested that should restrict this procedure to those patients likely to benefit. (Source: Orthopaedics and Trauma) Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=4799280 Thu, 31 Mar 2011 23:00:00 +0100 4799280 http://www.medworm.com/index.php?rid=4799279&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132711000443%2Fabstract%3Frss%3Dyes (Source: Orthopaedics and Trauma) Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=4799279 Thu, 31 Mar 2011 23:00:00 +0100 4799279 http://www.medworm.com/index.php?rid=4602661&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS187713271000045X%2Fabstract%3Frss%3Dyes Distinct monograph structured in the form of case examples. A variety of representative cases of open fracture complications and their management options discussed in 90 pages including more than 35 illustrative photos and X-rays, as well as three comprehensive algorithms. (Source: Orthopaedics and Trauma) Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=4602661 Tue, 01 Feb 2011 00:00:00 +0100 4602661 http://www.medworm.com/index.php?rid=4602660&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132710000230%2Fabstract%3Frss%3Dyes Throughout the developed world, the cost of healthcare has escalated beyond the control of governments who now wish to ration treatment which is regarded as non-essential or not affordable. Carpal tunnel release is one such treatment which has been under scrutiny and health funding bodies look for evidence that treatment other than surgery should be used. Evidence will be produced to support the case. It must, however, be the best evidence available and not evidence that just suits the purpose. Surgeons in all parts of the globe will be faced with the threat to withhold surgery for carpal tunnel syndrome in favour of cheaper non-operative methods. It is thus essential that clinicians have, readily available, references to the literature so that they can join in the debate about what is bes... Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=4602660 Tue, 01 Feb 2011 00:00:00 +0100 4602660 http://www.medworm.com/index.php?rid=4602659&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132710001247%2Fabstract%3Frss%3Dyes (Source: Orthopaedics and Trauma) Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=4602659 Tue, 01 Feb 2011 00:00:00 +0100 4602659 http://www.medworm.com/index.php?rid=4602658&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132711000054%2Fabstract%3Frss%3Dyes (Source: Orthopaedics and Trauma) Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=4602658 Tue, 01 Feb 2011 00:00:00 +0100 4602658 http://www.medworm.com/index.php?rid=4602657&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132710001351%2Fabstract%3Frss%3Dyes Abstract: Our medical decisions and actions must be made in accordance with accepted standards of care. Surgeons should have a working knowledge of the law so that they can practice in a reasonable, responsible and rational manner. The key areas of law for surgeons are (i) duty of care, (ii) causation and (iii) consent. The standard of care is the objective, legal test by which duty of care is assessed. The tests of breach of duty of care are objective. The primary test for doctors is the Bolam test which states that if your actions (or omissions) would be the usual practice of a reasonable or responsible group of doctors then you satisfy the test. If breach of duty of care is established, the claimant must demonstrate that the breach caused some harm. The test is but-for causation, i.e. i... Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=4602657 Tue, 01 Feb 2011 00:00:00 +0100 4602657 http://www.medworm.com/index.php?rid=4602656&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS187713271000134X%2Fabstract%3Frss%3Dyes Abstract: Neurophysiological investigations are primarily requested by orthopaedic surgeons in order to investigate sensory or motor dysfunction in the limbs. They often wish to substantiate their clinical diagnosis before proceeding with surgery, or to confirm a nerve injury. A diagnostic query adequately supported by relevant history and examination is essential to determine the type of neurophysiological investigation required to support the diagnosis. A basic understanding of the available investigations, their indications and limitations, is useful to the surgeon for interpretation of the results in light of the clinical picture.Underpinning all neurophysiological investigations is the knowledge of the basic anatomy and physiology of the nervous system. We discuss the generation and p... Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=4602656 Tue, 01 Feb 2011 00:00:00 +0100 4602656 http://www.medworm.com/index.php?rid=4602655&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132710001557%2Fabstract%3Frss%3Dyes Abstract: Hand fractures and dislocations are amongst the most frequently encountered orthopaedic injuries. A thorough assessment including history, clinical examination and radiological investigations is essential before deciding upon an appropriate management plan. The vast majority of injuries can be managed non-operatively, but knowing when surgery is likely to improve the functional outcome is the key in selecting when to proceed with a specific surgical intervention. This review article aims to summarize the key concepts in the management of these injuries so that the reader can better understand the rationale behind the surgical decision making process. (Source: Orthopaedics and Trauma) Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=4602655 Tue, 01 Feb 2011 00:00:00 +0100 4602655 http://www.medworm.com/index.php?rid=4602654&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132710001788%2Fabstract%3Frss%3Dyes Abstract: Total hip replacement is a technical and demanding operation and subsequent leg length inequality (LLI) is a recognized complication. Although noted when the operation was popularized in the 1960s it was in the 1990s that it increased in prominence. LLI following total hip replacement is an independent risk factor in the outcome of total hip replacement.While not everyone with a post-total hip replacement LLI will be symptomatic, those who are can complain of mechanical problems, pain and neurological deficit. LLI also has increasing medico-legal consequences.Although any patient undergoing total hip replacement is at risk of a symptomatic LLI there are identifiable populations who are less likely to tolerate what would be otherwise considered an acceptable deformity.This paper f... Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=4602654 Tue, 01 Feb 2011 00:00:00 +0100 4602654 http://www.medworm.com/index.php?rid=4602653&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132710001582%2Fabstract%3Frss%3Dyes Abstract: The acromioclavicular joint (ACJ) is a common source of pathology in patients of all age groups and lifestyles. Young patients, particularly those engaged in contact sports, often suffer injuries that result in instability of the ACJ. Advances in arthroscopic surgery and implant technology have opened new avenues for the treatment of these injuries. Despite this, in many cases, there remains considerable controversy as to whether surgical intervention is warranted in the acute setting. Fractures of the distal clavicle may occur in any age group, and have a reputation for having a high incidence of non-union. The development of anatomically contoured locking plates offers the potential for improved outcomes in this difficult group of fractures. The ACJ is a common site for degener... Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=4602653 Tue, 01 Feb 2011 00:00:00 +0100 4602653 http://www.medworm.com/index.php?rid=4602652&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132710000333%2Fabstract%3Frss%3Dyes This article will outline the imaging of common causes of the painful shoulder. (Source: Orthopaedics and Trauma) Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=4602652 Tue, 01 Feb 2011 00:00:00 +0100 4602652 http://www.medworm.com/index.php?rid=4602651&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS187713271100008X%2Fabstract%3Frss%3Dyes This article outlines the clinical management of patients with frozen shoulder and appraises current basic science research. Whilst arthroscopic release is currently the mainstay of surgical managment, it is possible that in the future treatments manipulating cellular control could help us control the course of the disease in susceptible individuals. (Source: Orthopaedics and Trauma) Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=4602651 Tue, 01 Feb 2011 00:00:00 +0100 4602651 http://www.medworm.com/index.php?rid=4602650&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132710001211%2Fabstract%3Frss%3Dyes Abstract: Impingement and tears of the rotator cuff are common. 2.5% of the population of the United Kingdom seek advice for a shoulder complaint each year. 70% of these referrals are due to rotator cuff related pathology.Codman and Neer both initially postulated that impingement and tendinopathy were due to extrinsic factors with the antero-lateral acromion ‘impinging’ on the superior surface of the rotator cuff. This view has subsequently been modified and the general consensus now agrees that it is a multifactorial condition with both extrinsic, intrinsic and environmental factors all playing a role.A clear history and examination findings are crucial to exclude subtle causes of impingement that are atypical, e.g. instability. This review clearly describes the general shoulder exami... Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=4602650 Tue, 01 Feb 2011 00:00:00 +0100 4602650 http://www.medworm.com/index.php?rid=4602649&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132711000145%2Fabstract%3Frss%3Dyes (Source: Orthopaedics and Trauma) Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=4602649 Tue, 01 Feb 2011 00:00:00 +0100 4602649 http://www.medworm.com/index.php?rid=4231651&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132710000801%2Fabstract%3Frss%3Dyes (Source: Orthopaedics and Trauma) Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=4231651 Wed, 01 Dec 2010 00:00:00 +0100 4231651 http://www.medworm.com/index.php?rid=4231650&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132710001314%2Fabstract%3Frss%3Dyes (Source: Orthopaedics and Trauma) Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=4231650 Wed, 01 Dec 2010 00:00:00 +0100 4231650 http://www.medworm.com/index.php?rid=4231649&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132710000667%2Fabstract%3Frss%3Dyes This article aims to provide a concise overview of this extensive subject, highlighting the important concepts. Statistical analysis should be considered at the planning stage of any study so as to establish hypotheses, specify the primary outcome of interest and undertake a sample power calculation. The research question, scale of measurement and distribution of the outcome variable all have a bearing on the appropriate choice of statistical test. A statistical test can only be employed if the distribution assumptions of the test have been met. The interpretation of significance must be tempered by limitations of the method of analysis, as well as recognizing the variability of the effect of interest using an interval estimate. The various descriptive statistics in diagnostic studies are ... Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=4231649 Wed, 01 Dec 2010 00:00:00 +0100 4231649 http://www.medworm.com/index.php?rid=4231648&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132710000977%2Fabstract%3Frss%3Dyes Abstract: Total hip replacement is a commonly performed procedure. The National Joint Registry for England and Wales identifies the four most commonly used approaches. An understanding of the relevant anatomy, benefits and common complications for each approach is essential core knowledge for all orthopaedic surgeons. In this article we provide an overview of our preferred technique for the surgical approaches commonly used for total hip replacement and the advantages and disadvantages of each. (Source: Orthopaedics and Trauma) Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=4231648 Wed, 01 Dec 2010 00:00:00 +0100 4231648 http://www.medworm.com/index.php?rid=4231647&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132710000679%2Fabstract%3Frss%3Dyes (Source: Orthopaedics and Trauma) Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=4231647 Wed, 01 Dec 2010 00:00:00 +0100 4231647 http://www.medworm.com/index.php?rid=4231646&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132710001259%2Fabstract%3Frss%3Dyes Abstract: The term ‘informed consent’ has been in common usage since the case of Canterbury v Spence was decided in the Californian courts in the 1970s. The basic principle is straightforward: to be in a position to make an informed choice you need to know all the material facts. However, the law is not static and as new situations are presented so the law is developed through cases decided in the courts, in some instances influenced by guidance issued by the General Medical Council, and new statutes enacted by Parliament. This paper reviews the current law on consent in the United Kingdom, taking into account variations in the devolved administrations, the principles that underlie obtaining valid consent, in situations ranging from elective procedures in competent adults to life-threa... Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=4231646 Wed, 01 Dec 2010 00:00:00 +0100 4231646 http://www.medworm.com/index.php?rid=4231645&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132710001004%2Fabstract%3Frss%3Dyes Abstract: Much new advancement has been made in the field of joint replacement that promotes tribological benefits in design. The paper discusses the basic tribological theory that is employed in joint replacements. Whilst the potential for reduced surface interaction and wear clearly exists through improved lubrication, the paper concludes that the practical application of these benefits towards a clinical product is challenging to achieve. (Source: Orthopaedics and Trauma) Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=4231645 Wed, 01 Dec 2010 00:00:00 +0100 4231645 http://www.medworm.com/index.php?rid=4231644&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132710001041%2Fabstract%3Frss%3Dyes Abstract: The motion segment is the functional unit of the spine. Understanding the function and pathological dysfunction of this structure is the key to managing spinal symptoms and disease. The anatomy, normal ageing processes, and abnormal degeneration will be discussed with the appropriate imaging and the patterns of clinical disease. (Source: Orthopaedics and Trauma) Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=4231644 Wed, 01 Dec 2010 00:00:00 +0100 4231644 http://www.medworm.com/index.php?rid=4231643&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132710001296%2Fabstract%3Frss%3Dyes Abstract: Osteomyelitis causes bone death, soft-tissue compromise, functional impairment and systemic illness and considerable morbidity. There are several distinct forms which present considerable management challenges. Recent advances have led to new powerful techniques for the eradication of infection and restoration of function. Surgery remains central to treatment for chronic osteomyelitis and some acute presentations. However, multi-disciplinary working is essential to achieve satisfactory outcomes. (Source: Orthopaedics and Trauma) Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=4231643 Wed, 01 Dec 2010 00:00:00 +0100 4231643 http://www.medworm.com/index.php?rid=4231642&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132710001284%2Fabstract%3Frss%3Dyes Abstract: In this article the presentation, pathogenesis, diagnosis and management of osteochondritis dissecans are reviewed and compared with the osteochondroses and avascular bone necrosis. (Source: Orthopaedics and Trauma) Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=4231642 Wed, 01 Dec 2010 00:00:00 +0100 4231642 http://www.medworm.com/index.php?rid=4231641&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132710001272%2Fabstract%3Frss%3Dyes Abstract: Rheumatoid arthritis (RA) is multisystem autoimmune disorder which classically presents as a peripheral symmetrical polyarthropathy. It can lead to significant disability and reduced life expectancy. In the last decade the use of traditional Disease-Modifying Anti-Rheumatic Drugs (DMARDs) has become more aggressive and earlier aiming to suppress disease activity. Greater appreciation of the specific roles of T-cells, B-cells and cytokines has led to new very effective targeted biologic therapies which act by immune modulation. Unfortunately they have potentially serious side effects.Particular aspects of RA to be considered when planning surgery are reviewed. (Source: Orthopaedics and Trauma) Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=4231641 Wed, 01 Dec 2010 00:00:00 +0100 4231641 http://www.medworm.com/index.php?rid=4231640&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132710001260%2Fabstract%3Frss%3Dyes Abstract: Osteoarthritis (degenerative joint disease) is the commonest form of arthritis. It is a leading cause of disability and its prevalence continues to rise, representing a considerable economic burden. Insights into the pathogenesis of osteoarthritis at genetic, molecular, tissue and clinical levels may expand the currently limited therapeutic options. This review will summarize our current understanding of the major factors responsible for the initiation and progression of osteoarthritis including genetics, biomechanics and patient-specific features such as age, gender and body mass index. It will also outline the key pathogenic mechanisms and histological features of osteoarthritis. (Source: Orthopaedics and Trauma) Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=4231640 Wed, 01 Dec 2010 00:00:00 +0100 4231640 http://www.medworm.com/index.php?rid=4231639&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132710001636%2Fabstract%3Frss%3Dyes (Source: Orthopaedics and Trauma) Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=4231639 Wed, 01 Dec 2010 00:00:00 +0100 4231639 http://www.medworm.com/index.php?rid=4169750&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132710001454%2Fabstract%3Frss%3Dyes The publisher regrets that in Orthopaedics and Trauma Vol. 24, issue 4, incorrect answers were printed to the CME questions from Vol. 24, issue 2. The answers to the Vol. 24, issue 2 questions are now represented correctly below. (Source: Orthopaedics and Trauma) Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=4169750 Fri, 01 Oct 2010 00:00:00 +0100 4169750 http://www.medworm.com/index.php?rid=4169749&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132710000060%2Fabstract%3Frss%3Dyes This is a small (105 page, A5) book contributing to the Current Concept series of the AAOS, aiming to provide a reference on the current practice and management of shoulder instability. The senior editor has enlisted a group of well-respected North American shoulder surgeons to contribute chapters on the major topics in shoulder instability. These include clinical evaluation, arthroscopic and open surgical management, multidirectional instability, SLAP tears and internal impingement and post-operative rehabilitation. (Source: Orthopaedics and Trauma) Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=4169749 Fri, 01 Oct 2010 00:00:00 +0100 4169749 http://www.medworm.com/index.php?rid=4169748&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132709001948%2Fabstract%3Frss%3Dyes This book is aimed at “Junior Doctors” in orthopaedics, emergency medicine and radiology. It covers a wide range of common musculoskeletal trauma scenarios based on classical cases with examination findings and pertinent questions covering essential core knowledge. The cases have relevant clinical findings and radiology followed by the answers with a pithy summary of essential core knowledge, suggested management plan with a summary of key points and essential references. (Source: Orthopaedics and Trauma) Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=4169748 Fri, 01 Oct 2010 00:00:00 +0100 4169748 http://www.medworm.com/index.php?rid=4169747&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS187713270900147X%2Fabstract%3Frss%3Dyes This is the second update on Musculoskeletal Tumours in the AAOS OKU series. In the preface they describe the first as possibly “the most frequently referenced text on this subject by non-musculoskeletal oncological orthopaedic surgeons”. (Source: Orthopaedics and Trauma) Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=4169747 Fri, 01 Oct 2010 00:00:00 +0100 4169747 http://www.medworm.com/index.php?rid=4169746&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132710000771%2Fabstract%3Frss%3Dyes (Source: Orthopaedics and Trauma) Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=4169746 Fri, 01 Oct 2010 00:00:00 +0100 4169746 http://www.medworm.com/index.php?rid=4169745&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132710001235%2Fabstract%3Frss%3Dyes (Source: Orthopaedics and Trauma) Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=4169745 Fri, 01 Oct 2010 00:00:00 +0100 4169745 http://www.medworm.com/index.php?rid=4169744&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132710000990%2Fabstract%3Frss%3Dyes Abstract: The management of scaphoid fractures can be challenging. The diagnosis of a fracture should be made following a suggestive mechanism of injury, positive clinical findings and confirmatory radiographs. In the case of normal radiographs the patient should be immobilized and re-examined in 2 weeks. If a scaphoid fracture is still clinically suspected but repeat radiographs are normal, further imaging is indicated. The gold standard is an MRI scan, but this is dependent on the facilities available in the local hospital. An MRI has the added benefits of not only identifying a potential scaphoid fracture but also other causes for the symptoms such as a ligament injury. Stable fractures can be safely treated by immobilizing in a cast; usually a simple below elbow cast with the wrist in ... Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=4169744 Fri, 01 Oct 2010 00:00:00 +0100 4169744 http://www.medworm.com/index.php?rid=4169743&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132710000370%2Fabstract%3Frss%3Dyes Abstract: The knee joint during childhood may be the site of both congenital and acquired disorders. Malfunction of the patellofemoral joint is the most common complaint, including the relative complexities of patellar pain. Abnormalities that affect the knee at different ages are discussed in terms of their anatomical location and the principles that underpin management. Major surgical interventions should be avoided whenever possible but must be timed appropriately when they become necessary, particularly when deformity is worsening or when infection or other progressive conditions imperil the joint. (Source: Orthopaedics and Trauma) Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=4169743 Fri, 01 Oct 2010 00:00:00 +0100 4169743 http://www.medworm.com/index.php?rid=4169742&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132710000394%2Fabstract%3Frss%3Dyes Abstract: The incidence of renal cell carcinoma (RCC) is increasing. While there has been considerable improvement in the management of early localized disease, that of advanced metastatic disease remains controversial as does the influence of prognostic factors on survival. However there are indicators of improved survival. There is a patient subset with a solitary renal metastasis in whom aggressive surgical management may be curative. Multimodal therapy and extended surgical resection have improved 5-year survival rate. (Source: Orthopaedics and Trauma) Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=4169742 Fri, 01 Oct 2010 00:00:00 +0100 4169742 http://www.medworm.com/index.php?rid=4169741&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132710000242%2Fabstract%3Frss%3Dyes Abstract: Necrotizing soft tissue infections (NSTI) which include necrotizing fasciitis (NF) are potentially deadly. They more commonly affect men, the elderly and diabetics and are associated with both group A. streptococcus and S. aureus – community acquired MRSA has been responsible for a number of recent cases. Treatment of infections of the extremities often falls to orthopaedic surgeons. Diagnosis remains primarily clinical but such adjuncts as the LRINEC (Laboratory Risk Indicator score for NECrotizing fasciitis) and MRI scanning may be useful. Early definitive debridement within 24 h of admission reduces mortality. (Source: Orthopaedics and Trauma) Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=4169741 Fri, 01 Oct 2010 00:00:00 +0100 4169741 http://www.medworm.com/index.php?rid=4169740&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132710000503%2Fabstract%3Frss%3Dyes Abstract: Primary bone tumours of the growing spine are rare and most are benign. However there is a potential for local aggressiveness and malignancies do occur. Surgical resection is the mainstay of treatment and is usually very challenging due to the complexity of local anatomy and proximity to neurovascular structures. In this review we discuss the overall approach to primary bone tumours of the growing spine, focussing on the most common subtypes of benign and malignant tumours seen in this subset. (Source: Orthopaedics and Trauma) Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=4169740 Fri, 01 Oct 2010 00:00:00 +0100 4169740 http://www.medworm.com/index.php?rid=4169739&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132710000989%2Fabstract%3Frss%3Dyes Abstract: Ewing’s sarcoma is a primitive malignant bone tumour consisting of small, blue, round malignant cells that may show varying degrees of neural differentiation. It accounts for approximately 5% of all malignant bone tumours and arises most frequently in children or adolescents. Despite significant progress with the use of intensive multiagent chemotherapy and local control measures (survival rates have increased from 10–15% to 65–70% in the last 40 years), a significant proportion of patients still die of disease progression. Clinical and biological prognostic factors should be used to guide the therapeutic choices for each patient. The treatment of Ewing’s sarcoma of bone is currently based on combined therapy with neoadjuvant chemotherapy, radiation therapy and surgical r... Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=4169739 Fri, 01 Oct 2010 00:00:00 +0100 4169739 http://www.medworm.com/index.php?rid=4169738&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132710000758%2Fabstract%3Frss%3Dyes Abstract: This paper reviews current thinking about the epidemiology, investigation, treatment and outcome of chondrosarcoma, including the role of PET-CT. It also looks at current controversies about management and specific difficulties with pelvic location. New hopes for treatment such bisphosphonates, COX-2 inhibitors and carbon ion therapy and the latest genetic studies are reviewed. (Source: Orthopaedics and Trauma) Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=4169738 Fri, 01 Oct 2010 00:00:00 +0100 4169738 http://www.medworm.com/index.php?rid=4169737&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132710000497%2Fabstract%3Frss%3Dyes Abstract: Osteosarcomas are rare malignant tumours that produce osteoid. The investigation, diagnosis, treatment and follow-up of these rare tumours should be directed by multi-disciplinary teams in centralized, specialist centres. Here, we discuss the epidemiology, investigation and management of these tumours, and explore the literature on limb-salvage and adjuvant therapy. Local and systemic recurrences are discussed and the evidence base regarding prognosis is reviewed. (Source: Orthopaedics and Trauma) Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=4169737 Fri, 01 Oct 2010 00:00:00 +0100 4169737 http://www.medworm.com/index.php?rid=4169736&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132710001399%2Fabstract%3Frss%3Dyes (Source: Orthopaedics and Trauma) Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=4169736 Fri, 01 Oct 2010 00:00:00 +0100 4169736 http://www.medworm.com/index.php?rid=3978873&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132709001249%2Fabstract%3Frss%3Dyes The content of this DVD is well structured and progresses in a logical order. It addresses virtually all technical aspects of unicompartmental knee arthroplasty (UKA) – medial (fixed and mobile bearing), lateral, patellofemoral, and combined replacement. The content builds from a simple demonstration of how to do a UKA on a cadaver limb through live surgical demonstrations culminating in a brief but useful ‘pearls and pitfalls’ discussion. The authors of each section give clear and precise narrative, with explanation of why the specific surgical techniques are performed. The only notable omission was that of the increasingly-popular ‘spacer-block’ technique for fixed bearing UKA, a system being offered by most new-generation devices. Although freehand techniques are diminishing i... Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=3978873 Sat, 31 Jul 2010 23:00:00 +0100 3978873 http://www.medworm.com/index.php?rid=3978872&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132709001134%2Fabstract%3Frss%3Dyes Sports trauma in the USA is a recognised sub-specialty, with fellowship programmes and Consultant posts to match. American orthopaedic surgeons who are in such posts are expected to manage more than the fairly narrow anatomical areas than their traditional UK counterparts who have trained in a system that focuses on body regions and not on demographic groupings. Additionally, many orthopaedic surgeons in sports posts will be expected to attend sports events and provide a degree of emergency cover. They must also have some knowledge of the ‘medicine’ side of sports medicine. Sports trauma also encompasses a wide range of non-surgical managements. This American text has therefore a very wide remit, in order to cover these areas. (Source: Orthopaedics and Trauma) Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=3978872 Sat, 31 Jul 2010 23:00:00 +0100 3978872 http://www.medworm.com/index.php?rid=3978871&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132710000448%2Fabstract%3Frss%3Dyes (Source: Orthopaedics and Trauma) Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=3978871 Sat, 31 Jul 2010 23:00:00 +0100 3978871 http://www.medworm.com/index.php?rid=3978870&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132710000795%2Fabstract%3Frss%3Dyes (Source: Orthopaedics and Trauma) Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=3978870 Sat, 31 Jul 2010 23:00:00 +0100 3978870 http://www.medworm.com/index.php?rid=3978869&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132710000485%2Fabstract%3Frss%3Dyes We describe and illustrate key psychometric properties that are to be assessed when judging suitability of an instrument, such as validity, reliability and responsiveness. We also review some of the most commonly used and recommended outcome measures available in regard to different knee pathologies. With no intention of recommending a specific option, we briefly outline advances and shortcomings of named instruments. (Source: Orthopaedics and Trauma) Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=3978869 Sat, 31 Jul 2010 23:00:00 +0100 3978869 http://www.medworm.com/index.php?rid=3978868&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132710000321%2Fabstract%3Frss%3Dyes This article emphasises the need for biomechanical evaluation in the early detection of subtle changes as this will enhance the clinical picture. Clinical and biomechanical evaluations supplement each other and should prove to be a powerful tool in the assessment and management of this condition. One such scoring system and a novel pictorial scale are recommended. (Source: Orthopaedics and Trauma) Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=3978868 Sat, 31 Jul 2010 23:00:00 +0100 3978868 http://www.medworm.com/index.php?rid=3978867&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132709001717%2Fabstract%3Frss%3Dyes Abstract: Infection with HIV leads to a gradual depletion of CD4 cells. HIV patients may present with a multitude of musculoskeletal conditions caused either by HIV infection itself or its treatment with highly active anti retroviral therapy (HAART). However, some musculoskeletal conditions like avascular necrosis of the femoral head are caused by a combination of both HIV infection and its treatment with HAART.HIV patients who need elective orthopaedic operations such as arthroplasty should have these procedures delayed until their general condition is optimized. This includes improving their albumin levels and CD4 counts before surgery.HIV also affects the presentation, management and prognosis of trauma patients. Seropositive patients with closed fractures achieve good outcomes after in... Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=3978867 Sat, 31 Jul 2010 23:00:00 +0100 3978867 http://www.medworm.com/index.php?rid=3978866&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132710000357%2Fabstract%3Frss%3Dyes Abstract: Malleolar ankle fractures are commonly encountered in orthopaedic trauma practice. The goal for treatment of these injuries is to maximize function and minimize complications. The treatment programme is based on the nature of osseoligamentous and soft tissue injury, the functional requirements of the patient and the overall medical condition of the patient. Non-operative treatment is usually reserved for stable fractures of the lateral malleolus; unstable bimalleolar and trimalleolar injuries are usually treated operatively. Staged treatment with initial external fixation and delayed definitive internal fixation is utilized to avoid soft tissue complications in high energy injuries. The Danis–Weber and Lauge-Hansen classification systems are useful for systematic diagnosis and ... Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=3978866 Sat, 31 Jul 2010 23:00:00 +0100 3978866 http://www.medworm.com/index.php?rid=3978865&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132710000424%2Fabstract%3Frss%3Dyes This article is intended as an overview of rehabilitation following major lower limb amputation; which surgical techniques can improve outcomes, why they should be considered and how the rehabilitation team works once patients have left the care of the surgical team. It is aimed primarily at orthopaedic and trauma surgeons, but also contains references to dysvascular patients, as this is the primary cause of lower limb amputation in the UK. The different aspects of rehabilitation after an amputation will be presented using the World Health Organization’s international classification of functioning, disability and health. The domain of health condition includes the aetiology of amputation and a brief history of prosthetic provision. The impairment section covers surgical techniques and ho... Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=3978865 Sat, 31 Jul 2010 23:00:00 +0100 3978865 http://www.medworm.com/index.php?rid=3978864&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132710000291%2Fabstract%3Frss%3Dyes This article highlights the concepts of surgical margins in oncology, discusses the principles governing safe surgical resection in malignant bone tumours and describes the various reconstruction options available in order to restore structural and skeletal stability after resection of large bone segments. The rationale of choice of a particular resection modality, the unique challenges of reconstruction in skeletally immature individuals and the impact of adjuvant modalities like chemotherapy and radiotherapy on surgical outcomes are also discussed. (Source: Orthopaedics and Trauma) Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=3978864 Sat, 31 Jul 2010 23:00:00 +0100 3978864 http://www.medworm.com/index.php?rid=3978863&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132710000692%2Fabstract%3Frss%3Dyes Abstract: Primary malignant bone tumours are rare. Imaging provides the foundation of surgical and oncological management as it offers a differential diagnosis for the nature of the lesion, defines its local extent and facilitates local-regional and distant staging. The role of radiographs, computed tomography (CT), magnetic resonance imaging (MRI) and bone scintigraphy is reviewed. In addition, some newer techniques such as whole-body MRI and FDG-PET imaging are discussed. Finally, we describe the epidemiology, subtypes and imaging features of the most common primary malignant bone tumours including osteosarcoma, chondrosarcoma, Ewing's sarcoma and chordoma. (Source: Orthopaedics and Trauma) Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=3978863 Sat, 31 Jul 2010 23:00:00 +0100 3978863 http://www.medworm.com/index.php?rid=3978862&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132710000783%2Fabstract%3Frss%3Dyes Abstract: Primary skeletal malignancy is rare although in adulthood myeloma is not uncommon, with an estimated incidence of nine per million persons per year. It should not be confused with metastatic disease. The most common type of primary bony malignancy is plasmacytoma, after that chondrosarcoma, osteosarcoma and Ewing’s sarcoma. The a priori chance of a patient to have a certain type of tumour depends on the patient’s age. The most frequently seen under the age of 20 are osteosarcomas and Ewing’s sarcomas. In adults, especially those over 40 years old, myeloma is the most common one, followed by chondrosarcomas and fibrous tumours. It is important for all treating patients with complaints of the musculoskeletal system to be aware of the possibility of primary bone cancer in orde... Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=3978862 Sat, 31 Jul 2010 23:00:00 +0100 3978862 http://www.medworm.com/index.php?rid=3978861&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132710001089%2Fabstract%3Frss%3Dyes (Source: Orthopaedics and Trauma) Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=3978861 Sat, 31 Jul 2010 23:00:00 +0100 3978861 http://www.medworm.com/index.php?rid=3883517&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS187713270900092X%2Fabstract%3Frss%3Dyes This is a hardback book of 316 pages divided into seven sections, including:- Congenital Disorders about the Hip (Source: Orthopaedics and Trauma) Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=3883517 Mon, 31 May 2010 23:00:00 +0100 3883517 http://www.medworm.com/index.php?rid=3883516&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS187713270900075X%2Fabstract%3Frss%3Dyes This book is one of the latest additions to the “At a glance” series of texts. As implied by the title it focuses on aspects of the musculoskeletal system. Overall there are 96 pages of text and illustrations. The book is divided into seven sections, each of which has between 4 and 9 headed subsections. (Source: Orthopaedics and Trauma) Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=3883516 Mon, 31 May 2010 23:00:00 +0100 3883516 http://www.medworm.com/index.php?rid=3883515&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132709000517%2Fabstract%3Frss%3Dyes This book is clearly written by someone who has been able to call on years of experience in teaching shoulder arthroscopy from the basics up. It is clear that Dr Gartsman not only draws on his experience of guiding countless fellows over the years but also on materials and influences from practical courses and publications in this field. The result is a book that holds something for everyone who has even a remote interest in increasing their knowledge of shoulder arthroscopy. However this package also attempts to direct the reader towards self-improvement of practical skills. We have the full spectrum of advice here – from step-by-step diagrams of how to tie knots on basic models to video clips of complex procedures, stopping short only of those techniques that can only be said to be sti... Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=3883515 Mon, 31 May 2010 23:00:00 +0100 3883515 http://www.medworm.com/index.php?rid=3883514&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132709000116%2Fabstract%3Frss%3Dyes Developed by the American Academy of Orthopaedic Surgeons and the American Shoulder and Elbow Surgeons, this is the 2008 edition of the popular update series, designed to allow practising surgeons to keep up to date in what is one of the most rapidly expanding specialities in orthopaedics. (Source: Orthopaedics and Trauma) Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=3883514 Mon, 31 May 2010 23:00:00 +0100 3883514 http://www.medworm.com/index.php?rid=3883513&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132709000104%2Fabstract%3Frss%3Dyes This is a handy little paperback of 342 pages which fits easily into a pocket. The book describes hundreds of tests for all areas of the musculoskeletal system. It is divided into ten chapters and also includes tests for postural deficiency, venous thrombosis and occlusive arterial disease, which often occur in association with orthopaedic problems. Tests for both adults and children are included. The largest chapter deals with the knee, which is not surprising. (Source: Orthopaedics and Trauma) Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=3883513 Mon, 31 May 2010 23:00:00 +0100 3883513 http://www.medworm.com/index.php?rid=3883512&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132710000047%2Fabstract%3Frss%3Dyes (Source: Orthopaedics and Trauma) Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=3883512 Mon, 31 May 2010 23:00:00 +0100 3883512 http://www.medworm.com/index.php?rid=3883511&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS187713271000076X%2Fabstract%3Frss%3Dyes (Source: Orthopaedics and Trauma) Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=3883511 Mon, 31 May 2010 23:00:00 +0100 3883511 http://www.medworm.com/index.php?rid=3883510&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132710000382%2Fabstract%3Frss%3Dyes This article addresses the explicit and salient aspects of clinical orthopaedic trial design for those requiring a concise overview of this topic. Planning and conducting a clinical trial requires an understanding of the key components of study design to appreciate the relative strengths and weaknesses of a particular design in answering a specific research question. At the outset of a research project a mandatory planning phase should produce an effective protocol. This should state the scientific basis of the study and utilize an appropriate study design, addressing the key concepts of validity and reliability. In the context of randomized controlled trials, one must consider how the population of interest is sampled and randomly assigned, the use of a control group and the outcome measu... Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=3883510 Mon, 31 May 2010 23:00:00 +0100 3883510 http://www.medworm.com/index.php?rid=3883509&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132710000023%2Fabstract%3Frss%3Dyes (Source: Orthopaedics and Trauma) Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=3883509 Mon, 31 May 2010 23:00:00 +0100 3883509 http://www.medworm.com/index.php?rid=3883508&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132710000473%2Fabstract%3Frss%3Dyes Abstract: Flexor tendon injuries are a commonly occurring and often challenging injury presenting to hand specialists that require meticulous surgical repair and early post-operative mobilization in order to achieve a successful functional outcome. Historically the methods of repair and post-operative rehabilitation protocols varied greatly between surgeons, and were based largely on individual experience and anecdotal evidence. Over the last three decades, extensive documentation in the literature, including basic scientific research, randomized controlled trials and a Cochrane review has provided evidence detailing improved or beneficial surgical techniques and post-operative rehabilitation protocols, aimed at ultimately improving the patients’ final functional outcome, after a flexor ... Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=3883508 Mon, 31 May 2010 23:00:00 +0100 3883508 http://www.medworm.com/index.php?rid=3883507&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132710000655%2Fabstract%3Frss%3Dyes Abstract: Carpal degenerative disease is common and can be due to traumatic or non-traumatic causes. It presents at varying stages of disease progression. As the wrist joint comprises several articulations, careful assessment is essential to identify the joint(s) affected. Treatment is usually an initial trial of non-operative management, followed by surgery if this is unsuccessful. This paper describes the specific features and management principles of the common carpal degenerative conditions. (Source: Orthopaedics and Trauma) Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=3883507 Mon, 31 May 2010 23:00:00 +0100 3883507 http://www.medworm.com/index.php?rid=3883506&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132710000722%2Fabstract%3Frss%3Dyes Abstract: Dupuytren’s disease is characterized by contracture of the palmar and digital hand fascia resulting in characteristic nodule and/or cord formation within the hand. This results in flexion deformity of the digits with subsequent impaired function. The pertinent epidemiology, aetiology and pathophysiology of this disease are discussed in this review. In addition, current principles of treatment of the hand contracture that develops as a result of this disease, both conservative and surgical, are highlighted in this review. (Source: Orthopaedics and Trauma) Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=3883506 Mon, 31 May 2010 23:00:00 +0100 3883506 http://www.medworm.com/index.php?rid=3883505&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132710000412%2Fabstract%3Frss%3Dyes Abstract: Infections of the hand and upper limb present in large numbers to medical practitioners and represent 20% of admissions to hand surgery units. Infection can manifest in many different forms due to differing aetiological insults and the unique anatomical arrangement and compartmentalization within the hand. As a result, the significance and severity of these conditions at presentation are often not appreciated by both patients or medical staff.Prompt recognition and timely institution of appropriate treatment with splintage, elevation, antibiotics, and aggressive surgical intervention when indicated, can prevent permanent impairment, rapidly returning patients to their pre-morbid level of function. Time is particularly important as infection can spread rapidly, irreversibly damagi... Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=3883505 Mon, 31 May 2010 23:00:00 +0100 3883505 http://www.medworm.com/index.php?rid=3883504&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132710000680%2Fabstract%3Frss%3Dyes This article reviews the most relevant literature with regards to epidemiology, diagnosis and management. (Source: Orthopaedics and Trauma) Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=3883504 Mon, 31 May 2010 23:00:00 +0100 3883504 http://www.medworm.com/index.php?rid=3883503&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132710000734%2Fabstract%3Frss%3Dyes Abstract: The indications for surgery to the rheumatoid hand and wrist are relief of pain, improvement or preservation of function, correction of deformity, and cosmesis. The systemic, progressive and multi-articular nature of the disease gives decision-making a greater degree of complexity than is found in other areas of hand surgery. There are strong arguments for making decisions about surgery in a combined medical/surgical clinic at which all those responsible for the patient’s management contribute. Operative procedures include nerve decompression, synovectomy, tenosynovectomy, tendon surgery, arthroplasty and arthrodesis. Severe nerve compression and impending tendon rupture are indications for urgent operation. Stable internal fixation with buried implants is the preferred method ... Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=3883503 Mon, 31 May 2010 23:00:00 +0100 3883503 http://www.medworm.com/index.php?rid=3883502&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132710000886%2Fabstract%3Frss%3Dyes (Source: Orthopaedics and Trauma) Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=3883502 Mon, 31 May 2010 23:00:00 +0100 3883502 http://www.medworm.com/index.php?rid=3616760&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132709000505%2Fabstract%3Frss%3Dyes The Authors regret that some errors appeared in the published version of the above article. The paragraph on page 28 of the article entitled “Varus/valgus positioning and lift-off” should read as follows. (Source: Orthopaedics and Trauma) Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=3616760 Wed, 31 Mar 2010 23:00:00 +0100 3616760 http://www.medworm.com/index.php?rid=3616759&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132709001547%2Fabstract%3Frss%3Dyes (Source: Orthopaedics and Trauma) Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=3616759 Wed, 31 Mar 2010 23:00:00 +0100 3616759 http://www.medworm.com/index.php?rid=3616758&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132710000436%2Fabstract%3Frss%3Dyes (Source: Orthopaedics and Trauma) Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=3616758 Wed, 31 Mar 2010 23:00:00 +0100 3616758 http://www.medworm.com/index.php?rid=3616757&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132709001742%2Fabstract%3Frss%3Dyes Abstract: Cri du Chat syndrome is a rare genetic condition affecting the short arm of chromosome 5. A range of clinical features, including the characteristic “cat-like” cry and developmental delay, is recognized in children with the syndrome. A higher incidence of certain paediatric orthopaedic conditions such as scoliosis, developmental dysplasia of the hip and pes planus and varus has also been observed. (Source: Orthopaedics and Trauma) Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=3616757 Wed, 31 Mar 2010 23:00:00 +0100 3616757 http://www.medworm.com/index.php?rid=3616756&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132709001705%2Fabstract%3Frss%3Dyes This study describes the aforementioned treatment techniques (classic and novel) and elaborates on their indications, advantages/disadvantages and complications. Algorithms for the assessment and treatment of critically size long-bone segmental defects are also proposed. (Source: Orthopaedics and Trauma) Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=3616756 Wed, 31 Mar 2010 23:00:00 +0100 3616756 http://www.medworm.com/index.php?rid=3616755&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS1877132710000345%2Fabstract%3Frss%3Dyes Abstract: The accurate assessment and management of the unstable patellofemoral joint depends on knowledge of the anatomy and stabilizing structures. Surgery should not be considered until non-operative interventions have failed and the recurrent nature of the disease has resulted in functional impairment. The surgical strategy should, whenever possible, aim to restore normal anatomy rather than introduce new abnormalities. Often a combination of surgical techniques is required. (Source: Orthopaedics and Trauma) Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=3616755 Wed, 31 Mar 2010 23:00:00 +0100 3616755 http://www.medworm.com/index.php?rid=3616754&cid=s_38424_31_f&fid=38424&url=http%3A%2F%2Fwww.orthopaedicsandtraumajournal.co.uk%2Farticle%2FPIIS187713271000031X%2Fabstract%3Frss%3Dyes Abstract: Soft-tissue knee surgery is performed for a multitude of conditions and encompasses a large number of procedures. The post-operative management of these conditions is constantly evolving as a result of advances in technology and a better understanding of human physiology, however, there remains no consensus on the ideal timeframe over which loading can be progressed. Rehabilitation protocols provide basic guidelines through which effective outcomes can be achieved. However, the rate and extent of recovery will depend on many patient and external factors, and it is questionable whether full recovery or a return to normality is ever complete.The complex neuromuscular motor patterning, strength and control which are affected by injury and surgery are very difficult to gauge, and dif... Orthopaedics and Trauma journals http://www.medworm.com/rss/comments.php?id=3616754 Wed, 31 Mar 2010 23:00:00 +0100 3616754