The
Aims. Plate and screw fixation has been the standard treatment for painful conditions of the
Aims. The aim of this study was to describe the introduction of a virtual pathway for the management of patients with a suspected fracture of the scaphoid, and to report patient-reported outcome measures (PROMs) and satisfaction following treatment using this service. Methods. All adult patients who presented with a clinically suspected scaphoid fracture that was not visible on radiographs at the time of presentation during a one-year period were eligible for inclusion in the pathway. Demographic details, findings on examination, and routine four-view radiographs at the time of presentation were collected. All radiographs were reviewed virtually by a single consultant hand surgeon, with patient-initiated follow-up on request. PROMs were assessed at a minimum of one year after presentation and included the abbreviated version of the Disabilities of the Arm, Shoulder and Hand Score (QuickDASH), the EuroQol five-dimension five-level health questionnaire (EQ-5D-5L), the Net Promoter Score (NPS), and return to work. Results. A total of 221 patients were referred to the virtual pathway. Their mean age was 41 years (range 16 to 87) and there were 99 male patients (45%). A total of 189 patients (86%) were discharged with advice and 19 (9%) were recalled for clinical review: seven with an undisplaced scaphoid fracture, six with another fracture of the hand or
Arthritis of the
Aims. Chronic conditions of the
We retrospectively compared
The purposes of this study were to define the range of laxity of the interosseous ligaments in cadaveric
Aims. The aims of this study were to compare the mid-term outcomes
of patients with late-stage arthritis of the
The Motec cementless modular metal-on-metal ball-and-socket
wrist arthroplasty was implanted in 16
Disorders of the pisotriquetral joint are well recognised as the cause of pain on the ulnar side of the
We have measured the three-dimensional patterns of carpal deformity in 20
We investigated the clinical response to arthroscopic
synovectomy in patients with undifferentiated chronic monoarthritis
(UCMA) of the
Advanced osteoarthritis of the
1. A simple and effective method of
Three palmar
We have implanted 76 biaxial total
A study has been made of fifty-six patients suffering from rheumatoid arthritis in whom sixty-nine
Simple decompression of the extensor tendons at the
We describe a technique for arthroscopy of the
We enrolled 34 normal volunteers to test the hypothesis that there were two types of movement of the
The purpose of this study was to evaluate treatment
results following arthroscopic triangular fibrocartilage complex (TFCC)
debridement for recalcitrant ulnar
In a prospective study, 204 consecutive patients with displaced Colles' fractures had closed reduction then plaster immobilisation. Three different positions of the
Although the outcome of fractures of the distal radius is traditionally assessed using objective clinical variables such as grip strength and range of movement of the
Twenty-six index patients with primary Madelung's deformity of the
Arthrodesis of the
We performed a neurological and radiological study of the
We performed 45
1 . A specific mechanism of injury can produce a tear of the articular disc of the
We analysed the results of arthroscopic synovectomy of the
The aim of this study was to identify the origin and development of the threshold for surgical intervention, highlight the consequences of residual displacement, and justify the importance of accurate measurement. A systematic review of three databases was performed to establish the origin and adaptations of the threshold, with papers screened and relevant citations reviewed. This search identified papers investigating functional outcome, including presence of arthritis, following injury. Orthopaedic textbooks were reviewed to ensure no earlier mention of the threshold was present.Aims
Methods
We have examined whether the rotatory subluxation of the scaphoid which is seen in patients with advanced Kienböck’s disease is associated with scapholunate advanced collapse (SLAC)
We used the Ilizarov method in seven patients with severe congenital radial club hands who had had previous
Between June 1991 and May 1996 we carried out arthrodesis on 15 patients with flail or partially flail
1. Pain at the front of the radial side of the
1. A medial approach is preferred for arthrodesis of the
1. A case of ulnar nerve compression at the
A case of unusually extensive pigmented villonodular synovitis of the
Osteoarthritis of the
Two girls with congenital postural deformity of the
Traumatic tenosynovitis of the
A consecutive series of 100 cases of
Darrach's procedure was performed for post-traumatic symptoms in the inferior radio-ulnar joint in 36 patients, who were reviewed after a mean follow-up of 6 years. Only 18 of the patients had a satisfactory clinical result. Poor outcome was associated with osteoarthritis of the
Debate continues about the origin of Dupuytren’s disease, which is usually in the palm but is seen elsewhere as ectopic lesions. We describe a young patient with Dupuytren’s disease extending proximal to the