The operation has the advantage of simplicity, and it avoids the slight danger of secondary cicatricial contracture of the nerve when it is transplanted anteriorly and implanted in muscle. There is a slight hazard from external
A classification of Smith's fractures into three types is proposed. It is suggested that the majority of these fractures are caused by a pronation
Retrosternal dislocation of the clavicle is an unusual
Manipulation under anaesthetic (MUA) is a recognised form of
treatment for patients with a frozen shoulder. However, not all
patients benefit. Some have persistent or recurrent symptoms. There
are no clear recommendations in the literature on the optimal management
of recurrent frozen shoulder after a MUA. We aimed to address this
issue in this study. We analysed a prospectively collected, single-surgeon, consecutive
series of patients who underwent MUA for frozen shoulder between
January 1999 and December 2015. The Oxford Shoulder Scores (OSS)
and range of movement were the outcome measures. Aims
Patients and Methods
Five patients suffered
We report a patient who developed an aortic pseudoaneurysm in the L3–L4 disc space after lumbar disc surgery. The diagnosis was made by MRI and aortography, and repair using a prosthetic graft and anterior fusion was successful. We discuss the predisposing factors, the clinical picture and management of vascular
1. Two cases of iliacus haematoma occurring after
1. A case of actinomycosis of the metacarpal bone of the right little finger from a punch
1. An account is given of twenty patients who had sustained accidental division of one or more foot tendons (other than tendo calcaneus). 2. Severe deformities occur when these
We aimed to characterise the effect of expeditious hip fracture
surgery in elderly patients within 24 hours of admission on short-term
post-operative outcomes. Patients age 65 or older that underwent surgery for closed femoral
neck and intertrochanteric hip fractures were identified from the
American College of Surgeons National Surgical Quality Improvement
Program between 2011 and 2014. Multivariable propensity-adjusted
logistic regressions were performed to determine associations between early
surgery within 24 hours and post-operative complications, controlling
for selection bias in patients undergoing early surgery based on
observable characteristics.Aims
Patients and Methods
Hemicircumferential division of the periosteum was performed on the upper tibia of the rabbit. Division of the medial side regularly caused a valgus angulation, but other
1. Three cases of fracture of the neck of the radius with medial displacement of the head are described. 2. It is proposed that such
1. The appearance of arthrographs of healthy and of injured ankles are described on the basis of experimental and clinical studies. 2. Arthrographic appearances have been correlated with findings at operation. 3. Arthrography is a valuable method of investigation for the accurate diagnosis of
Retrosternal dislocation of the clavicle is an uncommon yet easily induced
1. Two cases of fatigue fracture of the ulna are reported. 2. Three cases previously reported are reviewed and a striking similarity with one of the present cases is noted. 3. In all cases the mechanism of
National Hunt jockeys suffer a disproportionate number of clavicular fractures and their return to riding may be considerably delayed by refracture and symptomatic nonunion, with obvious implications. We report six such cases in which excision of the clavicular fragment distal to the fracture was associated with an early return to work and no recurrent
A successful replantation is reported of a hand completely severed by a circular saw through all five metacarpals. The sequence of primary reconstruction of all important structures beginning three hours after the
1 . Power and precision grip (Napier 1956) were tested in 154 patients with nerve
We describe the reconstruction of a defect of the medial malleolus which was the result of an accident in a ten-year-old child. A graft from the iliac crest, with the apophyseal cartilage and perichondrium, was used for reconstruction of the medial malleolus, the growth plate and the adjacent metaphyseal defect, respectively. The soft-tissue defect was covered with a free scapular flap with microvascular anastomosis. Three years after the
1. An account is given of fifty stress fractures of the fibula which occurred in athletes. 2. The characteristic symptoms, signs and radiological appearances are described, with details of treatment and prognosis. 3. The mechanism of the