A case is reported of a woman in whom the bones of one upper limb have been progressively disappearing during at least eleven years. Investigations have thrown no light on
1. Two cases of osteochondritis dissecans affecting several joints are described. 2. There is no evidence that injury, congenital anomaly or constitutional disturbance played any part in the
The primary aim of this study was to assess if traumatic triangular fibrocartilage complex (TFCC) tears can be treated successfully with immobilization alone. Our secondary aims were to identify clinical factors that may predict a poor prognosis. This was a retrospective analysis of 89 wrists in 88 patients between January 2015 and January 2019. All patients were managed conservatively initially with either a short-arm or above-elbow custom-moulded thermoplastic splint for six weeks. Outcome measures recorded included a visual analogue scale for pain, Patient-Rated Wrist Evaluation, Disabilities of the Arm, Shoulder and Hand score, and the modified Mayo Wrist Score (MMWS). Patients were considered to have had a poor outcome if their final MMWS was less than 80 points, or if they required eventual surgical intervention. Univariate and logistic regression analyses were used to identify independent predictors for a poor outcome.Aims
Methods
1. Nineteen patients with articular synovial chondromatosis are reviewed. 2. The
1 . A case of haemangioma arising in the tendons of the extensor pollicis longus and extensor pollicis brevis muscles of a twenty-seven-year-old woman is described. 2. The
1. Five cases of bilateral glenoid hypoplasia are described. Flattening of the humeral heads and sometimes other skeletal abnormalities coexisted. 2. The condition is considered to be congenital. 3. The differential diagnosis and
We describe two cases of bursitis at the insertion of the biceps tendon. They presented as swellings in the cubital fossa with symptoms of median nerve irritation. The
1. A case of dysplasia epiphysialis punctata is described, with some histological observations. 2. Both parents were syphilitic. 3. The
1. A case of multiple pseudo-cystic tuberculosis of bone presenting as a generalised disease of the skeleton in a child is reported. 2. The response to streptomycin and para-amino-salicylic acid is shown. 3. A possible explanation of the
Lipoma arborescens is a rare intra-articular lesion, characterised by diffuse replacement of the subsynovial tissue by mature fat cells, producing prominent villous transformation of the synovium. The
We report a case of malignant fibrous histiocytoma of the hip which occurred 30 years after the insertion of a single chrome-cobalt alloy screw for a slipped femoral epiphysis. The possible
Orthopaedic and reconstructive surgeons are faced with large defects after the resection of malignant tumours of the sacrum. Spinopelvic reconstruction is advocated for resections above the level of the S1 neural foramina or involving the sacroiliac joint. Fixation may be augmented with either free vascularized fibular flaps (FVFs) or allograft fibular struts (AFSs) in a cathedral style. However, there are no studies comparing these reconstructive techniques. We reviewed 44 patients (23 female, 21 male) with a mean age of 40 years (SD 17), who underwent en bloc sacrectomy for a malignant tumour of the sacrum with a reconstruction using a total (n = 20), subtotal (n = 2), or hemicathedral (n = 25) technique. The reconstructions were supplemented with a FVF in 25 patients (57%) and an AFS in 19 patients (43%). The mean length of the strut graft was 13 cm (SD 4). The mean follow-up was seven years (SD 5).Aims
Methods
1. The features of ganglia of the flexor tendon sheaths of the hand are described. 2. A high incidence in typists is discussed in relation to
1. A patient with ectopic bone in the upper arm associated with multiple congenital anomalies is reported. 2. The previous cases of congenital abnormalities in patients with ectopic bone formation have been indicated and the problem of
1. Three cases of premature epiphysial closure at the knee complicating prolonged immobilisation for congenital dislocation of the hip are described. 2. The
A method is described whereby fractures of the neural arch similar to those in spondylolysis are produced experimentally. The forces, bending moments and displacements required to initiate the fractures are given; The mechanical aspects in the
1. Two patients with bilateral pes cavus and lymphoedema are reported. Lymphography confirmed the existence of lymphatic insufficiency in both cases. In both there was evidence of hereditary factors in the
1. A case of massive osteolysis of the right humerus is described. Diseased bone was resected leaving only the lower part of the humerus. The resected bone was replaced by a titanium prosthesis. 2. The diagnosis,
1. A case of dysphagia caused by a large cervical osteophyte is presented. 2. The literature from 1960 is reviewed, with special reference to the cases in which operation was done, and
The usual causes of pain after total knee replacement are well known, but there are a small number of patients in whom its