Iliopsoas pathology is a relatively uncommon cause of pain following total hip arthroplasty (THA), typically presenting with symptoms of groin pain on active flexion and/or extension of the hip. A variety of conservative and surgical treatment options have been reported. In this retrospective cohort study, we report the incidence of iliopsoas pathology and treatment outcomes. A retrospective review of 1,000 patients who underwent THA over a five-year period was conducted, to determine the incidence of patients diagnosed with iliopsoas pathology. Outcome following non-surgical and surgical management was assessed.Aims
Methods
This systematic review asked which patterns of complications are associated with the three reverse total shoulder arthroplasty (RTSA) prosthetic designs, as classified by Routman et al, in patients undergoing RTSA for the management of cuff tear arthropathy, massive cuff tear, osteoarthritis, and rheumatoid arthritis. The three implant design philosophies investigated were medial glenoid/medial humerus (MGMH), medial glenoid/lateral humerus (MGLH), and lateral glenoid/medial humerus (LGMH). A systematic review of the literature was performed via a search of MEDLINE and Embase. Two reviewers extracted data on complication occurrence and patient-reported outcome measures (PROMs). Meta-analysis was conducted on the reported proportion of complications, weighted by sample size, and PROMs were pooled using the reported standardized mean difference (SMD). Quality of methodology was assessed using Wylde’s non-summative four-point system. The study was registered with PROSPERO (CRD42020193041).Aims
Methods
1. Four cases of epidermal cysts of the terminal phalanges of the fingers are reported. 2. The literature is reviewed and the
Three cases of ulnar dimelia, one in an adult, are described and reference is made to earlier reported cases. The
1. A case of ossification and partial rupture of the tendo calcaneus is reported. 2. The possible
1. The evolution of the skeletal changes in chondro-osteo-dystrophy is described, and typical radiographs of patients observed into late adolescence are shown. 2. The
As a proven and comprehensive molecular technique, metagenomic next-generation sequencing (mNGS) has shown its potential in the diagnosis of pathogens in patients with periprosthetic joint infection (PJI), using a single type of specimen. However, the optimal use of mNGS in the management of PJI has not been explored. In this study, we evaluated the diagnostic value of mNGS using three types of specimen with the aim of achieving a better choice of specimen for mNGS in these patients. In this prospective study, 177 specimens were collected from 59 revision arthroplasties, including periprosthetic tissues, synovial fluid, and prosthetic sonicate fluid. Each specimen was divided into two, one for mNGS and one for culture. The criteria of the Musculoskeletal Infection Society were used to define PJI (40 cases) and aseptic failure (19 cases).Aims
Methods
We aimed to establish the short- and long-term efficacy of corticosteroid injection for coccydynia, and to determine if betamethasone or triamcinolone has the best effect. During 2009 to 2016, we treated 277 patients with chronic coccydynia with either one 6 mg betamethasone or one 20 mg triamcinolone cortisone injection. A susequent injection was given to 62 (26%) of the patients. All were reviewed three to four months after injection, and 241 replied to a questionnaire a mean of 36 months (12 to 88) after the last injection. No pain at the early review was considered early success. When the patient had not been subsequently operated on, and indicated on the questionnaire that they were either well or much better, it was considered a long-term success.Aims
Methods
A case of bilateral avascular necrosis of the capitate is presented. A review of the literature has identified a clear-cut clinical syndrome. The
1. A case of calcification in the intervertebral discs of a child is described. 2. The difference in the condition as it affects children and adults is discussed. 3. The
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
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
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
1. A case of dysplasia epiphysialis punctata is described, with some histological observations. 2. Both parents were syphilitic. 3. The
