A case of paraplegia presumed on clinical grounds to be due to bilharziasis is reported. The patient was treated with antibilharzial drugs and steroids. She has been followed up for eight years and has recovered almost completely. The literature is reviewed, and the incidence and types of spinal lesion, the possible routes of infection and the
1. Eight cases of congenital vertical talus in infancy are reported. The principal differential
1. The clinical features in twenty cases of osteoid osteoma have been analysed and compared with other cases reported in the literature. 2. The lesion is regarded as a benign neoplasm and its unusual clinical behaviour is attributed to its vascular nature. 3. The frequency with which an erroneous
We report a case of systemic Penicillium marneffei infection in a Chinese woman who presented with multiple osteolytic lesions and radiographic changes similar to those seen in other fungal osteomyelitides. This infection is often misdiagnosed as tuberculosis and has a high mortality rate. The correct
We prospectively studied 50 patients with the
The purpose of this study was to compare two different types
of metal-on-metal (MoM) bearing for total hip arthroplasty (THA):
one with a large femoral head (38Â mm to 52Â mm) and the other with
a conventional femoral head (28Â mm or 32Â mm). We compared clinical
outcome, blood metal ion levels, and the incidence of pseudotumour in
the two groups. Between December 2009 and December 2011, 62 patients underwent
MoM THA with a large femoral head (Magnum group) and 57 patients
an MoM THA with a conventional femoral head (conventional group).
Clinical outcome was assessed using the Harris Hip score, University
of California, Los Angeles (UCLA) activity score and EuroQol-5D
(EQ-5D). Blood metal ion levels were measured and MRI scans were
analyzed at a minimum of five years postoperatively.Aims
Patients and Methods
Thirty patients with non-tuberculous pyogenic osteomyelitis of the spine are reported in all of whom the
1. A case is reported which shows the typical features of osteopathia striata in all the long bones and probably in the pelvis, with the features of osteopetrosis in the skull and ribs. 2. The occurrence of longitudinal striation in osteopoikilosis and osteopetrosis is described, and the possible relationship between these two diseases and osteopathia striata is discussed. 3. The differential
Osteomyelitis is a rare manifestation of cat-scratch disease in patients who do not have AIDS. The clinical presentation and non-specific subacute course of the disease make
The management of carpal dislocation after a late
We report two cases of bilateral chronic exertional compartment syndrome (CCS) in the forearmand hand. Measurement of the intramuscular pressure was useful for
Three patients referred for rehabilitation of brachial plexus lesions and two referred with leg weakness associated with sciatica were found to have conversion paralysis. The
We report 11 patients who, over a five-year period, were treated for pyogenic infection of the sacro-iliac joint. This condition is uncommon and difficult to assess, so that
We report four patients with unilateral postpartum sacroiliitis presenting with agonising unilateral pain, an elevated ESR, elevated alkaline phosphatase levels, leucocytosis and positive bone scans. The
1. A farmer who owned cattle infected with brucellosis presented with a painful, swollen wrist. Osteolytic lesions were seen radiologically. The wrist was explored. Histological features were those of a subacute granuloma. Brucella abortus biotype I was grown. 2. The clinical
1. Clinical and histological features in ten patients with smooth muscle tumours of the limbs are described. 2. Severe pain and tenderness and the radiographic demonstration of calcification are useful pointers to the
1. Cases are presented to show that blackthorn inflammation is not uncommon in the West Midlands. 2. The pathology is that of a chronic non-suppurative inflammation. 3. Cases are divisible into three groups on the basis of their history. In the third group, with no history of blackthorn trauma,
Osteotomies are commonly carried out in orthopaedic surgery, particularly in limb reconstruction. Complications are uncommon provided that sufficient care is taken and a sound technique used. We describe three cases of formation of false aneurysm after osteotomy, with acute, delayed and asymptomatic onset. The
Between 1980 and 1984 nine adult patients in the renal unit of Guy's Hospital developed bone and joint infection. The commonest site of infection was the spine. In this series two patients died, a mortality of 22%. The purpose of this paper is to illustrate the pitfalls in the