Clinicians are often asked by patients, “When
can I drive again?” after lower limb injury or surgery. This question
is difficult to answer in the absence of any guidelines. This review
aims to collate the currently available evidence and discuss the
factors that influence the decision to allow a patient to return
to driving. There is currently insufficient evidence for any authoritative
body to determine fitness to drive. The lack of guidance could result
in patients being withheld from driving for longer than is necessary,
or returning to driving while still unsafe. Cite this article:
1. Eight cases of intraneural ganglion of the lateral popliteal nerve seen at operation within a period of six years are described. 2. In seven of these a pedicle was found arising from the superior tibio-fibular joint–it was probably present in the remaining case. 3. The essential step at operation is to find and extirpate the pedicle. 4. The implications of these findings are discussed.
A method of treatment of Volkmann's ischaemic contracture is described which retains wrist movement and restores reasonably good function to the hand in suitable cases.