Ochronosis, the musculoskeletal manifestation of alkaptonuria, is known to lead to degenerative changes of the
Halo pelvic traction, a method of correcting the deformed
Radiographic examination of a giraffe-necked woman shows that there is no true elongation of the cervical spine. The apparent lengthening of the neck is due to incorporation of part of the thoracic
We report the technique and early results of the Dwyer-Hartshill method for segmental fixation of the
A patient is described with a ligamentous disruption at the L4/L5 level in association with bilateral, traumatic dislocations of the hip. The diagnostic evaluation, acute intervention, and definitive stabilisation are reported. The unstable
A case is described of bilateral traumatic chylothorax after complete dislocation of the thoracic
A case of salmonella osteomyelitis of the
Unicompartmental knee arthroplasty (UKA) provides improved early functional outcomes and less postoperative morbidity and pain compared with total knee arthroplasty (TKA). Opioid prescribing has increased in the last two decades, and recently states in the USA have developed online Prescription Drug Monitoring Programs to prevent overprescribing of controlled substances. This study evaluates differences in opioid requirements between patients undergoing TKA and UKA. We retrospectively reviewed 676 consecutive TKAs and 241 UKAs. Opioid prescriptions in morphine milligram equivalents (MMEs), sedatives, benzodiazepines, and stimulants were collected from State Controlled Substance Monitoring websites six months before and nine months after the initial procedures. Bivariate and multivariate analysis were performed for patients who had a second prescription and continued use.Aims
Patients and Methods
The aim of this study was to determine the diagnostic utility of histological analysis in spinal biopsies for spondylodiscitis (SD). Clinical features, radiology, results of microbiology, histology, and laboratory investigations in 50 suspected SD patients were evaluated. In 29 patients, the final (i.e. treatment-based) diagnosis was pyogenic SD; in seven patients, the final diagnosis was mycobacterial SD. In pyogenic SD, the neutrophil polymorph (NP) infiltrate was scored semi-quantitatively by determining the mean number of NPs per (×400) high-power field (HPF).Aims
Patients and Methods
Injury to the spinal cord without radiological abnormality often occurs in the skeletally immature cervical and thoracic
The aim of this randomized trial was to compare the functional outcome of two different surgical approaches to the hip in patients with a femoral neck fracture treated with a hemiarthroplasty. A total of 150 patients who were treated between February 2014 and July 2017 were included. Patients were allocated to undergo hemiarthroplasty using either an anterolateral or a direct lateral approach, and were followed for 12 months. The mean age of the patients was 81 years (69 to 90), and 109 were women (73%). Functional outcome measures, assessed by a physiotherapist blinded to allocation, and patient-reported outcome measures (PROMs) were collected postoperatively at three and 12 months.Aims
Patients and Methods
Two cases of burst fracture of the upper lumbar
A method of repairing the defect in spondylolisthesis by internal fixation with screws and bone grafting is described. Sixteen patients have been operated upon with only one failure. In two cases the
Sprung back is one of the commonest causes of low back pain. Its characteristic features are described. It is caused by rupture of the posterior ligaments of the
The case histories of five young children are presented to demonstrate the radiological appearances of trauma to the
1. Five patients are reported in whom osteochondritis is shown to have given rise to anterior intervertebral fusion. 2. It is suggested that anterior intervertebral fusion discovered in radiographs of adult
1. The clinical and post-mortem findings are described of a patient who sustained a hyperextension injury of the neck with paraplegia. 2. There was no radiological evidence of fracture: osteoarthritis of the
