Aims
Femoroacetabular impingement (FAI) patients report exacerbation of hip pain in deep flexion. However, the exact impingement location in deep flexion is unknown. The aim was to investigate impingement-free maximal flexion, impingement location, and if cam deformity causes hip impingement in flexion in FAI patients.
Methods
A retrospective study involving 24 patients (37 hips) with FAI and femoral retroversion (femoral version (FV) < 5° per Murphy method) was performed. All patients were symptomatic (mean age 28 years (SD 9)) and had anterior hip/groin pain and a positive anterior impingement test. Cam- and pincer-type subgroups were analyzed. Patients were compared to an asymptomatic control group (26 hips). All patients underwent pelvic CT scans to generate personalized CT-based 3D models and validated software for patient-specific impingement simulation (equidistant method).
Aims. The aim of this paper was to present the clinical features of
patients with musculoskeletal sources of methicillin-sensitive Staphylococcus
aureus (MSSA) septicaemia. Patients and Methods. A total of 137 patients presented with MSSA septicaemia between
2012 and 2015. The primary source of infection was musculoskeletal
in 48 patients (35%). Musculoskeletal infection was considered the
primary source of septicaemia when endocarditis and other obvious
sources were excluded. All patients with an arthroplasty at the time
were evaluated for any prosthetic involvement. . Results. The most common site of infection was the spine, which occurred
in 28 patients (58%), and was associated with abscess formation
in 16. Back pain was the presenting symptom in these patients, with
a positive predictive value of 100%. A total of 24 patients had
a total of 42 arthroplasties of the hip or knee in situ.
Prosthetic joint infection occurred in six of these patients (25%).
In five patients, the infection originated outside the musculoskeletal
system. Three patients (6%) with MSSA septicaemia from a musculoskeletal
sources died. . Conclusion. Amongst the musculoskeletal sources of MSSA septicaemia, the
spine was the most commonly involved. We recommend an MRI scan of
the whole spine and pelvis in patients with MSSA septicaemia with
back pain, when the primary source of infection has not been identified
or
Aims
Studies of infant hip development to date have been limited by considering only the changes in appearance of a single ultrasound slice (Graf’s standard plane). We used 3D ultrasound (3DUS) to establish maturation curves of normal infant hip development, quantifying variation by age, sex, side, and anteroposterior location in the hip.
Methods
We analyzed 3DUS scans of 519 infants (mean age 64 days (6 to 111 days)) presenting at a tertiary children’s hospital for suspicion of developmental dysplasia of the hip (DDH). Hips that did not require ultrasound follow-up or treatment were classified as ‘typically developing’. We calculated traditional DDH indices like α angle (αSP), femoral head coverage (FHCSP), and several novel indices from 3DUS like the acetabular contact angle (ACA) and osculating circle radius (OCR) using custom software.
The FRCS (Tr &
Orth) examination has three components: MCQs, Vivas and
The FRCS (Tr &
Orth) examination has three components: MCQs, Vivas and
Aims
Distraction osteogenesis with intramedullary lengthening devices has undergone rapid development in the past decade with implant enhancement. In this first single-centre matched-pair analysis we focus on the comparison of treatment with the PRECICE and STRYDE intramedullary lengthening devices and aim to clarify any clinical and radiological differences.
Methods
A single-centre 2:1 matched-pair retrospective analysis of 42 patients treated with the STRYDE and 82 patients treated with the PRECICE nail between May 2013 and November 2020 was conducted. Clinical and lengthening parameters were compared while focusing radiological assessment on osseous alterations related to the nail’s telescopic junction and locking bolts at four different stages.
The FRCS (Tr &
Orth) examination has three components: MCQs, Vivas and
The FRCS (Tr &
Orth) examination has three components: MCQs, Vivas and
The FRCS (Tr &
Orth) examination has three components: MCQs, Vivas and
The FRCS (Tr &
Orth) examination has three components: MCQs, Vivas and
Aims
The aim of this study was to compare a bicruciate-retaining (BCR) total knee arthroplasty (TKA) with a posterior cruciate-retaining (CR) TKA design in terms of kinematics, measured using fluoroscopy and stability as micromotion using radiostereometric analysis (RSA).
Methods
A total of 40 patients with end-stage osteoarthritis were included in this randomized controlled trial. All patients performed a step-up and lunge task in front of a monoplane fluoroscope one year postoperatively. Femorotibial contact point (CP) locations were determined at every flexion angle and compared between the groups. RSA images were taken at baseline, six weeks, three, six, 12, and 24 months postoperatively. Clinical and functional outcomes were compared postoperatively for two years.
The FRCS (Tr &
Orth) examination has three components: MCQs, Vivas and
The FRCS (Tr &
Orth) examination has three components: MCQs, Vivas and
The FRCS (Tr &
Orth) examination has three components: MCQs, Vivas and
The FRCS (Tr &
Orth) examination has three components: MCQs, Vivas and
The FRCS (Tr &
Orth) examination has three components: MCQs, Vivas and
The FRCS (Tr &
Orth) examination has three components: MCQs, Vivas and
Aims
The evidence demonstrating the superiority of early MRI has led to increased use of MRI in clinical pathways for acute wrist trauma. The aim of this study was to describe the radiological characteristics and the inter-observer reliability of a new MRI based classification system for scaphoid injuries in a consecutive series of patients.
Methods
We identified 80 consecutive patients with acute scaphoid injuries at one centre who had presented within four weeks of injury. The radiographs and MRI scans were assessed by four observers, two radiologists, and two hand surgeons, using both pre-existing classifications and a new MRI based classification tool, the Oxford Scaphoid MRI Assessment Rating Tool (OxSMART). The OxSMART was used to categorize scaphoid injuries into three grades: contusion (grade 1); unicortical fracture (grade 2); and complete bicortical fracture (grade 3).
Aims
There is no consensus regarding optimum timing and frequency of ultrasound (US) for monitoring response to Pavlik harness (PH) treatment in developmental dysplasia of the hip (DDH). The purpose of our study was to determine if a limited-frequency hip US assessment had an adverse effect on treatment outcomes compared to traditional comprehensive US monitoring.
Methods
This study was a single-centre noninferiority randomized controlled trial. Infants aged under six months whose hips were reduced and centred in the harness at initiation of treatment (stable dysplastic or subluxable), or initially decentred (subluxated or dislocated) but reduced and centred within four weeks of PH treatment, were randomized to our current standard US monitoring protocol (every clinic visit) or to a limited-frequency US protocol (US only at end of treatment). Groups were compared based on α angle and femoral head coverage at the end of PH treatment, acetabular indices, and International Hip Dysplasia Institute (IHDI) grade on one-year follow-up radiographs.
