A5061602047- Shoulder Injury and Treatment
- Shoulder and Clavicle Injuries
- Trauma Management and Diagnosis
- Orthopedic Surgery and Rehabilitation
- Nerve Injury and Rehabilitation
- Cardiovascular Syncope and Autonomic Disorders
- Health Systems, Economic Evaluations, Quality of Life
- Radiology practices and education
- Musculoskeletal pain and rehabilitation
- Advances in Oncology and Radiotherapy
- Delphi Technique in Research
- Primary Care and Health Outcomes
- Clinical practice guidelines implementation
- Musculoskeletal Disorders and Rehabilitation
- Radiation Dose and Imaging
- Medical Practices and Rehabilitation
- Hip and Femur Fractures
- Cardiac, Anesthesia and Surgical Outcomes
- Healthcare Policy and Management
- Cardiac Valve Diseases and Treatments
- Health and Medical Research Impacts
- Nursing Roles and Practices
- Urban and spatial planning
- Reliability and Agreement in Measurement
- Industrial Vision Systems and Defect Detection
James Cook University Hospital
2010-2021
South Tees Hospitals NHS Foundation Trust
2004-2021
Chartered Society of Physiotherapy
2020
National Health Service
2020
Nottingham City Hospital
2005-2018
Brunel University of London
2014
Physiotherapy New Zealand
2009
<h3>Importance</h3> The need for surgery the majority of patients with displaced proximal humeral fractures is unclear, but its use increasing. <h3>Objective</h3> To evaluate clinical effectiveness surgical vs nonsurgical treatment adults humerus involving neck. <h3>Design, Setting, and Participants</h3> A pragmatic, multicenter, parallel-group, randomized trial, Proximal Fracture Humerus Evaluation by Randomization (PROFHER) recruited 250 aged 16 years or older (mean age, 66 [range, 24-92...
BackgroundManipulation under anaesthesia and arthroscopic capsular release are costly invasive treatments for frozen shoulder, but their effectiveness remains uncertain. We compared these two surgical interventions with early structured physiotherapy plus steroid injection.MethodsIn this multicentre, pragmatic, three-arm, superiority randomised trial, patients referred to secondary care treatment of primary shoulder were recruited from 35 hospital sites in the UK. Participants adults (≥18...
Proximal humeral fractures account for 5-6% of all in adults. There is considerable variation whether or not surgery used the management displaced involving surgical neck.To evaluate clinical effectiveness and cost-effectiveness compared with non-surgical treatment majority proximal humerus neck adults.A pragmatic parallel-group multicentre randomised controlled trial an economic evaluation. Follow-up was 2 years.Recruitment undertaken orthopaedic departments 33 acute NHS hospitals UK....
The aim of this study was to determine the functional outcome and rate re-tears following mini-open repair symptomatic large massive tears rotator cuff using a two-row technique. 24 patients included in were assessed prospectively before at mean 27 months (18 53) after surgery Constant Oxford Shoulder scores. Ultrasound examination carried out follow-up integrity repair. Patient satisfaction simple questionnaire. score improved significantly from 36 68 operation (p < 0.0001) 39 20 0.0001)....
Proximal humeral fractures, which occur mainly in older adults, account for approximately 4 to 5% of all fractures. Approximately 40% these fractures are displaced involving the surgical neck. Management this group is often challenging and outcome frequently unsatisfactory. In particular it not clear whether surgery gives better outcomes than non-surgical management. Currently there much variation use a lack good quality evidence inform decision. We aim undertake pragmatic UK-based...
Brucellosis caused by Brucella suis is a notifiable disease that has recently emerged in dogs New South Wales (NSW). Given the potential for zoonotic transmission, euthanasia of affected recommended, but this action not mandatory. We report clinical management three underwent treatment at their owners' request.A 14-month-old spayed female crossbreed originally obtained from an urban animal shelter extensive investigations 2011-12 lameness and back pain, culminating decompressive laminectomy....
Frozen shoulder (also known as adhesive capsulitis) occurs when the capsule, or soft tissue envelope around ball and socket joint, becomes scarred contracted, making tight, painful stiff. It affects 1 in 12 men 10 women of working age. Although this condition can settle with time (typically taking to 3 years), for some people it causes severe symptoms needs referral hospital. Our aim is evaluate clinical cost-effectiveness two invasive costly surgical interventions that are commonly used...
Background Frozen shoulder causes pain and stiffness. It affects around 10% of people in their fifties is slightly more common women. Costly invasive surgical interventions are used, without high-quality evidence that these effective. Objectives To compare the clinical effectiveness cost-effectiveness three treatments secondary care for adults with frozen shoulder; to qualitatively explore acceptability patients health-care professionals; update a systematic review trial findings context...
ObjectivesThe United Kingdom Frozen Shoulder Trial (UK FROST) compares stand-alone physiotherapy and two operative procedures, both with post rehabilitation, for primary frozen shoulder in secondary care. We developed protocols UK FROST, incorporating best evidence but recognizing uncertainty allowing flexibility.MethodsWe screened a Department of Health systematic review evidence-based guidelines (Hanchard et al., 2012; Maund 2012) recommendations, previous surveys physiotherapists 2011,...
Prevalence of rotator cuff tears increases with advancing age. Despite proximal humeral fractures being common in the elderly, influence a coexistent tear on outcome has, to our knowledge, not been previously investigated. This study prospectively assessed whether presence association fracture influences functional prognosis.Eighty-five patients treated conservatively for were evaluated ultrasonography determine status cuff. Every patient was managed by immobilization an arm sling 2 weeks...
Background: The present study aimed to compare medium-term clinical outcomes of patients following arthroscopic subacromial decompression (ASAD): those with intact rotator cuff two groups increasing size partial thickness bursal-side tears. Methods: Patients undergoing shoulder arthroscopy by a single surgeon had pre- and postoperative Constant scores prospectively recorded. Arthroscopic surgery included the assessment any supraspinatus tears using Ellman criteria, as well ASAD debridement....