We describe a consecutive series of girls with idiopathic anterior knee pain in adolescence and who were treated nonoperatively. At mean follow-up 16 years, 22% had no pain, 71% thought that their symptoms better than at presentation, 88% used analgesics rarely or not all, 90% continued to participate regularly sports. Nevertheless, about one four the patients have significant for < = 20 years after presentation. No features identified predicted those whom would persist. conclude surgical...

This paper presents our initial experience using a single cross grasp, four-strand repair with an active mobilization regimen in general trauma hospital setting. Variably experienced members of the service large used grasp tenorrhaphy technique for acute 73 zone one and two flexor digitorum profundus tendon lacerations 53 patients. Postoperatively, all patients commenced program within 12 hours surgical repair. With minimum 3 months post-repair follow-up 89% repaired tendons, 71% fingers...

Hand surgeons continue to search for the best surgical flexor tendon repair and treatment of sheaths pulleys, they are attempting establish postoperative regimens that fit diverse clinical needs. It is purpose this report present current views, methods, suggestions six senior hand from different countries — all experienced in reconstruction. Although certainly there common ground, presents provocative views approaches. The reflects an update committee. We hope it helpful therapists treating injuries.

This study was part of a larger project to develop (kinetic) theory carpal motion based on computationally derived isometric constraints. Three-dimensional models were created from computed tomography scans the wrists ten normal subjects and spatial relationships at physiological extremes assessed. Specific points surface various bones radius that remained through range movement identified. Analysis constraints intercarpal suggests carpus functions as stable central column...

Consistent explanations of hand and wrist anatomy, how it relates to function leads dysfunction, remain elusive. Recent research using new capabilities in computer-aided three-dimensional (3D) modelling with mathematical tools have advanced our understanding areas where conventional does not align clinical observation. Translating the complex biomechanical realities into models upper limb, however, poses significant challenges; yet when successful, these can provide answers questions...

Deficiency of the proximal pole scaphoid due to fracture or necrosis was treated by costo-osteochondral replacement arthroplasty using rib bone/cartilage autografts in 22 patients who were followed prospectively and assessed at a median 24 month follow-up (range, 12-72 months). Improvement wrist function occurred all with increased motion, improved grip strength less pain. The average modified Green O'Brien Wrist Function Score from 53 out 100 preoperatively 80 most recent review. All graded...

Background: A systematic review of the literature was performed to estimate impact hemiarthroplasty compared with total shoulder arthroplasty on function and range motion in patients suffering from osteoarthritis shoulder. Methods: We conducted an electronic search for relevant studies published any language 1966 2004, a manual proceedings five major orthopaedic meetings 1995 2003, reference lists potentially studies. Four randomized clinical trials, similar eligibility criteria surgical...

The 2021 Australian Orthopaedic Association National Joint Replacement Registry (AOANJRR) report indicated that total shoulder replacement using both midhead (TMH) length humeral components and reverse arthroplasty (RTSA) had a lower revision rate than stemmed in anatomic (aTSA)-for all prosthesis types diagnoses. However, there are many factors affect the outcome of replacement, including stem polarity, polyethylene type, glenoid fixation (cemented vs. cementless). aim this study was to...

The integrity of the repair is critical to maintain coaptation severed flexor tendon end until healing has advanced sufficiently. In our hospital, we use a modified Savage (four-strand Adelaide technique) using 3–0 Ethibond (Ethicon, Somerville, NJ, USA) for acute tenorrhaphy and an active postrepair mobilization protocol. To explain apparent differences between theoretical actual strength multistrand in single tension test reduced subjected cyclic loading, compared cyclical tensile loading...

During the 10 year interval 1979-1989, 20 patients underwent nerve grafting of a radial lesion, 13 high and 7 posterior interosseous. Average follow-up was 38 months (range 12 months-10 years). Overall 72% achieved Highet Scale rating M3 or better function 44% M4 recovery. Age patient length graft did not seem to influence outcome. Time from initial injury affect outcome, with 85% grafted within 6 obtaining No after recovered any useful function. Lesions interosseous had consistently...

The use of intremedullary nails for the management humeral shaft fractures has been controversial. Recently, Seidel nail become available. purpose this study was to review our initial experience with nail.A retrospective clinical and radiographic 25 consecutive patients treated intramedullary performed. used non-union in 10 patients, delayed union four, acute fracture eight pathological three. Eighteen 19 survivors were clinically reviewed at an average 15 months (range 8-15). Pain,...

The acromioclavicular (AC) joint is a recognized source of persistent pain following subacromial decompression. However, as both arthroscopic and open lateral clavicle excision may create unacceptable instability, recommended only if there are preoperative symptoms referable to the AC joint, or inferior capsule compromised intraoperatively by coplaning. appears be less commonly involved in presence cuff tear; however, an cyst effusion indicative rotator tear. Cumulative published experience...

Department of Orthopaedics and Trauma, Royal Adelaide Hospital, Wakefield Orthopaedic Clinic, Adelaide, South Australia Address correspondence reprint requests to Michael J. Sandow F.R.A.C.S., 270 Street, 5000; e-mail: [email protected]