Closed Mallet Thumb Injury-A Rare Case Report.

Introduction: Mallet thumb injuries are uncommon. Traumatic avulsion injury of the extensor pollicis longus leads to significant difficulty.

Case Report: A 55-year-old male patient presented with a closed hyper flexion injury to the thumb, resulting in pain and loss of active extension.

The bikini incision anterior cemented total hip arthroplasty: Assessment of radiological and clinical outcomes - A mid-term review.

Introduction: There has been an increased interest in minimally invasive direct anterior approach total hip arthroplasty (THA) to provide greater patient satisfaction, improve pain relief, and reduce the duration of hospitalisation. A direct anterior approach hybrid cemented THA, utilising a bikini line incision, can be technically challenging. We aimed to undertake radiological analysis of femoral stem cementation, clinical outcomes, and component survivorship.

Minimizing complications in bikini incision direct anterior approach total hip arthroplasty: A single surgeon series of 865 cases.

Purpose: The purpose of this study was to report all complications during the first consecutive 865 cases of bikini incision direct anterior approach (DAA) total hip arthroplasty (THA) performed by a single surgeon. The secondary aims of the study are to report our clinical outcomes and implant survivorship. We discuss our surgical technique to minimize complication rates during the procedure.

Fast Bowler's knee - anteromedial articular impingement.

Purpose: To describe a series of impingement lesions found on the anterior aspect of the medial femoral condyle in international cricketers.

Methods: Seven international level fast bowlers presented to our clinic with knee pain in the lead leg between 2005 and 2013. The mean age of the patients was 26.

A cadaveric model to evaluate the effect of unloading the medial quadriceps on patellar tracking and patellofemoral joint pressure and stability.

Background: Vastus Medialis Muscles (VMM) damage has been widely identified following patellar dislocation. Rehabilitation programmes have been suggested to strengthen the VMM and reduce clinical symptoms of pain and instability. This controlled laboratory study investigated the hypothesis that reduced Vastus Medialis Obliquus (VMO) and Vastus Medialis Longus (VML) muscle tension would alter patellar tracking, stability and PFJ contact pressures.

Block vertebra.

We report a case of congenital kyphosis in a 5-year-old child. Although she was presented before the age of 1 year to her local orthopaedic unit, a definitive diagnosis of unsegmented vertebra was made when she was referred to our unit. The child was treated with posterior fusion, which improved part of the deformity and completely prevented progression.

Are albumin and total lymphocyte count significant and reliable predictors of mortality in fractured neck of femur patients?

Hip fractures are a significant cause of mortality and morbidity in the elderly. It is important to identify factors that predict an increased mortality following hip fracture. The aim of this study was to identify significant predictors of mortality at 6 and 12 months following hip fractures.

Necrotising fasciitis: a series of seven cases.

Necrotising fasciitis of the extremities is a rapidly progressive, potentially life threatening soft tissue infection. Early diagnosis, aggressive surgical and critical care management is vital in preventing mortality. This series reports the clinical presentation, behaviour of inflammatory markers, histological, microbiological and radiological findings in seven cases, which presented to our orthopaedic unit over the last one year.

Group B streptococci as an unusual cause of septic arthritis of the hip: association with childbirth.

Group B streptococci (GBS) birth canal colonisation in pregnant women and women of child-bearing age is well known. The recognition and incidence of infections caused by these organisms in non-pregnant and elderly adults are increasing. Clinical manifestations of GBS infections can range from simple skin and soft tissue infections to fatal meningitis in newborns.

Old unreduced traumatic anterior dislocation of the hip.

We report a case of neglected anterior dislocation of the hip. A young man presented 5 months following a fall from a tree where he sustained the injury. An MRI of the hip confirmed avascular necrosis of the dislocated head of femur.