The influence of age and unreported symptoms on the Oxford Shoulder Score.

Background: One potential limitation of interpreting the Oxford Shoulder Score (OSS) in longitudinal studies is that the observed score may be influenced by age and other variables, which may change over time. The purpose of the present study was to investigate the influence of increasing age and unreported non-shoulder upper limb and neck symptoms on the OSS.

Methods: We collected OSS data from a sample of our ethnically diverse local population.

A new technique for stabilizing adolescent posteriorly displaced physeal medial clavicular fractures.

Background: Adolescent posteriorly displaced physeal injuries of the medial clavicle are uncommon. Up to 50% of conservatively treated patients remain symptomatic, and late surgery is hazardous. Stability is rarely achieved with closed or open reduction alone, and internal fixation is usually required.

Operative versus non-operative management following Rockwood grade III acromioclavicular separation: a meta-analysis of the current evidence base.

Background: Whilst there is little debate over the treatment of Rockwood grade V and VI acromioclavicular dislocation, the management of grade III acromioclavicular dislocation remains less clear. The purpose of this study was to compare the clinical outcomes of patients managed operatively and non-operatively following grade III acromioclavicular dislocation.

Materials And Methods: A systematic review of published and unpublished material was conducted.

Arthroscopic management of the painful snapping scapula.

Purpose: The aim of this study was to evaluate the results of the arthroscopic management of the snapping scapula syndrome.

Type Of Study: Case series.

Methods: Thirteen patients underwent surgery for painful scapular snapping that had not responded to adequate conservative treatment.

The 'ABC' of examining foot radiographs.

Introduction: We report a simple systematic method of assessing foot radiographs that improves diagnostic accuracy and can reduce the incidence of inappropriate management of serious forefoot and midfoot injuries, particularly the Lisfranc-type injury.

Study Group And Methods: Five recently appointed senior house officers (SHOs), with no casualty or Orthopaedic experience prior to their appointment, were shown a set of 10 foot radiographs and told the history and examination findings recorded in the casualty notes of each patient within 6 weeks of taking up their posts. They were informed that the radiographs might or might not demonstrate an abnormality.

Pigmented villonodular synovitis of the ankle occurring in a patient on anticoagulation therapy.

A case report is presented of a 45-year-old woman with an 18-month history of pain and swelling in her right ankle. There was no history of trauma. Routine investigations failed to elicit a diagnosis.

Partial meniscectomy in the presence of severe osteoarthritis does not hasten the symptomatic progression of osteoarthritis.

Purpose: This study had 2 aims: to determine whether arthroscopic partial meniscectomy improved symptoms in patients with a torn meniscus and severe degenerative change and to determine whether meniscectomy hastened the symptomatic progression of osteoarthritis in these patients.

Type Of Study: An outcome study.

Methods: The study group consisted of 126 patients with Outerbridge grade IV degeneration (exposed bone) in the same compartment as a meniscal tear.

Operative management of the frozen shoulder in patients with diabetes.

Forty-three patients with diabetes (47 shoulders) who had a manipulation under anesthesia only (24 shoulders), a manipulation under anesthesia followed by an arthroscopy (12 shoulders), or an arthroscopic release (11 shoulders) for a frozen shoulder were followed-up for a mean period of 35 months. The mean Constant score improved from 20.3 to 63.