Publications by authors named "F P Monsell"
Background: Legg-Calve-Perthes disease (LCPD) is a developmental disorder causing avascular necrosis of the femoral head in children, with long-term consequences that can extend into adulthood. Early diagnosis and management in primary care are crucial but challenging.
Aim: This review aims to provide a concise overview of the presentation, differential diagnosis and management of LCPD, offering practical guidance for primary healthcare professionals.
Article Synopsis
- The British Orthopaedic Association recommends surgical debridement for pediatric Gustilo-Anderson type I upper limb open fractures, but evidence for its benefits is limited due to low infection rates in these cases.
- A systematic review was conducted, focusing on patients under 18 with type I fractures treated either with antibiotics alone or surgical debridement, excluding those requiring stabilization.
- Results showed that both treatment methods had low infection rates (0.3% for non-operative and 0.4% for operative), indicating that surgical debridement may not be necessary, and treatment should be tailored based on individual patient factors.
Prevention of chronic pain is a major challenge in this area of clinical practice. To do this, we must be able to understand who is most at risk of developing chronic pain after an injury. In this study, we aimed to identify risk factors of chronic pain onset, disability, and pain interference after a lower limb musculoskeletal injury in children and adolescents between 8 to 16 years of age.
View Article and Find Full Text PDFPediatric musculoskeletal infections (MSIs) are a major contributor to the global burden of musculoskeletal disease in children and young adults. If untreated, or treated inappropriately or inadequately, pediatric bone and joint infections can be fatal or result in morbidity that causes significant functional disabilities to the patient and economic burden to the family and the community at large. The past decade has witnessed many advances in this field with respect to early diagnosis, management, and prevention of complications.
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