Publications by authors named "G Bourke"
Article Synopsis
- The study aimed to evaluate how accurately MRI can diagnose nerve injuries related to brachial plexus birth injury (BPBI) compared to surgical exploration.
- Eight studies were analyzed, involving 116 children, but all showed risk of bias; MRI had a sensitivity of 68% and specificity of 89% for detecting root avulsion, while pseudomeningocele was not a reliable indicator.
- The findings suggest that surgical exploration remains the preferred method for diagnosis because MRI's diagnostic accuracy is not high enough for making critical treatment decisions.
Article Synopsis
- * Results showed significant relief in hand symptoms after the surgery, but no corresponding improvement in overall HR-QoL using the EQ-5D-5L assessment tool.
- * This lack of HR-QoL improvement raises questions about the cost-effectiveness of cubital tunnel release, suggesting that more specific measures might be necessary for better healthcare evaluation in hand surgery.
Aims: The aims of this study were to describe the epidemiology of metacarpal shaft fractures (MSFs), assess variation in treatment and complications following standard care, document hospital resource use, and explore factors associated with treatment modality.
Methods: A multicentre, cross-sectional retrospective study of MSFs at six centres in the UK. We collected and analyzed healthcare records, operative notes, and radiographs of adults presenting within ten days of a MSF affecting the second to fifth metacarpal between 1 August 2016 and 31 July 2017.
Updates in diagnostic tools for diagnosing nerve injury and compressions.
J Hand Surg Eur Vol
June 2024
Predicting prognosis after nerve injury and compression can be challenging, even for the experienced clinician. Although thorough clinical assessment can aid diagnosis, we cannot always be precise about long-term functional recovery of either motor or sensory nerves. To evaluate the severity of nerve injury, surgical exploration remains the gold standard, particularly after iatrogenic injury and major nerve injury from trauma, such as brachial plexus injury.
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- This study investigates how different preprocessing pipelines for Diffusion Tensor Imaging (DTI) affect the estimation of nerve health metrics, addressing the issue of artifacts in echo-planar imaging.
- Researchers acquired DTI data from healthy volunteers and applied various correction methods, finding that while preprocessing enhances image similarity, it also leads to significant variability in the measurements of nerve health indicators across different pipelines.
- Ultimately, the study concludes that even though preprocessing improves certain aspects of image quality, the choice of pipeline can significantly affect crucial diffusion metrics, highlighting the need for careful methodology in DTI studies of peripheral nerves.