Targeted computerised tomography scanning of the ankle syndesmosis with low dose radiation exposure.

Objectives: To devise a new protocol for targeted CTscanning of the distal tibiofibular syndesmosis with minimal radiation exposure to patients. We also aimed to correlate the reduction of the syndesmosis as seen on CT scans with the functional outcome of patients.

Materials And Methods: Prospective study.

Should a Lumbar MRI for back pain routinely include the sacro-iliac joint?

Background: Back pain is a common problem and has been shown to affect approximately 85% of the adult population at any one time. The source of this pain can be difficult to identify and the sacroiliac joint (SIJ) has been proposed as a possible pain source. Its percentage contribution to lower back pain is controversial.

Avulsion of the L4 spinous process: an unusual injury in a professional rugby player: case report.

Study Design: A case of L4 spinous process avulsion following a hyperflexion injury treated with surgical excision.

Objective: To show that single photon emission computerized tomography is essential for the diagnosis and that excision can provide a successful outcome.

Summary Of Background Data: The avulsion resulted from a forced hyperflexion injury at the L4/5 area, where the interspinous ligament provides a high resistance to flexion.