Implementing NICE guidelines on risk assessment for venous thromboembolism: failure, success and controversy.

Purpose: Venous thromboembolism (VTE) prophylaxis guidelines were originally published by the National Institute of Clinical Excellence (NICE) in April 2007. Controversy eclipsed their release. Consequently, the VTE prophylaxis publication was reviewed and republished in January 2010.

Does scaphoid bone bruising lead to occult fracture? A prospective study of 50 patients.

Introduction: Bone bruising of the scaphoid is a term reported when magnetic resonance imaging (MRI) is carried out for scaphoid injury. The aim of our study was twofold: to see if bone bruising alone without fracture of the scaphoid bone seen on initial MRI, in a clinically symptomatic (tender) patient at 10-14 days, progressed to fracture, and to define how this entity of bone bruising should be managed.

Methods: This was a prospective study looking at 170 patients with scaphoid injuries, of which 50 had bone bruising without fracture.