Total fibula dislocation: A rare variant of a Bosworth fracture-dislocation injury.

To our knowledge and from our review of the literature, this is a previously unreported variant of a Bosworth fracture - total fibula dislocation. A 45 year old male presented after a high energy external rotation injury to his lower leg and was diagnosed with a total fibula dislocation with the distal fibula dislocated and incarcerated posteriorly to the tibia. Definitive management was operative with fixation of the proximal tibiofibular joint and repair of the posterolateral corner structures as well as fixation distally of the syndesmosis injury.

Hallux valgus interphalangeus: reliability of radiological assessment.

Background: Reliable radiographic measurement of hallux valgus interphalangeus (HVI) deformity has a role in guiding surgical management. HVI can be assessed using: The aim of the study is to investigate the reliability of these radiological parameters.

Methods: Seventy foot radiographs in patients pre and post hallux valgus corrective surgery were assessed by 3 observers.

Management of anticoagulation in hip fractures: A pragmatic approach.

Hip fractures are common and increasing with an ageing population. In the United Kingdom, the national guidelines recommend operative intervention within 36 hours of diagnosis. However, long-term anticoagulant treatment is frequently encountered in these patients which can delay surgical intervention.

Litigation related to casting in Orthopaedics-An analysis of claims against the National Health Service in England.

Orthopaedic casts have been used to treat musculoskeletal conditions for hundreds of years and are still a fundamental component of treating a variety of disorders. As surgical techniques have advanced the frequency of use of orthopaedic casts has declined. With Orthopaedics being is one of the most litigious specialties in medicine we sough to evaluate how this related to casting in Orthopaedics and how we could learn from past mistakes.

Pre-operative urinary tract infection: is it a risk factor for early surgical site infection with hip fracture surgery? A retrospective analysis.

Objective: The aims of the current study were to determine whether pre-operative urinary tract infections in patients presenting acutely with neck of femur fractures resulted in a delay to surgery and whether such patients were at increased risk of developing post-operative surgical site infections.

Design: A retrospective review of all patients presenting with a neck of femur fracture, at a single centre over a one-year period. The hospital hip fracture database was used as the main source of data.

Are "Patellofemoral Symptoms" Truly Related to the Patellofemoral Joint?

Purpose: The pattern of symptoms of knee osteoarthritis has been thought to be indicative of specific compartment involvement. This study investigated whether there was a true correlation between patellofemoral joint (PFJ) symptoms and unicompartmental patellofemoral arthritis.

Materials And Methods: A prospective analysis of 34 patients rendered to be suffering from PFJ osteoarthritis and subsequently undergoing unicompartmental patellofemoral arthroplasty (PFA) was performed.

Neuroblastoma: a rare cause of a limping child. How to avoid a delayed diagnosis?

Unlabelled: Neuroblastoma is the most common solid extracranial tumor of childhood. Even though >25% of presentations are orthopaedic in nature, ranging from a limp to lower limb paralysis, neuroblastoma is a rare cause of limping in childhood and can therefore be easily missed by the admitting orthopaedic surgeon. Four cases of metastatic neuroblastoma are reported who all presented with hip pain within the last 3 years at Royal Manchester Children's Hospital.