Hand and wrist injuries in professional county cricket.

Aim: This study aims to examine the mechanism and subsequent treatment modalities of hand and wrist injuries sustained in a professional cricket team.

Methods: We performed a retrospective review of prospectively collected injury data at Gloucestershire County Cricket Club (GCCC) over six seasons (2008-2013). We investigated all injuries sustained, treated by the team lead physiotherapist and senior author.

Clinical tests for carpal tunnel syndrome in contemporary practice.

Introduction: A study conducted to establish the most accurate combination of questionnaire and physical signs for the diagnosis of carpal tunnel syndrome.

Method: Nerve conduction studies confirmed 70 patients with having carpal tunnel syndrome who were enrolled along with 70 age- and sex-matched controls. Patients were assessed using a symptom questionnaire, Phalen's test, Hoffmann-Tinel's sign, hand elevation test, carpal compression test, tourniquet test, pressure aesthesiometry and two-point discrimination.

Katz and Stirrat hand diagram revisited.

Katz and Stirrat devised a hand diagram, which uses subjective information from the patient for the diagnosis of carpal tunnel syndrome (CTS). They reported a good result. We tested the inter-observer and intra-observer reliability of this hand diagram.

Perioperative management of the patient with liver disease and management of the chronic alcoholic.

Each year millions of Americans undergo surgical procedures requiring local, general, or spinal epidural anesthesia. A disproportionate number of the patients are older than age 65, and up to 10% of the patients have end-stage liver disease. Most patients do not suffer complications as a result of the surgical procedure or the anesthetic.

Alteration of polymorphonuclear neutrophil surface receptor expression and migratory activity after isolation: comparison of whole blood and isolated PMN preparations from normal and postfracture trauma patients.

Background: Post-traumatic MOF results from local tissue injury because of migration and activation of dysfunctional polymorphonuclear leukocytes (PMN). Although fracture surgery exacerbates the postinjury inflammatory response, it is usually beneficial. This study compared changes in PMN receptor expression and migratory activity, in whole blood and following PMN isolation.

Neutrophil priming for elastase release in adult blunt trauma patients.

Background: Elevated plasma elastase levels have been reported following major trauma and isolated femoral fracture. Reamed femoral nailing has been shown to further increase plasma elastase levels. The aim of this study was to investigate polymorphonuclear neutrophil (PMN) priming for degranulation following major trauma and isolated long-bone/pelvis fracture by assessing the ability of PMN to release elastase in vitro in response to a stimulus.

Enhanced neutrophil migratory activity following major blunt trauma.

Background: Neutrophil migration into the lung is a critical, but poorly understood step in the pathogenesis of post-traumatic, acute respiratory distress syndrome (ARDS). We investigated changes in interleukin-8 (IL-8) mediated neutrophil migration and associated changes in receptor expression, of the IL-8 receptors CXCR1, the integrins CD11b/CD18 and platelet endothelial cell adhesion molecule-1 (PECAM-1) in patients sustaining major trauma.

Methods: Eleven patients with major trauma, injury severity score (ISS), median 22 (range 18-41), were followed prospectively.